Mesa, AZ Couples Therapy

Biltmore Psychology and Counseling provides couples therapy for residents in the Mesa, AZ area.

When working with couples, our licensed psychologists and counselors often utilize Emotionally Focused Therapy (EFT) techniques to improve communication in the relationship. EFT focuses on healing pattern disruptions that lead couples into distress. Research shows this approach has an 70-75% success rate for helping those experiencing troubled relationships.

We have a diverse and experienced staff that specializes in Emotionally Focused Therapy, which we believe can help strengthen relationships. We bring an holistic understanding of gender identity and sexual orientation to our counseling services including LGBT couples.

Topics for Couples Counseling include:

Conflict Resolution

Premarital Counseling

Cheating and Affairs

Social Media & Online Relationships



LGBT Couples Counseling

Communication Difficulties

Emotional Distance

Dating Distress

Negative Relationship Patterns


Teletherapy & Video Counseling Sessions Available

Biltmore Psychology and Counseling offers teletherapy sessions as a way to participate in counseling without needing to be physically present at our office.

Request a Free Consultation

Fill out the form below or call us at (480) 999-7070 for a FREE consultation.

FAQs about Couples Counseling

What Can You Expect From Couples Counseling?

In your first counseling session, you’ll meet with your therapist to discuss the history of your relationship and what you can expect from therapy. Your counselor will provide feedback about where there are strengths as well as weaknesses; they will also propose a treatment plan that aligns with your unique goals.

In future sessions, your therapist will meet with each person individually to gather knowledge on their personal history. Our counselors usually state there are no secrets in couples counseling. Any information shared during an individual session cannot be kept secret from the other partner.

At the end of counseling, couples hope to have healed any emotional injuries in the relationship. Couples will clarify their desire to be together, or have decide to enter a separation process with the highest level of care and compassion.

The counselor’s role is not to decide if the couple should stay together, but to help the couple achieve the highest level of healing possible.

Read More: What to Expect at Your First Couples Counseling Session

What Happens During a Couples Counseling Session?

Depending on the couple’s goals, most couples counseling sessions will focus on the history of the relationship and attempt to help find a greater resolution as specific instances of distress are discussed. Your counselor may be watching for themes of disconnection and assist in overcoming the barriers that have been getting in the way.

Counselors can help couples understand their partner as well emotional connecting to the places of distress. Couples may focus on improving communication and restoring levels of connection that were once present in a past which has since dissipated.

In the event of infidelity, couples may pursue various routes to healing. Some may focus on specific difficulties such as step-parenting or frustrations with in-laws, while other couples might present themselves for premarital counseling before heading down this road just out of preemptive measure to avoid possible pitfalls down the line.

How Long Does Couples Counseling Last?

By definition, short-term counseling is considered to be 12 sessions. Often times couple counseling can last between 12-24 sessions.

Here are some factors that predict success and length of sessions:

  1. Timing – How recently was the affair, lie, or injury to the relationship. Since time does not heal all wounds, but instead causes them to fester. The greater the length of time between the incident and counseling, the greater the recovery. Researcher, John Gottman, Ph.D., found that couples are usually unhappy for 6 years before they seek help.
  2. Motivation – Highly motivated couples are usually able to overcome difficult circumstances in substantially fewer sessions.
  3. Fit – Finding the right couples therapist which a couple connects with and feels understood by is key to efficient therapy.

Is Couples Counseling Only for Married Couples?

No. Couples of any marital status (dating, courting, engaged, married) can find value in couples counseling. A couple does not have to be dating or married for a specific length of time to benefit from counseling. The sooner a couple addresses any underlying distress, the greater their chances for success.

What Is the Success Rate of Couples Counseling?

Recent studies from the American Psychological Association (APA) on counselors using Emotionally Focused Therapy (EFT) have shown that 70-75% of couples fully recover from their distress.

Will You Always See Us as a Couple, or Will You Ever See Us Individually?

Most therapists will see each person individually for one session to gather a more in-depth personal history. Beyond this initial session, the future individual sessions will depend on the goals outlined. It is important to note that there are no secrets in couples counseling, meaning that information shared individually cannot remain confidential from the other partner.

Can I Come for Couple’s Counseling Without My Partner(s)?

Yes. For various reasons, an individual may choose to come in by themselves for concerns related to their relationship. When appropriate, someone may start counseling by themselves, then later bring their partner in for couples counseling, if desired. Others may choose to have two counselors, one for individual therapy and another for couples counseling.

Can We Bring Our Child Into Our Couples’ Sessions?

We prefer that couples arrange for childcare and avoid bringing their child in for couples counseling. Due to the sensitive and emotional nature of this work, couples that bring their children often are not able to engage in conversations in the most honest, undistracted way.

Does Insurance Cover Couples Counseling?

Our office is out-of-network, so we do not accept insurance directly. However, if your insurance plan offers out-of-network benefits, we can provide you with a receipt so that you can bill your insurance directly.

Depending on the individual insurance plan, many will be reimbursed for a percentage of their payment. To determine if you have out-of-network mental health coverage, contact your insurance and ask about whether your plan includes out-of-network mental health coverage. Feel free to contact our office with any questions.

How Much Does Couples Counseling Cost?

Each couple has their own specific reason for coming to couple’s therapy. So, the price for couples counseling sessions vary, depending on the couple’s needs. If you have questions about pricing, please contact our offices for pricing: 480-999-7070

Meet our Team

Dr. Melissa Estavillo, PsyD


Doctorate and Master of Arts in Clinical Psychology, Arizona School of Professional Psychology
Practice Areas: Emotionally Focused Therapy (EFT), Relationship / Marriage Counseling, Depression, Anxiety, PTSD / Trauma, Grief, Spiritual Integration, Medical Counseling

Audrey Sessions PsyD at Biltmore Psychology & Counseling in Phoenix, AZ


Psy.D. Clinical Psychology, Arizona School of Professional Psychology
M.A. Clinical Psychology, Arizona School of Professional Psychology
M.S. Mental Health Counseling, Walden University
Practice Areas: Anxiety, Depression, Trauma, Emotional Regulation, LGBTQ+, Race-Based Stress, Military and Veteran-Related Issues, General Mental Health, Couples Counseling, Multicultural Diversity and Inclusion, Mindfulness

Licensed Marriage and Family Therapist Susan Self


M.S. Counseling and Human Services, University of Toledo
B.S. Psychology, Bowling Green State University

Practice Areas: Relationship / Marriage Counseling, Pre-marital Counseling, Parenting, General Counseling, Anxiety and Depression, Individual Therapy, Career Decisions, Caring for Aging Relatives, Life Changes, Work/Life Stressors


M.C. Counseling, Arizona State University
B.A. English (Literature), Arizona State University

Practice Areas: Adjustment Disorders, Anxiety, Cognitive Behavioral Therapy (Cbt), Depression, Disability Counseling, Existential Therapy, Faith-Based Counseling, General Mental Health Counseling, Gerontological Counseling, Grief Counseling, Individual Counseling, Mindful Self-Compassion (Msc)


M.A. Human Resources and Substance Abuse, Ottawa University
M.A. Professional Counseling, Ottawa University
B.A. Psychology, Ottawa University

Practice Areas: Trauma, Anxiety, PTSD, Grief, Life Transitions, Women’s Focused Issues, LGBTQ+, Parenting, Depression, Couples Counseling, Family Counseling, Faith-based Counseling, General Mental Health Counseling

Heather Wheeler LCSW at Biltmore Psychology & Counseling in Phoenix, AZ


Masters in Social Work, Arizona State University
B.A. Psychology, Arizona State University

Specialties: Anxiety, CBT, Depression, Grief Counseling, Couples Counseling, LGBTQ+, Mindfulness, Family Counseling, General Mental Health Counseling, Women-Focused Issues/New Mothers Counseling, and ACT (Acceptance and Commitment Therapy)

Our Location Near Mesa, AZ

We’re here for you.

Our couples counselors apply professional expertise and understanding to provide the best holistic counseling services in Mesa, AZ.

A 10-min consultation can help you determine whether our services would be the right fit for you. Call us today for a free phone consultation.

(480) 999-7070