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Decorative

Online Couples Therapy

Relationships thrive when partners feel connected, understood, and able to navigate life’s ups and downs together. Couples therapy held via telehealth offers a supportive space to explore patterns of communication, deepen emotional safety, and build practical skills for connection and repair.

Common Challenges I Help With

Common concerns couples bring to therapy include:

 

  • Feeling emotionally distant or disconnected

  • Repetitive conflict that never seems to resolve

  • Communication breakdowns during stress or major life transitions

  • Anxiety, depression, or burnout impacting the relationship

  • Navigating neurodivergence within the partnership (e.g., ADHD, autism, sensory differences)

  • Adjusting to the transition to parenthood

  • Parenting a neurodivergent child and its impact on the relationship

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Wedding Dance Moment

How I Work with Couples

I approach couples therapy with the understanding that relationships are shaped by emotion, history, nervous system responses, and practical skills. When couples feel stuck, it’s rarely because they don’t care, it’s because patterns of stress, protection, and miscommunication have taken over.

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Building Connection Through Emotionally Focused Therapy (EFT)

Emotionally Focused Therapy helps us slow down moments of conflict and look beneath the surface. Anger, withdrawal, or defensiveness are often expressions of deeper emotions—such as fear, hurt, or longing for connection. EFT helps couples recognize these patterns and understand what each partner is really needing in those moments. As these underlying emotions become clearer, interactions often soften, and partners are better able to respond with empathy rather than escalation.

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Practical Skills Through CBT-Informed Work

Insight alone isn’t always enough. I integrate CBT-informed skills to support real, day-to-day change. This includes building clearer communication, setting and respecting boundaries, navigating difficult conversations, and developing strategies for managing conflict more effectively. These tools help couples translate insight into action and create more predictable, supportive interactions outside of session.

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A Trauma-Informed Lens

Our past experiences shape how we interpret and react to the present. A trauma-informed approach recognizes that triggers, strong reactions, or shutdowns are often rooted in earlier experiences rather than the current relationship alone. Together, we explore how personal histories influence expectations, sensitivities, and protective responses, and we work toward greater awareness and choice in how partners respond to one another.

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Neurodivergent-Affirming Couples Therapy

Many couples include one or more neurodivergent partners. When neurodivergence is misunderstood, partners can end up feeling blamed, misunderstood, or at odds with each other. I take a neurodivergent-affirming approach that helps couples understand differences in communication styles, sensory needs, emotional processing, and executive functioning. This often allows couples to shift from “you versus me” to being on the same team against the problem.

 

Nervous System Awareness and Regulation

Couples often get stuck in cycles when conversations escalate faster than the body can regulate. A nervous-system-aware approach helps couples recognize when stress or activation is building in the body and learn ways to pause, regulate, and choose a different response. Rather than reacting from anger or overwhelm, couples build the capacity to stay engaged, grounded, and connected—even during difficult moments.

Modalities I Use

  • Emotionally Focused Therapy (EFT)

  • Cognitive Behavioral Therapy (CBT)

  • Polyvagal & somatic awareness

  • Neurodivergence-affirming approaches

  • DBT, ACT, and IFS-informed tools when helpful

Decorative

A Safe Space for LGBTQ+ & Polyamorous Couples

I have experience working with LGBTQ+ couples and partners in consensually non-monogamous and polyamorous relationships. I strive to create a therapy space that is affirming, respectful, and free from assumptions about gender, sexuality, or relationship structure. My goal is to support partners in feeling safe, understood, and able to explore their relationship dynamics openly and without judgment.

Ready to Get Started?

Couple Holding Hands

If you’re considering couples therapy and want support navigating patterns of conflict, disconnection, or transition, I invite you to schedule a free consultation. This initial conversation gives us space to talk through what you’re looking for and determine whether working together feels like the right fit.

Frequently Asked Questions

What does the consultation and intake process look like?

We begin with a free 15-minute virtual consultation where you can ask questions and share what you’re hoping to work on. If we decide to move forward, our first session is a 90-minute intake that allows me to understand your history, current patterns, and goals. After the intake, we review initial observations and collaboratively create a plan tailored to your relationship.

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Where do you offer couples therapy?

I provide secure telehealth couples therapy to clients located in PSYPACT-participating states, including Arizona, Connecticut, Maryland, Virginia, Florida, Colorado, Ohio, Rhode Island, New Jersey, Illinois, and Washington, DC. If you’re unsure whether I can work with you based on your location, feel free to reach out or check the PSYPACT list.

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Do you work with LGBTQ+ couples or non-monogamous relationships?

Yes. I have experience working with LGBTQ+ couples and partners in consensually non-monogamous and polyamorous relationships. I strive to create an affirming, non-judgmental therapy space that respects diverse identities, orientations, and relationship structures, and supports partners in exploring their dynamics openly and safely.

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Who is considered the client in couples therapy?

When we are working in couples therapy, the relationship itself is the client, rather than one individual partner. This means our work focuses on the patterns, dynamics, and goals of the couple as a unit.

 

If you begin therapy with me individually, you’re welcome to invite your partner to join sessions when it feels helpful. In that case, you remain the identified client, and we’ll be clear together about the goals and structure of the work.

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Do both partners need to be equally motivated to start couples therapy?

No. It’s very common for partners to come into couples therapy with different levels of motivation, urgency, or readiness. Part of our work is creating enough safety and clarity so both partners can engage at a pace that feels manageable, while still moving toward meaningful change.

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In what states do you offer couples therapy?

As a licensed psychologist with PSYPACT mobility, I provide online couples therapy to clients located in PSYPACT-participating states. This includes over 40 states, such as Arizona, Connecticut, Maryland, Virginia and Florida. You can view the PSYPACT map here, or reach out with questions if you would like to check if we can work together.

Align and Empower Therapy, PLLC

Katie Carhart, PhD

Licensed Clinical Psychologist

phone: 203-212-8824

Dr. Katie Carhart is a licensed clinical psychologist providing online therapy for adults, couples and adult family members in 40+ states under PSYPACT. She offers secure, HIPAA-compliant telehealth sessions for anxiety, depression, trauma, ADHD, neurodivergence, relationship stress, couple conflict, co-parenting, and burnout.

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Through PSYPACT authorization, I am licensed to provide telehealth evaluations in multiple states. Some of the key areas I serve include:

Website Disclaimer

The information provided on this website, including blog posts, downloadable resources, and external links, is for educational and informational purposes only. It does not constitute psychological treatment, diagnosis, or individualized clinical advice. Viewing this site or contacting Align & Empower Therapy, PLLC does not establish a psychologist–client relationship. Clinical services are provided only after completion of appropriate intake procedures and mutual agreement to treatment. If you are experiencing a mental health emergency, please call 911 or 988 or go to your nearest emergency room. Services are offered via telehealth to adults located in PSYPACT-authorized states where Dr. Carhart is legally permitted to practice.

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