Couples Therapy in Naples, FL
Work on the pattern, not just the argument. Couples therapy for partners stuck in the same fight, recovering from betrayal, or living politely alongside each other without much left in between.
The short answer
Couples therapy at Naples Therapists is $150 per session, in person at 1048 Goodlette-Frank Rd N or by secure video anywhere in Florida. Sessions are with Kellie Hatch, MA, RMHCI, a Certified Rapid Transformational Therapist and trained relationship coach.
For couples who want to move faster than a weekly hour allows, two private intensives are available: the Keewaydin Island retreat at $950 and the Soul & Sand marriage retreat at $4,500 per couple. Every path starts with a free 15-minute Discovery Call — book online or call (239) 526-8526.
When the conversation stops working
Most couples do not arrive because of one catastrophic event. They arrive because a conversation they have had two hundred times now ends the same way every time — one partner pushing for resolution, the other going quiet and leaving the room. The content changes. The choreography does not.
That choreography is the actual subject of the work. Communication breakdown is rarely a vocabulary problem; it is a problem of what each partner believes will happen if they say the true thing. One of you learned that raising it louder is the only way to be heard. The other learned that saying nothing is the only way to stay safe. Both strategies made sense somewhere. Neither of them works here.
Sessions slow that sequence down until it becomes visible, then interrupt it in the room rather than in theory. Couples who have read every book on communication and still cannot get through a Tuesday evening usually do not need more technique — they need someone tracking what happens in the ninety seconds before it goes wrong.
Rebuilding after betrayal
Betrayal — an affair, a financial secret, a sustained pattern of lying — breaks something more specific than trust. It breaks the assumption that your read on your own life was accurate. The partner who was betrayed is often managing grief, rage and a kind of vertigo at the same time, while being asked to make decisions about the future.
Recovery work does not begin with forgiveness and it does not begin with a timeline. It begins with the whole truth being on the table, because trust cannot be rebuilt on a partial account, and with the partner who broke it carrying the work of repair rather than requesting reassurance. That order matters, and getting it wrong is why many couples stall for years.
Some couples rebuild. Some discover in the process that they are choosing to end things with more clarity and less cruelty than they would have managed alone. Both are legitimate outcomes of honest work, and neither is decided for you in the first session. If you are in this stretch, healing after betrayal covers the early ground in more detail.
Emotional disconnection and the roommate years
The couples who worry me least are the ones fighting. Conflict at least means both people are still invested enough to fight. The harder presentation is the courteous one: logistics handled, calendars synced, nobody raising their voice, nobody saying anything real either. Sex has quietly gone. Affection has become functional. Neither of you can name a moment it changed.
Disconnection like that is usually the accumulated residue of small bids for closeness that went unanswered — hundreds of them, none individually worth mentioning. Rebuilding is similarly granular. It is not one grand conversation; it is turning toward each other in the ordinary moments where you have both been trained to expect nothing. The habit that makes or breaks relationships is about exactly this mechanic.
The patterns underneath
Two people do not create a dynamic out of nothing. Each partner brings an attachment style, a family template for how conflict is handled, and a set of beliefs about their own worth that predate the relationship entirely. A pursuer and a withdrawer will reliably produce a pursue-withdraw cycle, and each will experience the other as the cause of it.
Naming those patterns is not about assigning blame or excavating childhood for its own sake. It is about giving both partners a way to see the cycle as something happening to them jointly rather than something one of them is doing to the other. That shift changes what is possible in the room. The four attachment styles is a useful primer before a first session, and overcoming toxic relationship patterns goes further into the repeat mechanics.
Where an individual pattern is doing most of the damage — a belief like "I will be left eventually, so I will test it first" — Rapid Transformational Therapy can be run alongside the couples work to address the root of it directly. Psychodynamic and Solution Focused approaches inform the couples work throughout.
Fees and formats
Couples sessions are $150, whether you attend together in the Naples office or join by secure video from anywhere in Florida. There is no telehealth discount and no telehealth surcharge.
| Format | Fee | Shape |
|---|---|---|
| Discovery Call (15 min) | Free | Phone or video, either partner |
| Couples therapy session | $150 | Naples office or telehealth |
| Keewaydin Island couples retreat | $950 | Private half-day intensive, by boat |
| Soul & Sand marriage retreat | $4,500 per couple | Three guided days, one couple at a time |
The practice is self-pay and does not bill insurance directly; superbills are available on request. Insurers rarely cover couples therapy at all, since there is no individual diagnosis to attach it to — which is one reason the fee is published up front. Full detail is on the cost and insurance page.
When an intensive makes more sense than weekly sessions
Weekly hours suit couples who are basically stable and want to change a specific dynamic. They suit acute situations much less well, because a week is long enough for a session's progress to be undone before the next one.
The Keewaydin Island retreat compresses that work into a private half-day intensive on a Gulf beach reachable only by boat — no phones ringing, no school run at the end of it. Soul & Sand extends it to three guided days for a single couple, combining couples work with individual RTT sessions. Both are deliberately screened on the Discovery Call rather than simply booked; they are not right for every couple.
Frequently Asked Questions
How long does couples therapy take?
It depends far more on what you are working on than on either partner. A single stuck communication pattern often shifts noticeably within six to ten sessions. Rebuilding after betrayal is measured in months rather than weeks, because trust is re-established through accumulated evidence and there is no way to shortcut that accumulation. Couples in an acute stretch sometimes compress the early work into the $950 Keewaydin Island intensive and continue weekly from a better starting point. A realistic range for your situation is something the Discovery Call can give you.
Can couples therapy save a marriage?
It can, and it often does — but the honest answer is that therapy does not save marriages on its own. Two people willing to look at their own contribution save marriages, and therapy makes that work possible and considerably faster. The strongest predictor is not how bad things currently are; it is whether both partners are still invested enough to change something about themselves rather than waiting for the other to go first. Where one partner has already decided to leave, the work usually becomes about separating with clarity instead, which is a legitimate and valuable outcome.
What is the difference between couples therapy and marriage counseling?
In practice, very little — the terms are used interchangeably by most clinicians and clients, and the fee here is $150 either way. "Marriage counseling" tends to be the phrase people use for married couples and often carries an expectation of shorter, more practical work. "Couples therapy" is the broader clinical term and covers married, engaged, dating and long-term unmarried partners equally. What actually changes the work is not the label but the format: weekly sessions, or a private intensive like the Keewaydin retreat or the Soul & Sand marriage retreat.
Start with one conversation
The free 15-minute Discovery Call is for either partner. It is a chance to describe what is happening and hear honestly whether weekly sessions or an intensive is the better fit.
Book Your Free Discovery CallClinical note: This page is general education, not a diagnosis, treatment plan, or a substitute for individual clinical care. Kellie Hatch is a Registered Mental Health Counselor Intern (RMHCI #31091) in Florida, practicing under the supervision of Dr. April Brown, LMHC, QS, NCC. Therapy outcomes vary from person to person and no result is guaranteed. If you are in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or dial 911.