Couples Counseling in NYC
Relationships take work, and sometimes that work is easier with help. Couples counseling at Fifth Avenue Therapy gives partners a structured, supportive space to improve communication, understand recurring conflicts, and reconnect.
We're a not-for-profit practice near Union Square, between Midtown and Downtown Manhattan, with sliding-scale fees and most major insurance accepted, including Medicaid. We make couples work affordable in a city where that's hard to find.
How We Work With Couples
Couples counseling focuses on the relationship itself. Rather than taking sides, your clinician helps both partners feel heard and works with you to understand the patterns—in communication, conflict, and connection—that bring you in. Sessions are a place to slow down difficult conversations, surface what's underneath them, and practice new ways of relating to one another.
Couples come to us around communication breakdowns, recurring arguments, trust and intimacy, life transitions, and decisions about the future of the relationship.
Affordable, In-Network Care
As a not-for-profit, we believe cost shouldn't keep couples from getting help. We accept most major insurance plans, including Medicaid, and offer sliding-scale fees based on income.
How to Begin
Getting started is simple. Reach out to schedule an intake consultation, and we'll match you with a clinician who works with couples. Availability for couples counseling is limited, so we recommend contacting us early to find a time that fits both partners' schedules.