COUPLES COUNSELING

Help for Couples Navigating Relationship

I found early in my career that I loved seeing couples, and I have pursued advanced training in helping them through a variety of challenges. Couples come to therapy at many different moments, when communication has broken down, when conflict cycles keep repeating, when intimacy has drifted, or when illness or another major life transition has put the relationship under strain.

My counseling-only practice works with all types of couples, and I have particular experience helping couples face health challenges together.

I welcome LGBTQ+ couples to work with me. I have experience with and a deep commitment to affirming and supporting couples and families of all kinds.

WHAT WE CAN WORK ON

Common Reasons Couples Come to See Me

  • Communication: patterns that leave one or both of you feeling unheard, dismissed, or shut out

  • Conflict: recurring arguments that never quite resolve, or conflict that has gone quiet but has not gone away

  • Intimacy and sexuality: desire differences, changes after illness or treatment, and rebuilding closeness

  • Health challenges: coping with a serious diagnosis, caregiving, or chronic illness as a couple rather than alone

  • Fertility and family building: the emotional strain of infertility, pregnancy loss, and fertility treatment

  • Major transitions: retirement, empty nest, relocation, career changes, and the shifting roles they bring

  • Life-stage changes: midlife, aging, and the evolving relationship between adult children and their parents

HOW I WORK

An Approach Grounded in Connection

My work with couples draws primarily from:

  • Emotionally Focused Therapy (EFT) — an evidence-based approach focused on the patterns and underlying emotions that shape how couples reach for and respond to each other

  • Cognitive Behavioral Therapy (CBT)

  • Mindfulness-based approaches including somatic awareness and body based interventions

  • ACT and DBT-informed interventions

My style is collaborative, grounded, practical, and compassionate. Sessions are a place where both partners can say what is hard to say and be heard, and where we work on the pattern between you, not on deciding who is at fault.

A Note on Licenses

Couples and family therapy is offered under my marriage and family therapist (LMFT) license. In this context I do not provide medical guidance, prescribe medication, or order tests, the work is entirely the therapy itself.

If you are seeking care as an individual and would like both medical and emotional support in one place, my integrated nurse practitioner practice may be a better fit. For more information, please visit Individuals or Cancer Support.

For Referring Therapists and Medical Providers

If you are working with an individual whose relationship is part of what they are struggling with, or a couple facing a diagnosis, a transition, or ongoing conflict, I welcome your referral for couples therapy. I’m glad to work alongside a client’s individual therapist.

Learn more about how to refer a patient.

Wondering whether we’re a fit?

Request a free 15 minute consultation to get started

Nicole Barr, NP, LMFT

#102791 Licensed Marriage and Family Therapist

#13643 Nurse Practitioner, California Board of Registered Nursing

Disclaimer

This website is for informational purposes only and is not monitored for emergencies. If you are experiencing a medical or mental health emergency, call 911 or go to the nearest emergency room.

© 2026 Nicole Barr. All rights reserved.