One of you is reaching, the other is retreating—and you're both exhausted

The more one of you asks for closeness, the more the other pulls away. You're stuck in a cycle you didn't create—but you don't have to wait weeks to start understanding it.

What to Expect in Couples Therapy

Most couples wait 6 years before getting help. You're here now—that's the hardest part.
Here's how to move forward:

1

We meet within the week

No waitlist when you're stuck in the cycle. Book today, meet within days. Help starts when you need it.

2

You leave with real tools

We name the pattern—pursue-withdraw, shutting down, escalating fast.

3

We target your cycle weekly

One reaching, one retreating. Avoiding each other all weekend.

4

You're reconnecting, not just surviving

You can repair after conflict. Hard conversations don't spiral.

I've worked with couples on the brink of divorce who completely turned things around. I've also helped couples realize they're better apart. Either way, you'll get clarity—and that's worth everything.

For The Partner Who Thinks This is a Waste of Time

Let me guess: Your partner has been talking about couples therapy and you think it's just going to be an hour of listening to complaints about you. I get it. But here's the truth: I'm not your partner's ally. I'm not your ally. I'm on the side of figuring out what's actually happening in your relationship—not what each of you thinks is happening.

I've worked with hundreds of skeptical partners. Most of them end up being glad they came. Some realize they need individual therapy too. Some realize the relationship is over and they're okay with that. All of them say they're relieved to finally understand what the hell has been going wrong.

Give it three sessions. If it feels like a waste of time after that, we'll talk about it and you can stop. But you might be surprised.

I'll Give It Three Sessions

What We Help Couples Work Through

When the same fight keeps happening—over dishes, money, parenting, or nothing at all—and you can't figure out how to stop it. With support, you can learn to slow down the escalation, understand what's actually underneath the conflict, and fight without destroying each other.

explore
Learn about our approach, what to expect, and book a free consultation

When you're roommates managing logistics but barely connecting underneath it all—and you can't remember the last time you felt close. Therapy offers a way to rebuild intimacy step by step, reconnect emotionally and physically, and rediscover why you chose each other.

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When one of you is reaching for connection and the other is pulling away—and you're both exhausted from the pattern that never seems to end. With support, you can understand what you're each protecting underneath the cycle, interrupt it together, and reach for each other safely.

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When trust has been broken—through an affair, betrayal, or emotional distance—and you're trying to figure out if repair is even possible. Healing work helps you understand what happened, rebuild safety step by step, and decide together whether you want to stay and how.

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When external pressures (parenting, career changes, family illness, moves) are creating distance and you're losing each other in the chaos. With support, you can reconnect as a team, navigate the transition together, and come out stronger on the other side.

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Communication & Conflict Patterns

When the same fight keeps happening—over dishes, money, parenting, or nothing at all—and you can't figure out how to stop it. With support, you can learn to slow down the escalation, understand what's actually underneath the conflict, and fight without destroying each other.

explore
Learn about our approach, what to expect, and book a free consultation
Disconnection & Intimacy Issues

When you're roommates managing logistics but barely connecting underneath it all—and you can't remember the last time you felt close. Therapy offers a way to rebuild intimacy step by step, reconnect emotionally and physically, and rediscover why you chose each other.

explore
Pursue-Withdraw Cycles

When one of you is reaching for connection and the other is pulling away—and you're both exhausted from the pattern that never seems to end. With support, you can understand what you're each protecting underneath the cycle, interrupt it together, and reach for each other safely.

explore
Trust & Affair Recovery

When trust has been broken—through an affair, betrayal, or emotional distance—and you're trying to figure out if repair is even possible. Healing work helps you understand what happened, rebuild safety step by step, and decide together whether you want to stay and how.

explore
Life Transitions & Stress

When external pressures (parenting, career changes, family illness, moves) are creating distance and you're losing each other in the chaos. With support, you can reconnect as a team, navigate the transition together, and come out stronger on the other side.

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A Complete Couples Care Package

What you get and what happens next

Couples Therapy

$320
/session
Couples therapy costs more than individual because I'm managing two people, two perspectives, and keeping both of you safe while you're vulnerable. You'll spend more on a vacation that lasts a week.

What's Included:

Same-week availability when you're ready to start

Practical tools and strategies from your first session

75-minute personalized sessions focused on what matters most to both of you

Payment questions? Many couples split the cost. I also offer superbills for insurance reimbursement. Let's talk about what works for your situation.

Is your partner skeptical about therapy?

Hi, I’m Sierra!

I built this practice after waiting months for help while barely holding it together—then leaving my first session with just validation and no tools.

Now I help individuals/ couples who are anxious and burned out get support this week with strategies they can use immediately, because I know what it costs to keep carrying everything when you're already at your limit.

Licensed Clinical Social Worker (LCSW). I've worked with over [200 couples] in the past [10 years]. I've seen it all.

See my full background and approach →

Serving Manhattan and Online
Across New York State

I'm a licensed psychotherapist based in Manhattan, offering in-person sessions across NYC including the Upper West Side, Midtown, SoHo, and the East Village.

Through secure telehealth, I also support clients anywhere in New York State.

Accepted Insurance: Aetna, Cigna, Blue Cross Green Shield, United Health Care. Don't see yours? I offer superbills for out-of-network reimbursement.

I typically respond to new inquiries within 24 hours and have evening appointments available.

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Your Questions Answered

To The Partner Who's Ready: I See You
To The Partner Who's Hesitant: I Get It

One of you has been trying to fix this alone. The other thinks 'we can handle it ourselves.' You're both right—and both exhausted. Book a free 15-minute call. We'll talk about where you are and whether I can help.
No pressure. No judgment. Just honesty.

I typically have availability this week for new clients. Free consultation, no commitment required.