Care without the wait

140 licensed therapists & providers in Massachusetts—6 in Boston. Available as soon as today, in person and online

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

http://Thriveworks%20Forbes%20Award%20Logo%20for%20Best%20Online%20Couples%20Therapy%20Services%20of%202024

51,144 people sought couples/marriage therapy help in Massachusetts in the last year

Discover how starting couples/marriage therapy can support your own journey toward a happier, more fulfilling life.

Meet with a couples/marriage therapist as soon as this week

Boston, MA

Azizi Carle, better known as “Zee,” is a Licensed Independent Clinical Social Worker serving clients in Massachusetts with ove...

Read more

We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.
Kayla Pena

Hear from Kayla Pena, Licensed Independent Clinical Social Worker (LICSW)

View Kayla Pena's profile

What is your go-to approach for couples/marriage counseling?

I have limited experience with couples work, but I have worked with couples here at Thriveworks and I have seven years of experience in a previous job engaging in family therapy. My go-to approaches focus on communication-building skills/activities and positive psychology techniques. I found it helpful because it was a positive way to rebuild communication and strengthen relationships.

What tools do you teach in couples/marriage counseling?

I teach “fair fighting” rules, which consist of psychoeducation on how best to engage in conflict resolution in a relationship. The Fair Fighting Rules handout I provide describes the “rules of engagement” when it comes to disagreements. Instead of telling people they can't argue, fair fighting rules tell them how to do it safely and productively while exploring topics such as boundaries, warning signs, and techniques for handling disagreements.

How do you know when a client is making meaningful progress in couples/marriage counseling?

I know a client is making meaningful progress in couples/marriage counseling when they are reporting progress in sessions, as well as when I observe changes in their communication styles when bringing in difficult topics during sessions.

What can clients do in their personal time to supplement couples/marriage counseling?

Clients can supplement their time in couples/marriage counseling by completing/reviewing the five love languages activity I provide, engaging in fair fighting rules, and having monthly check-ins about how they feel their relationship goals are/or are not progressing.

What should someone do to prepare for starting couples/marriage counseling?

To prepare for your first couples/marriage counseling session, you can create a list, either separately or together (preferred), about important topics that would be helpful to process in future sessions.

Couples/marriage therapy FAQs

What is couples & marriage counseling?

Couples therapy and marriage counseling, also known as relationship counseling, helps couples work through their specific relationship issues. Some examples of common focuses within couples therapy and marriage counseling include:

  • Jealousy
  • Trust issues
  • Infidelity
  • Opposing values
  • Different visions for the future
  • Disagreements in parenting
  • Lack of trust
  • Financial distress
  • Sex issues

What type of therapy is used in couples therapy?

The types of therapy used in couples and marriage counseling include:

  • The Gottman Method
  • Cognitive behavioral therapy (CBT)
  • Emotionally-focused therapy (EFT)
  • Solution-focused brief therapy (SFBT)
  • Strength-based therapy

What kind of therapist is best for couples?

At Thriveworks, Couples/marriage therapy is led by licensed professionals — often licensed marriage and family therapists (LMFTs) — who are experts in their field and best-equipped to help couples.

What is the Gottman Method of couples therapy?

The Gottman Method of couples therapy is a research-supported approach designed to enhance relationships by bolstering the bond between partners, resolving conflicts, and fostering shared meaning in their relationship through comprehensive assessments and tailored interventions that improve communication, trust, and the overall health of the partnership.

How to tell if I need couples therapy?

If you’re facing persistent relationship problems, communication breakdowns, or unresolved conflicts that are impacting your emotional well-being and happiness, Couples/marriage therapy may be beneficial for you.

Should every couple go to couples therapy?

While marriage and couple’s counseling is typically recommended for couples who are experiencing persistent or severe relationship issues, any relationship can benefit from attending these sessions.

Is couples & marriage counseling conducted in person or online?

Marriage and couples counseling at Thriveworks is conducted both in person and online by video. We encourage you to choose the option that works best for you and your partner.

How long does couples & marriage counseling last?

On average, couples attend marriage and couples counseling for 12 weeks. However, couples & marriage counseling may last longer or shorter, dependent on the couples’ needs, the challenges they’d like to work through, and the pace of their progress.

How much does couples & marriage counseling cost?

At Thriveworks, we accept most major insurance plans, allowing many clients to pay as little as $0–$50 per session with their co-pay. We also offer self-pay options for those out-of-network or without insurance. Self-pay rates for talk therapy range from $160 to $240 for intake sessions and $135 to $195 for follow-ups, depending on your state. For psychiatry services, self-pay intake sessions are $255–$375, with follow-ups ranging from $175–$300, also varying by state. More information on current self-pay costs is available on our pricing page.

Pricing & insurance

Our therapists accept most major insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in Boston accept 29 insurance plans

  • Aetna

  • Aetna Medicare Advantage

  • Blue Cross Blue Shield of Massachusetts | BCBS Medicare Advantage (HMO | PPO)

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Blue Cross and Blue Shield of Massachusetts | BCBS

  • Carelon

  • Cigna | Evernorth

  • Compsych

  • Fallon Health | Medicare Advantage

  • Firefly Health Plan | Cigna PPO Network

  • First Health Network

  • Harvard Pilgrim

View more
Self-pay costs at Boston
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

4.9 Learn about verified reviews
★★★★★
Easy to find a new therapist, easy to see availability without making a phone call
Eva Aug 2026Thriveworks.com verified review
★★★★★
My therapist is truly amazing. She is supportive, encouraging, and deeply understanding. She listens with genuine care and creates a safe space to share my thoughts and helps me find healthy ways to cope with the everyday stressors and challenges of my life. I always feel heard, seen, grounded, and supported in our sessions, and I am incredibly grateful for her guidance.
Read more
Gianna Aug 2026Thriveworks.com verified review
★★★★★
I like that I'm listened to and can bring up any topic without feeling embarrassed or ashamed.
Emily Aug 2026Thriveworks.com verified review
★★★★★
Christina truly makes me feel seen, heard and understood. I feel safe and comfortable with her, which isn’t easy for me with most people. She’s helped me peel back layers and understand parts of my life in a compassionate, gentle way. She’s been a blessing!
Read more
Aiden Aug 2026Thriveworks.com verified review
★★★★★
I was extremely sad at the loss of life of my best friend. Aziza was able to pull me out of my down mood and get me to focus on the gift I offered as a friend. I love the fact that she had stories that made me feel like I was not alone and that in time I will make good friends with others.
Read more
Brielle Aug 2026Thriveworks.com verified review
★★★★★
This was my first appointment but Zee made me feel comfortable talking about my issues.
Vanessa Aug 2026Thriveworks.com verified review
★★★★★
Sophia Sadiki always listens and I feel truly understood. She offers many options and suggestions to help in solving my problems.
Karen Aug 2026Thriveworks.com verified review
★★★★★
My therapist is a wonderful match for me, and she has been so helpful in my recovery. I think Thriveworks practitioners are well-fitted to their clients needs.
Mackenzie Aug 2026Thriveworks.com verified review
8 of 52 reviews

Where to find us

map-pin-blue

Address

112 Water St Suite 203
Boston, MA 02109

Getting here

Thriveworks Counseling & Psychiatry Boston is located near Water St and Broad St, off I-93. It is close to Faneuil Hall and just off the Rose Kennedy Greenway.

device-mobile-blue

Phone number

(617) 882-7447
globe-blue

Languages spoken by MA providers

  • Portuguese
  • English
  • Japanese
  • Farsi
clock-blue

Hours

Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm

Shown in ET

Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm
Tuesday 8:00am - 11:00pm

Shown in ET

Find a provider ...