availability-icon

Offered in-person & online

Our therapists provide couples therapy in Fredericksburg, VA

Start in-person or online sessions with a provider you can trust. We accept most major insurances. Book online or by giving us a call

Connect with a therapist, psychiatrist or counselor near you

Care without the wait

161 licensed therapists & providers in Virginia. 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

3,283 people sought couples therapy help at Fredericksburg in the last year

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

Meet with a therapist as soon as this week

Chesterfield, VA

Having personally experienced the therapeutic process following a traumatic loss, I have a genuine understanding of the courage an...

Read more
Richmond, VA

As a therapist, I will do all that I can to learn who you are and what you're looking for, and then help create truly meaningful c...

Read more
Lynchburg, VA

am a female who understands the importance of being relatable and creating a safe place to explore feelings and emotions....

Read more
Virginia Beach, VA

Gwendolyn Fisher is a Licensed Professional Counselor who has over 3 years of experience helping children and adults seeking help ...

Read more
Lynchburg, VA

In my work as a counselor, I focus on helping people grow, understand themselves better, and make empowered decisions for their li...

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.

Couples therapy FAQs

What is couples therapy?

Thriveworks Couples therapy helps couples work through their specific relationship issues. It is led by licensed professionals — often licensed marriage and family therapists (LMFTs) — who are experts in their field and best-equipped to help couples. Some examples of common focuses within couples therapy include:

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

How does couples therapy work?

Couples therapy works by helping couples identify and better navigate their unique challenges. Following an initial assessment of the couple in terms of strengths and needs, the therapist would then discuss their therapeutic goals and any possible approaches or ways of working together as therapist and couple.
Couples attend sessions together, whether they meet in person or by video. In addition to regular couples therapy sessions, each partner may also be asked to attend a few individual sessions to supplement their progress. This will allow their counselor to get to know each individual better, assess each of their personal needs, and develop the very best treatment plan moving forward.

Is couples therapy conducted in person or online?

Couples therapy at Thriveworks is conducted both in person and via Online therapy. We encourage you to choose the option that works best for you and your partner.

How long does couples therapy last?

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

Need more help deciding?

How to Fix Your Rocky Relationship – Therapists in Fredericksburg, VA

Most couples who’ve been together for years go through hard times. This doesn’t always mean it’s time to call it quits. If you’re in a relationship and don’t like the direction it seems to be headed, contact Thriveworks Counseling & Psychiatry Fredericksburg. We can help you get back on track. Here are several steps you can take to get the process started.

Improving Communication in Your Marriage or Relationship

Marriage counseling, or couples therapy, is exactly what it sounds like—psychotherapy designed to help couples re-engage, rebuild, and regain a shared vision for the future. During your initial session, your therapist will learn as much as possible about each of you and your relationship together to get a clear picture of who you are as individuals and as a couple. From that clear picture, your therapist will work with you to determine what issues are at the core of your struggles.

Typically, marital issues stem from a lack of effective communication. This can be difficult to understand, particularly for couples who feel they “used to” be able to talk about anything. After living together for an extended time, dealing with life’s ups and downs, and making major decisions together, a couple often finds they aren’t as strong communicators as they initially thought.

This is completely normal, and in fact, it’s one of the most common issues we see. But that’s where your therapist comes in. They will help you and your partner learn communication skills so you’re able to communicate effectively. This is particularly important if you and your partner have different communication styles. When people with different communication styles discuss sensitive subjects, it may unintentionally escalate into a fight. It doesn’t have to be this way. You can learn to communicate effectively with the help of a marriage or couples counselor.

Schedule Couples Therapy at Thriveworks Counseling & Psychiatry Fredericksburg

Work with a Thriveworks Counseling & Psychiatry Fredericksburg couples therapist with the experience to provide you with a focused plan that will get you back on track.

And with support available seven days a week, we’ve taken the hassle out of everything. Thriveworks opens the door to exclusive benefits, including:

  • A fast response time from your provider’s office. Most of our clients have their first session within a week of calling in for the first time.
  • Flexible appointment options, including those in the evenings and on the weekends.
  • Being able to schedule your session online, or in person.
  • A wide range of accepted insurance options

Call Thriveworks Counseling & Psychiatry Fredericksburg—because there’s no reason to delay getting a professional’s help. With a provider’s support, you can reclaim your life from the mental health challenges standing in your way.

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 Fredericksburg accept 32 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS HMO

  • Anthem Blue Cross and Blue Shield Virginia | BCBS PPO

  • Anthem Blue Cross and Blue Shield Virginia | Exchange

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS HMO

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Cigna | Evernorth

  • Compsych

View more
Self-pay costs at Fredericksburg
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

4.7 Learn about verified reviews
★★★★★
Lisa was very kind and caring, regardless of the sessions purpose of “getting to know me”. I already walked away with encouragement and knowledge that I did not have.
Ivy Aug 2026Thriveworks.com verified review
★★★★★
My provider takes the time to focus on my issues and concerns. I’m comfortable with talking with her and the environment is one where I can open up and really address my thoughts and feelings.
Claire Aug 2026Thriveworks.com verified review
★★★★★
While the situation that landed me here was not good. The experience has exceeded expectations for me. My provider is great and so helpful. I have recommended Thriveworks to many acquaintances.
Mateo Aug 2026Thriveworks.com verified review
★★★★★
My provider is exactly what I needed. I'm grateful that I was connected to someone who communicates with me the way I need, who understands even if she doesn’t always agree, and who has been with me during many challenges and helped me still make it through.
Read more
Alexa Aug 2026Thriveworks.com verified review
★★★★★
Can’t bday is a great balance for me - a trusted confidant who is supportive but firm and calls me out when needed always with my safety and security in mind.
Ana Jul 2026Thriveworks.com verified review
★★★★★
I absolutely like my therapist. I don’t think I’ve ever had a therapist that I’ve been so confident in. Thrive works is definitely has been a very good company to work with.
Isabella Jul 2026Thriveworks.com verified review
★★★★★
Aimee is caring and compassionate. She provides many useful suggestions for me to try.
Aliyah Jul 2026Thriveworks.com verified review
★★★★★
I like that Lisa is consistent and has open availability. She knows the appropriate amount of letting me brain dump and where to reel it in to helps us make some real progress/ breakthroughs
Adrian Jul 2026Thriveworks.com verified review
8 of 40 reviews

Where to find us

map-pin-blue

Address

701 Kenmore Ave Suite 105
Fredericksburg, VA 22401

Getting here

Thriveworks Counseling & Psychiatry Fredericksburg is located near Kenmore Avenue and Mary Ball Street, off Route 1. It is near the Kenmore Historic Mansion and a short distance from the University of Mary Washington.

device-mobile-blue

Phone number

(540) 413-0358
globe-blue

Languages spoken by VA providers

  • English
  • Spanish
clock-blue

Hours

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
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm

Shown in ET

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
Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm

Shown in ET

7 photos

Book online ...