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122,097 people sought couples/marriage therapy help in Virginia 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

2  therapists available in Richmond

I will work to develop a space that allows clients to feel safe and secure to achieve their therapeutic goals....

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I am passionate about helping children and youth struggling with the anxieties that come with being an athlete or performer....

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Andrew Smith

Hear from Andrew Smith, Licensed Clinical Social Worker (LCSW)

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

My go-to approach for helping couples is to build effective communication skills. I frequently pull material and perspectives from Gottman's.

What tools do you teach in couples/marriage counseling?

I teach couples the importance of active listening, reflecting empathy, breaking negative feedback loops, avoiding communication pitfalls, and improving gratitude and appreciation.

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

I know couples are making meaningful progress when they report in sessions that the tools being taught are effective in decreasing the frequency and intensity of conflicts. The goal for the therapist isn't to stop the arguing, but to be able to do so more productively with the purpose of making the relationship ultimately feel stronger in the end because both sides feel heard and understood.

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

I often encourage couples to read recommended books, listen to podcasts, or watch recommended content.

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

To prepare for your first session, you can talk with one another about what you would each like to ultimately get out of counseling overall, as well as some specific issues/topics that you would like to specifically address in the first few sessions.

Starting Couples/marriage therapy in Richmond

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 insurances. We accept 360+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our therapists and counselors in Richmond accept 30 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

  • Carelon | Medicare Advantage

  • Cigna | Evernorth

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Self-pay costs at Richmond
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

5.0 Learn about verified reviews
★★★★★
Johanna listens very carefully to what I am saying and offers helpful insights. I've gotten a lot out of our sessions together.
Priscilla Sep 2025
Thriveworks.com verified review
★★★★★
I have seen Mickey for years and she is the one thing keeping me here.
Austin Sep 2025
Thriveworks.com verified review
★★★★★
I appreciate that connection that I've been able to establish with the provider. I also appreciate the sense of safety in being able to partake via telehealth (being in a safe space).
Timothy Sep 2025
Thriveworks.com verified review
★★★★★
Great communication. Easy to talk to.helps me alot
Patricia Sep 2025
Thriveworks.com verified review
★★★★★
My therapist has been incredibly patient, kind, professional, and willing to work with me through a lot of different issues. He introduced me to new therapy styles and using one modality in particular has been absolutely critical to my success. He's been flexible and accommodating with schedule changes and using zoom when needed, in addition to being professional and always ensuring I have what I need to help myself. I can't recommend Thriveworks enough!
Read more My therapist has been incredibly patient, kind, professional, and willing to work with me through a lot of different issues. He introduced me to new therapy styles and using one modality in particular has been absolutely critical to my success. He's been flexible and accommodating with schedule changes and using zoom when needed, in addition to being professional and always ensuring I have what I need to help myself. I can't recommend Thriveworks enough!
Mary Sep 2025
Thriveworks.com verified review
★★★★★
I really needed to unload a lot of stuff today. Johanna listened and provided feedback I needed.
Mary Sep 2025
Thriveworks.com verified review
★★★★★
I feel less 'crazy.' In general, Johanna has been great to chat through the anxieties of my life and troubleshoot healthy coping mechanisms while also feel validated.
Rachel Sep 2025
Thriveworks.com verified review
★★★★★
I love how user friendly Thriveworks is. I've been seeing my provider for almost 2 years now and couldn't be more pleased with my experience
Kennedi Jun 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Richmond is located in the neighborhood of Newtowne West on W Broad St. We share a building with Silk Hair Studio and Milano Market. We’re also right next to Grace Park and only a few blocks away from Virginia Commonwealth University (VCU).

Phone number

(804) 312-3118

Languages spoken by VA providers

  • English
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
Wednesday 8:00am - 9:30pm

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Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm

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