Couples Therapy
Online in 42 States
Tella Psychology is a Dallas-based psychology practice offering online couples therapy throughout Texas and participating PSYPACT states.
Does this sound familiar?
You love each other. But you keep getting stuck in the same place.
Maybe every difficult conversation turns into the same argument. One of you pushes for resolution while the other shuts down or pulls away. You’re trying to communicate, but both of you leave feeling misunderstood.
Or perhaps you rarely fight anymore—but you don’t feel particularly close either. Your relationship has become mostly about work, children, schedules, and responsibilities. You function well as a team, but you miss feeling like partners.
Couples therapy can help when you:
Keep having the same conflict without resolving it
Feel criticized, defensive, ignored, or shut out
Have become emotionally or physically disconnected
Are trying to rebuild trust after infidelity or another rupture
Struggle to stay connected during parenting or a major transition
Understand your pattern but cannot seem to change it
You don’t need to decide who is at fault before beginning. Therapy helps both of you understand what happens between you—and learn how to create something different together.
Couples Therapy at a Glance
Practical details to help you decide whether working with Tella Psychology feels like the right next step.
- Online sessions with Dr. Tamaki Silver
- Texas and participating PSYPACT states
- 60-minute couples therapy sessions
- $275 per session
- Private-pay practice
- HSA and FSA cards accepted
- Free 15-minute consultation
- Currently accepting new couples
Not sure whether couples or individual therapy is the better starting point? We can help you decide during the consultation.
Meet Your Couples Therapist
Dr. Tamaki Silver, PsyD | Adults & Couples
Online couples therapy throughout Texas and participating PSYPACT states.
Dr. Silver works with couples experiencing conflict, disconnection, communication difficulties, relationship transitions, and recurring patterns that leave one or both partners feeling unheard or alone. She uses Relational Life Therapy (RLT), an active and direct approach that helps couples understand what happens between them, take responsibility for their part in the dynamic, and practice new ways of relating.
Her style is warm and conversational while also active and direct, making her a good fit for couples who want a therapist who will engage with what is happening in the room rather than simply observe it.
Accepting new clients for online therapy
Why Insight Alone May Not Change the Pattern
Most couples don’t intentionally create the dynamic they’re stuck in. Each partner brings different ways of responding to conflict, closeness, vulnerability, and stress. Over time, those responses can interact in predictable ways—leaving both people feeling misunderstood or alone.
Couples therapy helps you recognize that pattern as it happens, understand what each of you contributes to it, and practice responding differently.
What Changes In Couples Therapy?
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Learn to recognize what causes conversations to escalate and communicate difficult things without getting pulled into defensiveness, criticism, or shutdown.
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You shouldn’t feel like roommates. Reconnect when life has become mostly about schedules, responsibilities, work, or parenting and emotional or physical closeness has faded into the background.
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Work through infidelity, betrayal, secrecy, or another significant rupture and determine how trust, safety, and connection can be rebuilt.
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Navigate transitions such as having a baby, parenting, moving, career changes, or blending families without losing your connection to each other along the way.
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Shift the dynamic where the more one partner pushes to talk, connect, or resolve something, the more the other pulls away—leaving both partners feeling increasingly alone.
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These are just some of the reasons couples seek therapy. If something in your relationship isn't working the way you want it to, we can talk about whether couples therapy might help.
How Dr. Silver Helps Couples Get Unstuck
Couples therapy at Tella Psychology is not about deciding who is right or assigning blame. It's about understanding what happens between you—and helping both of you take responsibility for changing it.
Relational Life Therapy (RLT)
We use Relational Life Therapy (RLT), an active and direct approach to couples therapy. Rather than sitting back while you replay the same arguments in session, your therapist helps you slow those interactions down, recognize what each of you is doing in the moment, and understand what is happening underneath them.
That may mean noticing when criticism is really an attempt to feel heard, when withdrawal is a way of protecting yourself from conflict, or when old ways of protecting yourself are creating distance in your current relationship.
RLT also emphasizes accountability. Your therapist won't simply remain neutral when a harmful or ineffective pattern shows up. Instead, you'll receive compassionate but honest feedback about what each of you is contributing to the dynamic—and concrete help practicing something different.
The goal isn't perfect communication or a relationship without conflict. It's learning how to stay connected, honest, and respectful even when things between you are difficult.
FAQs
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Not necessarily. It's common for one partner to feel more hopeful about therapy—or more convinced that something needs to change—than the other. You don't have to agree about what's wrong before you begin.
What matters is a willingness from both partners to show up, be curious about what's happening between you, and eventually consider your own role in changing the relationship.
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Yes. RLT shares some goals with other evidence-based approaches to couples therapy but is particularly known for being active, direct, and focused on accountability.
Your therapist will help you identify the relationship patterns happening between you and may directly point out behaviors that are contributing to disconnection. Couples who want a therapist who is engaged and willing to offer clear feedback often appreciate this approach.
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No. Being direct doesn't mean deciding that one partner is right and the other is wrong.
Your therapist's role is to understand the relationship as a whole while helping each partner recognize their contribution to the dynamic. When an ineffective or harmful pattern shows up, your therapist may name it directly—regardless of which partner is engaging in it.
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Yes. Tella Psychology provides online therapy in Texas and across participating PSYPACT states. Couples therapy can work well through telehealth as long as you have a private space where you can participate fully in sessions.
We can even work with partners living in different states as long as both states are part of PSYPACT. See the list of states here.
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Absolutely. Couples therapy isn't only for relationships on the verge of ending.
Many couples seek therapy because they've noticed themselves becoming less connected, keep getting caught in a particular conflict, are navigating a major transition, or simply want to strengthen their relationship before problems become more entrenched.
You don't have to wait until your relationship is in crisis to work on it.
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That's a common question, and you don't have to figure it out before contacting us. During your consultation, we'll talk about what's happening, what you're hoping to change, and whether couples therapy, individual therapy, or another approach makes the most sense as a starting point.
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If you're here reading about couples therapy, there's likely still something worth understanding—even if you're not sure whether the relationship can be repaired.
You don't have to come to therapy certain that you want to stay together. Couples therapy can provide a structured space to understand what has happened between you, whether meaningful change is still possible, and what each of you wants moving forward.
Sometimes that work leads to rebuilding trust and connection. Other times, couples decide that ending the relationship is the healthiest path. In those cases, therapy can help partners navigate the separation with greater clarity and respect—especially when they will continue to share responsibilities, family relationships, or parenting.
The goal isn't to keep every couple together. It's to help you move forward with greater understanding and intention, whatever you ultimately decide.
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The fee for a couples session is $275 per hour. Sessions are typically scheduled for an hour.
Extended sessions may be requested or recommended but fees will always be discussed beforehand. Extended sessions are prorated in 15-minute increments.
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Yes. Repeated arguments are often less about the specific topic and more about the pattern that develops between you. One person may criticize or push harder to be heard while the other becomes defensive, shuts down, or withdraws—and each person's response reinforces the other's.
Couples therapy can help you slow down that cycle, understand what each of you is contributing to it, and practice responding differently so the same disagreement doesn't keep ending in the same place.
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Yes. Many couples seek therapy not because they're constantly fighting, but because they've gradually lost emotional or physical closeness. Work, parenting, stress, and everyday responsibilities can leave a relationship functioning well logistically while the partners themselves feel increasingly disconnected.
Therapy can help you understand what has contributed to that distance and intentionally rebuild connection, intimacy, and a sense of being partners rather than simply managing a life together.
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Yes. Couples therapy can help partners work through infidelity, secrecy, broken agreements, or other significant breaches of trust. Early work often focuses on understanding what happened, addressing the impact of the rupture, and creating enough safety and honesty to determine what comes next.
Rebuilding trust takes time and requires meaningful accountability rather than simply trying to “move on.” Therapy can help you determine whether trust can be rebuilt and what both partners would need for that to happen.
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Yes—but improving communication usually involves more than learning the right words to use. Couples often know how they're supposed to communicate but struggle to do it once they feel hurt, criticized, rejected, overwhelmed, or misunderstood.
Couples therapy helps you identify what happens in those moments and practice staying more connected, direct, and respectful even when the conversation is difficult.
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Yes. In a pursue-withdraw pattern, one partner often seeks more conversation, reassurance, or resolution while the other pulls away, shuts down, or asks for space. The more one pursues, the more the other withdraws—and both partners can end up feeling rejected or alone.
Therapy can help you understand what each person's response is trying to accomplish, interrupt the cycle, and develop ways of staying connected without either partner having to chase or disappear.
You Don't Have to Figure This Out on Your Own.
Schedule a free 15-minute consultation to tell us a little about what's happening in your relationship, learn more about our approach to couples therapy, and see whether Tella Psychology feels like the right fit for you both.

