Relationship counseling for the conversation you keep avoiding.

Yes. Before your first telehealth visit for couples counseling, you'll review and sign a brief telehealth informed-consent form covering the benefits, limits, and risks of meeting by secure video. You can ask questions, switch to in-person at any time, or withdraw consent later — telehealth is always optional.

We use a HIPAA-compliant video platform under a signed Business Associate Agreement (BAA). Sessions are encrypted end-to-end in transit, are not recorded, and are not used to train any AI model. The video link itself is one-time and tied only to your visit — never embedded in calendar invites, never sent by SMS or social media.

Shortly before your appointment, you'll receive a separate secure message through your client portal with the one-time video link. The booking confirmation email contains no protected health information (PHI) and no actual link — that's intentional, so a glance at a lock-screen notification reveals nothing about your care.

Yes. Ohio licensure requires you to be physically located in Ohio at the time of your telehealth session. You can let us know your location at the start of each visit. If you're temporarily out of state, we'll reschedule or convert that visit to in-person.

A telehealth session for couples counseling runs the same length and follows the same evidence-based approach as an in-person visit. You join from a private space on a phone, tablet, or computer with a stable internet connection. Bring headphones if you can — they help with privacy and audio clarity. Your therapist will start with the same check-in, agenda, and skill work you'd get in the office.

If the connection fails for more than a minute or two, we'll switch to a phone call to finish the session. We'll also confirm a backup phone number with you at the start of every telehealth visit so reconnecting is fast and doesn't interrupt your care.

Yes — you can switch formats at any time as long as you remain located in Ohio for telehealth visits. Many clients mix the two depending on schedule, weather, or how they're feeling that week.

Most major Ohio insurance plans now cover telehealth at the same rate as in-person visits, but coverage rules and place-of-service modifiers can vary by plan. See our Insurance & Fees page for current details, and we'll verify your specific benefits before your first session.