Couples Therapy in Portland, OR

COUPLES & RELATIONSHIP THERAPY

For partners working through conflict, disconnection, or a relationship that used to feel closer than it does now. My role is to help you increase intimacy, sexual satisfaction, pleasure, and passion.

BOOK A FREE 20 MIN CONSULTATION

Are you..

Feeling stuck in a pattern of conflict in your relationship?
In a relationship that used to be full of spice and isn’t anymore?
Looking to understand your partner more deeply?
Ready to have more connected sex?

DOES THIS SOUND FAMILIAR?

Couples Therapy Is More Than Sex

WHO IS COUPLES THERAPY FOR

Couples therapy is not just about sex. As a Licensed Marriage and Family Therapist, my training and background focus on all aspects of the relationship. While intimacy and sexuality may be part of our sessions, I also look at the overall structure of the relationship, including patterns of communication, emotional connection, conflict, and how disagreements impact the relationship over time. As a sex therapist, I also bring specialized training in sexuality and intimacy to couples therapy, creating space to talk openly about the parts of your relationship that may feel difficult, vulnerable, or disconnected.

Therapy provides a compassionate, nonjudgmental space to explore the experiences, beliefs, and patterns that shape your relationship with yourself and your partner. Together, we'll work toward greater self-awareness, confidence, communication, and connection using evidence-based approaches tailored to your relationship and individual experiences.

Couples therapy can support a wide range of concerns, from mismatched desire and communication difficulties to painful intercourse, emotional disconnection, navigating an open relationship, or healing after betrayal. Whether you are in a non-monogamous relationship structure or a monogamous relationship, couples therapy can help you understand the deeper emotional patterns underneath recurring conflicts and create new ways of communicating, connecting, and responding to one another.

Common threads couples bring into the room

WHAT COUPLES THERAPY ADDRESSES

Desire & Intimacy

Desire discrepancy between partners
Sexless relationships
Emotional disconnection
Differences in sexual desire
Desire for more intimacy in your marriage

Communication & Repair

Recurring arguments and negative relationship cycles
Communication difficulties
Conflict and resentment
Rebuilding trust
Feeling disconnected from your partner

Relationship Structure & Identity

LGBTQIA+ relationships
Gender transition within a relationship
Poly and ENM relationships
Premarital counseling
Menopause and aging
Career and major life transitions

Sexual Health Concerns

Anorgasmia (difficulty with orgasm)
Pain during intercourse
Erectile dysfunction
Early or delayed ejaculation
Out of control sexual behavior & porn use
Kink and BDSM dynamics

Every part of your relationship is welcome in this room. Whatever shape it takes. Marriage counseling is a process of unearthing patterns that exist beneath the surface. Overtime habits begin that are often unintentional. By bringing the focus to how that is occurring in your relationship, we can write a new narrative of how you would like the relationship to sound. Sex therapy is interwoven through this process as the emotional intimacy is rebuilt we also look at how it impacts sex and connection.

Couples therapy can help you understand the patterns keeping you stuck and develop new ways of communicating, connecting, and responding to one another. Together, we can work toward greater emotional intimacy, improved communication, more satisfying sex, and a stronger sense of connection.

Research consistently shows that evidence-based relationship therapy can help improve relationship satisfaction, communication, and emotional connection. While no therapist can guarantee a particular outcome, many couples experience meaningful improvements when they are committed to the process and work with a therapist who uses proven approaches such as Emotionally Focused Therapy.

Support across every kind of relationship structure

HOW COUPLES THERAPY CAN HELP

NICE TO MEET YOU

Meet Madeline, LMFT

I am a Licensed Marriage and Family Therapist here to help you have a better relationship with your body and in your relationship. I’m a couples and sex therapist in Portland, OR and meet with people virtually across Oregon. I was trained from the beginning for couples therapy locally at George Fox University. Since then, I’ve specialized with a sexual health certification at the University of Michigan.

I work with couples building healthier sexualities, LGBTQIA+ folx exploring gender and sexual expression, and people on their own intimate healing path — ENM, poly, or monogamous. One of the reasons I became a marriage and relationship therapist is because I am drawn to helping couples create better connections with one another and come back to the love that exists between each other. Marriage counseling is some of my favorite work.

If you need help finding your way back to sexual intimacy, I would be honored to guide you on the journey.

More about me

Couples therapy can treat a variety of different concerns including communication, recurring conflict, emotional disconnection, trust, desire differences, intimacy, and relationship transitions.
Yes - the heart of couples counseling is looking at the underlying emotional patterns. Due to my specialization in sex therapy, I often weave sex therapy into our sessions. Although if you are just looking for couples therapy without discussing sex, that is perfectly fine as well.
Yes — many of my clients are queer and/or in nontraditional relationship structures. Whether you’re wanting to specifically explore those identities or simply want to work with a therapist who understands and is comfortable working with them, this is a large part of my client population.
The short answer is—it depends! Every couple is different, and the amount of time therapy takes can vary depending on what you’re working toward, where you’re starting, and what you want to get out of therapy. If you’re curious to learn more about what couples therapy can look like, you can dive deeper here.
Yes! I provide telehealth therapy throughout Oregon. As long as you’re physically located in Oregon at the time of your session, we can meet virtually from wherever you feel most comfortable.