Couples Therapy In Portland & Across Oregon
For couples who want to repair, reconnect, or learn how to fight fair
Learn to Hear Each Other
Relationships ask a lot of us. Even in strong partnerships, it’s easy to get stuck in patterns of disconnection, criticism, or resentment. You try to talk it through, but it turns into the same argument. Or worse, it turns into silence.
The truth is, conflict is normal. In fact, research on couples has found that conflict is common in both healthy and unhealthy relationships; the main difference that’s repeatedly found is that healthy couples achieve resolution. And it starts with slowing down and really learning how to hear and be heard.
At Portland Insight Psychotherapy, we believe couples therapy is about learning how to really hear and be heard.


Sue Johnson, PhD
You might be wondering
- Why does every conversation seem to escalate?
- Why does it feel like we’re speaking different languages?
- How did we go from being close to feeling so far apart?
Couples therapy is where we slow things down and start answering those questions together. We’ll help you notice what’s really driving the conflict underneath the surface, and what keeps pulling you out of connection. With time and practice, you can learn to recognize your patterns, speak from a more grounded place, and stay present with each other even when your emotions run high.


We work with couples across Oregon and PSYPACT states through in-person and online sessions. Whether you’re dating, married, co-parenting, or separated and trying to navigate the next chapter, we can help you better understand your patterns, reconnect through conflict, and rebuild trust where it’s been broken.
What Makes Couples Therapy Different When You Work With Us?
We approach couples therapy with warmth, clarity, and structure. Every couple is different, but the pain points tend to echo one another: unmet needs, emotional injury, fear of vulnerability, and deep frustration about not feeling seen. We work from the inside out; helping you understand not just what’s happening in your relationship, but why it keeps happening.
Our work is informed by the principles of Integrative Behavioral Couples Therapy and Emotionally Focused Therapy. These approaches guide us in exploring how couples get stuck in patterns of blame, withdrawal, or reactivity, and how emotional needs often go unheard or unspoken. They also help us tune into the deeper emotions underneath those patterns, the hurt, fear, longing, or shame, and teach couples how to respond to one another from a more open, attuned place.
From there, we begin exploring some of the deeper emotional themes that shape how you relate to one another.
We ask
- What happens internally when one of you gets overwhelmed, shuts down, or lashes out?
- How do past experiences (inside or outside the relationship) affect how you hear and respond to each other?
- What’s going on outside the relationship that might be adding extra pressure or pulling you further apart?
- And what do your repeated arguments or silences reveal about the needs you haven’t yet learned to name or express?
These questions don’t have quick answers, but they open the door to understanding. Exploring them together can lead to real insight, clarity about what’s been hurting, and guidance for how to begin repairing your relationship.
On a side note, we’re not referees or here to keep score. We’re here to help you build insight, learn to regulate emotion in real time, and develop a relationship dynamic that feels safer, more honest, and more connected.
Our Approach: What to Expect
Couples therapy starts with
A Joint Session
We gather your story as a couple: how you met, what drew you together, your strengths, and your struggles.
Individual Sessions
Each of you meets with one of us therapists separately. We explore your personal history, attachment style, and what you’ve learned about conflict and intimacy.
Feedback & Plan
We come back together to reflect on what we’ve learned and shape a shared roadmap. You’ll gain a clear understanding of the patterns playing out and how therapy can help shift them.
Common Reasons Why Couples Seek Therapy
Here are some of the most common reasons couples reach out:

You feel like roommates, not partners
The closeness you once had has faded into parallel routines and surface-level check-ins. You miss each other, but don’t know how to find your way back.

There’s been a betrayal or breach of trust
Whether emotional or physical, infidelity leaves lasting wounds. Therapy creates a structured space to process pain, rebuild trust, and determine what healing could look like.

You’re stuck in constant conflict, or total silence
Some couples argue constantly. Others stop talking to avoid the fights. Both patterns are signs that deeper needs and fears aren’t being acknowledged.

Intimacy has disappeared or become a source of tension
You want more connection, physically or emotionally, but feel shut down, rejected, or too vulnerable to ask.

Parenting stress is eroding the relationship
Whether you’re raising kids, blending families, or co-parenting after separation, the pressures of parenting often leave little space for each other.

You speak different emotional languages
Maybe one of you shuts down and the other chases connection. Maybe you argue about money, boundaries, or priorities. The details vary, but the core issue is feeling misunderstood.