Couples Therapy in California - Telehealth

When it feels like you’re having the same fight over and over—and nothing is changing

If you’re seeking couples therapy in California, you may feel stuck in familiar arguments, caught in cycles of blame, or slowly growing distant from each other—unsure how to move forward together.

Even when you care deeply, it can start to feel like you’re on opposite sides.

I offer online couples therapy for partners across California, helping you understand your patterns, improve communication, work through conflict, and rebuild connection using approaches like Emotionally Focused Therapy (EFT) and the Gottman Method.

Start with a consultation or schedule a session to get started

Prana Seth, LMFT offers online couples therapy for clients across California.

When communication starts to break down

You may find yourselves having the same conversation over and over—one of you trying to talk it through, the other pulling away or shutting down. Small moments can escalate quickly, or get “swept under the rug” until they build into resentment, distance or disconnection.

  • You might feel:

    • Misunderstood or not fully heard

    • Like you’re walking on eggshells

    • Emotionally distant, even when you’re together

    • Frustrated that nothing seems to shift

Why the same arguments keep occurring

Most relationship struggles aren’t really about “the dishes”—they’re about needs that aren’t being clearly expressed or understood.

So the pattern continues: the same argument, the same reactions, the same outcome.

Over time, this can leave both of you feeling unheard, unappreciated, or alone.

In our work, we reflect on these moments so you can clearly understand what’s happening within each of you—and begin responding in ways that actually change the dynamic.

  • You’ll learn how to:

    • Stay grounded during difficult conversations

    • Speak openly without it turning into a fight

    • Listen in a way that helps your partner feel understood

    • Work through conflict without it escalating or shutting down

    Over time, this creates more emotional safety, closeness and understanding.

How to move from reactivity to reconnection

  • Consider starting if you:

    • Feel stuck in the same arguments without resolution

    • Notice growing distance or disconnection

    • Are working through trust issues or trying to rebuild after a betrayal

    • Want to communicate better but don’t know how

    • Care about each other and want things to feel different

This may be a good fit if you:

  • This may be a good fit if you are looking for:

    • A space where both of you feel heard and respected

    • Sessions that are structured, focused and productive

    • Practical tools you can use in everyday moments

    • A deeper understanding of what’s been getting in the way of your closeness

What you can expect:

Do you offer online couples therapy in California?
Yes, I work with couples throughout California via secure video sessions.

Do you accept insurance for couples therapy?
Couples therapy is offered as a private pay service. This allows us to focus fully on your relationship without the constraints of insurance. Superbills are available for possible out-of-network reimbursement.

How long are couples therapy sessions?
Most couples choose 90-minute sessions so there is enough time to work through meaningful conversations without feeling rushed.

What can couples therapy help with?
Communication challenges, recurring conflict, emotional distance, trust concerns, and navigating major life transitions.

How do we begin?
You can start with a free 15-minute consultation or schedule a full session.

👉 Book a couples consultation
👉 Schedule a full session

Frequently Asked Questions