In-person therapy in Houston, online in Texas • In-network with BCBS, Aetna, Cigna, UHC, Oscar • Therapy in English, Spanish, Portuguese, Farsi • Immediate Openings

Couples

Online Couples Program for Texas

Recurring conflict rarely comes from a single problem. It comes from patterns that formed before the couple did. This program gives partners a structured space to understand those patterns, practice skills that interrupt them, and build something more stable together.

The program is led by Dr. Nayda Lamberty, a PhD-level, board-certified psychologist whose clinical work is focused on couples and family systems. Eight structured sessions. Evidence-based framework.

Self-pay and online across Texas. In English and Spanish.

Therapy At Real Talk: How We Work

Our psychologists come from diverse cultural backgrounds, speak multiple languages, and have worked in multiple countries and settings. We are attentive to how culture, migration, race, gender, and identity shape a person's life and inner world.

Our clinical approach is depth-oriented. We are interested in what sustains the symptoms, not only what they look like on the surface. Why does this keep happening, and where did it come from? These questions take time and require a different quality of attention, a willingness to stay with what is uncomfortable, and a clinician who can hold complexity over the long term.

Where clinically indicated, our psychologists also draw on structured, evidence-based approaches, including CBT and other manualized treatments for trauma, OCD, and other conditions. Depth and structure are not opposites. For many patients, both are part of the same course of treatment.

Our clinical team of doctoral-level psychologists provides in-person therapy in Houston and telehealth across Texas. A number of them are also PsyPact-authorized to see patients in other states.

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How Our Couples Program Works

This program follows a consistent structure across all eight sessions. Each meeting opens with a brief frame, moves into focused teaching, and then shifts into a structured exercise the couple practices together in session. Time is set aside at the end to debrief and establish a brief between-session practice. Sessions are active and directed.

The eight weeks build progressively:

Week 1 — Identifying the recurring patterns that shape how the couple connects and disconnects
Week 2 — Understanding how the stress response drives conflict and how to interrupt escalation
Week 3 — Learning to speak and listen in ways that make both partners feel heard rather than managed
Week 4 — Navigating conflict with intention, including the habits that escalate it and their antidotes
Week 5 — Rebuilding the friendship layer of the relationship and strengthening bids for connection
Week 6 — Learning how to repair after conflict, not just move past it
Week 7 — Clarifying what trust and commitment look like in daily behavior
Week 8 — Consolidating what was learned and building a personalized maintenance plan

Before the program begins, couples complete a fit screening. Dr. Lamberty uses it to determine whether the program is appropriate, whether the timing is right, and whether both partners are ready to engage with structured work.

What It Focuses On

This program is not designed to process every issue a couple brings, but to address the underlying structure of how two people interact, what drives their conflict, and what makes repair possible or difficult. The focus stays at the level of pattern, not incident.

Across eight weeks, the program addresses:

Interaction patterns — How each partner's responses reinforce the other's, and where the cycle loses both
Stress and regulation — How the body's response enters the relationship and how to slow it down.
Communication — Not as a surface skill, but as a practice of speaking clearly and listening
Conflict — What escalates it and how to engage with disagreement without contempt or withdrawal
Connection — The everyday behaviors that build or erode the emotional climate of a relationship over time
Repair — How to restore safety after conflict, which is a distinct skill from resolving the argument itself
Trust and commitment — What these mean in daily behavior, and how small erosions accumulate
Sustainability — How to maintain what was built once the sessions end, including early warning signs of drift

What the program does not focus on is equally important. It is not designed for crisis intervention, trauma processing, or working through a significant breach in the relationship. Those require a different kind of clinical container.