psychotherapy

for couples

You’re stuck in a painful cycle—and you can both feel it.

  • You’re arguing more than you want to.

  • You’re saying things you don’t mean—or not saying anything at all.

  • One of you might be reaching for closeness while the other pulls away—or feels pushed too far.

  • Even when it starts small, it always seems to turn into something bigger. You both walk away feeling hurt, defensive, alone.

  • You want peace. You want connection. You want to feel like you’re on the same side.

You’re not broken. You’re stuck—and there’s a difference.

How I Work

I use an approach called PACT (Psychobiological Approach to Couple Therapy) that helps us get underneath the arguments and into the heart of what’s happening between you.

PACT focuses on the moment-to-moment dynamics in your relationship—how you communicate, how you respond under stress, and how you protect yourselves when things get hard. Instead of analyzing problems from a distance, we work in the present to shift patterns in real time.

This approach is especially helpful for couples who feel stuck in cycles they can’t explain—and want to feel more connected, understood, and supported in their relationship.

The Details

  • $285/session (out-of-network; superbills available)

  • Online therapy across California

  • I work with couples of all genders and relationship configurations

Find your way back.

[Contact Me] or [Book a Free Consultation]

The couples I work with are trying.

They care about each other, even if it doesn’t always seem that way.

They want to make it work, but just can’t figure out how.

They keep getting pulled into familiar loops and patterns.
They can feel frustrated. And lonely. And it’s often not clear how to fix things.

Couples therapy is a space to slow down, look at what’s happening between you, and start shifting the pattern—not by blaming each other, but by understanding what’s underneath the conflict and finding new ways to respond.

What to Expect

I’ll help you make sense of the stuck places. I’ll stay steady when things feel intense.
And I’ll support both of you as you begin to understand and respond to each other in new ways.

This is a space where your relationship doesn’t have to be perfect—or even peaceful yet.
It just has to matter to you.

I work with couples navigating:

  • Constant or escalating conflict that feels impossible to stop

  • One partner feeling too distant, the other too overwhelmed

  • The emotional impact of new parenthood or trying to conceive

  • Decisions about whether or when to have children

  • Feeling unseen, misunderstood, or emotionally alone in the relationship

  • Big transitions—career changes, moving, family stress

  • Cultural, religious, or identity-based differences that affect communication

  • Past trauma, sensitivity, or different attachment styles showing up in the relationship

  • Relationships where one or both partners are neurodivergent (e.g. ADHD, autism spectrum, sensory processing differences)

You don’t need to be in crisis to reach out.
 You just need to be ready for something to shift.

 FAQs

  • My practice is based in San Francisco, and is currently 100% virtual. Our meetings take place online via the confidential and HIPAA-compliant doxy.me platform. Telehealth allows us to enjoy a comfortable and commute-free experience of working together from the location of your choosing. Although I work out of the Bay Area, I am able to provide psychotherapy to any resident of California.

  • I find that people receive the most benefit and can see the most momentum in their lives from weekly or twice weekly therapy meetings.

  • Individual therapy sessions are $225 for a 50-minute “hour.” Couples sessions are $270 and meet for a full 60-minute hour. I also offer extended sessions should you find you need or want more time per meeting.

  • I am considered an “out-of-network” provider. This means you may be able to use your health insurance to cover some of the costs of therapy. I provide all of the paperwork necessary for you to submit to your insurance provider for reimbursement.

  • I offer several payment options including Health Spending Accounts (HSAs), checks and all major credit cards including Amex.

Find your way back.

Whether you have been in therapy before, or you are contemplating giving it a try for the first time, beginning the process can sometimes feel overwhelming or intimidating. I strive to make getting started as simple and straightforward as possible. Setting up a free introduction call where we can get to know each other a bit is the first step. If we decide to move forward, we will schedule our first online appointment and I’ll send you some electronic paperwork that takes 15-20 minutes to complete. That’s it!

To schedule a call, please send Dr. Denkhaus a message using the contact form below or send an email to dr.cindydenkhaus@gmail.com

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