Therapy for Complex Relationship Challenges
Specialized therapy for neurodiverse partnerships, infidelity recovery, and intimacy restoration
Extended sessions & intensive formats available
Serving couples across Texas via HIPAA‑secure video Evening & weekend appointments available
Our Specialties
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Neurodiverse Couples Therapy
ADHD & Autism-Informed Relationship Therapy
When one or both partners are neurodivergent, traditional couples therapy often misses the mark. You're not broken, your brains are wired differently.
This specialized approach addresses:
→ Pursuit-withdraw patterns driven by ADHD emotional dysregulation
→ Communication breakdowns rooted in neurological processing differences
→ Intimacy challenges specific to neurodiverse partnerships
→ Sensory, executive function, and attention differences affecting connection
→ The unique attachment patterns that develop in neurodiverse relationships I combine practical, neuroscience-informed strategies with Emotionally Focused Therapy to help you build connection that works for your actual brains—not neurotypical expectations.
Typical session duration: Approximately 12-20 sessions (varies based on your specific needs)
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Betrayal & Affair Recovery
Attachment-Based Infidelity Repair
Whether it's a physical affair, emotional infidelity, porn use that crossed boundaries, or ongoing deception betrayal shatters the foundation of trust.
This isn't about quick forgiveness or "moving past it." It's structured, evidence-based work to determine if genuine repair is possible.
For couples committed to rebuilding, we address:
→ Processing betrayal trauma without re-traumatization
→ Understanding what made the betrayal possible (not just blame) → Rebuilding attachment security from the ground up
→ Creating accountability structures that support healing
→ Differentiating between remorse and real change Using principles from Emotionally Focused Therapy and attachment science, this is deep-level relationship repair work.
Session duration: Approximately 20-30 sessions or 3-hour intensive + ongoing sessions (varies based on your specific needs)
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Intimacy & Desire Restoration
Sex Therapy Meets Attachment Work
When desire has faded, when physical intimacy feels obligatory, when one partner avoids and the other pursues, you need more than "try harder" advice.
Sexual disconnection is rarely just about sex. It's about:
→ Attachment wounds and emotional safety
→ Shame patterns that block vulnerability
→ Desire discrepancy and mismatched libidos
→ Unresolved resentment preventing desire
→ Porn use affecting intimate connection
→ The nervous system's role in arousal and avoidance This work integrates clinical sex therapy principles from Emotionally Focused Therapy to address both the practical and psychological barriers to intimacy.
Typical session length: Approximately 15-25 sessions (varies based on the nature and depth of the issues)
How We Work Together
Attachment-Based Work: We look at how you connect (or avoid connecting) in relationships, what triggers conflict, and how to create more security and trust with each other.
For Couples: I use Emotionally Focused Therapy (EFT) principles for changing the negative cycles that keep you stuck. We identify what's happening between you and build new ways of responding to each other.
For Neurodiverse Partnerships: If one or both of you has ADHD, autism, or processes things differently, we work with practical strategies that fit you.
My Approach: I'm direct. I'll tell you what I see happening and what needs to change. Some clients want concrete tools and action steps. Others want to understand where patterns come from or what's driving their behaviors.
THIS WORK FITS IF:
You're beyond quick fixes
You've tried conventional therapy and it missed the complexity of your situation
You're willing to invest in specialized expertise
You value a therapist who's direct and won't just validate everything
You're ready to look at underlying patterns, not just symptoms
You can handle discomfort in service of real change
THIS DOESN'T FIT IF:
You want someone to take sides or validate your complaints
You're looking for the cheapest or fastest option
You're not willing to examine your own contribution to patterns
You want advice-giving rather than deep therapeutic work
Offering Virtual Therapy Across Texas
Serving clients in:
Austin | Houston | San Antonio | El Paso| Midland | Dallas
Not in one of these cities? View all locations
How to Schedule a Counseling Session
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Schedule Your First Session
The first step is scheduling your first session. Once a date and time are confirmed, you will receive an email to your client portal to fill out intake forms.
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Complete Intake Paperwork
You'll receive your paperwork on a secure HIPAA compliant platform. Documents will be sent to your email prior to your first session. Paperwork & payment must be completed 24 hours before your scheduled session.
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Join Your Session
Find a safe space for your session. You'll receive an email link to your session. Our first session will be your intake where we will discuss treatment goals.
Ready to Begin?
If you're dealing with betrayal, disconnection, or burnout and you're ready for more than surface-level solutions, let's talk.
(512) 790-0019 | contact@sagebrushcounseling.com Limited availability for new clients | Evening & weekend appointments available