Online Couples Therapy in Los Angeles and Beyond
Resolving Relationship & Intimacy Issues | Licensed Clinical Psychologist in California and New York
Building intimate connections can be one of the most rewarding—and sometimes challenging—aspects of life. Feelings of distance, lack of intimacy, or isolation within a relationship can contribute to stress, anxiety, and emotional strain.
Online couples therapy in Los Angeles, across California, or New York can help you and your partner(s) address these challenges and strengthen your connection.
Dialogue Therapy for Couples
I utilize an integrative, depth-oriented approach called Dialogue Therapy, which combines psychoanalytic strategies, mindfulness, and elements of drama therapy. This method helps couples:
- Navigate conflict effectively
- Enhance communication
- Deepen intimacy and mutual understanding
Dr. Polly Young-Eisendrath, founder of this approach, writes:
“The mutuality of true love feels raw and exposed, as though your heart is on a platter: within this mutuality you risk being both deeply loved and deeply hurt.”
“Dr. Matthew Silverstein is an excellent couple therapist trained in Dialogue Therapy. He’s thoughtful, intelligent, and competent.”
— Dr. Polly Young-Eisendrath
Through Dialogue Therapy, couples learn practical tools to listen actively, build trust, foster empathy, and strengthen love for one another.
Common Relationship Challenges
Even long-term relationships can face obstacles, such as:
- Repetitive patterns of conflict or unresolved arguments
- Loss of intimacy or emotional connection
- Addiction or co-addiction interfering with closeness
- Cultural, religious, or community pressures
- Reenactment of old family or relational patterns
Cultural and community norms can provide guidance but may also create shame or judgment—especially for non-normative couples (e.g., LGBTQ+, polyamorous, age-diverse). Therapy provides a safe space to navigate these pressures and strengthen relationship resilience.
Benefits of Couples Therapy
Couples therapy can provide:
- A safe arena to acknowledge relationship realities
- Insight into challenges affecting emotional and sexual intimacy
- Opportunities to address sexuality, erotic interests, financial needs, and relationship values (monogamy, polyamory, kink, open relationships, being solitary)
- Guidance on balancing individual growth with relationship needs
- Tools to reduce conflict, sustain stability, and deepen long-term intimacy
Whether your goal is to strengthen your relationship or navigate a respectful separation, therapy can support growth, understanding, and emotional clarity.
Couples Therapy in Fast-Paced Cities Like Los Angeles
Maintaining relationships in a fast-paced, high-pressure city like Los Angeles can be challenging. Did you know Los Angeles County has more than 26,000 same-sex couples—the highest number in California?
Intense careers and lifestyles can place added pressure on relationships. Couples therapy offers tools and insights to:
- Enhance intimacy and emotional connection
- Improve communication
- Navigate life transitions together
Cultural and community norms can provide guidance but may also create shame or judgment—especially for non-normative couples (e.g., LGBTQ+, polyamorous, age-diverse). Therapy provides a safe space to navigate these pressures and strengthen relationship resilience.
How Couples Can Strengthen
Their Relationship
Every couple is unique. Therapy can provide personalized strategies, such as:
Communicate Effectively & Manage Conflicts
Use active listening, clear communication, and “I” statements to resolve issues without blame or defensiveness.
Spend Quality Time Together
Prioritize time free from distractions like phones or work to reinforce emotional connection and closeness.
Show Gratitude and Appreciation
Regularly acknowledge your partner’s efforts and understand each other’s “love language” to strengthen the bond.
Support Personal & Mutual Growth
Maintain balance between togetherness and personal goals to strengthen your relationship over time.
Supporting LGBTQ+ Couples Across Locations
As a gay/queer psychologist, I have worked with LGBTQ+ couples for over two decades. I offer sensitivity, skill, and understanding to support couples across Los Angeles, California, and New York.
Online therapy allows couples to work together safely, from anywhere, on issues like:
- Navigating conflict and improving communication
- Deepening emotional and physical intimacy
- Recommitting to a meaningful relationship
Start Your Healing
Journey Today
Find clarity, resilience, and emotional strength through a safe and supportive healing journey.
Reconnect with yourself and move forward with confidence.