Boca Raton · Florida
Couples therapy in Boca Raton, FL
Couples therapy with an AASECT-certified specialist, for individuals and couples in Boca Raton and across Boca Raton and south Palm Beach County.
Couples therapy in Boca Raton is structured work with both partners on the pattern between you — conflict, distance, resentment, and the intimacy that usually goes quiet first. Sessions are held by secure video, both partners can join from different locations, and the first 15-minute consultation is free.
Who you would be working with
Vanessa Cushing, LPC, NCC, MS — AASECT-Certified Sex Therapist, MS from Johns Hopkins University. Fewer than one in a thousand licensed therapists in the United States hold AASECT certification.
If this is the year you deal with it, start with a conversation rather than a commitment.
Why Boca Raton clients come here
Boca clients often arrive after a long stretch of managing a sexual problem as a medical one — a urologist, a prescription, a normal result and no plan. The couples work here frequently involves a second or third marriage and the sexual comparisons that come with it.
Boca Raton sits inside Boca Raton and south Palm Beach County, and the practical problem is supply rather than demand: there are very few AASECT-certified clinicians in the region, and most general therapists list intimacy as one interest among twenty. That gap is why this work is done by video for clients across Florida rather than out of a single office.
What couples therapy treats
- The same argument on repeat, with a different subject each time
- Roommate dynamics — functional, affectionate, and no longer sexual
- Recovery after infidelity, or after a discovery that broke trust
- Two careers, small children, and no unhurried conversation in years
- One partner considering leaving while the other did not know it was that serious
- Sexual disconnection that neither of you has said out loud
- Parenting, money and in-law conflict that is really a conflict about respect
- LGBTQ+ couples, including open and non-monogamous relationships
How the work is structured
- A joint first session, then usually one shorter individual conversation with each partner, so both stories are on the table before any work starts.
- Naming the cycle rather than adjudicating the argument. Almost every couple has one pattern that generates most incidents; hearing it described accurately tends to lower the temperature immediately.
- Between-session practice: specific, small, and assigned to both of you. Insight without practice does not survive a bad week.
Sessions are typically weekly to start, then spaced out as the pattern shifts. Where the sexual side of the relationship is part of the problem — it usually is — it gets addressed directly rather than left for later, which is the difference between this and general marriage counselling.
Sessions, privacy and location
Because the licence is state-wide, anyone physically located in Florida at the time of the session can be seen — Key West to Pensacola — without travelling to Miami.
There is no in-person office in Boca Raton. Sessions are held by secure, HIPAA-compliant video — which is how the majority of this practice's clients are seen, by preference rather than necessity. No waiting room, no drive across Boca Raton and south Palm Beach County, and the exercises get practised at home where they belong.
Also available in Boca Raton
- Sex therapy in Boca Raton — sexual difficulty specifically
- Trauma therapy in Boca Raton — the lasting effects of what happened
Nearby in Florida
- Couples therapy in Palm Beach — Palm Beach, West Palm Beach and Jupiter
- Couples therapy in Naples — Naples, Bonita Springs and Collier County
- Couples therapy in Coral Gables — Coral Gables, Coconut Grove and Miami-Dade
Worth reading first
- Couples therapy across Florida
- What sex therapy actually is
- AASECT-certified vs. non-certified
- Does insurance cover therapy like this?
- Out-of-network benefits, explained
Questions Boca Raton clients ask
Do you see clients in Boca Raton?
Yes. Vanessa Cushing is a Licensed Mental Health Counselor in the State of Florida, so anyone physically located in Florida at the time of the session can be seen — Boca Raton included, along with Delray Beach, Highland Beach, Parkland. Sessions are held by secure video; there is no office in Boca Raton, and that is stated plainly rather than implied otherwise.
What does the free consultation involve?
Booking is a free 15-minute consultation, held by video, with no obligation to continue. You will speak with Vanessa directly rather than an intake coordinator, and you can ask about fees, confidentiality and whether Boca Raton residents are seen before committing to anything.
Can we join from two different places?
Yes. Video makes this easier than an office does — one partner travelling, or on a different schedule, is one of the most common reasons couples in this area never started. Both of you do need to be physically located in a jurisdiction where the licence applies.
Do you take sides?
No, and you would both know quickly if that were happening. The work is on the pattern between you, which neither partner invented alone. What does happen is that specific behaviour gets named plainly when it is causing damage.
Do you take insurance?
This is an out-of-network practice. Superbills are provided on request and many plans reimburse a share of the fee under out-of-network benefits; the insurance guide walks through how to check yours before your first session. Fees are discussed openly in the free consultation.
How private is this?
Sessions are held over a HIPAA-compliant video platform, records are kept to the clinical minimum, and nothing is disclosed to an employer, an insurer you have not billed, or anyone else without your written authorisation. This comes up constantly with Boca Raton clients and it is a fair question to ask in detail during the consultation.
Couples therapy in Boca Raton starts with a free 15-minute consultation with Vanessa — not an intake form, not a waiting list.