Working on It, Together.

For Placer County couples who keep having the same arguments, feel disconnected, or want help before things get worse.

Couples in Placer County are often stretched thin by long commutes, demanding jobs, the cost of living, and raising children. Over time, partners can slip into a pattern where conversations are about schedules and bills, and real connection gets pushed to the side.

PMHS offers couples counseling by telehealth for partners in Roseville, Rocklin, Lincoln, Auburn, Loomis, Granite Bay, and the communities up to Lake Tahoe. Couples sessions can be covered when they are clinically indicated, and PMHS also accepts Medicare and private pay. We confirm how your coverage applies before your first session, so there are no surprises.

Sessions take place over secure video, so you can join together from home without arranging childcare or fighting traffic on Interstate 80. Evening and weekend appointments are available for couples who both work.

Most couples argue about the same few things.

Most couples argue about the same few things. The topic may be money, household tasks, parenting, in-laws, or time together, but the underlying pattern is often the same: one partner pursues and the other withdraws, or both get defensive and stop listening. Counseling helps you see the pattern instead of just the latest argument.

PMHS clinicians draw on approaches informed by the Gottman Method, which focuses on building friendship, managing conflict constructively, and creating shared meaning. Sessions often include practical skills you practice at home between appointments.

Telehealth works well for couples. Being in your own space can make it easier to talk honestly, and some couples find that the structure of a video session helps keep conversations calmer than they would be at the kitchen table.

Couples counseling is not only for relationships in crisis. Many couples start because they feel more like roommates than partners, because a major change such as a new baby, a move, or a job loss is straining the relationship, or because they want to strengthen things before problems grow.

When trust has been damaged, by infidelity, secrecy, or broken promises, counseling can provide a structured space to understand what happened and decide how to move forward. That process takes time, and your clinician will help both partners feel heard.

Sometimes individual issues, such as depression, anxiety, or past trauma, affect the relationship. Your clinician may recommend individual sessions alongside couples work, or help you find the right balance between the two.

Couples counseling is not appropriate when there is ongoing physical violence or fear of a partner. If you do not feel safe at home, call the National Domestic Violence Hotline at 1-800-799-7233, or call 911 in an emergency.

Parenting differences are one of the most common sources of conflict. Couples often come in disagreeing about discipline, screen time, or how much to help an adult child. Counseling helps partners get on the same page without one person having to give up everything they believe.

Blended families bring their own challenges, including step-parenting, co-parenting with a former partner, and merging different household rules. These situations are common, and counseling can help everyone adjust.

You do not both need to be equally enthusiastic to start. It is common for one partner to be more hesitant. A first session is a chance to talk about what each person hopes for and decide together whether to continue.

Your sessions are confidential and protected by the same laws as any other health care. Your clinician will explain how information is handled in couples work before you begin.

To begin, submit our intake form at www.pacmhs.com/connect. We will verify your PHP coverage and reach out within one hour between 8am and 8pm, or by 9am the next morning to get your first session scheduled. You can also press the Get Started button below, which takes you to the same form.