Rebuild trust.
Restore Connection.
Become Teammates again.
The same arguments keep happening without resolution.
One or both of you feel unseen, unheard, or emotionally alone.
You feel more like roommates, co-parents, or business partners than romantic partners.
Communication quickly turns into defensiveness, criticism, shutdown, or conflict.
Trust has been damaged and you're struggling to move forward.
Physical intimacy has declined or disappeared altogether.
You love each other, but you're no longer sure how to reconnect.
One or both of you have started questioning whether the relationship can survive.
If any of these resonate, therapy can help you understand not only the root of your relationship dynamics—but how they came to be, and how to shift it.
Most couples don't struggle because they don't love each other.
They struggle because:
✓ Stress increases
✓ Communication breaks down
✓ Emotional needs go unmet
✓ Resentment grows
✓ Connection fades
✓ Conflict becomes a cycle
The good news...
When we identify and heal the root of the cycle, real change becomes possible.
Together, we'll work to:
Rebuild Emotional Safety
Learn how to communicate in ways that foster connection rather than defensiveness, criticism, withdrawal, or conflict.
Rebuild Trust and Repair Relationship Injuries
Whether trust has been damaged by betrayal, secrecy, broken promises, or years of emotional disconnection, healing is possible. And it doesn't have to take as long as most people think when we follow a bottom-up blended with top-down approach to healing.
Understand Conflict Cycles
Most arguments aren't actually about dishes, parenting, money, or sex.
We'll uncover the deeper fears, needs, attachment wounds, and emotional patterns driving conflict, and shift them in a pro-relational way.
Improve Communication and Emotional Safety
Many couples long to feel close, desired, appreciated, and emotionally connected again.
Therapy can help you rebuild both emotional and physical intimacy.
Become Teammates Again
Rather than fighting each other, we'll help you learn how to work together against the problems affecting your relationship.
Navigate ADHD & Neurodivergent Relationship Challenges
Many couples struggle when one or both partners experience ADHD or other forms of neurodivergence. Together we'll improve communication, reduce conflict, increase understanding, and create systems that support both partners.

✓ Still love each other but feel disconnected
✓ Want to improve communication and reduce conflict
✓ Are struggling with trust, intimacy, or emotional distance
✓ Are both willing to show up to therapy with a mindset of growth and accountability
✓ Want to strengthen their relationship before reaching a breaking point
✓ Are motivated to learn new ways of relating
For some couples, weekly therapy is exactly the right pace.
For others—especially when you've been caught in the same painful cycle for years, trust has been damaged, or you keep getting to the heart of something just as the session ends—more time together can make a meaningful difference.
Couples Therapy Intensives offer a more concentrated way to work.
We have extended time to understand the pattern you've been caught in, work with the triggers and attachment wounds underneath it, and practice different ways of responding while we're actually together.
Each intensive includes:
Pre-work and assessment process
Individual sessions
Three 3-hour intensive sessions together
Personalized work between sessions
A written Relationship Map & Action Plan
Continuity plan
Learn About Couples Therapy Intensives →
I welcome and affirm clients of all relationship structures, identities, and expressions.
My practice supports:
✓ LGBTQ+ individuals and couples
✓ Consensual non-monogamy and open relationships
✓ Polyamorous relationship structure
✓ ADHD, Autism Spectrum, and Neurodivergent relationships
✓ Traditional and non-traditional partnerships
Every relationship is unique. Rather than applying a one-size-fits-all model, I work collaboratively with clients to understand their values, relationship agreements, goals, and vision for a healthy, fulfilling partnership.
Whether you're navigating communication challenges, trust concerns, intimacy, relationship transitions, or simply wanting to strengthen your connection, therapy can provide a supportive space for growth and understanding.
"I can't recommend Sara highly enough. She's compassionate, grounded, and creates an incredibly safe, welcoming space. Her ability to listen with real presence and offer thoughtful, judgment-free insight is rare. She's a wonderful human and a truly gifted therapist — anyone would be lucky to work with her."
"Sara is such an experienced and skillful clinician. She's especially skilled with relational work. You are in luck if she's got openings!"
"Sara is an outstanding therapist. She's professional, easy to talk to, and provides practical guidance that makes a real difference. I highly recommend her to anyone looking for a therapist they can trust."
"Sara Nied is an exceptionally talented therapist with 16 years of experience helping people make real, positive breakthroughs. She is incredibly sharp, deeply empathetic, and so down-to-earth that you immediately feel at ease…"
"Sara is an incredibly warm, insightful, and compassionate person. She has a wonderful ability to make people feel heard, understood, and at ease. Her warmth, positive spirit, and intelligence shine through in every interaction."
"Sara is so kind and I always feel deeply cared about and deeply heard. Definitely recommend!"