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Lakeland · Couples Therapy

Couples Therapy in Lakeland, FL

Most couples arrive at therapy after the same argument has played out, in some form, for months or years. The facts change; the pattern doesn't. Couples therapy isn't about settling a fight. It's about teaching the relationship a different way to handle the next one - before it turns into another six months of the same.

Accepting New Clients · In-Person + Telehealth
Ascend Mind and Body Lakeland therapy office

Ascend Mind and Body provides couples therapy in Lakeland, FL using evidence-based methods including the Gottman Method, Emotionally Focused Therapy (EFT), and narrative therapy. Sessions are offered in-person at our South Florida Avenue office and via telehealth across Florida. Rates start at $75 for supervised-intern sessions. Call (863) 510-2624 or book online.

Not every relationship issue needs the same approach. A couple working through infidelity is in a different place than a couple who has grown disconnected, which is different again from a couple preparing to marry or blend a family. Our Lakeland therapy team matches the framework - Gottman for communication and conflict patterns, EFT for emotional disconnection and attachment-driven cycles, narrative therapy for clients who respond better to a story-based lens - to what the relationship actually needs.

Our Lakeland couples therapy providers

[NEEDED: Kasey - which Lakeland-licensed couples therapist should be featured as the primary couples-therapy provider on this page? Options based on the current disk roster include Antonio Garland, RMFTI (Registered Marriage and Family Therapy Intern - couples and family systems focus) and Ondina Waldron, LMHC (trauma, family dynamics, and faith-integrated counseling). Kaylee Mills Brenneman is de-emphasized per CEO spec. Name the specific clinician(s) you want featured and we'll fill the provider block. Do not publish this page until this gate is resolved.]

Antonio Garland, RMFTI is a Registered Marriage and Family Therapy Intern at our Lakeland office. His clinical focus is relationship dynamics, family systems, and couples counseling within a relational framework. Supervised-intern rate at $75 per session - one of the most affordable couples-therapy options in Polk County. [NEEDED: Kasey - confirm Antonio as the primary couples-therapy feature on this page. If yes, we lead with his provider block; if no, hold publication.]

Ondina G. Waldron, LMHC is a Licensed Mental Health Counselor specializing in trauma, family dynamics, and faith-integrated counseling. For couples who want faith as part of the therapeutic process, Ondina's integration is client-led - she incorporates it only where it is wanted. [NEEDED: Kasey - confirm Ondina is accepting new couples clients.]

Book couples therapy in Lakeland

Conditions and situations we treat

Couples come to Ascend for a specific and recurring set of reasons:

  • Communication breakdown - the same argument on repeat, criticism and defensiveness as default modes, stonewalling, and conversations that derail into something neither person intended.
  • Conflict that has become destructive - yelling, escalation, name-calling, or the kind of silence that is its own form of hostility. Gottman's research-based framework is specifically designed for de-escalation and repair.
  • Infidelity and betrayal recovery - affair recovery is structured, evidence-based work. Not a weekend, not a quick fix; a defined arc of rebuilding trust, processing the rupture, and rebuilding the relationship if both partners choose to.
  • Emotional disconnection - couples who are functioning but feel distant, who have become roommates or co-parents and stopped being partners. EFT's attachment model is designed for this presentation.
  • Pre-marital counseling - proactive work for couples preparing to marry. Often the most useful time to do this work, and the least common time couples actually do it.
  • Life transitions affecting the relationship - blending families, relocation, career change, having children, empty nest, retirement. The relationship has to adapt; couples therapy is where that adaptation becomes deliberate.
  • Grief affecting the couple - loss of a child, of a parent, of a pregnancy. Grief lands differently on each person in a couple; therapy prevents the grief itself from becoming a wedge.
  • Sexual intimacy concerns - desire discrepancy, loss of connection, or the emotional fallout of a physical-intimacy issue. Often addressed within the broader couples-therapy frame. [NEEDED: Kasey - confirm which Lakeland clinician handles sex-therapy scope explicitly; if none, we remove this bullet.]

What to expect at your first session

Before the visit. Both partners fill out intake forms online. The questionnaire asks each of you separately about what brought you in, how long the concerns have been present, and what you're each hoping to get from therapy. Your clinician reads these before the first session.

The first session. About 50 to 60 minutes, both partners present. Your clinician will ask how you met, what the relationship was like at its best, what's changed, and how the current patterns show up in real life. Most first sessions include an assessment of safety - couples therapy is not appropriate when there is active domestic violence; in those situations we refer to specialized resources.

Early sessions. In Gottman-informed work, the next few sessions may include individual interviews with each partner so the clinician can understand each person's family of origin, attachment history, and current experience of the relationship. EFT skips the separate sessions and works with the couple as a unit from the start.

Ongoing. Weekly sessions are typical during active work. The arc is longer than individual therapy for most couples - often 10 to 20 sessions for focused concerns, longer for affair recovery or complex dynamics.

Fees & Insurance

Insurance and pricing

Couples therapy is rarely covered by insurance because it does not have a billable diagnostic code - it's considered relational, not individual, treatment. Ascend publishes self-pay rates so cost is clear before you book.

Self-pay rates

  • Initial session (licensed clinician): $175
  • Follow-up (licensed clinician): $140
  • Supervised intern session: $75

Insurance. If one partner is in individual therapy for a diagnosable condition (depression, anxiety, trauma) and the couple work is adjunctive, some plans will cover specific aspects of care. This is rare and plan-specific. Call (863) 510-2624 to discuss before scheduling. Superbills are provided for out-of-network reimbursement attempts where applicable.

Visit Us

Our Lakeland clinic location

Ascend Mind and Body - Lakeland
832 South Florida Avenue, Suite 1, Floor 2
Lakeland, FL 33801
Phone: (863) 510-2624

Hours: Monday through Friday, 8:00 AM to 5:00 PM

On South Florida Avenue in downtown Lakeland, near Munn Park. Second floor. Street parking plus a lot behind the building. From I-4, take the Memorial Boulevard exit and head south.

Telehealth couples sessions are available statewide across Florida - both partners can join from the same location or, when necessary, from separate locations (for example, when work travel or a geographic separation makes joint in-room scheduling difficult).

Related Lakeland care: individual talk therapy in Lakeland for one partner's separate therapy alongside couples work, and telehealth psychiatry in Lakeland where medication support is indicated.

We serve clients across Lakeland, Winter Haven, Auburndale, Bartow, Plant City, Haines City, and surrounding Polk County.

Frequently asked questions

What is the Gottman Method?

The Gottman Method is a research-based framework developed from 40+ years of direct observation of couples. It focuses on building what the research calls "sound relationship houses" - improving communication, managing conflict constructively, and creating shared meaning. It's one of the most extensively validated couples-therapy models in the field.

What is Emotionally Focused Therapy (EFT) for couples?

EFT treats relationship distress as attachment distress. The model assumes that underneath most chronic couples conflict is a cycle of one partner reaching out (often through criticism or protest) while the other withdraws (often because they feel overwhelmed or inadequate). EFT makes the cycle visible, slows it down, and teaches the couple to interrupt it in real time.

Can we do couples therapy via telehealth?

Yes. Telehealth couples sessions work well for most presentations when both partners have a private space to meet from, ideally together. The research on telehealth couples therapy shows outcomes comparable to in-person for most concerns. Infidelity and severe-distress cases sometimes benefit from in-person sessions; your clinician will help you decide at intake.

How long does couples therapy take?

It varies with the situation. Focused concerns - communication patterns, a specific conflict, pre-marital preparation - often resolve in 10 to 20 sessions. Affair recovery typically requires a longer arc, often 6 to 12 months of weekly or biweekly sessions. Your clinician will be able to give a more specific estimate after the first two or three sessions.

What if one partner is reluctant to come?

Common. Couples therapy can still start with one partner; the reluctant partner often joins once they see a session isn't what they feared it would be. If it becomes clear both partners are not willing to engage, therapy may shift to individual work for the partner who is present. Forcing an unwilling partner into the room rarely produces useful work.

Does Ascend offer couples therapy when there has been domestic violence?

Couples therapy is not appropriate when there is active intimate partner violence - it can make the situation more dangerous, not less. In those situations we refer to specialized resources trained for intimate-partner-violence-specific care. If you are in immediate danger, call 911. The Florida domestic violence hotline is 1-800-500-1119.

Ready to start couples work?

Book a first session at our Lakeland office or via telehealth across Florida.

Book an Appointment (863) 510-2624
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