Treatments · Couples therapy

Couples therapy for the pattern between you.

In-person couples therapy in Mississauga and online across Ontario for committed partnerships. Attachment-based and EFT-informed, focused on the dynamic between you, not on assigning blame.

Two mugs of tea side by side on a wooden table, evoking connection in couples therapy at Anchor & Bloom
Fees
$200 · 50-minute / $285 · 85-minute couples session
Free consultation
15 minutes, no charge
Format
In-person in Mississauga, or secure online video via Jane · both partners join
Modalities
Emotionally Focused Therapy (EFT), attachment-based, relational, CBT
Clinician
Katelyn Matias, RP, CRPO #10340
Receipts
Provided for extended-health reimbursement · HST-exempt

About couples therapy at Anchor & Bloom.

Couples therapy at Anchor & Bloom is in-person psychotherapy in Mississauga and online across Ontario for committed partnerships. The work is attachment-based and informed by Emotionally Focused Therapy (EFT) for couples, with room for the body and the patterns each partner brings from earlier in life.

We work with married, common-law, dating, queer, polyamorous, and otherwise non-traditional partnerships. The structure of your relationship is not the question. The patterns between you are.

How therapy helps

What couples therapy can help with.

Through couples therapy, couples can:

  • Improve communication and understanding
  • Navigate conflict in healthier and more productive ways
  • Strengthen emotional connection and intimacy
  • Build trust and emotional safety
  • Develop healthier relationship patterns
  • Increase empathy and mutual support
  • Strengthen the foundation of the relationship

Learn more

Want the full picture?

Everything below is optional. Open any section to go deeper on how couples therapy works at Anchor & Bloom, who it fits, and what changes over time.

What couples bring in

The most common reasons couples reach out.

Communication breakdowns

The same fight on repeat. Conversations that escalate before they start, or never start at all. Words that land sideways. A growing sense that you do not speak the same language anymore, even on small things.

Emotional disconnection

The slow drift. Living parallel lives under the same roof. Knowing you love each other and not feeling it the way you used to. Roommates with a shared calendar.

Attachment ruptures

The moments that broke trust in a way you have not fully recovered from. A partner who was not there when it counted. A response that landed as proof you are alone in this.

Infidelity and repair

The work after an affair, emotional or physical, when both partners have chosen to try. This work is slow, structured, and held with care. We are honest about what it asks of both of you.

Conflict cycles

Pursue and withdraw. Criticize and defend. Escalate and shut down. The choreography of a fight that you both know by heart and neither of you can stop in the moment.

Parenting differences

Disagreements about discipline, screens, schedule, school, extended family. Two people with different histories trying to raise the same children and feeling unsupported by each other.

Sex and intimacy shifts

Mismatched desire. The loss of physical closeness after kids, illness, or stress. Working through pain, shame, or grief around sex. Rebuilding intimacy that has gone quiet.

Life-stage transitions

New parents adjusting to a relationship that no longer looks like it did. Empty-nest couples meeting each other again after years of parenting. Retirement, relocation, caregiving for aging parents.

One partner more invested

When one of you has been carrying the work of the relationship and the other is just arriving to the conversation. The asymmetry itself is workable. The asymmetry left alone is not.

Premarital preparation

Engaged or seriously committed couples who want to do the unglamorous work before the wedding. Money, family, sex, kids, conflict style. The conversations that are harder to start once you are already married.

Fertility and family-building strain

The relational toll of trying, of loss, of medical decisions, of feeling differently about a path forward. Often paired with our fertility & postpartum work.

Neurodiversity in relationships

When ADHD, autism, or other neurodivergent wiring is part of the dynamic. Translating between two nervous systems without one of you being the patient and the other the manager.

The frame

The cycle that lives in the relationship.

In Emotionally Focused Therapy for couples, the core idea is simple and slightly relieving: the enemy is not your partner. The enemy is the cycle. The cycle is the predictable choreography of your worst conversations. One partner pursues, raises the volume, asks for more. The other withdraws, goes quiet, retreats to the other room. Or one criticizes, names what is wrong, lists the evidence. The other defends, justifies, or shuts the conversation down. The shape changes. The cycle is recognizable within the first few sessions.

The cycle is not a character flaw. It is two attachment systems doing what they learned to do long before this relationship. Underneath the pursuit is almost always a fear of not mattering. Underneath the withdrawal is almost always a fear of failing the person you love. Both partners are reaching for connection. Both are getting the opposite of what they need.

In session, the work is to slow the cycle down enough to see it. To externalize it (to put it on the table between you instead of inside one of you) so you can both look at it together. Over time, you start to catch the cycle in the moment. Then, eventually, before it starts. That shift is the heart of the work.

This frame comes from Sue Johnson's lineage and the EFT model developed at theInternational Centre for Excellence in EFT. It is one of the most well-researched approaches to couples therapy in the field.

How sessions are structured

The arc of couples work.

Couples therapy at Anchor & Bloom moves through phases. The pace is yours, and not every couple needs every phase, but the shape below is what an EFT-informed course of work tends to look like. We are describing it here so you have a map, not a script.

  • Phase 1 · Assessment (sessions 1–3). A first session with both partners to hear what is happening and what each of you wants from therapy. Sometimes a brief individual session with each partner follows, so the therapist can hear the parts that are harder to say in front of each other. By the end of this phase, we have a working map of the cycle.
  • Phase 2 · De-escalation (sessions 4–10). The work of slowing the cycle. Building language for what is happening underneath the argument. Learning to name the cycle in the moment instead of riding it to the end. Most couples notice that fights get shorter and recover faster during this phase, even before the deeper work begins.
  • Phase 3 · Restructuring (sessions 10+). New conversations. The kind that were not possible before because the cycle was too loud. Reaching for each other from a different place: vulnerability rather than protest, need rather than complaint. This phase is where the relationship starts to feel different, not just less reactive.
  • Phase 4 · Consolidation. Practicing the new pattern in real life. Returning to old fights and finding they no longer have the same charge. Spacing sessions out. Ending well, with a sense of what to do if the old cycle visits again.

These phases are illustrative, not prescriptive. Some couples move through them in the order above. Some loop back. Some need only the first two phases and that is enough. We talk about pacing openly, in the room, as we go.

Scope of work

What we work with, and what we don't.

We work with:

  • Communication that has stopped working
  • Emotional disconnection and the slow drift
  • Attachment ruptures and the patterns underneath
  • Conflict cycles: pursue/withdraw, criticize/defend, escalate/shut down
  • Infidelity in the repair stage, when both partners are committed to the work
  • Sex and intimacy: desire, closeness, the conversations couples avoid
  • Life transitions: new baby, empty nest, retirement, relocation
  • Parenting differences and co-parenting strain
  • Premarital preparation and early-marriage adjustment

We are honest about what is outside our scope:

  • Ongoing intimate partner violence. Couples therapy is contraindicated when there is current physical, sexual, or coercive control in the relationship. We refer to specialist programs and individual safety planning.
  • Active untreated addiction undermining the work. If substance use is driving the dynamic, concurrent care with an addictions specialist is usually the right path. Couples work alongside that can be possible.
  • One partner who has already decided to leave. We honour that. Sometimes the work becomes individual support for both partners. Sometimes it becomes decision therapy: getting clear, conscious, and kind about how to end well. We do not chase couples back into relationships they have already left.

The modalities, in plain terms

EFT, Gottman, attachment: how each shows up in the room.

Couples therapy at Anchor & Bloom is integrative. EFT is the spine of the work, with Gottman method research, attachment theory, and polyvagal-informed pacing woven through. Here is how each actually shows up in a session.

Emotionally Focused Therapy (EFT). This is the emotional core of the work. EFT treats the bond between you as the primary unit of attention. Sessions slow down the moments where you misfire with each other so we can hear what each of you was actually reaching for underneath the argument. The goal is not to solve the disagreement on the table. It is to change the way you turn toward each other when things get hard. Most couples notice EFT first as a change in how a fight ends, then as a change in how it starts.

Gottman-informed work. John and Julie Gottman spent decades watching couples in a lab and identifying which patterns predict relationships that last and which predict relationships that erode. From that research we draw practical tools: recognizing the four horsemen (criticism, contempt, defensiveness, stonewalling), building reliable repair attempts, managing perpetual problems versus solvable ones, and protecting the fondness that already lives in the relationship. The Gottman lens gives the work specificity. EFT gives it depth. They sit together well.

Attachment-based. Underneath the cycle, each partner is reaching for something. Attachment-based work makes that visible. We pay attention to what each of you learned about closeness, dependence, and being a burden long before you met each other, and how those old templates are showing up in this relationship. Naming the template usually loosens its grip.

Polyvagal-informed pacing. When the room is dysregulated (one partner flooded, the other shut down), no good conversation happens. Polyvagal theory gives us a framework for noticing nervous-system states in the room and slowing the work until both of you have enough capacity to do it. This often means we pause an argument mid-session, breathe, get grounded, and come back to it. The conversation that follows is usually the one that mattered.

Signals of progress

What changes when couples work is working.

Fights end sooner

The argument that used to last all evening ends 20 minutes earlier than it used to. Then an hour earlier. Then sometimes before it really begins.

You name the cycle

In the middle of a hard moment, one of you says "we are in the cycle." That single sentence is often enough to take the temperature down.

You reach instead of react

Instead of the old defensive move, one of you says what is actually underneath. "I felt alone." "I was scared I let you down." Different conversation.

Repair is faster

The reconnection after a hard moment used to take days. Then a day. Then an hour. The recovery time gets shorter as the cycle loosens.

Small moments come back

The texts during the day. The hand on the back. The inside joke. The signals of the bond that had gone quiet start showing up again.

You feel like a team

Conflict becomes a thing the two of you face together rather than a thing one of you does to the other. Same problem, different orientation.

Between sessions

After-session practice.

Couples work is not homework-heavy. We are not going to send you home with a binder. But the patterns we work on in session need real-life reps to actually shift, so most sessions end with a small piece of between-session practice that fits what we worked on that day.

That can be a conversation prompt to try once during the week. A specific repair attempt to experiment with after the next disagreement. A daily check-in that takes five minutes. A noticing exercise: just catch the cycle when it shows up, without trying to fix it yet. The point is not to perform therapy at home. The point is to give the new pattern enough air to take.

Couples who do small, consistent practice between sessions tend to move through the phases faster. Couples who do not still make progress; it just lives mostly inside the session hour. Both are valid. We talk about what fits your week.

How sessions work

The practical details.

  • First session. A conversation with both partners about what is happening, what each of you wants from therapy, and how we work.
  • Following sessions. A mix of working with patterns as they come up between you, slower work on the underlying attachment dynamics, and small experiments between sessions.
  • Modalities used. Emotionally Focused Therapy for couples (EFT), Gottman-informed work, attachment-based therapy, and polyvagal-informed pacing.
  • Frequency. Weekly is most common for the first phase. Many couples shift to biweekly as patterns settle.
  • Length of work. 12 to 24 sessions is a typical EFT-informed course. Some couples need less, some need more.
  • Format. In-person sessions in Mississauga, or both partners on video through Jane, a PHIPA-compliant Canadian platform.
  • Session length. 50 or 85 minutes. Many couples find the longer session is worth it once the deeper work begins.

Who offers this

Clinicians who work with couples.

Katelyn Matias, RP

Registered Psychotherapist, CRPO #10340

EFT-informed couples therapy for adults navigating disconnection, repair, communication cycles, and the patterns each partner brings from earlier life.

About Katelyn

Daniella Simas Medeiros, RP (Qualifying)

Registered Psychotherapist (Qualifying), CRPO #19387

Affirming couples work for adults, queer couples, polyamorous partnerships, and couples navigating fertility, identity, and life transitions.

About Daniella

Common questions about couples therapy.

Do both partners have to want to be in therapy?

It helps. Couples therapy is usually strongest when both partners are invested in the process, even if one is more hesitant at first. If only one of you is ready, individual therapy is often a better starting point.

We are not married. Can we still come?

Yes. Couples therapy at Anchor & Bloom is for any committed partnership, regardless of marital status, gender, or relationship structure. We work with dating couples, common-law partners, married couples, polyamorous and ethically non-monogamous partnerships.

Will the therapist take sides?

No. The therapist holds space for both partners and works with the patterns between you, not with one of you against the other.

How long does couples therapy take?

A typical course of attachment-based couples therapy runs 12 to 24 sessions. Some couples need fewer, some need more, and some return for shorter rounds later. We talk about pacing as we go.

Can we come for just a few sessions to work on one issue?

Some couples come for short-term work on a specific issue. We will be honest in the first session about whether that feels realistic for what you are bringing.

What if we are considering separation?

Therapy can hold that uncertainty. The work is not aimed at staying together at all costs. It is aimed at clarity. Some couples re-attach. Some separate consciously. Some discover what they need to know.

How much do couples sessions cost?

Couples sessions are $200 (50 minutes) or $285 (85 minutes). Most extended health benefit plans through Canadian employers cover Registered Psychotherapist services, though couples therapy is sometimes treated differently from individual therapy. Confirm with your insurer. Psychotherapy is exempt from GST/HST as of June 2024.

For plan-by-plan coverage details, direct billing notes, and how to submit a claim, see Fees & Insurance.

Further reading

Trusted clinical resources.

The International Centre for Excellence in Emotionally Focused Therapy is the home of EFT, with information for clients and clinicians.

For information on the regulation of psychotherapists in Ontario, see theCollege of Registered Psychotherapists of Ontario.

Related services

What often supports couples work.

Curious about the clinician you would work with? Read moreabout Katelyn Matias, orbook a free 15-minute consultation to talk through fit.

Related reading

Practical guides before starting couples work.

Why Anchor & Bloom

How we work, and what to expect.

Every relationship is different, so the work is personalized. Drawing from evidence-informed and relationship-focused approaches, treatment may incorporate Emotionally Focused Therapy (EFT), attachment-based work, Cognitive Behavioural Therapy (CBT), Psychodynamic therapy, Solution-Focused therapy, mindfulness, and communication-focused strategies.

  • Personalized treatment tailored to your relationship's needs and goals
  • Compassionate, collaborative, and non-judgmental care
  • Attachment-based and relationship-focused approach
  • Practical tools that support meaningful change
  • Virtual therapy available across Ontario
  • In-person therapy available in Mississauga

Start with a free conversation.

A 15-minute consultation with both partners is the first step.

Book a consultation

Online therapy across Ontario

Sessions are virtual province-wide, with local support for:

Toronto · Mississauga · Oakville · Burlington · Hamilton

Book a free 15-minute consult