Friendship
Knowing each other again. Fondness, attention, and the small turns toward one another that keep a relationship alive.
Couples
For two people who are tired of having the same fight.
Couples therapy and marriage counseling in Cleveland and across Ohio, by video.
Structured couples therapy. Premarital, marital, affair recovery, discernment, transition to parenthood, high-conflict co-parenting. Cash-pay. 50 minutes at $190, or 80 minutes at $220.
Free 15-minute fit call · By video anywhere in Ohio · Anjelica M. Nelson, M.Ed, LPCC-S, IMFT-S
Completed Level 1 and Level 2 Training in Gottman Method Couples Therapy
Pick a Time for Your Free Fit Call
Free 15-minute video call. Choose a time that works for you.
Prefer we reach out? Request a call insteadCall 440-652-8370Couples therapy by telehealth for Cleveland and anywhere in Ohio, including Gottman couples assessments. See how online couples therapy works.
Who you'll meet
Anjelica M. Nelson, M.Ed, LPCC-S, IMFT-S, is an Ohio-licensed couples and family therapist. You'll talk with her directly on the free fit call, and she does every session herself, by video. Anjelica has completed Level 1 and Level 2 Training in Gottman Method Couples Therapy and uses Gottman Method Couples Therapy in her work with couples.
About insurance
Rising Rose is cash-pay, so there are no insurance approvals or session limits, and no diagnosis is sent to an insurer. HSA and FSA cards are accepted. Many PPO plans offer out-of-network benefits, and you can request a superbill to submit for possible reimbursement. Ask about it on the free fit call.
Couples therapy at Rising Rose Relational Therapy is structured, skills-based work with Anjelica M. Nelson, M.Ed, LPCC-S, IMFT-S, by video for couples anywhere in Ohio. It starts with a free 15-minute fit call. Next is a couples assessment: an 80-minute joint session, then a session with each partner. You get a map of your friendship, your conflict, and the shared life you're building, and weekly sessions build the skills to change them. Marriage counseling and couples therapy are the same work here.
The work
Structured couples therapy
Couples work is structured and skills-based: a clear assessment, a map of the relationship, and tools you can actually use — not open-ended venting.
Conflict
How you start a hard talk, how you repair, and how you compromise — skills you can actually use.
Shared life
Rituals, roles, goals, and the life you are building on purpose, not by accident.
The same fight
You can script each other’s lines. You want a map, and skills you can actually use.
Affair recovery
The secret is out. You need a structured process, a written no-secrets policy, and someone who will not take sides.
Discernment
One of you is leaning out. The work is to get clarity — stay, leave, or postpone — without using therapy as a stall.
Premarital
You want to build friendship, conflict resolution, and a shared life on purpose. Six sessions, prepaid, with a plan.
How it goes
Four moves. Then weekly work.
01
Fit call
Fifteen minute free consultation. Autonomy in deciding if the framework is a fit for you.
02
Couples assessment
An 80 minute joint session, then a session with each partner following the strict no secrets policy.
03
A map, not a vibe
You get a clear picture of friendship, conflict, and the life you share — and a plan for what happens in the room each week.
04
Skills you can use
How you start the hard talk, how you repair, how you compromise. The point is that the work leaves the room with you.
See how the work unfolds in our approach to couples therapy. Comparing therapists? Here is how to choose a couples therapist.
Couples
$190
50 minutes.
$220
80 minutes. Premarital, marital, affair recovery, discernment — same rates.
Individual
$160
50 minutes.
$190
80 minutes. Relational work for one adult. Same clinician, same structured process.
Consult
Free
15 minute introductory phone call with Anjelica.
Marriage counseling and couples therapy are the same structured work here. Sessions are by video, with both partners physically in Ohio. This is a cash-pay practice: HSA and FSA cards are accepted, and superbills are available on request. See fees for the details.
Written no-secrets policy. Individual breakout sessions are for assessment, not a parallel therapy with hidden material.
Frequently asked questions
What happens in the first couples therapy session?
The first session is an 80-minute joint session. It starts the couples assessment: who is in the room, what the pattern is, and what you each want to change. After that, each partner has one session on their own, under the written no-secrets policy. Questionnaires are used when they are clinically relevant, and Gottman couples assessments are offered. Then you get a map of the relationship that becomes the plan for weekly work.
How long does couples therapy take?
There is no set number of sessions. It depends on what you're working on. The assessment comes first, and the map from it becomes the plan for weekly 50- or 80-minute sessions. Premarital counseling is different: it is a six-session plan.
What if my partner won't come to couples therapy?
Couples therapy needs both partners to choose it, and no one should be pressured to attend. If your partner is unsure rather than unwilling, discernment counseling is built for that situation. If you want to work on your side of the relationship on your own, individual therapy for adults focuses on your relationships and the role you play in them. Mention your situation on the fit call.
Is online couples therapy private?
Sessions take place by video using SimplePractice, from a private room you choose. Because the practice is cash-pay, no insurer is billed and no diagnosis has to be sent to one unless you choose to submit a superbill. Please keep health and relationship details out of the contact form and email, and save them for the fit call or the intake paperwork.
Do we have to be married?
No. Couples work here includes premarital counseling, marriage counseling, affair recovery, discernment counseling, the transition to parenthood, and high-conflict co-parenting. LGBTQ+ couples are welcome.
When is couples therapy not the right first step?
If you are afraid of your partner, or there has been violence or control, joint sessions may not be safe. Say so privately on the fit call, or contact the National Domestic Violence Hotline at 1-800-799-7233 or thehotline.org. This practice is not a crisis service. In an emotional crisis, call or text 988. If anyone is in immediate danger, call 911. Both partners also need to be physically in Ohio for every session.
Do you take insurance?
No. Rising Rose is cash-pay. HSA and FSA cards are accepted, and you can request a superbill to submit for possible out-of-network reimbursement. See fees for details.
See if there is a fit