PATH Health Services
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Couples Therapy in Tempe, AZ

An hour for the two of you, with someone whose job is to help you hear each other. You do not have to agree on what is wrong before you come in.

Cost.$75 to $150

per 60-minute session. Sliding scale available.

First appointment.Typically 3 to 5 business days.
Accepting new patients.Yes, right now.

Is this the right thing for us?

Couples usually come in when the same argument keeps coming back, or when the arguing has stopped and the distance has not. Most are not on the edge of splitting up. They are tired of the pattern and want a different one.

You might be here because:
  • You have the same fight, and it ends in the same place every time
  • One of you wants to talk about it and the other wants it to stop
  • Trust took a hit and you are trying to work out whether it can be rebuilt
  • A baby, a move, a job or an illness changed how the two of you work
  • You feel more like roommates than partners

You do not need to be married, and you do not need to be sure you are staying together. You both need to be willing to come.

When to start somewhere else

If you are afraid of your partner, or someone in the relationship is being hurt or controlled, couples therapy is not the safe first step. Individual therapy is, and we can help you arrange it privately. If you are in danger right now, call 911.

What a session is actually like

Sixty minutes with both of you in the room, at our Tempe office or by video from anywhere in Arizona. If you meet by video, you both need to be in Arizona at the time.

A therapy room at PATH Health Services in Tempe: two leather armchairs and a small sofa around a low table, with a window along one wall

In the first session your therapist asks each of you what brought you in, what you have already tried, and what you would want to be different. Both of you get to talk, and neither of you is put on trial.

Your therapist is not there to decide who is right, and does not take sides. The work is on the pattern between you, not on either person.

How we work

Couples work here draws on the same approaches as our individual therapy, adapted for two people. Breeanna Horton is trained in the Gottman Method, one of the most widely used approaches to couples therapy.

There is no house method that everyone gets. Your therapist will talk with you both about what is likely to help, and change course if it is not working.

Your therapists

Breeanna Horton, LCSW, therapist at PATH Health Services

Breeanna Horton, LCSW

Licensed Clinical Social Worker · Therapy

Breeanna Horton is a Licensed Clinical Social Worker (LCSW) and board-approved clinical supervisor with dual master’s degrees in Social Work and Business Management with a concentration in Health Administration. She has worked in the mental health field since 2018 and specializes in trauma and PTSD, anxiety, depression, and couples therapy. Breeanna uses a relational, strengths-based, and trauma-informed approach, incorporating modalities such as Brainspotting, Polyvagal Theory, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), somatic interventions, the Gottman Method, and Narrative Therapy to help clients build connection, emotional resilience, and meaningful change.

In person at our Tempe office, and telehealth anywhere in Arizona. English.

Jim Saylor, LAC, therapist at PATH Health Services

Jim Saylor, LAC

Licensed Associate Counselor · Therapy

Jim Saylor is a Licensed Associate Counselor (LAC) who is continuing his graduate training through a clinical practicum while building hands-on experience in behavioral health care. At PATH Health Services, Jim brings an approachable and supportive presence to his work with patients, with a focus on creating a comfortable environment where individuals feel heard and respected. As he continues developing his clinical experience, Jim is committed to helping patients work toward meaningful goals and positive change through compassionate, patient-centered care.

In person at our Tempe office, or by video anywhere in Arizona, whichever you prefer. English.

What it costs

Couples therapy

Per 60-minute session. We confirm your exact rate on the call.
$75 to $150

Sliding scale

We offer sliding-scale rates for patients experiencing financial hardship. Eligibility and the reduced rate are worked out case by case, based on your circumstances. Call and ask; you do not need to explain yourself in writing first.

Commercial insurance

We are not in network with commercial insurance plans. You can pay yourself at the rates above, and we provide a superbill on request, which you may submit to your insurer for possible out-of-network reimbursement. Whether you are reimbursed, and how much, depends on your own benefits and is not guaranteed.

Good Faith Estimate

If you are paying yourself or using out-of-network benefits, you will receive a written Good Faith Estimate of what your care will cost before your first appointment. That is your right under federal law.

Cancellations

We ask for at least 24 hours' notice to cancel or reschedule. If you are paying yourself, cancelling with less than 24 hours' notice, or not showing up at all, is a $100 fee for an individual or couples appointment ($75 if that is your session rate), or $40 for a group session. You also get a 15-minute grace period: if you have not arrived or joined by then, your clinician may mark it a no-show. Emergencies and genuinely unusual circumstances are handled case by case.

Getting started

Request an appointment online, or call. It takes a few minutes.

A short phone call within one business day. We find you the right provider and tell you what it will cost.

Your first session. Usually within 3 to 5 business days of that call.

Questions people ask

What if my partner will not come?

Individual therapy is still worth doing on your own. Plenty of people start there, and a partner sometimes joins later.

Is this the same as marriage counseling?

Yes. Couples therapy, couples counseling and marriage counseling are different names for the same work.

Do we need to be married?

No. Couples therapy is for two people in a relationship, married or not.

Can we do this by video?

Yes, anywhere in Arizona, as long as you are both in Arizona at the time. You can also be seen in person at our Tempe office, and switch between the two as it suits you.

What if we do not like our therapist?

Tell us. Fit matters more than almost anything else, and if it is not right we will help you find someone who suits you both better, including outside this practice.

What if we need to cancel?

Give us at least 24 hours' notice. The full policy, including the late fee and the grace period, is under What it costs above.

You do not have to agree on what is wrong to start.

Monday to Friday, 8am to 5pm · Saturday, 9am to 2pm
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If you need help right now

PATH does not provide emergency or after-hours crisis care.