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 $150per 60-minute session, depending on your therapist. $0 with AHCCCS. 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.
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
Licensed Clinical Social Worker · TherapyBreeanna 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.
Request an appointment
Jim Saylor, LAC
Licensed Associate Counselor · TherapyIn person at our Tempe office, or by video anywhere in Arizona, whichever you prefer. English.
Request an appointmentWhat it costs
Couples therapy
60-minute session with Breeanna Horton, LCSW.$150Couples therapy
60-minute session with Jim Saylor, LAC.$75Sliding 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.
AHCCCS
PATH is an enrolled AHCCCS provider, and AHCCCS visits cost you nothing. We accept all six AHCCCS Complete Care plans in Maricopa County: Arizona Complete Health–Complete Care Plan, Banner–University Family Care, Blue Cross Blue Shield of Arizona Health Choice, Mercy Care, Molina Healthcare and UnitedHealthcare Community Plan. We can also see you if you are on AHCCCS fee-for-service without a health plan, or with the American Indian Health Program, Tribal ALTCS or a Tribal RBHA. If you are with a different AHCCCS program, call and we will tell you right away whether we can see you. Bring your AHCCCS ID either way. See every AHCCCS plan we accept
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 your therapist is Jim Saylor, LAC), or $40 for a group session. AHCCCS members are never charged for a missed appointment. 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
1Pick a time online, or call. It takes a few minutes.
2A short phone call within one business day. We confirm your time and tell you what it will cost.
3Your 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.
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