Psychobiological Approach Couple Therapy in Nepean, ON

Photo of Rebeca Fernandez Bosanac, Registered Psychotherapist in Nepean, ON
Rebeca Fernandez Bosanac
Registered Psychotherapist, MA, RP
Verified Verified
2 Endorsed
Nepean, ON K2C
Specific to my work with couples, I have training in PACT and Gottman modalities.
Being an adult human is already hard, adding mental health struggles, trauma and unhealthy relationship patterns on top of that can be overwhelming. You are not alone. I work with couples and individuals who struggle with relationship issues, trauma, depression, self-esteem challenges and anxiety. In couples therapy I will be able to guide you through improving your communication, resolving conflict and breaking free from your old relationship patterns. My goal is to help you navigate life's hardships through a compassionate lens so you can begin living your best life.
Specific to my work with couples, I have training in PACT and Gottman modalities.
Being an adult human is already hard, adding mental health struggles, trauma and unhealthy relationship patterns on top of that can be overwhelming. You are not alone. I work with couples and individuals who struggle with relationship issues, trauma, depression, self-esteem challenges and anxiety. In couples therapy I will be able to guide you through improving your communication, resolving conflict and breaking free from your old relationship patterns. My goal is to help you navigate life's hardships through a compassionate lens so you can begin living your best life.
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Photo of Jessica Ng, Registered Psychotherapist in Nepean, ON
Jessica Ng
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Nepean, ON K2J  (Online Only)
Waitlist for new clients
Communicating with your partner is hard. You replay arguments over and over. You feel criticized by your partner and do not feel heard. The idea of voicing your needs feels overwhelming and frustrating. As time has passed, talking to your partner has become minimal. There is less sharing of your feelings due to feelings of disappointment of not being heard. Your partner and you feel disconnected and lack communication. You are exhausted at working so hard to have a genuine relationship and it feels like nothing is working. What you want is to feel you can confide in your partner, feel loved, feel heard and supported.
Communicating with your partner is hard. You replay arguments over and over. You feel criticized by your partner and do not feel heard. The idea of voicing your needs feels overwhelming and frustrating. As time has passed, talking to your partner has become minimal. There is less sharing of your feelings due to feelings of disappointment of not being heard. Your partner and you feel disconnected and lack communication. You are exhausted at working so hard to have a genuine relationship and it feels like nothing is working. What you want is to feel you can confide in your partner, feel loved, feel heard and supported.
(343) 304-6414 View (343) 304-6414
Photo of Susan Robbins, Registered Psychotherapist in Nepean, ON
Susan Robbins
Registered Psychotherapist, MA, RP, RMFT-S
Verified Verified
3 Endorsed
Nepean, ON K2J
Are you a couple struggling with communicating your needs and resolving conflict in your relationships? Perhaps you’re recovering from infidelity or looking to have a more satisfying sexual life. Do you experience anxiety and stress that impact your self-esteem? Maybe you are in an important transitional time in your life and are looking to make significant shifts that require clarity and a strong sense of self. Or life has thrown you a curve ball and you're unsure of how to adapt. If you are struggling to find meaning and motivation within yourself, your relationship or your family, our team can help.
Are you a couple struggling with communicating your needs and resolving conflict in your relationships? Perhaps you’re recovering from infidelity or looking to have a more satisfying sexual life. Do you experience anxiety and stress that impact your self-esteem? Maybe you are in an important transitional time in your life and are looking to make significant shifts that require clarity and a strong sense of self. Or life has thrown you a curve ball and you're unsure of how to adapt. If you are struggling to find meaning and motivation within yourself, your relationship or your family, our team can help.
(613) 900-5756 View (613) 900-5756
Photo of Selena Ladouceur, Registered Psychotherapist in Nepean, ON
Selena Ladouceur
Registered Psychotherapist, MA, RP
Verified Verified
7 Endorsed
Nepean, ON K2L
I believe that individual experiences are what make us unique, thus "the relationship we have with ourselves sets the tone for every other relationship we have" (Jane Travis). I appreciate having the opportunity to support and work collaboratively with my clients, many of whom may be experiencing a diverse and/or complex array of concerns for their mental health needs and well-being. I strive to offer a safe and supportive environment where my clients can feel safe and secure in exploring their thoughts, feelings, and concerns. I strive to ensure that my client's needs and preferences are met and will adapt my approach when needed.
I believe that individual experiences are what make us unique, thus "the relationship we have with ourselves sets the tone for every other relationship we have" (Jane Travis). I appreciate having the opportunity to support and work collaboratively with my clients, many of whom may be experiencing a diverse and/or complex array of concerns for their mental health needs and well-being. I strive to offer a safe and supportive environment where my clients can feel safe and secure in exploring their thoughts, feelings, and concerns. I strive to ensure that my client's needs and preferences are met and will adapt my approach when needed.
(343) 309-9661 View (343) 309-9661
Photo of The Authentic Life Psychotherapy Services, Registered Psychotherapist in Nepean, ON
The Authentic Life Psychotherapy Services
Registered Psychotherapist, RP, RMFT-S
Verified Verified
2 Endorsed
Nepean, ON K1A
Are you struggling with self-esteem? Have the last couple of years taken a toll on your mental health? Perhaps your relationship or family life is less fulfilling or more conflict prone. Maybe you are feeling anxious, depressed, or unmotivated in your personal or professional life. Or you are caring a lot for others only to feel burned out, depleted and short changed. These days, the demand on our emotional resources is more intense than ever. Managing ourselves and our relationships at home and at work may feel like an uphill battle with no finish line in sight. Now is the time to take better care of yourself. Start here, with us.
Are you struggling with self-esteem? Have the last couple of years taken a toll on your mental health? Perhaps your relationship or family life is less fulfilling or more conflict prone. Maybe you are feeling anxious, depressed, or unmotivated in your personal or professional life. Or you are caring a lot for others only to feel burned out, depleted and short changed. These days, the demand on our emotional resources is more intense than ever. Managing ourselves and our relationships at home and at work may feel like an uphill battle with no finish line in sight. Now is the time to take better care of yourself. Start here, with us.
(343) 304-6100 View (343) 304-6100
Photo of Signy Fridriksson Counselling and Psychotherapy, Registered Psychotherapist in Nepean, ON
Signy Fridriksson Counselling and Psychotherapy
Registered Psychotherapist, MA, GradDip, RP
Verified Verified
4 Endorsed
Nepean, ON K2B
Welcoming New Clients! Confidential Video Sessions within 2 weeks. In-Person Downtown Ottawa sessions within 3 weeks. I help you put the Big Questions into perspective! Individuals – Do you ask: "Who am I?" "How can I become who I want to be and express my true values?" In Relationships – Do you ask: ”How can we work to become friends again and manage conflict better?" ”Can we rediscover our love?" Some Relationship sessions with Signy, some 2-on-2 sessions with Signy & Steve Fick. We model a relationship strengthened by challenge and commitment!
Welcoming New Clients! Confidential Video Sessions within 2 weeks. In-Person Downtown Ottawa sessions within 3 weeks. I help you put the Big Questions into perspective! Individuals – Do you ask: "Who am I?" "How can I become who I want to be and express my true values?" In Relationships – Do you ask: ”How can we work to become friends again and manage conflict better?" ”Can we rediscover our love?" Some Relationship sessions with Signy, some 2-on-2 sessions with Signy & Steve Fick. We model a relationship strengthened by challenge and commitment!
(613) 707-4467 View (613) 707-4467

More Therapists Nearby

Photo of David Rubinstein, Registered Psychotherapist in Nepean, ON
David Rubinstein
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Ottawa, ON K1L
I specialize in intensive couple therapy to create safe, and secure-functioning relationships. I explore attachment styles (developed early in life) so that couples understand why they say and do the things they do. With my guidance, couples define mutually-shared agreements that will provide a framework for operating as a team. And with this shared vision, they can learn to successfully manage any disagreements or disappointments that life may bring. My goal is to help each couple feel they are safe and secure, in each other's care, no matter the issue. I am a Level 11 PACT therapist.
I specialize in intensive couple therapy to create safe, and secure-functioning relationships. I explore attachment styles (developed early in life) so that couples understand why they say and do the things they do. With my guidance, couples define mutually-shared agreements that will provide a framework for operating as a team. And with this shared vision, they can learn to successfully manage any disagreements or disappointments that life may bring. My goal is to help each couple feel they are safe and secure, in each other's care, no matter the issue. I am a Level 11 PACT therapist.
(613) 209-0704 View (613) 209-0704
Photo of Samantha Memedoska, Registered Psychotherapist in Nepean, ON
Samantha Memedoska
Registered Psychotherapist, BA Hons, MA, RP
Verified Verified
6 Endorsed
Ottawa, ON K2A
I am trained in CBT, EMDR and PACT.
Connection to self and others gives life meaning. It can be difficult to feel connected when we feel depressed, isolated and disconnected or unsatisfied in our relationships. Whether its past complex trauma, a traumatic event, a personal challenge in life or other issue, I would be honoured to be a part of your journey back to you. I also work with couples using the psychobiological approach to couples therapy and assist couples towards secure functioning. In addition, I offer workplaces workshops to employees on mental health and support to managers. Learn more about me at: www.tcapc.ca
I am trained in CBT, EMDR and PACT.
Connection to self and others gives life meaning. It can be difficult to feel connected when we feel depressed, isolated and disconnected or unsatisfied in our relationships. Whether its past complex trauma, a traumatic event, a personal challenge in life or other issue, I would be honoured to be a part of your journey back to you. I also work with couples using the psychobiological approach to couples therapy and assist couples towards secure functioning. In addition, I offer workplaces workshops to employees on mental health and support to managers. Learn more about me at: www.tcapc.ca
(343) 304-6196 View (343) 304-6196
Photo of Marie Pierre Castonguay, Registered Social Worker in Nepean, ON
Marie Pierre Castonguay
Registered Social Worker, MSW, RSW
Verified Verified
5 Endorsed
Ottawa, ON K2A
Furthermore I am a PACT level 2 trained couples counsellor.
Have you noticed changes in your mood and energy levels? Are you finding yourself struggling to maintain connections in your relationships? Sometimes life can become overwhelming, whether that’s because of our emotions, thoughts, behaviours, difficulties within our relationships or traumatic life events. Whichever the reason, we can unpack it one step at a time. Together, we will build a comfortable, non-judgmental environment where you can feel safe and supported as you navigate challenging circumstances.
Furthermore I am a PACT level 2 trained couples counsellor.
Have you noticed changes in your mood and energy levels? Are you finding yourself struggling to maintain connections in your relationships? Sometimes life can become overwhelming, whether that’s because of our emotions, thoughts, behaviours, difficulties within our relationships or traumatic life events. Whichever the reason, we can unpack it one step at a time. Together, we will build a comfortable, non-judgmental environment where you can feel safe and supported as you navigate challenging circumstances.
(343) 304-6337 View (343) 304-6337
Photo of Jacob Pollack, Registered Social Worker in Nepean, ON
Jacob Pollack
Registered Social Worker, RSW, MSW, MSc
Verified Verified
Ottawa, ON K1R
Living in a fast-paced society can often make us feel burned-out, chronically anxious, depressed and alienated from those we love the most. Too often, we are "working for the weekend", and when it comes we have precious little time to spend doing the things that bring us meaning and strengthen our most important relationships. I approach mental health issues as arising primarily from our needs being inadequately met by the community and world around us. So there's a disconnect between how we evolved and where we are now. I also do ketamine-assisted psychotherapy (KAP) in partnership with the Canadian Centre For Psychedelic Healing.
Living in a fast-paced society can often make us feel burned-out, chronically anxious, depressed and alienated from those we love the most. Too often, we are "working for the weekend", and when it comes we have precious little time to spend doing the things that bring us meaning and strengthen our most important relationships. I approach mental health issues as arising primarily from our needs being inadequately met by the community and world around us. So there's a disconnect between how we evolved and where we are now. I also do ketamine-assisted psychotherapy (KAP) in partnership with the Canadian Centre For Psychedelic Healing.
(343) 307-4875 View (343) 307-4875
Photo of Preeti Taneja, Registered Social Worker in Nepean, ON
Preeti Taneja
Registered Social Worker, RSW, MSW, BSW
Verified Verified
8 Endorsed
Ottawa, ON K1N
As the founder of Canadian Therapy we believe in the value of staying small and intimate. We prefer to be big on what matters most: your experience with our psychotherapists. Our client first approach ensures that your care is top of mind, and you experience intimate, attentive, personalized therapy throughout your relationship with your therapist. Authenticity is reflected in who we are, and what we offer. We are mindful that each individuals journey is unique and pride ourself on creating a unique online therapy experience better than any other clinic for our clients throughout Canada.
As the founder of Canadian Therapy we believe in the value of staying small and intimate. We prefer to be big on what matters most: your experience with our psychotherapists. Our client first approach ensures that your care is top of mind, and you experience intimate, attentive, personalized therapy throughout your relationship with your therapist. Authenticity is reflected in who we are, and what we offer. We are mindful that each individuals journey is unique and pride ourself on creating a unique online therapy experience better than any other clinic for our clients throughout Canada.
(437) 747-8566 View (437) 747-8566
Photo of Jenna Dekoster, Registered Social Worker in Nepean, ON
Jenna Dekoster
Registered Social Worker, MSW, RSW
Verified Verified
4 Endorsed
Ottawa, ON K2A  (Online Only)
Life can be messy, and sometimes we need someone to help hold our stuff. My favourite part about this is assisting people to step into their power, give words to their feelings, and start creating a life they love. I firmly believe that human connection is the foundation of an abundant life. For this reason, I am passionate about working with people to improve their relationships with themselves and others. What this looks like is defined by my clients, but can include support with deepening understandings of themselves, overcoming people pleasing, increasing self-compassion, and getting out of their thoughts and into their life.
Life can be messy, and sometimes we need someone to help hold our stuff. My favourite part about this is assisting people to step into their power, give words to their feelings, and start creating a life they love. I firmly believe that human connection is the foundation of an abundant life. For this reason, I am passionate about working with people to improve their relationships with themselves and others. What this looks like is defined by my clients, but can include support with deepening understandings of themselves, overcoming people pleasing, increasing self-compassion, and getting out of their thoughts and into their life.
(343) 321-1808 View (343) 321-1808
Photo of Dr. Sharleen McDowall - McDowall Psychology, Psychologist in Nepean, ON
Dr. Sharleen McDowall - McDowall Psychology
Psychologist, PsyD
Verified Verified
2 Endorsed
Ottawa, ON K1A
In-Person & Virtual - Accepting Client - No Waitlist - Insurance Coverage. McDowall Integrative Psychology & Healthcare (McDowall) is a team of registered psychologists, psychotherapists, counsellors and therapists-in-training who are committed to providing you with professional, compassionate therapy and assessment services. We offer traditional psychological and psychotherapy services, but when needed, we incorporate integrative therapies in order to provide optimal psychological outcomes. We use an integrative psychology approach that addresses the root causes of your mental health concerns.
In-Person & Virtual - Accepting Client - No Waitlist - Insurance Coverage. McDowall Integrative Psychology & Healthcare (McDowall) is a team of registered psychologists, psychotherapists, counsellors and therapists-in-training who are committed to providing you with professional, compassionate therapy and assessment services. We offer traditional psychological and psychotherapy services, but when needed, we incorporate integrative therapies in order to provide optimal psychological outcomes. We use an integrative psychology approach that addresses the root causes of your mental health concerns.
(437) 800-0244 View (437) 800-0244
Photo of Stephanie Elisabeth Sophie Larrue, Marriage & Family Therapist in Nepean, ON
Stephanie Elisabeth Sophie Larrue
Marriage & Family Therapist, MA, GDip, RP, CHyp, PhDCan
Verified Verified
2 Endorsed
Ottawa, ON K1R
Each individual has an innate ability to heal and transform one's life and relationships. I work with you to help you open up to your own healing with self-care and see a fresher and more hopeful perspective when things seem bleak. Our counselling relationship will help you gain the empowerment you need to lead a healthier, happier life within yourself, with your loved ones and colleagues, and to find your own answers and solutions.
Each individual has an innate ability to heal and transform one's life and relationships. I work with you to help you open up to your own healing with self-care and see a fresher and more hopeful perspective when things seem bleak. Our counselling relationship will help you gain the empowerment you need to lead a healthier, happier life within yourself, with your loved ones and colleagues, and to find your own answers and solutions.
(613) 902-1047 View (613) 902-1047
Photo of Mariam Hanna, Registered Psychotherapist in Nepean, ON
Mariam Hanna
Registered Psychotherapist, BA, MA, RP
Verified Verified
Ottawa, ON K1G
I believe that in life we all need a non-judgmental & supportive space where we can feel safe and understood. If you've been feeling "stuck" or you've been through a big life transition or you've been experiencing a lot of stress, I am passionate about providing a safe space for you to be your authentic self and work through life's complexities. I provide a place for you to heal from the pains of the past & present, discover meaning in the world around you, and gain the effective coping mechanism you need for your every day challenges. I have experience working with young professionals and assisting them in their life transitions.
I believe that in life we all need a non-judgmental & supportive space where we can feel safe and understood. If you've been feeling "stuck" or you've been through a big life transition or you've been experiencing a lot of stress, I am passionate about providing a safe space for you to be your authentic self and work through life's complexities. I provide a place for you to heal from the pains of the past & present, discover meaning in the world around you, and gain the effective coping mechanism you need for your every day challenges. I have experience working with young professionals and assisting them in their life transitions.
(343) 307-0625 View (343) 307-0625
Photo of Brian Ajamhassani @ Psychotherapy For You, Registered Psychotherapist in Nepean, ON
Brian Ajamhassani @ Psychotherapy For You
Registered Psychotherapist, RP
Verified Verified
1 Endorsed
Ottawa, ON K1A  (Online Only)
When life gets hard to deal with, it is good to have someone to talk to; Someone with the expertise, professionalism, and compassion to listen, ask the right questions to create clarity and help us find the solution or at least see the light at the end of the tunnel. When dealing with mental and emotional pain, someone with the proper training and experience could be the right person to turn to. I utilize over 10 years of experience in therapy practice to the full benefit of my clients dealing with grief, depression, and anxiety, including those dealing with chronic illnesses such as cancer, as well as youth and parents'
When life gets hard to deal with, it is good to have someone to talk to; Someone with the expertise, professionalism, and compassion to listen, ask the right questions to create clarity and help us find the solution or at least see the light at the end of the tunnel. When dealing with mental and emotional pain, someone with the proper training and experience could be the right person to turn to. I utilize over 10 years of experience in therapy practice to the full benefit of my clients dealing with grief, depression, and anxiety, including those dealing with chronic illnesses such as cancer, as well as youth and parents'
(867) 731-0384 View (867) 731-0384
Photo of Marie-Anne Savoie, Registered Psychotherapist (Qualifying) in Nepean, ON
Marie-Anne Savoie
Registered Psychotherapist (Qualifying), RP(Q), MA
Verified Verified
Ottawa, ON K2J  (Online Only)
As a psychotherapist my role is to provide both individuals and couples with an encouraging and supportive space. My approach is founded on the knowledge that transformational change can only come from within. Every client that walks through my door has insight into their own healing process, it is just clouded by the challenges they are facing. My role is to cultivate and strengthen one’s capacity to access intrinsic needs, beliefs, and identity while acknowledging the courage and resiliency in making the choice to do so. I aim to promote a more balanced way of relating to oneself and others during times of hardship.
As a psychotherapist my role is to provide both individuals and couples with an encouraging and supportive space. My approach is founded on the knowledge that transformational change can only come from within. Every client that walks through my door has insight into their own healing process, it is just clouded by the challenges they are facing. My role is to cultivate and strengthen one’s capacity to access intrinsic needs, beliefs, and identity while acknowledging the courage and resiliency in making the choice to do so. I aim to promote a more balanced way of relating to oneself and others during times of hardship.
(343) 307-0687 View (343) 307-0687
Photo of Amanda Feige, Registered Psychotherapist in Nepean, ON
Amanda Feige
Registered Psychotherapist, MA, CSTIP
Verified Verified
10 Endorsed
Ottawa, ON K1S  (Online Only)
Relationships are at the core of feeling love and belonging. However, when our relationships are functioning poorly we can experience anxiety, depression, low self-esteem, grief, or anger. In this space, we will explore how early life relationships shaped your attachment, communication, and conflict patterns to connect them to the impact they are having in your current life. From there, we can develop healthy new patterns. I also work with couples on their communication, boundaries, intimacy, meeting needs, and trust. Together you will learn to communicate safely and predictably and co-create your ideal intimate life.
Relationships are at the core of feeling love and belonging. However, when our relationships are functioning poorly we can experience anxiety, depression, low self-esteem, grief, or anger. In this space, we will explore how early life relationships shaped your attachment, communication, and conflict patterns to connect them to the impact they are having in your current life. From there, we can develop healthy new patterns. I also work with couples on their communication, boundaries, intimacy, meeting needs, and trust. Together you will learn to communicate safely and predictably and co-create your ideal intimate life.
(343) 312-5928 View (343) 312-5928
Photo of Tim Kahtava Men's Therapy, Registered Psychotherapist in Nepean, ON
Tim Kahtava Men's Therapy
Registered Psychotherapist, RP
Verified Verified
1 Endorsed
Ottawa, ON K1G  (Online Only)
When overwhelming emotions limit the pursuit of our responsibilities or passions in life there are effective strategies that can help regulate and minimize the emotional storms as well as provide the resilience needed to thrive in your life despite those storms. Life can be very difficult, unlike physical pain that is usually hard to ignore therefore treatment is sought after, emotional pain is unfortunately often ignored hoping it goes away. Anger, stress, anxiety, low moods, loss and relationship upheavals are all issues that can be better worked through with professional support through those storms. My name is Tim Kahtava, I
When overwhelming emotions limit the pursuit of our responsibilities or passions in life there are effective strategies that can help regulate and minimize the emotional storms as well as provide the resilience needed to thrive in your life despite those storms. Life can be very difficult, unlike physical pain that is usually hard to ignore therefore treatment is sought after, emotional pain is unfortunately often ignored hoping it goes away. Anger, stress, anxiety, low moods, loss and relationship upheavals are all issues that can be better worked through with professional support through those storms. My name is Tim Kahtava, I
(807) 907-4571 View (807) 907-4571
Photo of Nate Venema @ Psychotherapy for You, Registered Social Worker in Nepean, ON
Nate Venema @ Psychotherapy for You
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Ottawa, ON K2E  (Online Only)
I am a Registered Social Worker and a virtual counselor in Ontario. My educational background includes a Bachelor of Psychology, a Master of Education, and a Master of Social Work. I provide strength-based therapy services for children, young adults, individuals, couples, and families using an anti-oppressive, integrated approach tailored to the unique needs of each new client. There are so many changes that happen as families grow and develop with the passing years, and I’m here to help with these transitions. For over twenty years I have worked in a variety of settings with diverse clients, including both long-term and brief
I am a Registered Social Worker and a virtual counselor in Ontario. My educational background includes a Bachelor of Psychology, a Master of Education, and a Master of Social Work. I provide strength-based therapy services for children, young adults, individuals, couples, and families using an anti-oppressive, integrated approach tailored to the unique needs of each new client. There are so many changes that happen as families grow and develop with the passing years, and I’m here to help with these transitions. For over twenty years I have worked in a variety of settings with diverse clients, including both long-term and brief
(343) 805-0202 View (343) 805-0202

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How does the psychobiological approach to couples therapy work?

The psychobiological approach to couples therapy combines research in three domains—attachment theory, developmental neuroscience, and arousal regulation—to address relationship challenges. Couples learn about their underlying emotional and physiological responses to different situations so as to identify these responses and then shift them with the help of practice exercises in sessions.

Is the psychobiological approach to couples therapy evidence-based?

While some research has been conducted by its creator, there is little peer-reviewed research to support the efficacy of the psychobiological approach to couples therapy. It’s not as evidence-based as other forms of therapy, such as cognitive behavioural therapy, dialectical behaviour therapy, or acceptance and commitment therapy.

How long does the psychobiological approach to couples therapy last?

The psychobiological approach to couples therapy is a relatively short-term therapy, typically less than 12 sessions. However, individual sessions can be much longer. A typical couples therapy session lasts 45 minutes, while these sessions often last for two to three hours, and sometimes three to six hours. Some couples may opt to attend two or three sessions per week.

What are the limitations of the psychobiological approach to couples therapy?

A limitation of the psychobiological approach to couples therapy is that the evidence is much more limited than it is for other forms of therapy, such as cognitive behavioural therapy, dialectical behaviour therapy, or acceptance and commitment therapy. Additionally, the psychobiological approach to couples therapy only applies to couples in relationships, so keep in mind that it cannot treat mental health conditions such as depression and anxiety.