Couples Learn Offers High-End Couples Counseling From a New Angle

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If you’re at all familiar with the modern couples therapy landscape, you’ve probably heard the term “attachment style” thrown around. You’re either securely attached or insecurely attached, with a subtype of anxious or avoidant insecurity. Insecure attachments are typically the result of childhood trauma.

But this has implications far beyond, say, how quickly you text back.

Sarah Schewitz, PsyD, founder and lead therapist at Couples Learn, an online relationship-focused therapy platform, believes that your attachment style profoundly impacts all of your adult relationships and that developing a secure attachment can make all the difference in building a flourishing relationship. Couples Learn stands out from typical couples therapy due to its use of individual attachment-based trauma therapy in the form of EMDR (eye movement desensitization and reprocessing) to help her clients heal their trauma and become secure. EMDR was developed in the late 1980s as a way to treat post-traumatic stress disorder.

Couples Learn also offers traditional online couples therapy and premarital counseling for people looking to strengthen a mostly conflict-free relationship. But for couples seeking therapy due to problems in the relationship, Schewitz says she believes most relationship friction is rooted in insecure attachments: About 80 percent of her couples therapy clients end up receiving individual EMDR therapy as an essential part of their treatment. Schewitz says that the impact of this individual trauma work on a relationship is “like night and day.”

My interest was piqued. I wanted to see if this was true, so I gave individual EMDR relationship therapy at Couples Learn a try. After just one session, I was sold on the concept.

Couples Learn at a Glance

Couples Learn

Pros

  • Highly specific treatment method with scientifically proven results
  • Work directly with the company founder
  • High level of care and personal attention
  • Free 30-minute consultation
  • Focuses on the roots of relationship strife, not specific issues
  • Quality EMDR therapy available online

Cons

  • Expensive ($350 per session)
  • No app/web interface for messaging your therapist
  • No way to sign up without first doing a 30-minute consultation

How Much Does Couples Learn Cost?

Couples Learn is on the high end of the cost spectrum for therapy, with a 50-minute session with its founder and primary therapist, Sarah Schewitz, running $350. EMDR sessions, meanwhile, are 80 minutes for $550.

The only other therapist at the company, Michelle Liva, is leaving soon (to start her own EMDR-based practice), after which Couples Learn will be Schewitz’s solo practice. Schewitz may still refer you or your partner to Liva or another therapist she trusts (who will have their own session rates) for your individual EMDR sessions.

There are no subscription plans with Couples Learn. Sessions are each billed individually after they are held and are charged to the credit card kept in your file. Insurance is not accepted, but a superbill can be provided if you choose to seek reimbursement yourself.

Signing Up

Joining Couples Learn is nothing like signing up with a large online therapy platform. In place of a sign-up button, the website offers a link to the booking portal, where you can book a free 30-minute consultation with the therapist. When I booked, the first available consult was five days out, and the calendar allowed me to choose something up to 10 weeks away.

For couples Schewitz is counseling together, she refers them out to therapists she knows and trusts to do the individual EMDR work; for people seeing her individually for relationship issues, she conducts the sessions herself.

Initial Consultation

I was curious about what the consultation would involve. As the site states, the purpose of the consult is to determine whether working together will be a good fit.

Our consultation went well. Schewitz asked me a bit about my situation, and then explained her work to me, including her use of attachment-focused EMDR. During the consult, I asked her if she recommended individual relationship-focused therapy for me or typical couples counseling together with my partner.

Based on our conversation — and my self-confessed anxious attachment style — she suggested I start with individual relationship-focused therapy, using EMDR to heal my anxious attachment and perhaps also address some codependency issues (like setting boundaries and learning not to try to change or control my partner), which is Schewitz’s other specialty in individual treatment. (She offers a webinar on codependency, if you’re wondering if this kind of therapy might be right for you.)

After the consult, Schewitz sent me some paperwork, including policies to acknowledge and sign, an intake form, and a link to schedule my first appointment. I liked that the intake form consisted of mostly open-ended questions that you type your own responses into, rather than the multiple-choice boxes most online therapy companies use.

My Therapy Sessions

I was worried that our first session would be focused entirely on intake, but Schewitz started off by giving me a chance to ask her anything I had questions about. I wanted to know more about the science behind her work, and she touched on polyvagal theory and explained how it corresponds to attachment theory. She even sent me a video about it after our session. Adults with avoidant attachment styles have typically experienced caregiver rejection during their formative years. When they sense potential distress as adults, they attempt to protect themselves by shutting down their attachment system.

It was clear that Schewitz had read my intake form responses closely before our first session — she referenced several things I had mentioned and asked me for more details; she even came to our first session with potential treatment plans based on some of my responses. I really appreciated this personal level of attention.

I also got my first taste of attachment-based EMDR. After joking that my dog and I understand each other because we’re both anxiously attached, Schewitz asked if I wanted to tap her in as a resource — and she meant this literally.

It’s important to gather positive resources to focus on before confronting traumatic memories with EMDR. The use of “resource tapping” is a mindful integration of intention, visualization, and breath work, coupled with bilateral stimulation of the brain. With EMDR, bilateral stimulation is typically achieved using side-to-side eye movements, tapping, tactile stimulation, or sound. It is believed that these physical activities enhance the effectiveness of therapy.

Schewitz uses tapping. She tells me to cross my arms over my chest and tap my arms, or my collarbone, or even my legs. I choose my collarbone and tap tap tap, one side then the other, back and forth, taking deep breaths and thinking positive thoughts about my dog and how she protects and nurtures me.

The exact mechanisms of EMDR are not fully understood, but research shows it can be effective.

One study followed three adults with insecure attachment styles who all had anxiety, depression, and relationship problems. After 10 to 15 EMDR sessions spread out over a year and supplemented with additional therapy (exactly what you’re getting at Couples Learn), all three made positive changes in their emotions and relationships, including in their attachment status.

After just one session, I already feel different. I can’t explain it, but ever since the session, it’s like my dog has grown giant cartoon twinkle eyes in my mind. I feel like I love her even more. I am now a firm believer in the power of EMDR therapy.

EMDR can be extremely destabilizing in a way other types of therapy are not, so anyone interested in trying it should do so with a therapist with a trusted track record of experience and success with it.

 Schewitz has been working as a couples therapist for over 15 years and is proficient in conducting EMDR treatment.

Other Services

Even if you sign up for couples therapy, you will most likely end up doing individual attachment-focused EMDR as a key element of Schewitz’s couples therapy treatment model. However, your sessions with Schewitz and your partner together will never involve EMDR.

Couples therapy sessions with Schewitz, whether to supplement outside EMDR therapy or for couples who have been assessed as not needing EMDR (such as many premarital counseling clients), focus on Imago Relationship Therapy. This type of therapy (which Oprah Winfrey swears by) focuses on the idea that we unconsciously try to heal our childhood wounds and traumas through our romantic relationships. These childhood wounds can be subtle; it doesn’t necessarily mean you were abused as a child — something like having an older sibling who teased you or a parent who was always late can be enough to have an impact on your adult relationships. Your dialogue is primarily with your partner — not your therapist — and focuses on mirroring, validating, and empathizing to help improve communication and connection.

Schewitz says that most of her clients need between a year and two years of weekly therapy to achieve their goals. Couples Learn isn’t just for traditional relationships — its couples therapy welcomes people who are polyamorous, LGBTQ+, or involved in kinky and/or other alternative lifestyles.

Rescheduling, Pausing, and Canceling Services at Couples Learn

Since Couples Learn does not have a subscription model, canceling the service itself is not really necessary. If you don’t book another appointment on the website, you will not be charged for anything. Canceling or rescheduling a scheduled session must be done at least 24 hours ahead of time or you will be charged for the session. As far as communications from the service, I received educational resources via email from my therapist, as well as intake forms and reminders of upcoming appointments from a company secretary. I found that between scheduling on the website and communicating via email, it was very easy to schedule, change, or end treatment.

How Does Couples Learn Compare to Other Online Therapy Services?

Compared to a large online therapy company like Regain or Talkspace, Couples Learn is a world apart. For starters, it is much more expensive. At a large company like those, a single session of either couples therapy or individual therapy usually costs about $70 to $90.

Regain costs $260 to $360 per month and Talkspace costs $436 or more per month. These services are subscription-based and don’t offer a free initial consultation like Couples Learn does, so there’s no way to tell if you’ll find a good fit with the therapists there. Plus, the appointments are much shorter, with Regain’s being 45 minutes and Talkspace’s only 30 minutes. OurRitual’s sessions are even shorter — 20 minutes — because they’re only meant to be support for the company’s self-guided relationship program.

Happily, at Couples Learn, the higher price ($350 or $550, depending on the type of appointment) equates to a much higher level of service and expertise — your therapist will be proactive about learning about you and developing a specific treatment plan for you in a highly engaged way.

The form of therapy you are getting at Couples Learn is also highly specific and requires significant expertise and experience. If you want to browse different modalities of therapy, such as cognitive behavioral therapy (CBT), or if you want to meet several different therapists before choosing one, you might be better off at a larger, more affordable online therapy provider. While I have occasionally seen EMDR listed on therapist bios at large online providers, it’s usually part of a laundry list of 15 other “specialties” offered by that same therapist, which is a bit of a red flag to me.

Brave Health specializes in three areas: dialectical behavior therapy (DBT), perinatal mood and anxiety disorder (PMAD), and EMDR. Appointments at Brave Health are 60 minutes long, and it also accepts insurance and offers medication management services.

Something that most large online therapy companies offer that I missed at Couples Learn was the instant gratification of anonymously signing up for a next-day therapy session. I missed the app interface and the bells and whistles like messaging and journaling prompts. I like texting my therapist. I like low-pressure voice-only sessions where I don’t have to make eye contact.

Whereas these large platforms are like drive-through fast food (which can be comforting), Couples Learn is a Michelin-starred restaurant. You have to plan ahead. You have to wait. The menu only has five things on it. You pay a small fortune. But what you’re signing up for is a completely different experience. It’s more likely to get you where you are trying to go. If you can afford it, it’s worth it. It’s a truly luxe, personalized experience.

Also, the Couples Learn website is much simpler and more approachable overall than finding a private therapist on your own via an online database or web search.

Price
Therapy Formats
Types of Therapy Offered
Number of Sessions Per Month
Therapy Session length
Accepts Insurance
Specialized Modalities
$350 or $550 per session
Video
Couples, individual for relationship issues, premarital counseling
Usually once a week
50 minutes, or 80 minutes for EMDR
No
EMDR, Imago Relationship Therapy
$260–$360 per month
Video, phone, text
Couples, individual for relationship issues
4
45 minutes
No
Primarily CBT
$436+ per month
Video, phone, text
Individual, couples, teen, psychiatry
4
30 minutes
Yes
Primarily CBT, specialities depend on therapist
$160–$360 per month
Video
Couples
1 to 2 months to complete a “Pathway”
20 minutes
No
Psycho-educational content (not traditional therapy)
$150–$300 per session
Video
Individual, teen, psychiatry
Usually once a week
60 minutes
Yes
DBT, PMAD, EMDR

My Final Thoughts

Go ahead and book a free 30-minute consultation with Schewitz. Having her explain her method will give you insight into how varied the landscape of couples therapy can be, and I’m confident you’re going to want to try her approach. If my partner was willing, I’d bring him along to a couples therapy consult — and hope to get both of us referred out for individual EMDR, while keeping our couples counseling sessions with Schewitz.

Even if your partner isn’t on board for therapy, I think anyone who recognizes that they have an insecure attachment style would benefit from attachment EMDR therapy. Schewitz, who has gone through it herself, believes it has the power to not only transform your partnership but also every other relationship you have, including work, friends, and family ones. It can change the way your life feels.

What if I’m Having Thoughts of Harming Myself?

If you or a loved one is experiencing significant distress, domestic violence, or having thoughts about suicide and need support, call or text 988 in the United States to reach the 988 Suicide & Crisis Lifeline, available 24/7. If you need immediate help, call 911.

FAQs About Couples Learn

Are my sessions at Couples Learn private?
Yes. As with most therapy, the sessions are confidential, unless you talk about hurting yourself or others — in which case, your therapist is required to report your intentions.
Yes. Studies show that online therapy can be just as effective as sessions held in person. A meta-analysis of 20 studies by the American Psychological Association found no significant difference between online therapy and in-person therapy in terms of treatment outcome, follow-up, or attrition rates across a variety of conditions.

How We Evaluate Online Therapy Services Like Couples Learn

We’re testing over 65 different online therapy companies in order to find the best ones. We’re testing them all in the same way: by doing reporting to vet the company and its business practices, by interviewing and speaking with a dozen different licensed therapists, by surveying real online therapy users, and by testing each service with professional journalists and/or therapists.

For my review of Couples Learn, I began by exploring the website and going through the intake process. I explored what modalities were used, what qualifications the therapists held, and what additional resources the company provides.

Then I went through the 30-minute consult and one session to test the therapy service firsthand. As a science journalist with a focus on mental health, I have tested over a dozen online therapy services for both individuals and couples.

Why Trust Everyday Health

We independently investigate and recommend products and services we believe will enrich the lives of our readers and meet their specific needs. You can trust our reviews because we do the legwork for you. Read more about why you can trust us.

Mary Dennis

Author

Mary Dennis is a Singaporean American health and science writer based in New York. Her work has been published in the Beijinger, Nautilus, South China Morning Post, Motherly, and Verywell Mind.

Her interest in covering mental health increased after the pandemic revealed our society's increasing need for care and information about how to manage our emotional health. She is passionate about maternal mental health issues in particular, and is the founder of Postpartum Brain, a website designed to educate and encourage people to learn more about perinatal mental health issues.

Mary has a masters degree in science journalism from Columbia University.

seth-gillihan-bio

Seth Gillihan, PhD

Medical Reviewer
Seth Gillihan, PhD, is a licensed psychologist in private practice in Ardmore, Pennsylvania, who helps people find personal growth by making important changes in their thoughts and habits. His work includes books, podcasts, and one-on-one sessions. He is the the host of the Think Act Be podcast and author of multiple books on mindfulness and CBT, including Retrain Your Brain, Cognitive Behavioral Therapy Made Simple, and Mindful Cognitive Behavioral Therapy.

He completed a doctorate in psychology at the University of Pennsylvania where he continued as a full-time faculty member from 2008 to 2012. He has been in private practice since 2012.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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  2. Attachment Styles. Cleveland Clinic. August 4, 2023.
  3. Eye Movement Desensitization and Reprocessing (EMDR) Therapy. Clinical Practice Guideline for the Treatment of PTSD. American Psychological Association. 2017.
  4. Attachment Styles and Stress Responses. The Attachment Project. July 2023.
  5. Bricker MG. Resource Tapping — an EMDR-Related Intervention for Emotional Healing. NAADAC: The Association for Addiction Professionals.
  6. Phillips L. Tapping Into the Benefits of EMDR. American Counseling Association. September 2021.
  7. Hase M. The Structure of EMDR Therapy: A Guide for the Therapist. Frontiers in Psychology. May 2021.
  8. Matthijssen S et al. The Current Status of EMDR Therapy, Specific Target Areas, and Goals for the Future. Journal of EMDR Practice and Research. 2020.
  9. Wesselmann D et al. Change in Adult Attachment Status Following Treatment With EMDR: Three Case Studies. Journal of EMDR Practice and Research. 2009.
  10. Stickgold R. EMDR: A Putative Neurobiological Mechanism of Action. Journal of Clinical Psychology. 2001.
Additional Sources