Couples therapy in Vancouver, WA

Maybe you keep having the same fight, just about different things. One of you feels blamed, the other unheard. Or you're kind and busy, and somehow more like roommates. You don't have to cross the river to get help.

I'm Paul Walsh, a licensed marriage and family therapist in Washington and Oregon. I see couples and individuals from Vancouver by secure video anywhere in Washington, or in person at my office in Johns Landing, Portland.

Book a free 15-minute call

In-network: Regence · Aetna · Moda · First Choice Health · Plan and state restrictions apply

Online sessions that fit your week

No bridge traffic. Meet from home or a private office instead of spending your afternoon on the I-5 or I-205 bridge.
Easier to schedule together. Two busy people, one secure link.
Easier to open up. Many couples find it easier to talk honestly from their own space.

How I work with couples

I don't take sides, and I won't make anyone the bad guy. I'll help you both slow down, see the pattern instead of each other as the problem, and find your way back to being on the same team. You'll leave each session with one small thing to try that week.

I work with couples who keep having the same fight, are rebuilding trust after an affair, or are deciding whether to stay. Same-sex and LGBTQ+ couples are welcome. Learn more about couples therapy.

Also for individuals

Not here as a couple? I also help adults in Vancouver and across Washington with derealization, including after cannabis or psilocybin, grief, divorce and anxiety.

Prefer to meet in person?

My office is at 5901 S Macadam Ave #100 in Johns Landing, Portland, just across the river. I see clients Monday to Thursday, 9 a.m. to 4 p.m.

Licensed in Washington

Washington, license #MFT.LF.61566900
Oregon, license #T1413

Common questions

Do you see couples from Vancouver, WA?

Yes. I see couples and individuals from Vancouver, Camas and across Clark County, online or in person in Portland.

Do we need to be in Washington for online sessions?

You need to be physically in Washington, Oregon or California during each session. That's a licensing rule, and it protects you.

Does insurance cover couples therapy?

It can. I'm in-network with Regence, Aetna, Moda and First Choice Health, and many plans cover couples therapy under a family therapy code, with one partner as the client and the other joining as a family member. It varies by plan, so check with your insurer, or share your insurance information and I'll run a benefits check. Self-pay sessions are $200 for 50 to 55 minutes. See fees and insurance for details.

What do we need for a video session?

A private space, a reliable internet connection, and a phone, tablet or computer with a camera. You'll get a secure link before each session.

Ready to start?

A free 15-minute call is the first step. If your partner is unsure, they're welcome on the call too.