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The Couch Counseling
Main
Meet Brian
Meet Dr. Casey
Meet Claudia
Meet Julie
Services
EMDR
First Responders
Telehealth / Teletherapy
Qualified Supervision
FAQ
Contact
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  • Main
  • Meet Brian
  • Meet Dr. Casey
  • Meet Claudia
  • Meet Julie
  • Services
  • EMDR
  • First Responders
  • Telehealth / Teletherapy
  • Qualified Supervision
  • FAQ
  • Contact
  • Good Reads
  • Main
  • Meet Brian
  • Meet Dr. Casey
  • Meet Claudia
  • Meet Julie
  • Services
  • EMDR
  • First Responders
  • Telehealth / Teletherapy
  • Qualified Supervision
  • FAQ
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  • Good Reads

Talk Therapy, ART, CBT / DBT, Telehealth, & EMDR Services

Specialized EMDR therapy for trauma processing and anxiety relief in Ocala, Florida.

EMDR Therapy

ART (Accelerated Resolution Therapy)

ART (Accelerated Resolution Therapy)

Eye Movement Desensitization & Reprocessing (EMDR) is an evidence-based, highly effective psychotherapy designed to help people heal from trauma, distressing life experiences, & lingering emotional pain.


When you go through a traumatic or deeply stressful event, your brain can become overwhelmed, causing the memory to get stored improperly

Eye Movement Desensitization & Reprocessing (EMDR) is an evidence-based, highly effective psychotherapy designed to help people heal from trauma, distressing life experiences, & lingering emotional pain.


When you go through a traumatic or deeply stressful event, your brain can become overwhelmed, causing the memory to get stored improperly—along with the original sights, sounds, emotions, & physical sensations. When something triggers that memory in the present, you might feel like you are re-experiencing the event all over again.


EMDR uses bilateral stimulation (typically guided horizontal eye movements, tapping, or audio tones) to stimulate both hemispheres of the brain. This mimics the brain's natural processing mechanism during REM sleep, allowing your brain to reprocess stuck memories, update old beliefs, & integrate them in a healthy, adaptive way.

What can EMDR help treat?

While EMDR is world-renowned as a premier treatment for Post-Traumatic Stress Disorder (PTSD), it is also incredibly effective for a wide variety of emotional & psychological challenges, including:

  • Complex & Single-Event Trauma: Accidents, abuse, medical trauma, or violent events.
  • Anxiety, Panic & Phobias: Overwhelming worry, social anxiety, performance anxiety, or specific fears.
  • Grief & Traumatic Loss: Processing the painful loss of a loved one or major life transition.
  • First Responder & Military Stress: Operational trauma, critical incident stress, & moral injury.
  • Negative Core Beliefs: Overcoming deep-seated feelings of "I'm not safe," "I'm not good enough," or "I am helpless."

What makes EMDR different from traditional talk therapy?

  • Focus on Brain & Body Processing: Traditional talk therapy focuses on analyzing thoughts & feelings. EMDR targets how memories are stored in the brain & felt in the body, creating deep-level neural changes.
  • No Detailed Talking Required: You don't have to talk through every painful detail of your past to heal. EMDR focuses on internal memory processing guided by bilateral movements.
  • Long-Term Relief: Instead of just teaching you how to cope with triggers, EMDR helps neutralize the trigger itself so the emotional charge is gone.

What are the session length, fees, and format for EMDR?

Because EMDR protocols require dedicated time for setup, eye movement processing, & proper grounding/de-escalation before concluding, sessions are extended beyond a standard talk therapy visit:

  • Session Duration: Extended 55 to 75 minutes.
  • Specialized / Extended Time Fee: $230.00 per session.
  • Format: Available in-person at our office.

Specialized EMDR therapy for trauma processing and anxiety relief in Ocala, Florida.

ART (Accelerated Resolution Therapy)

ART (Accelerated Resolution Therapy)

ART (Accelerated Resolution Therapy)

Accelerated Resolution Therapy (ART) is an innovative, evidence-based psychotherapy that uses smooth, guided eye movements to help your brain reprocess distressing memories & negative images.


Unlike traditional talk therapy—which often requires describing painful events in detail over weeks or months—ART works directly with the way memorie

Accelerated Resolution Therapy (ART) is an innovative, evidence-based psychotherapy that uses smooth, guided eye movements to help your brain reprocess distressing memories & negative images.


Unlike traditional talk therapy—which often requires describing painful events in detail over weeks or months—ART works directly with the way memories & images are stored in the brain. Through a process called Image Rescripting, ART allows you to keep the facts of a past event while changing the painful images, emotional distress, & physical sensations attached to it.


As many ART practitioners describe it: "You keep the knowledge, but lose the pain."

What can ART help treat?

ART was originally developed to treat trauma & Post-Traumatic Stress Disorder (PTSD), but it has proven exceptionally effective for a wide range of psychological challenges, including:

  • PTSD & Trauma: Single-event traumas (accidents, assaults, disasters) or complex, recurring trauma.
  • First Responder & Military Stress: Operational stress, traumatic calls, & moral injury.
  • Anxiety, Panic & Phobias: Overwhelming worries, panic attacks, or intense situational fears.
  • Grief & Loss: Processing sudden losses, traumatic grief, or lingering heartache.
  • Depression & Low Self-Worth: Shifting core negative beliefs & painful emotional patterns.

How is ART different from EMDR or traditional talk therapy?

While both ART & EMDR use eye movements to reprocess trauma, ART has several distinct features:

  • Faster Relief: ART protocols are highly structured & designed to resolve specific scenes or memories quickly—often within 1 to 5 sessions per specific issue.
  • Minimal Talking Required: You do not have to talk aloud about the details of your trauma if you don't want to. You process the imagery in your own mind while your therapist guides your eye movements.
  • Less Distress During Sessions: ART places a heavy emphasis on rapid grounding, somatic relaxation, & positive image replacement, making the session feel less overwhelming while it happens.
  • Direct Control: You are always in control of what positive images you choose to replace the painful ones with.

What happens during an ART session, and what are the fees?

  • Session Length: Because ART protocols require dedicated time to move through memory processing, visualization, & proper grounding, sessions are extended to 55 to 75 minutes.
  • Specialized / Extended Time Fee: $230.00 per session.
  • Delivery: ART is available in-person at our practice.

Dialectical Behavior Therapy (DBT) skills training for emotion regulation & distress in Ocala, FL.

Addiction, Trauma & PTSD

ART (Accelerated Resolution Therapy)

Addiction, Trauma & PTSD

At The Couch Counseling, we understand that trauma, PTSD, & substance use or behavioral addictions are deeply intertwined. Often, addictive behaviors develop as coping strategies to numb or manage the overwhelming distress caused by unaddressed trauma, anxiety, or past emotional pain.


We provide a non-judgmental, trauma-informed space wher

At The Couch Counseling, we understand that trauma, PTSD, & substance use or behavioral addictions are deeply intertwined. Often, addictive behaviors develop as coping strategies to numb or manage the overwhelming distress caused by unaddressed trauma, anxiety, or past emotional pain.


We provide a non-judgmental, trauma-informed space where you can safely process past experiences, break free from self-defeating cycles, & build healthy coping tools for long-term recovery.

What specialized modalities do you use for trauma & PTSD?

We offer evidence-based, specialized trauma therapies that go beyond traditional talk therapy to help your brain & body heal from distressing memories:

  • Eye Movement Desensitization & Reprocessing (EMDR): EMDR uses bilateral stimulation (such as guided eye movements or taps) to help your brain reprocess stuck, traumatic memories. This reduces their emotional intensity so past experiences no longer dictate your present reactions.
  • Accelerated Resolution Therapy (ART): ART is an innovative, fast-acting therapy that uses eye movements & image rescripting to rapidly process traumatic scenes & reduce physiological distress, often delivering significant relief in fewer sessions.
  • Trauma-Informed CBT & DBT: We integrate Cognitive Behavioral Therapy (CBT) & Dialectical Behavior Therapy (DBT) skills to help you reframe trauma-related beliefs, manage emotional triggers, regulation, & develop healthy grounding techniques.

How do you approach addiction & recovery?

We treat addiction as a human response to pain, stress, or emotional overload—not a moral failure. Our approach focuses on:

  • Identifying Root Causes: Exploring the underlying trauma, emotional stressors, or relational dynamics that drive addictive patterns.
  • Relapse Prevention & Skill Building: Equipping you with practical DBT distress tolerance, emotional regulation, and boundary-setting strategies to navigate cravings and high-stress situations.
  • Dual-Diagnosis Care: Concurrently addressing co-occurring mental health challenges, such as severe anxiety, depression, or PTSD, that frequently fuel substance use.
  • Outpatient Care Support: We provide individual therapy for clients seeking outpatient addiction support, maintaining recovery, or transitioning from higher levels of care (such as intensive outpatient or residential programs).

What are the session lengths and fees for specialized trauma therapies?

Because protocols for EMDR and ART require dedicated time for memory visualization, reprocessing, and proper grounding before concluding, these appointments are extended beyond a standard session:

  • Session Duration: 55 to 75 minutes.
  • Format: Available in-person at our practice or via secure Telehealth for eligible clients.

Relationship & couples therapy for building healthy communication & trust in Ocala, Florida.

Qualified Supervision

Qualified Supervision

Addiction, Trauma & PTSD

Qualified Supervision is a mandatory, state-regulated process in Florida for Registered Mental Health Counselor Interns (RMHCIs) who are working to fulfill their post-graduate hours for full licensure.

Beyond meeting state requirements, clinical supervision provides a supportive, structured environment to help emerging therapists sharpen c

Qualified Supervision is a mandatory, state-regulated process in Florida for Registered Mental Health Counselor Interns (RMHCIs) who are working to fulfill their post-graduate hours for full licensure.

Beyond meeting state requirements, clinical supervision provides a supportive, structured environment to help emerging therapists sharpen clinical skills, navigate complex ethical dilemmas, refine diagnostic accuracy, and prevent burnout. We also offer clinical consultation for fully licensed clinicians seeking guidance on challenging cases, practice development, or specialized modalities like trauma and EMDR. 

What clinical modalities and specialties do you focus on in supervision?

Supervision at The Couch Counseling is tailored to help you build confidence as an independent, effective clinician. Our clinical leadership brings extensive experience in: 

  • Trauma & Specialized Modalities: Incorporating trauma-informed care, Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT). 
  • Relational & Complex Case Dynamics: Individual adult therapy, couples counseling, and complex family dynamics.
  • Practice Building & Ethics: Navigating boundary settings, documentation standards, crisis management, and the business realities of private practice. 

How are supervision sessions structured, and do you offer virtual supervision?

We offer flexible supervision formats designed to fit your schedule and professional goals:

  • Individual Supervision: One-on-one deep-dive sessions focusing on your specific caseload, self-care, and targeted skill development.
  • Group Supervision: Small-group settings that encourage peer collaboration, diverse case conceptualizations, and shared learning.
  • In-Person & Telehealth: In accordance with Florida Board standards, supervision can be conducted in-person at our office or via a secure, HIPAA-compliant virtual platform.

How do I get started with Qualified Supervision at The Couch Counseling?

Getting started is simple:

  1. Submit an Inquiry: Download and complete our Qualified Supervision Inquiry Form from our website, or reach out to us directly via our contact form or phone at (352) 895-0808. 
  2. Initial Consultation: We’ll schedule a brief consultation to discuss your clinical goals, licensure timeline, supervision needs, and fee structure to ensure we are a great mutual fit.
  3. Supervisory Agreement: Once aligned, we’ll execute the required Florida Board supervisory contract and documentation so you can begin logging your official supervision hours immediately.

CBT & DBT therapy services in both English and Spanish at The Couch Counseling near me

CBT & DBT Therapy

Qualified Supervision

Telehealth Services

Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are evidence-based, goal-oriented therapies that help you understand the connection between your thoughts, feelings, and behaviors—giving you practical, real-world tools to create lasting change.

While both approaches focus on building healthier patterns, they serve 

Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are evidence-based, goal-oriented therapies that help you understand the connection between your thoughts, feelings, and behaviors—giving you practical, real-world tools to create lasting change.

While both approaches focus on building healthier patterns, they serve slightly different purposes depending on what you are experiencing:

Cognitive Behavioral Therapy (CBT)

CBT is built on the principle that our thoughts influence how we feel and act. Often, unhelpful thought patterns—like catastrophizing, overthinking, or self-doubt—can keep us feeling stuck in anxiety, depression, or stress.

  • How CBT Helps: We help you identify "cognitive distortions" (unhelpful thinking habits) and replace them with more balanced, realistic perspectives. CBT is active and structured, providing you with practical strategies to manage stress, reframe negative thinking, and change unwanted behaviors.
  • Best For: Anxiety, depression, panic disorders, chronic stress, life transitions, and self-esteem challenges.

Dialectical Behavior Therapy (DBT)

DBT evolved from CBT but places a stronger emphasis on emotional regulation and acceptance. The core philosophy behind DBT is balancing acceptance (validation of where you are right now) with change (learning actionable skills to improve your life).

  • How DBT Helps: DBT equips you with four core sets of concrete skills:
    1. Mindfulness: Learning to stay present in the moment without judgment.
    2. Distress Tolerance: Managing intense, overwhelming emotions or crisis situations without making them worse.
    3. Emotion Regulation: Understanding, naming, and shifting intense emotional responses.
    4. Interpersonal Effectiveness: Building healthy boundaries, asserting your needs, and maintaining strong relationships.

  • Best For: Intense emotional swings, impulsive behaviors, relationship conflicts, chronic overwhelm, and boundary-setting.

How do CBT and DBT work together in sessions at The Couch Counseling?

Every person is unique, which is why we don't believe in a rigid, one-size-fits-all approach. Your therapist will tailor these tools to fit your specific goals:

  • In-Person & Telehealth Sessions: CBT and DBT techniques translate seamlessly into both face-to-face appointments and virtual sessions.
  • Practical & Actionable Work: Unlike open-ended talk therapy alone, CBT and DBT often involve interactive exercises, real-life skill application, and practical strategies you can use between appointments.
  • Integrative Care: We frequently blend CBT and DBT principles with our other specialties—such as specialized trauma therapies (EMDR/ART), couples counseling, and stress management—to ensure you receive well-rounded, effective care.

Compassionate grief counseling for individuals navigating bereavement and complex loss in Ocala.

Telehealth Services

Qualified Supervision

Telehealth Services

Telehealth allows you to receive the same high-quality, clinical care as an in-person visit from the comfort and privacy of your own home, office, or private space.

Whether you have a busy schedule, a long commute, limited mobility, or simply prefer working with your therapist virtually, our online therapy sessions offer convenient, flexib

Telehealth allows you to receive the same high-quality, clinical care as an in-person visit from the comfort and privacy of your own home, office, or private space.

Whether you have a busy schedule, a long commute, limited mobility, or simply prefer working with your therapist virtually, our online therapy sessions offer convenient, flexible mental health care throughout the state of Florida.

How does virtual therapy work, and is it secure?

  • Secure & Confidential: We use a safe, HIPAA-compliant telehealth platform to protect your privacy and health information. You will receive a unique, private video link prior to each appointment.
  • Easy Access: You can join your session from a computer, tablet, or smartphone. All you need is a reliable internet connection, a camera/microphone, and a quiet, private space where you feel comfortable speaking freely.
  • Same Quality of Care: Telehealth sessions are structured identically to in-person appointments (typically 55 minutes) and are conducted by the same licensed clinicians.

Can I switch between in-person appointments and Telehealth?

Yes! We offer flexible scheduling options to fit your life.

If you are a regular in-person client but find yourself unable to make it to our office due to illness, mild symptoms, bad weather, transportation hiccups, or last-minute work conflicts, you can seamlessly convert your appointment to a Telehealth session at your scheduled time.

  • Avoid Cancellation Fees: Switching to a virtual visit allows you to maintain your momentum in therapy and keep your appointment without incurring a late-cancellation or missed-session fee.
  • Quick Setup: Just notify our office as early as possible before your appointment, and your therapist will provide your secure link or telephone details.

Who is eligible for Telehealth services, and what are the fees?

  • Location Requirement: Due to state licensing laws, you must be physically located within the State of Florida at the time of your telehealth session.
  • Fee Structure: Telehealth sessions are held to the exact same fee structure as in-person visits (e.g., $175/session with an LMHC; $195/session with a PhD).
  • Out-of-Network Superbills: Just like in-person appointments, we are happy to provide itemized Superbills upon request so you can submit them to your health insurance provider for potential out-of-network reimbursement.

Bilingual therapy services in both English and Spanish at The Couch Counseling near me

Bilingual (Spanish) Therapy

Bilingual (Spanish) Therapy

Bilingual (Spanish) Therapy

 Do you offer therapy in Spanish? / ¿Ofrecen servicios de terapia en español? 

 

Yes, we offer bilingual therapy services in both English and Spanish.

At The Couch Counseling, we understand that expressiveness, emotional processing, and healing feel most natural in your primary or native language. Having a therapist who understands not only 

 Do you offer therapy in Spanish? / ¿Ofrecen servicios de terapia en español? 

 

Yes, we offer bilingual therapy services in both English and Spanish.

At The Couch Counseling, we understand that expressiveness, emotional processing, and healing feel most natural in your primary or native language. Having a therapist who understands not only your language but also the subtle cultural nuances behind your experiences makes a significant difference in your therapy journey.

Ofrecemos servicios de terapia completamente en español para individuos, parejas y familias.

Why is bilingual and culturally responsive therapy important? / ¿Por qué es importante la terapia bilingüe y culturalmente sensible?

Language is deeply connected to our emotions, early childhood memories, and cultural identity. For many bilingual individuals, speaking about trauma, family dynamics, or deep emotional pain in a second language can feel detached or difficult to translate.

Our bilingual therapy services allow you to:

  • Express Yourself Authentically: Speak in Spanish, English, or seamlessly switch between both ("Spanglish") depending on what feels most natural to you in the moment.
  • Honor Cultural Nuances: Navigate complex topics like family expectations, immigration/acculturation stress, generational patterns, and cultural dynamics with a counselor who understands your background.
  • Build Stronger Family Connection: Facilitate couples or family sessions where multi-generational family members feel heard and included in their preferred language.

What services are available in Spanish? / ¿Qué servicios están disponibles en español?

All of our core clinical services can be provided in Spanish, including:

  • Individual Counseling: Support for anxiety, depression, life transitions, stress management, and self-esteem.
  • Specialized Trauma Therapies: EMDR and Accelerated Resolution Therapy (ART) for processing trauma, PTSD, or painful past experiences.
  • Couples & Family Therapy: Helping couples and families improve communication, resolve conflicts, and strengthen emotional bonds.
  • In-Person & Telehealth: Services are available face-to-face in our office or via secure, HIPAA-compliant Telehealth for residents anywhere in Florida.

How do I schedule a session in Spanish? / ¿Cómo puedo agendar una cita en español?

Getting started is simple. When you reach out via our contact form, phone at (352) 895-0808, or email, simply let us know that you prefer your consultation and therapy sessions in Spanish. We will connect you directly with our bilingual therapist, Claudia Pache, LMHC, to coordinate your initial assessment.

Somatic therapy for individuals navigating trauma & complex emotional issues in Ocala.

Somatic Therapy

Bilingual (Spanish) Therapy

Bilingual (Spanish) Therapy

Somatic Therapy (from soma, the Greek word for body) is a body-centered approach to mental health that focuses on the deep connection between your mind and physical body.

When we experience intense stress, trauma, or prolonged anxiety, these experiences aren't just stored in our thoughts or memories—they are held physically in our nervous 

Somatic Therapy (from soma, the Greek word for body) is a body-centered approach to mental health that focuses on the deep connection between your mind and physical body.

When we experience intense stress, trauma, or prolonged anxiety, these experiences aren't just stored in our thoughts or memories—they are held physically in our nervous system. You might notice this as chronic muscle tension, an inability to relax, digestive issues, shallow breathing, or a constant state of feeling "on edge" or disconnected.

While traditional talk therapy works "top-down" (using your mind to influence your feelings), Somatic Therapy works "bottom-up." By helping you pay attention to bodily sensations, your therapist helps you release trapped nervous system energy, regulate your stress response, and restore a sense of safety and balance from the inside out.

What can Somatic Therapy help treat?

Somatic practices are particularly powerful for anyone who feels stuck in traditional talk therapy or experiences emotional distress as physical symptoms. It is highly effective for:

  • Trauma & PTSD: Releasing "fight, flight, or freeze" responses stored in the body after overwhelming experiences.
  • Chronic Stress & Anxiety: Calming a hyperactive nervous system and easing physical symptoms of panic or worry.
  • Somatic Disconnection / Numbness: Helping you safely reconnect with your physical body if you feel detached, floating, or out of touch with your feelings.
  • Burnout & Emotional Exhaustion: Restoring physical energy, easing chronic muscle tightness, and improving sleep quality.
  • Grief & Emotional Overwhelm: Processing heavy emotions that feel difficult to express in words alone.

What happens during a Somatic Therapy session?

Somatic Therapy is gentle, grounded, and works entirely at your pace. During a session, your therapist might guide you through:

  • Somatic Awareness: Learning to track subtle physical sensations (like warmth, tightness, or pressure) in a safe, supported environment.
  • Grounding & Resourcing: Utilizing breathwork, gentle movement, or sensory awareness exercises to help you feel anchored and calm in your body.
  • Nervous System Regulation: Identifying triggers that dysregulate your nervous system and learning practical physical tools to bring yourself back to a state of balance.
  • Integrative Processing: Blending body awareness with our other clinical tools—such as CBT, DBT, or specialized trauma modalities (EMDR/ART)—for complete, whole-person healing.

Are Somatic Therapy sessions available virtually?

Yes! Somatic Therapy translates exceptionally well to secure Telehealth visits. Because somatic work focuses on guided self-awareness, grounding techniques, and nervous system tracking, your therapist can safely guide you through somatic exercises whether you are sitting on our couch or comfortably at home.

Sex addiction therapy for individuals navigating trauma & complex emotional issues in Ocala.

Sex Addiction Therapy

Bilingual (Spanish) Therapy

Eating Disorders & Body Image

Sex addiction—often referred to as compulsive sexual behavior disorder, sexual compulsivity, or out-of-control sexual behavior—involves a persistent pattern of sexual thoughts, urges, or behaviors that feel overwhelming, difficult to control, and cause significant distress or negative consequences in your life.

It is common to feel deep sh

Sex addiction—often referred to as compulsive sexual behavior disorder, sexual compulsivity, or out-of-control sexual behavior—involves a persistent pattern of sexual thoughts, urges, or behaviors that feel overwhelming, difficult to control, and cause significant distress or negative consequences in your life.

It is common to feel deep shame, isolation, or anxiety around these challenges. Sex Addiction Therapy provides a completely confidential, non-judgmental space to help you understand what is driving these patterns, regain self-control, and rebuild trust and intimacy in your personal life.

You might benefit from specialized therapy if you experience:

  • Loss of Control: Feeling unable to stop or reduce sexual behaviors, pornography use, or sexual compulsions despite wanting to or promising yourself you would.
  • Negative Consequences: Experiencing conflict in your marriage or relationship, risk to your employment, financial strain, or legal concerns as a result of sexual behaviors.
  • Emotional Escalation: Using sexual behaviors as your primary way to numb, escape, or cope with stress, anxiety, depression, boredom, or loneliness.
  • Secrecy & Compartmentalization: Leading a "double life" or spending excessive time, energy, and resources seeking out sexual experiences or fantasy.

How do you help clients overcome compulsive sexual behaviors?

Our clinical approach is structured, trauma-informed, and focused on long-term emotional and behavioral health:

  • Identifying Root Triggers: We work together to uncover the underlying emotional pain, stress patterns, adverse experiences, or past trauma that drive the compulsive cycle.
  • Building Practical Recovery Tools: Utilizing evidence-based strategies from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), we help you develop emotional regulation, impulse control, and crisis management skills.
  • Specialized Trauma Reprocessing: Because compulsive behaviors are frequently tied to unaddressed trauma or emotional wounds, we integrate advanced trauma modalities like EMDR and Accelerated Resolution Therapy (ART) to neutralize past triggers.
  • Defining Healthy Sexuality: Recovery is not just about stopping unhelpful behaviors—it is about establishing a clear, healthy vision of sexual integrity, emotional intimacy, and personal values.

Do you work with partners affected by betrayal trauma?

Yes. Discovering a partner's compulsive sexual behavior or secret life can cause profound emotional distress, often called betrayal trauma.

We provide dedicated support for partners to help them process shock, rebuild a sense of physical and emotional safety, navigate boundary-setting, and heal from the pain of deception. When appropriate and mutually desired, we also offer couples counseling to help rebuild transparency, trust, and healthy communication.

Is Sex Addiction Therapy confidential, and what are the formats available?

  • Strict Confidentiality: Your privacy is our highest priority. All sessions, inquiries, and communications are strictly protected under federal and state privacy laws (HIPAA).
  • In-Person & Telehealth: Services are available in-person at our office and virtually via secure Telehealth for clients located anywhere in Florida.

Compassionate eating disorder therapy for individuals navigating trauma & complex emotions near me.

Eating Disorders & Body Image

Couples & Relationship Counseling

Eating Disorders & Body Image

At The Couch Counseling, we understand that eating disorders are complex, deeply painful conditions that affect your physical health, emotional well-being, and relationships. They are rarely just about food or weight—often, disordered eating behaviors develop as a way to cope with overwhelming emotions, past trauma, anxiety, or a need for

At The Couch Counseling, we understand that eating disorders are complex, deeply painful conditions that affect your physical health, emotional well-being, and relationships. They are rarely just about food or weight—often, disordered eating behaviors develop as a way to cope with overwhelming emotions, past trauma, anxiety, or a need for control.

We provide a safe, non-judgmental environment where you can explore the root causes of your relationship with food and your body, unlearn harmful patterns, and build a foundation for sustainable, long-term recovery.

What types of eating disorders,  disordered eating or body image issues do you work with?

We offer specialized outpatient therapy for adults (18+) navigating a wide spectrum of eating disorders and body image challenges, including:

  • Anorexia Nervosa: Addressing restrictive eating, intense fears of gaining weight, and severe body image distress.
  • Bulimia Nervosa: Working through cycles of binge eating followed by compensatory behaviors (purging, excessive exercise, or fasting).
  • Binge Eating Disorder (BED): Helping you navigate distressing episodes of eating large amounts of food rapidly or feeling out of control around food.
  • Avoidant/Restrictive Food Intake Disorder (ARFID): Supporting sensory sensitivities, fear of aversive consequences (like choking or vomiting), or lack of interest in eating.
  • Orthorexia & Compulsive Exercise: Unpacking unhealthy fixations on "clean" or "pure" eating, food rules, and rigid exercise routines.
  • Chronic Dieting & Body Dysmorphia: Overcoming chronic body dissatisfaction, negative self-talk, and societal pressure.

What is your therapeutic approach to eating disorder & body image recovery?

Our approach is holistic, trauma-informed, and grounded in clinical expertise:

  • Health at Every Size (HAES®) & Intuitive Eating Principles: We promote body respect and help you move away from rigid diet culture toward listening to your body’s natural hunger, fullness, and emotional cues.
  • Integrative Modalities: We combine Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) for emotion regulation and distress tolerance with body-centered approaches like Somatic Therapy.
  • Trauma Reprocessing: Because past trauma or adverse experiences frequently fuel eating disorders, we incorporate specialized trauma therapies like EMDR and Accelerated Resolution Therapy (ART) to heal underlying emotional pain.
  • Collaborative Multidisciplinary Care: Outpatient therapy works best as part of a team effort. With your permission, we actively coordinate care with your primary care physician, a specialized registered dietitian, and medical providers to ensure your physical safety and overall progress.

Are eating disorder & body image recovery therapy sessions available virtually?

Yes. We offer outpatient eating disorder therapy & body image therapy both in-person at our office and via secure Telehealth for clients located anywhere in Florida. During your initial assessment, your clinician will evaluate whether outpatient virtual or in-person care is clinically appropriate and safe for your current stage of recovery.

Experienced counseling for first responders & their families navigating trauma, anxiety & depression

First Responders & Families

Couples & Relationship Counseling

Couples & Relationship Counseling

First responders—including law enforcement officers, firefighters, EMTs, paramedics, dispatchers, corrections officers, and healthcare personnel—operate under unique operational demands. Chronic exposure to traumatic calls, critical incidents, sleep disruption, and high-stakes decision-making creates cumulative stress that traditional "ta

First responders—including law enforcement officers, firefighters, EMTs, paramedics, dispatchers, corrections officers, and healthcare personnel—operate under unique operational demands. Chronic exposure to traumatic calls, critical incidents, sleep disruption, and high-stakes decision-making creates cumulative stress that traditional "talk therapy" often fails to address.

At The Couch Counseling, we understand first responder culture and the unspoken expectation to "just handle it." You don't have to explain basic job terminology or justify why a call affected you. We provide a confidential, culturally informed environment where you can decompress, process critical incident stress, and strengthen your resiliency without judgment or threat to your career.

What specialized modalities do you use for first responder trauma and PTSD?

We utilize evidence-based trauma modalities designed for rapid, effective, and lasting relief from operational stress and PTSD:

  • Accelerated Resolution Therapy (ART): ART uses guided eye movements to help your brain rapidly reprocess traumatic scenes and images. You keep the tactical knowledge of the event while removing the physical surge and emotional charge attached to the memory—often in just a few sessions.
  • Eye Movement Desensitization & Reprocessing (EMDR): EMDR helps process cumulative critical incidents and complex trauma, targeting stuck memories so your nervous system can return to a baseline state.
  • Somatic & Nervous System Regulation: Learning how to down-regulate a hyper-vigilant nervous system so you can switch off the "fight-or-flight" response when off duty and actually rest at home.

How do you support first responder spouses, partners, and families?

Shift work, hyper-vigilance, emotional compartmentalization, and the weight of the job inevitably spill over into home life. We offer specialized support for military and first responder families to address:

  • Relational Disconnect & Intimacy: Helping couples navigate the transition between "tactical mode" on duty and emotional connection at home.
  • Secondary Traumatic Stress: Supporting spouses and partners who carry the emotional burden of supporting a first responder.
  • Communication & Boundary Setting: Building practical tools to communicate effectively during high-stress periods, shift rotations, or after critical incidents.

Is my therapy strictly confidential?

Yes, 100%. Your privacy and career security are paramount. Therapy sessions at The Couch Counseling are completely confidential and protected under federal and state privacy laws (HIPAA).

We operate as an independent self-pay practice, meaning your treatment records are never shared with your department, agency, supervisor, or insurance provider without your explicit written consent.


**Important: We also work directly with funding from the local *Hospital District* to assist with financial assistance for all of our local first responders and their families.

Couples therapy for individuals navigating trauma & complex emotional issues in Ocala.

Couples & Relationship Counseling

Couples & Relationship Counseling

Couples & Relationship Counseling

Here is a comprehensive, warm, and engaging FAQ entry specifically tailored for Couples & Relationship Counseling at The Couch Counseling:

What can we expect from Couples & Relationship Counseling?

Relationships are central to our emotional well-being, but even the strongest partnerships encounter periods of conflict, emotional distance, or

Here is a comprehensive, warm, and engaging FAQ entry specifically tailored for Couples & Relationship Counseling at The Couch Counseling:

What can we expect from Couples & Relationship Counseling?

Relationships are central to our emotional well-being, but even the strongest partnerships encounter periods of conflict, emotional distance, or heavy life stress. Couples counseling provides a supportive, non-judgmental, and neutral space to help you and your partner break unhelpful cycles, deepen emotional intimacy, and build a stronger foundation together.

Rather than taking sides or playing judge, your therapist treats the relationship itself as the client—ensuring both partners feel equally heard, validated, and supported.

What types of relationship issues can couples therapy help with?

We work with couples at all stages of their relationship—whether you are dating, engaged, long-term partners, or navigating a major life transition. Common areas of focus include:

  • Communication Breakdowns: Shifting out of repetitive arguments, passive-aggression, or the "silent treatment" so you can express your needs constructively.
  • Emotional Distance & Disconnection: Rebuilding affection, warmth, and genuine closeness when you feel more like roommates than partners.
  • Infidelity & Betrayal Trauma: Rebuilding trust, transparency, and emotional safety after a breach of trust, secrecy, or affair discovery.
  • High-Stress & High-Demand Careers: Supporting couples managing the unique pressures of first-responder work, shift rotations, or demanding professional schedules.
  • Conflict Resolution & Boundaries: Learning healthy, respectful ways to navigate disagreements without damaging the relationship bond.
  • Premarital & Major Life Transitions: Navigating financial shifts, career changes, parenting differences, or preparing for marriage.

What is your therapeutic approach to working with couples?

Our clinicians integrate proven, research-backed relational approaches—such as Gottman Method principles and Emotionally Focused Therapy (EFT)—combined with practical, real-world communication tools:

  • Identifying Unhelpful Cycles: Helping you recognize the "dance" or pattern your relationship gets stuck in (e.g., pursue-withdraw dynamics or mutual defensiveness).
  • Building Practical Skills: Teaching actionable tools for active listening, emotional de-escalation, and collaborative problem-solving you can use at home between sessions.
  • Trauma-Informed Relational Care: Recognizing how each partner's past experiences, family background, or unaddressed individual trauma impact the present relationship dynamic.

What are the session lengths, fees, and formats for couples counseling?

  • Session Duration: Routine couples therapy appointments are scheduled for 55 minutes.


  • Clinical Fees:
    • $200.00 per session with a LMHC
    • $215.00 per session with a PhD


  • Format Options: Available in-person at our practice or via secure Telehealth for couples anywhere in Florida (both partners can join from the same room or separate locations if needed). Telehealth allows you to receive the same high-quality, clinical care as an in-person visit from the comfort and privacy of your own home, office, or private space.

Effective Couples & Relationship Counseling in Ocala, FL

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If you are ready to get on the road to a stronger, more confident, all-around healthier you... get in touch today & let's get started!

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