Family counseling

Family dynamics can be complex, and we’re here to help you strengthen your relationships and improve communication. Our family counseling services focus on creating a supportive environment where each member can be heard, helping families navigate conflict, build understanding, and work together toward healthier connections.

We have clinicians who specialize in working with kids, teens and families. It often looks different than therapy with adults - and often includes activities like play therapy, art, movement and dance, music, stories and play. Different than talk therapy, these techniques are proven to help kids work through a variety of concerns and focus on learning, social skill development, regulation and coping skills.

It's important for parents, guardians and family to be part of the therapy process. It's important for you to be part of the intake process and ongoing sessions. This might look like joining your kiddo's session and adding to it, or it might mean scheduling a session one-on-one with the therapist without your child present. We know you are the expert on your kiddo and family and we're here to support you all in the therapy process. 

Relationships can bring deep connection and joy — but also stress, miscommunication, or distance. Couples counseling provides a supportive space to strengthen understanding, rebuild trust, and grow together.

At Cascade Counseling and Wellness, our therapists offer couples counseling as a private‑pay service, since this type of therapy is typically not covered by insurance. Insurance companies generally require a medical diagnosis and a single identified client for services to be considered “medically necessary.” Because couples counseling focuses on the relationship itself rather than one person’s mental‑health diagnosis, it falls outside of those criteria.

Our clinicians provide compassionate, practical support for couples who want to:

• Improve communication and conflict resolution
• Reconnect emotionally and physically
• Navigate life transitions, parenting, or stress
• Build resilience after trust injuries or difficult experiences
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Sessions are designed to be collaborative and goal‑oriented, helping each partner feel heard and supported as you work toward shared understanding and growth.

While both can include multiple people in a session, the focus and structure differ:

• Family Therapy – Involves one identified client, such as a child or adult, whose emotional or behavioral needs are the central clinical concern. Family members participate in sessions to support that person’s wellbeing and the overall family dynamic. Family therapy is often covered by insurance.
• Couples Counseling – Focuses on the relationship itself as the client. Sessions explore communication patterns, attachment, and relational challenges between partners. Because there isn’t a single diagnosed client, this service is typically private pay.