Couples consultation is a structured, short-term service designed to provide specialized guidance around complex sexual health concerns. Rather than ongoing weekly therapy, consultation focuses on assessment, clinical formulation, and clear recommendations to help couples better understand contributing relational, psychological, and medical factors.

Many couples seek consultation when sexual health concerns involve medical conditions, chronic illness, menopause, erectile difficulties, sexual pain, or situations where prior therapy has not fully addressed sexual concerns.

Couples therapy typically involves longer-term relational treatment, while consultation is intended to provide focused expertise within a defined timeframe.

Couples consultation is often helpful for partners who:

• Are navigating sexual concerns influenced by medical or health conditions

• Have previously participated in therapy and want specialized sexual health expertise

• Are working with a primary couples therapist and would benefit from focused consultation

• Are seeking clarity and direction rather than ongoing weekly therapy

Consultation is typically conducted over 4–6 sessions. This structure allows time for assessment, discussion, and development of practical next steps while keeping the work focused and time-limited.

The consultation model is intentionally short-term. In many cases, couples continue ongoing work with their primary therapist using insights gained during consultation.

When appropriate and with consent, collaboration with an existing therapist can help integrate recommendations into continued care.

Couples consultation is designed for partners seeking focused, short-term guidance around complex sexual health concerns rather than ongoing weekly couples therapy. This work is often a good fit for couples who are motivated to better understand their situation, open to reflection and feedback, and interested in integrating medical, relational, or psychological factors affecting sexual intimacy.

Many couples who seek consultation are already working with a therapist or have previously participated in therapy and are looking for specialized sexual health expertise or a clearer clinical direction.

To help determine whether this format is appropriate, Madelyn offers a brief 15-minute consultation call prior to scheduling. This conversation allows couples to ask questions, describe their goals, and ensure that the consultation model aligns with their needs.

Services are provided on a private-pay basis and insurance is not accepted. Documentation can be provided upon request for couples who wish to pursue possible out-of-network reimbursement.