1. What is the cost range for marriage counseling services in San Diego, CA?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
My fee for couples therapy and marriage counseling generally ranges from $190 to $240 per session, depending on the length and type of session.
I offer in-person couples therapy in San Diego as well as online therapy throughout California.
Couples are welcome to contact me for a complimentary 15-minute consultation to determine whether my approach may be a good fit for their needs.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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2. What types of therapy approaches do you use for couples?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
My work with couples is research-based and integrative. I draw extensively from Gottman relationship research and attachment-informed therapy, while also incorporating Emotionally Focused Therapy principles and other evidence-based approaches when clinically appropriate.
I help couples understand not only what they are arguing about, but the deeper emotional and relational patterns that keep conflict, defensiveness, withdrawal, resentment, or disconnection repeating.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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3. What qualifications and licenses do you hold in San Diego, CA?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
I am Baya Mebarek, Psy.D., LMFT, a Licensed Marriage and Family Therapist in California (LMFT #48379) with more than 24 years of clinical experience.
I hold a Doctorate in Psychology with a specialization in Marriage and Family Therapy. My professional training also includes trauma-informed therapy, EMDR, clinical hypnosis, addiction and recovery, family systems, attachment, and multicultural and bicultural relationship dynamics.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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4. How do you help couples strengthen their relationship?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
I help couples identify the patterns underneath recurring conflict and learn how to respond to each other differently.
Depending on the couple, our work may focus on improving communication, reducing defensiveness and escalation, rebuilding emotional safety and trust, healing after betrayal or infidelity, strengthening intimacy, and learning how to repair after conflict.
My goal is not simply to help couples argue less, but to help them understand each other more deeply and build a relationship in which both partners can feel heard, valued, respected, and emotionally connected.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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5. Do you offer online counselling?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
Yes. I provide online couples therapy and individual therapy throughout California, as well as in-person therapy in San Diego. Online sessions can be particularly helpful for couples who live outside the San Diego area, have demanding schedules, travel frequently, or simply prefer the convenience of meeting from home.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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6. How many couples have you helped through counseling sessions?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
I have more than 24 years of experience working with couples, individuals, and families.
Rather than give an estimated number of couples, I prefer to emphasize the depth and breadth of that clinical experience.
Over the years, I have worked with couples at many different stages of a relationship - from premarital counseling and early relationship difficulties to long-term marriages facing chronic conflict, emotional disconnection, betrayal, loss of trust, or major life transitions.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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7. How can couples prepare for a marriage counseling session?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
Couples do not need to have everything figured out before coming to therapy. It can be helpful for each partner to think about what has been painful, what they hope will change, and what they still value about the relationship.
I encourage couples to come prepared to be curious about their own patterns as well as their partner's experience. Therapy tends to be most productive when the goal shifts from proving who is right to understanding what is happening between them and what each person can contribute to creating change.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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8. How do you maintain client confidentiality during sessions?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
Client privacy and confidentiality are fundamental to my practice. I follow California law, professional ethical standards, and applicable privacy requirements regarding the protection of client information.
At the beginning of therapy, I also discuss confidentiality and its legal and ethical limits so that clients understand how their information is protected and the circumstances in which disclosure may be required.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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9. How long does marriage counseling usually take?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
There is no single timeline that is appropriate for every couple. The length of therapy depends on the concerns bringing the couple in, how long problematic patterns have been present, the severity of relationship injuries, and each partner's ability to engage in the work between sessions.
Some couples experience meaningful improvement within several sessions, while more complex concerns, such as longstanding disconnection, repeated conflict, or recovery after infidelity or betrayal, may require longer-term work. I regularly assess progress with couples so that therapy remains purposeful and focused.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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10. What can couples expect during their first counseling session?
Sarah Cook Ruggera, LMFT
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Baya Mebarek, PsyD, LMFT - SAN DIEGO COUPLES & FAMILY THERAPY
During the first session, I focus on understanding the relationship rather than deciding who is right or wrong. I want to understand what brought the couple to therapy, the recurring patterns they have become caught in, the history and strengths of the relationship, significant areas of hurt or disconnection, and what each partner hopes will change.
I also begin helping the couple identify the interactional cycle underneath their difficulties. The goal of the first session is for both partners to feel heard while beginning to develop a clearer understanding of what is happening in the relationship and how therapy can help.
Lori Underwood, LMFT - LORI UNDERWOOD THERAPY
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