Couples Therapy in New York
With Madeline Pucheril, LMSW
Something between you has shifted. Maybe it's the same argument on repeat. Maybe one of you has gone quiet in a way that's hard to name. Maybe things are mostly fine — but you both know they could be better, and you're not sure how to get there together.
Online couples therapy at Shifting Tides Therapy is a space where both partners can feel genuinely safe, understood, and heard — not managed, not mediated. With Madeline Pucheril, LMSW, you'll work through what's actually happening beneath the surface: the patterns, the distance, the things that don't get said. Whether you're navigating conflict, intimacy, or just trying to find your way back to each other, this is a space built for that.
Who We Serve
Our couples counseling in New York is affirming, inclusive, and built for the full range of how relationships look today. Whether you're seeking relationship therapy for communication struggles, emotional disconnection, intimacy concerns, or something harder to name, you'll find a space here where your relationship is respected exactly as it is.
What to Expect in a Session
Sessions are built around what's real for you — not a script. Together, you'll identify the patterns that keep creating distance or conflict, and start to understand what's actually driving them.
Madeline uses the Gottman Method for couples therapy to build communication skills and interrupt destructive cycles — giving each partner tools that work outside the session too. Through Internal Family Systems (IFS), you'll explore the personal "parts" each of you brings into the relationship: the unspoken fears, the old wounds, the protective responses that made sense once but now push each other away.
All sessions are held virtually, serving couples in New York, Connecticut, and Florida.
What Makes Our Approach Unique:
Every couple arrives with their own history, their own patterns, and their own reasons for sitting on the couch.
Our approach starts there — with understanding what connection, trust, and partnership mean to each person in the room — rather than applying a one-size-fits-all formula. We work to challenge the cultural misinformation that shapes how we think about relationships, communication, and what a "healthy" partnership is supposed to look like.
At the foundation is a trauma-informed approach: we pay close attention to how past experiences — in earlier relationships, in families of origin, and in life — shape the way you connect and react to each other today. Naming those patterns with care, rather than judgment, is often where the real change begins.
Whether you're navigating conflict, rebuilding trust, working through a life transition, or reconnecting emotionally and physically, the goal is the same: a relationship where both people feel understood, respected, and genuinely seen.
What We Treat in Couples Therapy in New York
Every relationship is different. Whether you've been together for two years or twenty, these are some of the areas we commonly support couples with:
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Emotional disconnection or conflict
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Communication breakdowns and navigating difficult conversations
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Navigating fertility treatment, pregnancy loss, or IVF as a couple
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Understanding past trauma and its impact on current relationships
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Dealing with life stressors impacting couples
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Navigating adoption & non-conventional families