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Couples Therapy in New York

With Kelsey Greene, LMSW 

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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.

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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 Kelsey Greene, 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.

Couple on Pier

Who We Serve

Our couples counseling in New York is affirming, inclusive, and built for the full range of how relationships look today. Kelsey works with couples of all sexual orientations and relationship structures — monogamous, consensually non-monogamous (CNM), polyamorous, and everything in between. 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.

Couple

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.

Kelsey 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. And for couples where intimacy and sexuality are part of what needs attention, a systemic sex therapy lens helps untangle how desire, connection, and relational history all interact.

All sessions are held virtually, serving couples in New York, Connecticut, and Florida.

Image by Chewy

What Makes Our Approach Unique:

Kelsey takes a sex-positive, trauma-informed approach to couples therapy — one that treats intimacy as part of the whole relationship, not a separate concern to be handled delicately or avoided. Rather than relying on assumptions, she takes the time to understand what sex, closeness, and connection mean to each person in the room. She's committed to challenging the cultural misinformation that shapes how we think about desire, bodies, and partnerships. Her approach to relationship counseling is holistic — emotional needs, physical experience, and the outside forces shaping your dynamic are all part of the conversation.

What We Treat in Couples Therapy in New York

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​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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  • Sexual issues, such as mismatched desire, loss of intimacy, sexual dysfunction, or performance anxiety

  • Emotional disconnection or conflict

  • Communication breakdowns and navigating difficult conversations

  • Challenges in consensually non-monogamous or polyamorous relationships

  • Exploring sexual identities, interests, or practices, including BDSM/kink (if applicable)

  • Rebuilding sexual intimacy and connection

  • Understanding past trauma and its impact on current relationships

  • Dealing with life stressors impacting couples

  • Navigating adoption & non-conventional families

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