Murray · Louisville · Telehealth across Kentucky
Couples and marriage counseling in Murray and Louisville, KY
A neutral place to talk, listen and decide together what comes next.
Every couple hits hard stretches. Maybe you argue about the same things again and again, or you’ve stopped talking much at all. Acadia Counseling offers couples and marriage counseling at our Murray office on S 12th Street, our Louisville office on Dupont Circle and by telehealth anywhere in Kentucky. Four counselors who see couples are taking new clients, including two in Murray.
Not sure who to see? Call and we’ll help you choose.
Good to know
- Murray
- Megan Higashimura and Sarah Smith are taking new couples
- Louisville
- John Bush and Deborah Marasa are taking new couples
- Cost and insurance
- Plans vary on couples sessions, so check yours. Self-pay from $25. See plans and fees
- Telehealth
- Couples who live in Kentucky can meet by secure video from a private, stationary place
Marriage counseling in Murray
Megan Higashimura, LPCC, and Sarah Smith, a supervised counseling intern, both see couples and families at our office at 308 S 12th Street in downtown Murray. Megan takes Kentucky Medicaid and several commercial plans, and her self-pay rate is $75. Sarah’s sessions are $25, self-pay. Both also meet by telehealth on weeks when getting to the office is hard.
Learn more about our Murray office, including directions and hours.
Couples counseling in Louisville
In Louisville, John Bush, LCADC, LPCC, sees couples at Dupont Professional Towers. He takes Medicare, TRICARE East and a wide range of commercial, Medicaid, Marketplace and EAP plans. His focus on military service, mood and substance use can help couples facing those pressures. Deborah Marasa, a supervised counselor in training, also sees couples in Louisville, at $25 per session.
See our Louisville office page for the address and directions.
What couples work on
Couples come in for many reasons. Some of the most common:
- Communicating without the same fight on repeat
- Rebuilding trust after betrayal or infidelity
- Disagreements about money, parenting or blended family life
- Feeling distant, or losing emotional or physical closeness
- Big changes, like a move, a new baby, a job loss or retirement
- Stress from military service or a first responder job
- Deciding whether to stay together, or how to separate with care
You don’t need to agree on a goal before you start. Working that out is part of what counseling is for.
How couples sessions work
In the first session, your counselor meets with both of you, hears what brings you in and learns some of your history together. Your counselor stays neutral. Their role is to help each of you be heard, and to help you practice new ways of talking and solving problems.
Sessions last about 50 to 55 minutes. Your counselor may suggest something small to try at home between sessions. Many couples come weekly at first, then space sessions out as things settle.
Sometimes only one partner is ready to come in. That’s OK. Individual counseling can help you understand your part in the pattern and decide what you want. Kelsey Hamilton, a supervised counseling intern in Louisville, sees adults one on one about marriage, new parenthood and other life changes.
Couples counselors taking new clients
The counselors below see couples. All of them also offer telehealth in Kentucky.
Megan Higashimura
PTSD, ADHD, LGBTQ+ affirming care, autism (level 1), attachment and oppositional behavior.
Taking new clients
Currently full
Cost and insurance for couples counseling
Insurance plans handle couples sessions differently. Before you start, ask your plan whether couples or family sessions are covered under your outpatient mental health benefit. If you’d rather not use insurance, self-pay sessions are $25 with Sarah Smith or Deborah Marasa and $75 with John Bush or Megan Higashimura. Full details are on our insurance and payments page, and our affordable counseling page explains the $25 option.
Questions about couples counseling
Do we both have to come to every session?
Most sessions include both partners. Your counselor may also suggest an individual check-in now and then. If one partner isn’t ready, the other can begin with individual counseling.
Can we do couples counseling by telehealth?
Yes, if you both live in Kentucky. You’ll join together by secure video from a private, stationary place, like your living room.
Do you see families too?
Yes. In Murray, Megan Higashimura sees families with children ages 5 and up, and Sarah Smith sees families with teens 14 and up. Read about child and teen counseling.
Is it too late if we’re already talking about separating?
No. Some couples use counseling to decide whether to stay together. Others use it to separate with less conflict, especially when children are involved. Your counselor’s role is to help you both think clearly about the choice.
More answers are on our FAQ page.
Related support
Start couples counseling
Request an appointment online, or call either office. One of you can call for both, and we’ll help you find a counselor who fits.
Email us at info@acadiacounseling.com.
If you are in crisis, call or text 988. In an emergency, call 911.