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Monica Burford Sacramento
California

Couples and Individual Therapy in Sacramento & Online Across California

Smiling couple holding hands on a couch

Welcome to My Practice

I am dedicated to helping couples like you reconnect and build lasting, healthy relationships. I know that beginning therapy is a significant decision. This page is designed to guide you through the initial steps for you to know exactly what to expect as we embark on this journey together.

What to Expect

Step 01

Free Video Consultation

A 45-minute phone call to see if we're a good fit and answer any initial questions you may have about starting your therapy journey.

Step 02

Intake Session

A comprehensive intake where we explore your relationships history and current challenges to set clear therapeutic goals over four sessions, including 2 individual sessions.

Step 03

Ongoing Sessions

Weekly meetings focused on rebuilding connection and resolving conflict through structured methods like Gottman and TEAM-CBT. Between session practice is expected (see more below).

Step 04

Reduce Session Frequency

We periodically review your progress and adjust our clinical focus to ensure therapy remains impactful and serves your long-term success. As your relationship improves, we can meet bi-weekly or monthly to prepare you to continue the work on your own. 

Comfortable therapy office waiting room

Addressing Your Concernswith Care

Seeking therapy is a courageous step toward building a more resilient connection. It is completely normal to feel a mix of hope and apprehension as you begin this process. In my couples therapy practice, your privacy is safeguarded within our secure telehealth practice, and I am committed to ensuring that both partners feel equally heard and understood. I bring a warm, direct, and structured clinical style to the virtual space, ensuring online sessions remain focused and deeply connected.

What I'll Ask of You

Couples therapy works best when the work continues between sessions. I'll usually send you home with something to practice, whether that's a conversation to have, a skill to try, or something to notice and bring back.

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I'll also ask you to come weekly, particularly at the beginning. Momentum matters more than most people expect, and couples who come every other week often spend the first half of each session catching up rather than working.

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None of this requires hours. It requires consistency, and a willingness to try things that may feel awkward at first.

Who I Don't Work With

A note on fit: I don't work with cases of infidelity, or with couples where one partner is currently experiencing active substance dependence. Both need specialized approaches, and I'm glad to point you toward therapists who work in those areas.

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