FOUR OFFICES ACROSS PENNSYLVANIA · TELEHEALTH STATEWIDE
Couples & Marriage Counseling
in Pennsylvania
Relationships can be repaired. CPA Counseling’s Gottman-informed therapists help couples rebuild communication, restore trust, and reconnect — in person at our four Pennsylvania offices or by secure telehealth anywhere in the state.
Couples counseling at CPA Counseling is structured, evidence-based therapy that helps partners rebuild communication, repair trust, and reconnect. Our Gottman-informed therapists work with couples facing conflict, infidelity, disconnection, or major transitions — in person at our four Pennsylvania offices or by secure telehealth statewide. Premarital counseling is also available.

COMMON PRESENTING CONCERNS
What brings couples to therapy
Every relationship has its own dynamics. These are the concerns we most frequently address in couples counseling at CPA Counseling.
WHO WE WORK WITH
You don’t have to be
in crisis to come in
You don’t need a crisis to benefit from couples counseling. Couples come in at every stage — good relationships in a rough patch, partners recovering from infidelity or broken trust, and couples who simply feel disconnected and want to reconnect before things worsen. Any point where you want the relationship to be better is a valid reason to start.
Couples counseling isn’t only for relationships on the edge. Many of the couples we see are in good relationships that have hit a rough patch — communication has stalled, intimacy has faded, or the same arguments keep cycling without resolution.
Others come in after a significant rupture — infidelity, a major conflict, a betrayal of trust. And some come simply because something has quietly gone wrong and they want to address it before it becomes something worse. All of those are valid reasons to reach out.
OUR CLINICAL APPROACH
Gottman Method-informed couples therapy
The Four Horsemen — patterns that predict relationship trouble
Recognizing these four communication patterns is the first step to changing them.
The Gottman Method is one of the most rigorously researched approaches to couples therapy available. Developed by Drs. John and Julie Gottman over four decades of observational research, it identifies specific patterns — the “Four Horsemen” — that predict relationship distress, and teaches couples to replace them with evidence-based skills for connection and conflict resolution.
HOW WE HELP
Our approach to
couples counseling
CPA Counseling therapists use evidence-based approaches tailored to each couple. These are the primary modalities used in relationship work at our practice.
MEET THE TEAM
The therapists behind your care
Every therapist is personally selected by Cristina for clinical skill, warmth, and commitment to real outcomes.
Cristina Panaccione
LPC · Founder & Clinical Director
Locations: Robinson, South Hills
Skills: TF-CBT, Family Systems, Trauma-Informed
Services: Depression Therapy, Anxiety Treatment, Marriage Counseling
"Owning our story and loving ourselves through that process is the bravest thing we'll ever do." — Brené Brown
Cristina is the founder of CPA Counseling, with over two decades of experience treating depression, anxiety, couples, and life transitions. She is Gottman Level 2 Certified. She hand-selects every therapist in the practice.
Tess Inman
LPC · Director of Clinical Services
Locations: South Hills
Skills: CBT · Gottman Method · Family Systems
Services: Marriage Counseling · Gottman Method · Family
"Loving ourselves through the process of owning our story is the bravest thing we will ever do." — Brené Brown
Tess Inman is a Licensed Professional Counselor and Director of Clinical Services. She works with couples and families through a collaborative, tailored approach grounded in trust.
CONDITION GUIDE
Relationship guides from our therapists

Relationships
Signs of a Controlling Husband And How Therapy Can Help
A controlling husband uses patterns of behavior — threats, isolation, guilt, jealousy, and consistent dismissal of your feelings — to maintain power in a relationship. These patterns are a form of emotional abuse.

Relationships
Gaslighting in Relationships amd how therapy can help
Gaslighting is a form of emotional abuse in which one partner manipulates the other into doubting their own memory, perception, or judgment. It builds gradually — small dismissals and denials that grow into a pattern of control.

Relationships
How Therapy Helps with Communication Breakdown
Communication breakdown happens when patterns of defensiveness, shutdown, or emotional distance replace honest dialogue. Therapy helps by identifying the triggers behind those patterns, teaching active listening and clear expression, and healing the unresolved wounds that block connection.
