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COUPLES

COUNSELING

Improve Your Relationships with Licensed Professional Help

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Couples Counseling

B & T Health offers professional couples counseling for individuals throughout East Tennessee who are seeking support for relationship concerns, communication challenges, and emotional disconnection. Our clinicians provide structured, evidence-based counseling in a respectful and confidential setting designed to support healthy relationship functioning.

Therapist taking notes during a counseling session with a woman holding the man's hand in a cozy, well-lit room with plants and coffee mugs.

Couples may seek counseling for a variety of reasons, including communication difficulties, lack of intimacy, conflict, trust concerns, life transitions, stress, or the impact of trauma on relationships. Our therapists are trained in trauma-informed and evidence-based approaches, including cognitive behavioral therapy (CBT), Emotion-focused and Relational frameworks, Gottman Marriage Therapy interventions and Family Systems perspectives, allowing care to be tailored to each couple’s needs and circumstances.

At B & T Health, couples counseling focuses on identifying and understanding patterns of interaction, enhancing effective communication, and strengthening emotional regulation within the relationship. Treatment is collaborative and goal-oriented, emphasizing practical, evidence-based strategies that promote relational stability, mutual understanding, and long-term healthy dynamics.

As an integrated mental health practice, B & T Health offers coordinated access to counseling and psychiatric services when clinically appropriate. With client consent, providers communicate across disciplines to support continuity of care, particularly when individual mental health concerns may be affecting relationship functioning.

Our clinic is dedicated to fostering a calm, professional, and supportive environment where couples feel heard, respected, and valued. From the initial point of contact through the course of treatment, our team prioritizes clear communication, individualized care, and coordinated scheduling to ensure a seamless and positive therapeutic experience.

If you are seeking couples counseling in East Tennessee, B & T Health offers clinically grounded, relationship-focused services designed to foster insight, strengthen communication, and promote long-term relational health and stability.

Request an appointment to learn more about couples counseling services and availability. Treatment can be tailored to incorporate Christian Counseling upon request.

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Benefits

Clearer Communication
Develop healthier ways to express needs, concerns, and emotions.

Better Relationship Insight
Understand patterns and dynamics that influence your relationship.

Healthier Conflict Management
Learn constructive approaches to navigating disagreements.

Support During Life Stress
Address the impact of transitions and ongoing stress together.

Emotional Regulation Skills
Build awareness and tools to manage emotional reactions.

Trauma-Informed Support
Understand how past experiences may affect your relationship.

Stronger Emotional Connection
Foster empathy, understanding, and emotional closeness.

Shared Goals & Expectations
Clarify values, boundaries, and relational priorities.

Integrated Care Options
Coordinate counseling with individual or psychiatric services when appropriate.

A Neutral, Supportive Space
Engage in care within a calm, professional environment.

Features

Evidence-Based Therapy Approaches
Sessions are informed by clinically supported methods such as CBT, Gottman Marriage Therapy interventions and Family Systems frameworks.

Trauma-Informed Care
Counseling is grounded in an understanding of how trauma may influence relationships and emotional responses.

Licensed, Specialized Clinicians
Care is provided by experienced mental health professionals trained in couples and relational therapy.

Individualized Treatment Planning
Each couple’s care is tailored to their specific concerns, goals, and circumstances.

Confidential, Professional Setting
Sessions are conducted in a private, respectful environment that prioritizes confidentiality.

Integrated Care Model
Access to counseling and psychiatric services within the same practice when clinically appropriate.

Collaborative, Goal-Oriented Sessions
Therapy emphasizes collaboration, clarity, and structured goal setting.

Flexible Scheduling Options
Appointments are coordinated with attention to availability and care continuity.

Initial Assessment and Ongoing Review
Treatment begins with an evaluation and is reviewed periodically to support appropriate care.

Client-Centered Communication
Clinicians prioritize clear expectations, informed consent, and respectful dialogue throughout care.

Strengthening Relationships, Together

Work with experienced therapists who help couples improve communication, rebuild trust, and navigate life’s challenges with clarity and connection.

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Kristy Pedrero, LCSW

Kristy works with couples to navigate relationship challenges, improve communication, and build stronger emotional connections. With a collaborative and supportive approach, she helps partners identify patterns, develop practical strategies, and move toward healthier, more fulfilling relationships.

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Liza Acosta, LMFT

Liza works with couples to navigate communication breakdowns, rebuild trust, and strengthen emotional connection. With a warm, collaborative, and engaging approach, she helps partners identify patterns, gain insight, and develop practical tools for lasting change—supporting healthier, more connected, and fulfilling relationships.

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Frequently Asked Questions

  • Couples counseling is a form of psychotherapy that focuses on relationship dynamics, communication patterns, and emotional connection between partners. At B & T Health, couples counseling provides a structured, supportive setting where partners can explore concerns, improve understanding, and develop healthier ways of interacting.

  • Couples counseling may be helpful for partners experiencing communication difficulties, ongoing conflict, trust concerns, emotional distance, stress related to life transitions, or the impact of past experiences or trauma on their relationship. Counseling is not limited to couples in crisis and may also support couples seeking to strengthen their relationship or improve coping strategies.

  • Common areas addressed include communication challenges, conflict resolution, relationship stress, adjustment to major life changes, parenting-related concerns, and the influence of individual mental health on the relationship. Treatment goals are individualized based on each couple’s needs and concerns.

  • Our clinicians use evidence-based and trauma-informed approaches, which may include cognitive behavioral therapy (CBT), relational and emotion-focused frameworks, and family systems perspectives. Treatment is tailored to the couple and guided by clinical appropriateness and collaboration.

  • Yes. Couples counseling is confidential and conducted in accordance with professional and legal standards. Confidentiality limits and expectations are discussed at the beginning of treatment so both partners understand how information is handled.

  • In most cases, couples counseling sessions involve both partners. However, there may be situations where individual sessions are recommended as part of the overall treatment plan. This is discussed collaboratively with the couple.

  • Yes. B & T Health is an integrated mental health practice offering both counseling and psychiatric services. With client consent, providers may collaborate across services to support coordinated care when individual mental health concerns affect the relationship.

  • It is common for partners to have different levels of readiness. An initial appointment can help clarify concerns, discuss goals, and determine whether couples counseling is an appropriate option at this time.

  • The first step is to request an appointment. Our team will guide you through the intake process, answer questions about services and scheduling, and help determine next steps.

Start To Strengthen Your Relationship

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  • "I'm so glad I called. I was experiencing anxiety and depression and Liza gave me the tools and reassurance that I could overcome and take charge of the stress that was bringing me down. I saw her for five months and can happily say I have been discharged. If I need therapy again, I will definitely call Liza."

    - Poke T.

  • "I can’t say enough good things about B&T Health! I was introduced to my amazing therapist, and am deeply appreciative of the support and guidance I’ve received from her. From our very first session, she created a safe and welcoming environment that allowed me to open up and address my challenges. Her insight, empathy, and practical strategies have been invaluable in my personal growth and mental well-being. I would highly recommend B&T Health to anyone seeking professional and empathetic emotional support."

    - Natalie R.

  • "I am so thankful to have found my therapist here! It is a welcoming, safe space that brings a lot of calm. If you're looking, I would recommend them all day long!"

    - Maggie M.

  • "I am so thankful to have found my therapist here! It is a welcoming, safe space that brings a lot of calm. If you're looking, I would recommend them all day long!"

    - Karalyne T.