Couples counseling in Central Texas

Most couples don't wait until things are good to start therapy. They wait until they're exhausted. You don't have to wait that long.

You're not here because your relationship is broken. You're here because it matters.

Wanting things to be better isn't a sign that something is wrong with you or your partner. It's a sign that you're paying attention. Couples come to us at all different points — some are in crisis, some are just stuck in the same argument they've been having for years, and some want to build something stronger before problems take root.

Wherever you are, we meet you there.

We work with couples in Round Rock, Hutto, and throughout Central Texas — in person and virtually across Texas.

Does any of this sound familiar?

People come to us for a lot of different reasons. Some of the most common:

  • Communication that goes nowhere

  • Infidelity and broken trust

  • Conflict that keeps cycling

  • Emotional distance and disconnection

  • Considering separation

  • Pre-marital preparation

  • Parenting stress and disagreements

  • Intimacy challenges

  • Grief and loss as a couple

  • Feeling more like roommates than partners

  • Major life transitions straining the relationship

  • Cultural or values differences

If you're not sure couples counseling is the right fit, reach out anyway. We'll help you figure it out.

How we approach couples work

Couples therapy is its own discipline — different from individual therapy in almost every way. Damien and Sarah both bring specialized training in approaches designed specifically for relational work.

Here are some of the methodologies (tools) we use to help you achieve your goals:

Gottman Method

Emotionally Focused Therapy (EFT)


Imago Relationship Therapy


Originally developed for intense emotional experiences, DBT builds four core skill sets: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. Useful for anyone who feels emotions strongly or struggles to manage reactions in relationships or high-stress situations.


Built on decades of research into what makes relationships succeed or fail. Identifies the specific patterns — criticism, contempt, defensiveness, stonewalling — that erode connection over time, and gives couples concrete tools to interrupt them.

Enneagram-informed Work


Understanding each partner's type reveals why they respond the way they do under stress, what they need to feel seen, and where their patterns collide. Especially useful for couples who keep having the same fight without knowing why.

Focuses on the emotional bond between partners. Helps couples identify the underlying feelings and needs driving their conflict, and rebuild secure attachment.

Acceptance and Commitment
Therapy (ACT)


ACT shifts the goal from eliminating difficult thoughts and feelings to learning to live alongside them without being controlled by them. It helps you get clear on your values and take meaningful action in your life even when things feel hard.

Who you'll work with

Couples at ATX Mental Health work primarily with Damien Robinson, LPC-S or Sarah Robinson, LCSW-S — the husband and wife clinician-owners who built this practice. Between them they bring specialized training in Gottman Method, EFT, Imago, and Enneagram-informed couples work, along with years of experience helping couples navigate everything from day-to-day friction to serious ruptures in trust.

Sessions are available in person at our Round Rock office and virtually for couples anywhere in Texas.

Also at ATX Mental Health

Looking for individual support alongside couples work? Navigating parenthood and need help for your teen or child?

We offer individual therapy and adolescent and child therapy at our Round Rock practice.

atx mental health icon in orange and blue

Getting started is simple.

Reach out, tell us a little about what's going on, and we'll match you with the right therapist in Round Rock or set you up for telehealth.

First sessions are low pressure — you don't need to arrive with a plan.