Welcome to Integrative Couples Therapy in Encinitas, California where we specialize in helping couples strengthen communication, connection, and intimacy.

We believe that loving relationships are at the heart of meaningful life. We can help you:

  • Strengthen your bond and preserve the love you share

  • Revitalize emotional and sexual intimacy

  • Parent or coparent as a team and create a peaceful family life

  • Learn new ways to communicate and navigate conflict

  • Heal and move forward after infidelity or betrayal

  • Bolster commitment, partnership, and trust

  • Find clarity and confidence on the direction of your marriage

Services

  • Couples Therapy

    Couples therapy is designed for couples wanting to work as a team to improve communication, resolve conflict, and enhance sexual intimacy.

  • Couples Intensive

    Our two day private couples intensive offers a focused and supportive space to begin rebuilding connection, trust, and clarity together.

  • Couples Workshop

    Our two day couples workshop offers couples the opportunity to strengthen communication, connection and intimacy in a small group setting.

  • Premarital Counseling

    Premarital counseling helps couples that are dating, or preparing for marriage, create a solid foundation while developing relationship skills.

  • Individual Therapy

    Individual therapy provides a confidential space for individuals to explore their relationships and attachment patterns without a partner or spouse present in therapy.

  • Discernment Counseling

    Discernment Counseling is a short term process for couples on the brink of divorce that are seeking clarity on whether to stay together or seperate.

Specialities

  • Communication

    We help you slow down and understand what is happening beneath the surface of your conversations. Rather than getting stuck in patterns of blame, shutdown, or escalation, we can guide you to express yourself in a way that can be heard.

  • Emotional Connection

    We help you build a close and connected bond that becomes a steady foundation for your relationship. Connection creates a buffer for conflict and instills resilience. We help your relationship become more secure with lasting love.

  • Sexual Intimacy

    Sexual intimacy is an important part of many relationships, reflecting both physical closeness and emotional depth. It can be impacted by stress, disconnection, past hurts, or differences in desire. We help you approach sex through a relational lens and with care and openness.

  • Infidelity

    We help you understand what happened, engage in honest conversations, process emotions, grief, and loss, and support the rebuilding of trust. We can help you find your footing and create a path forward with care and intention, on your own or with your partner.

  • Parenting and Family

    Parenting and family life can be deeply rewarding, and can bring stress and conflict. We help you understand what is happening beneath the surface, during challenging parenting moments, so you can respond to your child, and partner or co-parent, with confidence and responsiveness.

  • Brink of Divorce

    We help facilitate honest dialogue so you can develop confidence and clarity about the direction of your marriage based on a deeper understanding of what has happened in your relationship. Whether you decide to save your marriage or separate, we help instill mutual respect.

Our Team

  • Smiling woman with brown hair wearing a light blue blouse with embroidered neckline, standing against a wooden wall outdoors.

    Marissa Massimini

    Licensed Marriage and Family Therapist

  • A woman with brown hair smiling, standing next to a wooden wall outdoors.

    Cara McDowell

    Licensed Marriage and Family Therapist

  • A smiling woman with shoulder-length blonde hair wearing a white collared shirt and pearl earrings, standing next to a wooden wall outdoors.

    Cristina Trette

    Licensed Marriage and Family Therapist

You have options when it comes to therapy. Here is how our approach is different.

We Specialize in Couples and Relationships

Helping couples and individuals heal and grow in relationships is the heart of our practice and our specialty. We are well versed in the common challenges relationships sometimes face, such as difficulties with communication, sexual intimacy, and emotional connection. We are also well experienced in bigger struggles or relationship crisis such as infidelity, escalated conflict, and divorce. Whether you come with your partner, or on your own, your relationships remain central and are strengthened through the work we do together.

Integrative Approach

We understand that your relationships are deeply interconnected with your overall mental health and wellbeing. Relationship distress often opens the door to more healing. This may include trauma, parenting, family dynamics, alcohol use, anxiety or depression. When helpful, we coordinate care within our team and connect you with trusted professionals and resources in our community so you receive comprehensive support.

Grounded in Research and Ongoing Training

Our work is rooted in attachment science and Emotionally Focused Therapy, one of the most researched and effective approaches to relationship healing. We continually pursue advanced training and consultation so the care you receive is thoughtful, current, and effective.

Professional and Clinical Maturity

We practice with care, consistency, and ethical responsibility. We bring life experience, clinical depth, steadiness, and compassionate guidance to help you understand the patterns that keep you stuck and move toward meaningful, lasting change.

Warm, Personal, and Engaged Care

As a small boutique practice, we are accessible, responsive, and engaged. We are real people, with our own relationships and families, who genuinely care about our clients. We are committed to our own relational and personal growth, and bring that same dedication to the work we do with you.

Cristina Trette, Licensed Marriage and Family Therapist