How much does therapy at Purple Sky Counseling cost?

Cash-pay rates depend on the clinician's credential level: $100 per session with an intern, $135 with a pre-licensed associate, and $165 with a fully licensed clinician. When billed to insurance, the contracted rate is $200 per session ($250 for the intake) at every tier, and your actual cost depends on your plan. Sliding scale is available with interns ($75) and pre-licensed clinicians ($100) by approval. Most clinicians offer a free 15-minute consultation.

Do you accept insurance?

Yes. We are in-network with Aetna, BlueCross BlueShield, ChampVA (Open Access), Cigna, EMI, HMHI, Medicaid, Optum, PEHP, SelectHealth, Tricare (through TriWest), University of Utah Health Plans (UUHP), and UnitedHealthcare / UMR. For plans we are not in-network with, we provide superbills you can submit for partial reimbursement. We recommend calling the number on the back of your insurance card to confirm benefits before your first session.

Where are your offices located?

We have eight in-person offices in Utah: two in Murray plus Bountiful, Farmington, Heber City, South Ogden, Lehi, and St. George. We also offer secure online therapy to anyone physically located in Utah.

Do you work with children and teens?

Yes. We have clinicians who specialize in child and teen therapy, including play-based work for younger children and adolescent-focused therapy for teens. Family therapy is also available when it helps to involve the broader family.

Do you prescribe medication?

Yes. Our psychiatric medication management team works alongside our therapists, so you can have therapy and medication management within the same practice. Refills and dose changes are handled during scheduled appointments.

What is EMDR therapy?

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy used to treat trauma and PTSD. It uses bilateral stimulation to help the brain reprocess distressing memories so they lose their emotional charge. Purple Sky is one of Utah's leading EMDR teams and offers both weekly and intensive formats.

Do you offer online therapy?

Yes. We offer secure online therapy and online medication management to anyone physically located in Utah. Online clients receive the same clinicians, the same rates, and the same standard of care as in-person clients.

Couples & Relationship Therapy in Utah

Relationships can carry love, history, safety, and belonging. They can also become places where stress, distance, conflict, hurt, or disconnection build over time. You may be arguing more than you want to, struggling to talk without shutting down or escalating, feeling more like roommates than partners, or trying to recover from a rupture that changed how safe the relationship feels.

At Purple Sky Counseling, couples and relationship therapy offers a place to slow down, understand the patterns you are caught in, and work toward more honesty, clarity, and connection. Therapy is not about deciding who is right and who is wrong. It is about helping everyone better understand what is happening between you and what needs to change for the relationship to feel more workable.

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Purple Sky offers safe support for all types of traditional and non-traditional relationships, with care that respects the structure, values, identities, and lived realities within your relationship rather than assuming there is only one right way to be together.

When your relationship feels strained or distant

People reach out for couples therapy for many different reasons. Sometimes there has been a major rupture, and sometimes the relationship has just become harder to live inside over time.

You may recognize:

Repeating arguments that never fully get resolved
Communication that feels tense, defensive, or shut down
Emotional distance, loneliness, or loss of connection
Ongoing hurt after betrayal, dishonesty, or broken trust
Differences around intimacy, parenting, money, religion, or life direction
The impact of anxiety, trauma, stress, ADHD, or family pressure on the relationship
Feeling stuck in the same cycle no matter how many times you try to talk it through

What couples and relationship therapy can help with

Couples and relationship therapy may help you:

Improve communication and reduce repetitive conflict
Understand the cycle you get pulled into together
Rebuild trust after betrayal, secrecy, or emotional injury
Strengthen connection, intimacy, and emotional safety

Work through parenting stress, blended family dynamics, or life transitions
Navigate mixed-faith relationships, religious differences, or changing beliefs
Understand how trauma, anxiety, attachment wounds, or neurodivergence may be affecting the relationship
Decide more clearly whether you want to repair, redefine, or re-evaluate the relationship

Purple Sky’s current public content also ties couples therapy to premarital counseling, relationship anxiety, family transitions, and identity exploration, so this page can hold both crisis-oriented couples work and growth-oriented relationship support.

Relationship structures and identities we support

Relationships do not all look the same, and good therapy should make room for that. Purple Sky works with many types of couples and relationship structures and aims to provide care that is respectful, affirming, and responsive rather than one-size-fits-all.

Depending on therapist fit, support may be available for:

Married couples
Unmarried or dating partners
Engaged couples and premarital counseling
Mixed-faith relationships
Queer couples and LGBTQIA+ relationships
Blended families and co-parenting dynamics
Long-term partnerships that do not fit traditional labels
Partners navigating identity shifts, life transitions, or changing family systems

How therapy works

The therapist’s role is not to take sides or declare a winner. The work is to help you understand the dynamic between you, the needs and protective strategies each person brings in, and the ways pain or fear may be shaping the relationship.

Depending on the therapist and your goals, couples therapy may include:

Communication and conflict-resolution support
Attachment-based and emotion-focused work
Trauma-informed therapy when past experiences are affecting the relationship
Support around boundaries, family systems, and relational roles
Premarital counseling or relationship check-ins during transition points
Help naming patterns around pursuit, withdrawal, shutdown, anxiety, or fawning

Mixed-faith and high-demand religion relationships

In Utah, relationship stress often intersects with religious identity, faith transition, and community expectations. Purple Sky already publishes content about mixed-faith marriage and LDS faith transition, which makes this an important part of couples work rather than a niche side issue.

Therapy can support couples who are:

Navigating different beliefs or changing faith commitments
Trying to stay connected during a faith transition
Working through hurt, fear, or resentment tied to religion
Facing pressure from extended family or community expectations
Trying to build a relationship where both people can be honest without losing connection

Do we have to be on the same page to start?

No. It is common for one partner to feel more ready than the other, or for each person to have different hopes and fears about what therapy will mean. You do not need to agree on everything before you begin.

What matters most is a willingness to show up, talk honestly, and stay curious about the patterns you are both part of. Sometimes therapy helps people rebuild and reconnect. Sometimes it helps them make difficult decisions with more clarity and less harm. The goal is not to force a particular outcome, but to support a more honest and workable path forward.

Frequently asked questions

No. Couples and relationship therapy can support many kinds of partnerships, including dating, engaged, married, mixed-faith, queer, and other long-term relationships.
That is common. Couples often begin therapy with different levels of readiness, hope, or skepticism, and therapy can still be useful even when partners are not fully aligned at the start.
Yes. Purple Sky already has public content about mixed-faith marriage and LDS faith transition, which makes this a strong and relevant part of the page.
The goal of couples therapy is to understand the relationship dynamic, not to assign blame or choose a “right” partner.

Getting started

If your relationship feels stuck, tense, distant, or painful, support is available. Couples and relationship therapy can help you better understand what is happening between you and begin trying something different together.