We specialize helping couples and individuals strengthen relationships in Encinitas, California and online
Welcome to Integrative Couples Therapy
At Integrative Couples Therapy we specialize in strengthening relationships. You may be:
• Preparing for marriage and want to preserve the love you share
• Noticing the loss of emotional and sexual connection and want to renew your bond
• Feeling like roommates and want to revitalize joy and intimacy
• Struggling to parent or coparent as a team and want peace at home
• Caught in frequent or escalating arguments and want more effective ways to communicate
• Facing the aftermath of infidelity or betrayal and want space for healing
• Considering divorce and want clarity based on an understanding of what has happened in your marriage
• Wanting relational and attachment based therapy for yourself
We believe that connected relationships are at the heart of a meaningful life, and with the right support, meaningful change is possible. We welcome you to reach out to learn more about working with our team.
Specialties
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Couples Therapy
Couples therapy is designed for couples wanting to work as a team to improve communication, resolve conflict, and enhance sexual intimacy.
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Individual Therapy
Individual therapy provides a confidential space for individuals to explore their relationships, attachment patterns, anxiety, depression or trauma.
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Premarital Counseling
Premarital counseling helps couples that are dating, or preparing for marriage, create a solid foundation while developing relationship skills.
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Infidelity Therapy
We support individuals and couples heal after infidelity by helping them process the pain, make sense of what happened, and understand the deeper patterns and experiences.
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Discernment Counseling
Discernment Counseling is a short term process designed to help couples decide if they want to work on their marriage in couples therapy or take steps toward an amicable divorce.
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Parent Therapy
We support parents throughout all stages of parenting including the postpartum period, raising kids and teens, launching young adults, blending families or navigating co-parenting dynamics.
Couples Workshop
Join us for a two day immersive couples workshop based on Hold Me Tight®, a transformative approach to relationship education that helps couples rekindle emotional closeness and lasting love.
Our Team
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Marissa Massimini
Licensed Marriage and Family Therapist
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Cara McDowell
Licensed Marriage and Family Therapist
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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 trauma, parenting, family dynamics, alcohol use, anxiety or depression. When helpful, we collaborate within our team or 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 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
