Frequently Asked Questions

Everything Couples Ask Before Starting

Straight answers about online couples therapy, cost, insurance, and what to expect — so you can take the first step with confidence.

Book a Free Consultation

Getting Started

How do we start couples therapy?

Book a free 15-minute consultation online. It's a relaxed conversation where you can ask questions, share what's going on, and decide together whether we're a good fit — no commitment required.

What happens in the free consultation?

We'll talk about what brings you in, what you'd like to be different, and which format fits best — ongoing couples therapy or the Relationship Reconnection Intensive. You'll leave with a clear next step either way.

Do both partners need to be on the consultation call?

It's helpful but not required. One partner can start the conversation, and we'll bring the other in when you're ready.

Online Sessions

Are all sessions really online?

Yes. Every session happens over a secure, private video platform. You can join from home, the office, or even separate locations — anywhere in North Carolina.

Is online couples therapy as effective as in-person?

Yes. Research consistently shows telehealth couples therapy produces outcomes comparable to in-person work — and many couples attend more consistently online, which is what actually drives progress.

What if we live in different cities?

That works fine. Each partner joins from their own location, as long as you're both physically in North Carolina during the session (a licensing requirement).

What do we need for a session?

A private space, a device with a camera, and a reliable internet connection. Headphones can help if you're joining from separate rooms.

Cost & Insurance

Do you take insurance?

No — Therapeutic Advances is private-pay. This keeps your care fully confidential (no diagnoses shared with insurers) and lets us focus on what your relationship needs rather than what a plan covers.

What does couples therapy cost?

We'll discuss the right format and investment during your free consultation, so there are no surprises. The Relationship Reconnection Intensive is a structured 9-session program with a single, clear price.

Can we use HSA or FSA funds?

In many cases, yes — therapy is often an eligible expense. Check with your plan administrator to confirm.

About the Work

Who is the therapist?

Tabitha Evans, LCSW — a licensed clinical social worker (NC license C007376) with 16+ years of experience helping couples with communication, trust, intimacy, and major life transitions.

What is the Relationship Reconnection Intensive?

It's a structured alternative to open-ended therapy — not more of the same. Instead of meeting indefinitely and 'seeing how it goes,' you and your partner meet face-to-face online for nine 90-minute sessions that follow a defined roadmap: mapping the cycle underneath your arguments, rebuilding emotional safety, repairing resentment, restoring intimacy, and ending with clear direction about your future. Each session combines couples therapy with relationship education and guided practice, and between sessions you receive weekly feedback, guided exercises, and secure messaging support so the work carries into real life. In total that's 13.5 hours of focused clinical work with a clear beginning, middle, and end — rather than months of open-ended sessions.

Do you offer premarital counseling?

Yes — online premarital counseling for engaged and seriously committed couples across North Carolina. See the Premarital Counseling page for details.

Do you work with individuals or just couples?

Both. While the practice specializes in couples work, Tabitha also works with individuals navigating relationship issues — people who want to better understand themselves and the patterns that keep them stuck. Whether you're single and preparing for a healthy relationship, or struggling with a partner who isn't ready to join yet, individual sessions can help you see your role in relational patterns clearly and change them. See the Individual Therapy page for details.

Is what we share confidential?

Yes. Everything is held to strict professional confidentiality standards, with the limited legal exceptions your therapist will explain in your first session.

Still Have a Question?

The fastest way to get an answer is a free 15-minute consultation — online, from anywhere in North Carolina.