Couples Urgent Care: When Your Relationship Can’t Wait
The average couple waits six years before seeking help — and then waits weeks more just to get an appointment. There is nothing average about a relationship in crisis, which is why our Couples Urgent Care guarantees appointments within 36 hours, often with same-day availability Monday through Friday.
When to Use Couples Urgent Care
You don’t have to wait until it’s “bad enough.” If it feels urgent to you, it’s urgent to us.
Couples Urgent Care is for moments like these:
- You just discovered an affair or betrayal
- You’re talking about separation and don’t know what to do
- You’ve had a fight that revealed something you can’t unsee
- One of you has threatened to leave
- The same destructive pattern keeps escalating, and you can’t break it
- Something shifted, and you need help making sense of it — now
Step 1
Schedule Your Free Intake Call
Book a brief call with our intake coordinator. We’ll make sure Couples Urgent Care is the right fit and get you scheduled.
Step 2
Complete Your Paperwork
You’ll receive a link to complete paperwork online before your session. Payment is due when you book.
Step 3
Meet With Your Therapist
You’ll have a 90-minute session (in-person in Northampton or virtually) with one of our senior couples therapists. Together, you’ll:
- Get clear on what’s actually happening
- Understand what the crisis means for your relationship
- Create a concrete action plan for your next steps
- Explore your options—including whether ongoing couples therapy makes sense
Step 4
Know Where You Stand
You’ll leave with clarity, direction, and a plan. Whether that’s continuing therapy with us, taking specific steps on your own, or getting connected to other resources—you’ll know what comes next.
What to Expect (And What Not to Expect)
Let’s be honest: One 90-minute session won’t fix everything. If your relationship has been struggling for months or years, we’re not going to wave a magic wand and make it all better.
But here’s what we can do:
✓ Help you understand what’s happening — not just the crisis itself, but what it reveals
✓ Get you out of reactive mode — so you can think instead of just reacting
✓ Give you a clear plan — for the next day, the next week, the next month
✓ Help you decide what’s next — stay, separate, or get more help
Think of Couples Urgent Care like an emergency room for your relationship: We stabilize the crisis, assess what’s going on, and connect you to the right care—whether that’s with us or somewhere else.
We’re not here to talk you into staying together or push you toward breaking up. We’re here to help you see clearly so you can make the right decision for you.
Who You’ll Work With
You’ll meet with one of our senior therapists who specializes in relationship crisis work. All of our Couples Urgent Care therapists are Gottman Method trained and have expertise in:
- Infidelity and betrayal trauma recovery
- High-conflict couple dynamics
- Attachment injuries and repair
- Communication breakdowns under stress
- Helping couples assess whether their relationship can be saved
At Northampton Center for Couples Therapy, we’ve spent years specializing in exactly this kind of work. We’re not generalists who “also see couples.” This is what we do—and we’re good at it.
Depending on your needs and availability, you may continue with the same therapist or transition to another member of our team.
Who You’ll Work With
You’ll meet with one of our senior therapists who specializes in relationship crisis work. All of our Couples Urgent Care therapists are Gottman Method trained and have expertise in:
- Infidelity and betrayal trauma recovery
- High-conflict couple dynamics
- Attachment injuries and repair
- Communication breakdowns under stress
- Helping couples assess whether their relationship can be saved
At Northampton Center for Couples Therapy, we’ve spent years specializing in exactly this kind of work. We’re not generalists who “also see couples.” This is what we do—and we’re good at it.
Depending on your needs and availability, you may continue with the same therapist or transition to another member of our team.
Investment
Couples Urgent Care Session: $325 for 90 minutes
Payment is required when you book. We don’t accept insurance, but we can provide a superbill for potential out-of-network reimbursement.
We know that paying out of pocket for therapy isn’t easy for everyone. If cost is a barrier, let us know during your intake call—we’ll do our best to help you find options.
Questions You Might Have
What if it turns out I didn't really need "emergency" care?
That’s okay. During your intake call, if we think standard couples therapy is a better fit, we’ll help you get scheduled for that instead. You won’t lose your place in line.
What actually counts as a crisis?
If it feels urgent to you, it’s urgent. We’re not here to gatekeep who “deserves” crisis care.
That said, we do screen for active domestic violence during the intake call. If there’s ongoing physical abuse, intimidation, or coercion, couples therapy isn’t safe or appropriate. We’ll connect you with resources that can actually help.
Do I have to do the intake call, or can I just book the session?
You have to do the intake call first. It only takes 15-20 minutes, and it ensures this service is right for you. It also allows us to screen for safety concerns we need to be aware of. We can usually schedule intake calls the same day or the next day.
What's your cancellation policy?
Payment for Couples Urgent Care sessions is non-refundable. We hold emergency slots specifically for couples in crisis, and last-minute cancellations prevent us from serving others who need immediate help. If you need to reschedule, please contact us as soon as possible, and we’ll do our best to find another time that works for you.
Do you offer Couples Urgent Care in the evenings or on weekends?
Currently, we offer Couples Urgent Care Monday through Friday during daytime and evening hours. We plan to expand to weekend availability in the future. Please check back with us for updates.
What if we're already working with another therapist?
That’s fine. Couples Urgent Care can be a one-time intervention, even if you’re seeing someone else. We can coordinate with your current therapist if that’s helpful.
What if my partner won't come?
Couples Urgent Care works best when both people show up. If your partner refuses, we can discuss during your intake call whether couples therapy for one might help you figure out your next steps—or whether other options make sense for your situation.
Where are you located?
We’re based in Northampton, MA, and offer both in-person sessions at our office and virtual sessions for couples anywhere in Massachusetts.
When is a Couples Therapy Urgent Care not the right fit?
A Couples Therapy Urgent Care is designed for crisis, but not every crisis is the same, and honesty here matters.
This format is contraindicated when there is active intimate partner violence or coercive control in the relationship. The emotional intensity of an Urgent Care can put someone in an unsafe situation at greater risk. If you’re uncertain whether this applies to you, please call us before registering — that conversation is confidential.
It’s also not the right fit when either partner is experiencing untreated psychiatric instability, active addiction without any recovery support, or is attending under pressure rather than genuine willingness. And if there is an ongoing undisclosed affair or significant secret one partner is carrying into the room, the work will be limited in ways that are hard to anticipate.
If you’re unsure, reach out. We’d rather talk with you first than have you arrive somewhere that isn’t the right fit.
If anything above raised concerns beyond finding the right therapy format, please know that support is available:
National Domestic Violence Hotline: 1-800-799-7233 (call) | text START to 88788 | thehotline.org 988 Suicide & Crisis Lifeline: call or text 988 SAMHSA National Helpline: 1-800-662-4357
Ready to Get Started?
Step 1: Schedule your free intake call
Step 2: Book your Couples Urgent Care session
Step 3: Show up and get the help you need
Call us at (413) 586-2300. If we can’t answer right away, a real person will follow up with you as soon as possible during business hours (Monday–Friday).