Individual & Couples Therapy

A space to actually exhale.

I work with individuals and couples navigating anxiety, life transitions, and the kind of communication breakdowns that feel too small to name and too big to ignore. Sessions available in-person in Ashfield and by video statewide.

Licensed LMFT #48213 Teletherapy Available Sliding Scale Slots Open
Elena Marsh, LMFT
My Approach

Warm doesn't mean vague. Structured doesn't mean cold.

I draw from attachment theory and CBT, but sessions never feel like a worksheet. My job is to help you notice the pattern while you're still inside it — not just talk about it afterward.

Fifteen years in, the work I trust most is slow: naming what's actually happening, practicing something different in the room, and letting that carry into the week. No quick fixes, no forced positivity.

Areas of Focus

What clients most often bring in.

Anxiety & Overwhelm

Practical tools for a nervous system that's been on alert for longer than makes sense to you anymore.

Life Transitions

Career changes, moves, becoming a parent, ending a relationship — the in-between is harder than either side.

Couples Communication

The same fight in five different outfits, finally named and interrupted before it repeats again.

Sessions

Ways we can work together.

Individual Therapy

$165 / 50 min

Weekly or biweekly sessions, in-person in Ashfield or by video. Most insurance plans reimburse out-of-network.

Couples Therapy

$195 / 60 min

Structured sessions for partners working on communication, trust, or a specific recurring conflict.

Client Notes

Shared with permission, lightly edited.

"I finally feel like I have tools, not just someone to vent to. That distinction matters more than I expected."

— Individual client, 8 months

"We almost cancelled after session two because it got uncomfortable fast. Glad we didn't. That was the point."

— Couple, ongoing

"She named the pattern in week one that I'd been circling for years without the language for it."

— Individual client, 1 year

A free 15-minute consult, no pressure.

We'll talk about what you're looking for and whether it's a good fit — for both of us — before anything's booked.

Book a Free Consult