Starting couples therapy in Madrid could be a chance to get back to Listen to each other, overcome challenges, and nurture the bond you've created. Together, you can work toward a closer and healthier relationship, with the support of a professional team.
What matters isn't having a perfect relationship without problems, crises, or difficulties. Rather, it's knowing that when they do occur, it's necessary to set aside one's "ego," the narcissism and learning to ask for forgiveness and make up.
After problems arise, the most important thing is to resolve them and try, together, to rewrite the story of the two of you. In a relationship, the most important thing is the bond between the two of you—the couple—which goes beyond each individual partner.
That's the ultimate goal for a couple: to be together.
“I came because my wife asked me to. I thought there was nothing wrong with me, but I was acting unbearably. Here, I’ve been able to talk about things I’d never discussed with anyone before.”
— Carlos J.
See reviews on Google →You don't have to be at your breaking point or on the verge of a breakup to seek couples therapy in Madrid. Working on communication, adapting to new stages in your relationship, or resolving conflicts early on are also reasons to seek help and improve your relationship.

It is advisable to start couples therapy in Madrid when the following situations arise:
Online and In-Person Psychotherapy
In couples therapy in Madrid, the therapist doesn't take sides. It is a space where you can both speak without being interrupted and with someone who helps you truly listen to each other. Many couples discover that they've been talking for years without actually communicating.
You can come together to our office in Chamberí (C/ Santa Engracia 141, Madrid) or join us from home. Some couples prefer online sessions because they feel more comfortable in their own space. Others prefer to get out of the house and have that special time to themselves. Both options work just as well.
Many couples believe that therapy is a last resort before breaking up. But the couples who see the best results are the ones who seek therapy before reaching that point. Working on communication, adapting to a new phase, or resolving a conflict in a timely manner can make all the difference.
Working with couples requires specific training. Our therapists are members of the COP formbased on systemic therapy and emotion-focused therapy and other approaches that specialize in relational dynamics. Treating an individual is not the same as treating a two-person system.
In the first session, we’ll work together to identify what you want to improve: communication, trust, intimacy, decision-making, or parenting. We’ll set specific goals so that both of you know where the process is headed and can assess your progress.
We offer you an initial session—either online or in person—so we can get to know each other.
From there, you should only continue if you feel you've established a connection with the professional you've met. The rest of the process is flexible, tWe explain how it works and the terms and conditions starting with the first session. No monthly fees, no long-term commitments, and fixed prices per session.
Every relationship is unique. Here are some testimonials from couples who put their trust in the MadridPsicoterapia team.
Questions are part of the journey… and we love it that way!.
Here you'll find the ones that resonate with us the most, to help you get started with confidence.
Couples therapy in Madrid is important for nurturing your relationship. Having a confidential, neutral space guided by a professional can make all the difference in understanding what’s going on between you, expressing your emotions safely, and finding new ways to face challenges together.
The process is simple: we’ll be there for you from the very first contact and conduct an initial assessment to match you with the couples therapist who best fits your needs and goals. If you feel this is the right person for you, you’ll begin a collaborative and personalized process, tailored to your situation and at a pace that works for both of you.
Both work just as well. You can choose the one that's most comfortable or practical for you. Some couples prefer to leave the house and go to a specific place, while others prefer to connect from their couch for a more intimate experience. You can also mix it up depending on what works best for you each week or switch things up.
Of course, for the online session, we ask that you be in a quiet place where no one will disturb you for 50 minutes, have a device with a camera and microphone (computer, tablet, or cell phone), and a reliable Wi-Fi connection. That's all.
We try to make everything easy. The price of a couples therapy session is 65 euros for consultations year-round. No matter where you are.
Once you feel that the professional relationship is working, you can choose the bond shelter and save 10% the cost of the sessions. We can help coordinate appointments.
The best way is to try it out. That’s why we offer a free initial session where you can get to know us, tell us what’s going on, and see if you feel comfortable with us. There’s no obligation—just a conversation from a different perspective. Many people come in unsure of whether they need therapy, and that first session helps them decide or begin to define their treatment needs.
We don't use a one-size-fits-all approach. Every couple is different, and what works for some doesn't work for others. We tailor our work to you: to your personalities, your situation, and your goals. You don't have to fit into our way of working—we're the ones who make that effort.
During the first free session, you’ll meet the therapist you’ll be working with. It’s important that there’s a good connection and that you feel heard. If, after that first session, you don’t feel like it’s a good fit for you, we can refer you to another team member. It’s okay—that’s normal. In therapy, that’s called “transference.”
You tell us what brought you here, what’s on your mind, or what you’d like to change. We’ll ask you a few questions to better understand your situation. We’ll address your concerns. And we’ll assess whether therapy can help you and what the process would look like. You’ll leave with a clear idea of what to expect and a framework for moving forward.
Because before you spend your money, we want you to get to know us and be sure that this is what you're looking for. It's an opportunity for both sides: you see if you feel comfortable, and we assess whether we can help you. Then each side makes its own decision.
There is no set answer. It will depend on the assessment made by the team member. However, it is always recommended—at least at the beginning—to have one couples therapy session every fifteen days.
Some couples need more intensity than others, while others need flexibility and more space. Every relationship is different, and so is the treatment.
We address most psychological issues that arise in relationships: self-esteem, expectations, sexuality, stress, parenting, infidelity, etc.
It might feel a little strange at first, yes. But most couples get used to it right away. At the end of the day, it's just a conversation, and what matters is what's said, not how it's said. Many couples even prefer doing it online because they feel more relaxed in their own space.
Whenever you'd like. No you are tied to a specific method. If you start online and then decide you’d rather come in, or vice versa, that’s no problem. We’re located in the center of Madrid, in the Chamberí neighborhood. Of course, you’ll need to talk to your therapist to discuss this in detail.
There is no standard answer. Some couples need only a few sessions to resolve a specific issue, while others go through a longer process. In the first session, we’ll give you a rough idea based on your situation, but that’s all it is—a rough idea.
It’s common to come once every two weeks, especially at first. Later on, you can space out the sessions. But it also depends on your availability and what you’re working on. You’ll decide that with your therapist. We’ll see how it goes.
We don't work directly with insurance companies, but we'll provide you with an invoice so you can submit it to your insurance provider if they offer reimbursement. Check with your insurance provider to see if they cover sessions with private psychologists.
No surprises. This is exactly what you can expect:
Be a part of Emerge Group Health Services S.L.U., with its registered office at Calle Gascones 1, 28035, Madrid.
© 2026 MadridPsicoterapia® is a trademark of Grupo Emerge Sanitary Services S.L.U.®. All rights reserved.
Authorized Health Care Facility CS-40461

Should we talk?