Couples Therapy in Las Vegas, NV with Dr. Quinnett Swank, EdD, LMFT
Therapy for partners caught in the same argument, feeling distant, or rebuilding trust. Attachment-informed couples therapy that focuses on the cycle between you, not on who is right, in person in Northwest Las Vegas and online anywhere in Nevada.

What Couples Bring to Therapy
What do couples come to therapy for?
Relationships get stuck in a cycle even when both people care deeply. The goal isn't to win the argument. It's to understand what keeps happening between you.
Communication breakdown
Conversations escalate, go in circles, or end with neither partner feeling heard.
Conflict and disconnection
Recurring arguments, avoidance, or emotional distance slowly erode the sense of being a team.
Trust and repair
After a breach of trust, you want to understand what happened, what repair requires, and what each of you needs to move forward.
Life changes and new roles
Parenthood, relocation, demanding careers, retirement, or shifting responsibilities have changed the relationship.
Different emotional needs
One partner reaches for conversation while the other withdraws, leaving both feeling alone.
Rebuilding intentional connection
You want to strengthen friendship, emotional safety, and the everyday rituals that keep you close.
My Approach
How does couples therapy work?
Couples sessions slow down the moment a hard conversation starts: what each partner does, how each interprets the other, and what's needed underneath the reaction. I use attachment-informed and practical communication strategies so you can listen for understanding, name needs clearly, and respond with less defensiveness.
I don't take sides. Both partners deserve to be heard with respect and curiosity, and you don't need to agree on every issue to begin. Willingness to look at the pattern together is enough.
Identify the recurring cycle
Notice what each of you does when stress, hurt, or defensiveness enters the conversation.
Understand the needs underneath
Practice naming what you need and listening without preparing a rebuttal.
Build realistic ways to reconnect
Try collaborative tools for repair, boundaries, and regular check-ins that fit real life.
Couples Therapy for Adults
Who is couples therapy for?
Adult partners in Las Vegas and across Nevada, married or not, who want to communicate differently, repair connection, or get through a transition as a team. Both partners' experiences matter, and sessions move at a pace you both can sustain. Common topics include:
- Communication and conflict patterns
- Emotional distance and unmet needs
- Trust and rebuilding connection
- Parenting, career, and relocation decisions
- Repair, boundaries, and mutual understanding
- Premarital and early-relationship questions
Sessions and Fees
How much does couples therapy cost?
Couples Therapy
$250
Per 50-minute session, in person or online
The fee is per session, not per person. If one of you also wants space to work on your own patterns, individual therapy is $200 per 50-minute session.
Private pay
Swank Counseling does not bill insurance directly, so no insurer sets your length of care or what you work on. A Good Faith Estimate is available under the No Surprises Act.
How often we meet
Most clients meet every other week or monthly. We set the cadence together and adjust as you go.
Cancellations
Please give at least 24 hours' notice. Late cancellations and missed appointments may be charged the scheduled session fee.
Where We Meet
Where do you offer couples therapy?
In person at the Northwest Las Vegas office on Azure Drive, convenient to Summerlin, Centennial Hills, Skye Canyon, and Aliante. Secure video sessions for couples physically located in Nevada at the time of the appointment.
Swank Counseling7495 West Azure Drive, Suite 204
Las Vegas, NV 89130
Swank Counseling
7495 West Azure Drive, Suite 204
Las Vegas, NV 89130
Office visits are by appointment. Online sessions are available throughout Nevada.
Common Questions
Frequently Asked Questions About Couples Therapy
Do we need to be married to attend couples therapy?
No. Couples therapy at Swank Counseling is open to adult partners at any stage, including dating, engaged, married, or long-term partners deciding what comes next.
Will the therapist take sides?
No. The focus is the interaction between partners and how each of you can communicate more constructively, not deciding who is right. Both partners are heard with respect.
Can couples therapy help if we keep having the same argument?
Yes. Repeating arguments usually point to a cycle underneath the topic. We identify that cycle, the needs driving it, and practice different ways of responding to each other.
What if my partner is hesitant about therapy?
That's common. The free 15-minute consultation is a low-pressure way for both of you to ask questions first. You don't need to agree on the problem to start; willingness to look at the pattern together is enough.
How much does couples therapy cost in Las Vegas at Swank Counseling?
Couples therapy is $250 per 50-minute session, per couple. Swank Counseling is private pay and does not bill insurance directly. A Good Faith Estimate is available under the No Surprises Act.
Can we do couples therapy online in Nevada?
Yes. Secure video sessions are available when both partners are physically located in Nevada at the time of the appointment. In-person sessions are held at 7495 West Azure Drive, Suite 204, in Northwest Las Vegas.
Connection can start with one conversation.
A free 15‑minute call to ask questions and see whether couples therapy is a good fit for the two of you.