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Concierge Couples Counseling with Dr. Viviana
A selective, marriage-preservation model for couples who want proactive, intentional support—during both calm & high-stress seasons.
Availability: This service is offered exclusively to couples residing in Texas, California, New York, and Florida, where Dr. Viviana is licensed.
A Different Approach to Couples Counseling
After more than 20 years of clinical experience, Dr. Viviana has found that the deepest and most lasting change for couples happens when care is continuous, intentional, and responsive to real life—not limited to weekly sessions or sporadic returns during crisis.
Many couples cycle in and out of therapy: they seek help when things are hard, pause once life stabilizes, and then return months later saying, “We shouldn’t have stopped.” Not because they failed—but because relationships need ongoing care, not just repair.
This concierge model was created to address that gap.Dr. Viviana believes that regular check-ins and maintenance sessions are just as important as crisis-focused therapy. Preventive care allows couples to protect intimacy, address issues early, and stay aligned as life evolves.
In her experience, this approach leads to stronger accountability, deeper engagement, and more meaningful long-term outcomes than traditional in-and-out models of care.
Who This Model Is For
This model is designed for couples who:
Love each other and are committed to staying together
Want to protect their marriage before problems escalate
Value discretion, depth, and experienced clinical guidance
Prefer intentional, needs-based pacing over standing weekly sessions
Are willing to invest energy and attention into long-term relationship health
This is not a fit for couples seeking casual coaching, unlimited access, or an open calendar they can book at any time.
How the Concierge Model Works
“I intentionally manage a limited schedule to ensure availability when it matters most.”
Concierge couples counseling is structured around:
Continuity of
care
Priority access during urgent moments
Flexible pacing based on real-time needs
Rather than defaulting to weekly sessions, care adapts to your relationship—offering increased support during high-stress seasons and intentional maintenance during calmer periods.
Sessions are coordinated directly and scheduled thoughtfully, not through open self-booking.
Phase one
The Initial Intensive
Month
Investment: $16,000
Includes: up to 10 total hours per month
The Initial Intensive Month is designed to create clarity and momentum quickly. It allows Dr. Viviana to understand your relationship deeply and determine the most appropriate long-term path.
What this phase supports
Identifying core patterns driving conflict or disconnection
Reducing escalation and strengthening emotional safety
Addressing intimacy and desire concerns directly
Establishing shared goals and expectations
Determining whether concierge care is the right long-term fit
Typical structure (may vary based on need)
Couples Session — 2 hours
Individual Session (Partner A) — 1 hour
Individual Session (Partner B) — 1 hour
Couples Session — 2 hours
Individual Session (Partner A) — 1 hour
Individual Session (Partner B) — 1 hour
Couples Session — 2 hours
At the end of the Initial Intensive Month, Dr. Viviana will recommend one of the following
Invitation into ongoing concierge care (selective)
Continued couples counseling with a trusted associate
Referral to another provider if a different level of care is recommended
The goal is always the right support—not simply continued care.
Phase Two
Ongoing Concierge Care
Investment: $16,000 per month
Includes: up to 12 total hours per month
Ongoing concierge care is designed for couples who want continuity, accountability, and proactive support across changing seasons.
What ongoing care includes
Priority scheduling and continuity of care
Access to Dr. Viviana’s calendar is reserved for couples actively enrolled in monthly concierge care.
Needs-based pacing
Support increases during high-stress periods and naturally lightens during calmer seasons.
Maintenance during stable periods
Many couples benefit from a monthly two-hour maintenance session to protect progress, strengthen intimacy, and address concerns early.
Urgent session flexibility
When clinically appropriate, urgent sessions may be prioritized. In the vast majority of cases, same-day urgent sessions can be accommodated before 8:00 p.m., subject to availability.
Emergency services are not provided through this model.
Accountability & Intentional Investment
This model supports accountability and meaningful investment in the relationship.
When couples remain engaged consistently—rather than only during moments of crisis—they are more likely to follow through on changes, reflect between sessions, and stay aligned with their shared goals.
Dr. Viviana has found that this level of intentional investment creates momentum. Couples show up more prepared, more present, and more willing to address patterns honestly—not because they are required to, but because they have chosen to protect their relationship.
Prefer to Review This Together?
Many couples want time to review details privately before deciding.
You’re welcome to request a written overview of this concierge model—including structure, expectations, and FAQs—to read and discuss together.
There is no obligation to move forward.
This service is available only to couples residing in TX, CA, NY, and FL.
Frequently Asked Questions
This is couples counseling provided within a licensed private-practice model. Care is paced intentionally and adapts to the needs of the relationship across different seasons.
No. There is no long-term contract.
Couples continue in concierge care because they choose to work with Dr. Viviana over time. Priority access to her schedule is reserved for couples actively enrolled in monthly concierge care.
If care is paused, the couple’s place in the schedule is released. Future sessions are scheduled based on availability, and resuming care may involve a waitlist or re-entry conversation.
That can be completely appropriate. Concierge care is not hour-based. Calm seasons are expected and respected, and many couples use lighter maintenance during those periods.
Emergency services are not provided through this model.
However, urgent session requests may be prioritized when clinically appropriate. In the vast majority of cases, same-day urgent sessions can be accommodated before 8:00 p.m., subject to availability.
Not necessarily. This model is intentionally different from traditional weekly therapy. Session frequency adjusts based on what your relationship needs at the time.
Sessions are offered virtually or in-office, based on what best supports the work.
Individual sessions are sometimes clinically helpful and may be incorporated strategically. If ongoing individual work is needed beyond this model, referrals may be recommended.
If a different or higher level of support is needed, Dr. Viviana will make appropriate recommendations to ensure you are properly supported.
No ethical clinician can guarantee outcomes. What Dr. Viviana offers is experienced clinical judgment, clear direction, and a structure designed to support meaningful, lasting change.
Couples are encouraged to explore Dr. Viviana’s work through her writing, media appearances, and relationship education. The Initial Intensive Month is also designed to assess fit and determine the most appropriate next step.
The first step is the Initial Intensive Month. From there, the most appropriate path forward will be recommended.
