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Private Relationship Strategy with
Dr. Viviana
For high-achieving couples and individuals who want more than traditional weekly therapy. I work privately with a limited number of clients, tailoring our work to what their relationships actually need.
Private therapy is available to couples and individuals residing in Texas, California, New York, and Florida.
When There's Too Much at Stake to Keep Doing the Same Thing
You've worked hard to build a successful life—a career, a family, financial security, and a future together. But when your relationship is struggling, even the most accomplished people can find themselves unsure of what to do next.
Perhaps you've tried counseling before, had the same conversations countless times, or hoped things would improve on their own. Yet the distance, conflict, or loss of intimacy continues. You know something needs to change, but you're not sure what will actually make a difference.
For nearly 25 years, I've helped couples navigate some of their most difficult relationship challenges. I've learned that meaningful progress begins with understanding what's really happening beneath the surface—and developing a clear strategy to address it. That's where our work begins.
Whether you're facing a relationship crisis or simply know your connection could be stronger, you don't have to keep repeating the same patterns. With the right expertise, a thoughtful strategy, and a willingness to do the work, meaningful change is possible—even when things have felt hopeless.
Who I Work With
I work with high-achieving couples and individuals who recognize that their relationships deserve the same level of attention, expertise, and intentional investment they've dedicated to other important areas of their lives.
Are highly accomplished in their professional lives but struggling to find the same success in their relationships
Are facing emotional disconnection, recurring conflict, trust issues, or challenges with physical intimacy
Value privacy, discretion, and the expertise of a highly experienced relationship and intimacy specialist
Want a personalized approach to therapy that addresses their specific relationship challenges rather than following a predetermined format
Are ready to invest in meaningful change and take an active role in strengthening their relationship
I intentionally work with a very limited number of clients so I can give each relationship the depth, attention, and clinical expertise it deserves. The most important consideration is whether we're the right fit to do meaningful work together.
A Different Way to Work
Your relationship doesn't have to fit into a 50-minute box. I believe therapy should be structured around what your relationship actually needs—not the other way around.
Personalized Relationship Strategy
Experienced Clinical Guidance
Therapy Tailored to Your Needs
Every relationship is different. Some need focused attention to resolve a crisis, while others need help rebuilding intimacy, restoring trust, or strengthening an already healthy connection. I determine the most appropriate therapeutic approach based on what you actually need.
Our work may include longer sessions, individual conversations, or more focused support when clinically appropriate. The goal is never to fit you into a standard schedule. It's to make sure the time we spend together is purposeful, productive, and focused on meaningful progress.
GETTING STARTED
Your Initial Therapy Session
Investment: $695 per clinical hour
Initial Couples Session: 2 hours | $1,390
Initial Individual Session: 1 hour | $695
Our initial session is an opportunity for me to understand your relationship history, identify the patterns and challenges bringing you to therapy, and begin determining what meaningful progress could look like. At the end of this session, we'll decide together whether continuing our work is the right fit.
What We'll Focus On
Understanding the relationship patterns contributing to your current challenges
Identifying communication challenges and understanding how conflict affects your connection
Determining whether working together is the right fit and what your next steps should be
What to Expect After Your First Session
A personalized recommendation for the most appropriate next steps
Joint or individual therapy sessions based on your specific needs
Session length and frequency determined by your clinical needs and therapeutic goals
At the end of our initial session, we'll decide together whether continuing therapy is the right fit. If we move forward, I'll recommend a personalized approach based on your needs and goals.
A personalized therapy plan based on your relationship needs and goals
A recommended schedule and session format tailored to your clinical needs
A clear understanding of what we'll work toward together and how we'll approach it
The format serves the work—not the other way around.
CONTINUING OUR WORK
Your Personalized Therapy Experience
Investment: $695 per clinical hour
Session length, frequency, and format are determined by your individual clinical needs and therapeutic goals.
As our work continues, I adjust our sessions based on your progress, changing circumstances, and the challenges we're addressing. Some situations call for more focused attention, while others benefit from time to practice new skills between sessions. My priority is to make every session purposeful and move us toward your therapeutic goals.
How We'll Work Together
Focused, Individualized Attention
I intentionally maintain a small private caseload, allowing me to give each client the attention, preparation, and clinical focus their relationship deserves.
Flexible, Purposeful Sessions
Depending on your needs, our work may include longer sessions, focused individual conversations, or time between appointments to put new strategies into practice. Every decision is guided by what will best support your progress.
Ongoing Progress & Accountability
We'll regularly evaluate what's improving, identify patterns that still need attention, and adjust our strategies as your relationship evolves. The goal is to create meaningful, lasting changes that extend beyond our sessions.
Expert Guidance for Complex Challenges
Drawing on nearly 25 years of specialized experience, I help clients navigate complex challenges involving communication, trust, emotional disconnection, and physical intimacy. My approach combines clinical expertise with practical strategies tailored to your circumstances.
Private therapy services do not include emergency or crisis intervention.
Meaningful Change Requires Intentional Commitment
Improving your relationship takes more than identifying what's wrong. It requires a willingness to look honestly at what's happening, make meaningful changes, and follow through on what we discover together.
The work we do together is only part of the process. Real progress also depends on what happens between sessions—how you communicate, respond to challenges, rebuild trust, and create new patterns in your everyday life.
I bring nearly 25 years of specialized experience, clinical insight, and a clear strategy to our work. You bring your willingness to participate, reflect, and make changes. Together, we focus on building a relationship that feels more connected, fulfilling, and worth continuing to invest in.
Ready to Explore Working Together?
I understand that choosing the right therapist is an important decision, especially when so much is at stake. A private consultation gives us an opportunity to briefly discuss your concerns, explore what you're hoping to accomplish, and determine whether my approach may be a good fit for your needs.
I intentionally accept a limited number of private therapy clients. If you're considering working with me, I invite you to request a consultation so we can explore whether my expertise and approach are right for your situation.
A consultation is simply the first step in determining whether we're the right fit.
By submitting this form, you agree to receive follow-up communication regarding your consultation request, as well as occasional relationship advice, resources, and updates from Dr. Viviana. You may unsubscribe from marketing emails at any time.
Private therapy is available to couples and individuals residing in Texas, California, New York, and Florida.
Frequently Asked Questions
I provide licensed psychotherapy, drawing on nearly 25 years of experience specializing in relationships and intimacy. My Private Relationship Strategy approach combines clinical expertise with personalized treatment designed around your specific needs and goals.
No. There is no required long-term commitment or monthly therapy package. After our initial session, we'll decide together whether continuing therapy is appropriate. If we move forward, sessions will be scheduled according to your clinical needs and therapeutic goals.
That's perfectly fine. Therapy doesn't have to follow a fixed schedule. Some clients benefit from more frequent sessions during challenging periods, while others need occasional appointments to maintain progress. We'll determine the appropriate frequency together based on your needs and goals.
Private therapy does not include emergency or crisis intervention. However, when an urgent relationship concern arises, I may be able to accommodate an additional or earlier session, depending on clinical appropriateness and availability. Same-day appointments are not guaranteed.
I offer private therapy virtually to clients residing in Texas, California, New York, and Florida, as well as in-person sessions at my Houston office. For clients who prefer to meet in their own environment, private travel arrangements may also be available upon request, depending on location, scheduling, and applicable licensing requirements.
Individual sessions are often into our work when clinically appropriate. Sometimes meeting with one or both partners separately helps me better understand their perspectives, identify underlying concerns, and determine how to support progress in the relationship. I'll recommend individual sessions when I believe they would benefit our therapeutic goals.
My private therapy services are self-pay, and I do not bill insurance directly. Upon request, my office can provide receipts that you may submit to your insurance provider for possible out-of-network reimbursement. Coverage and reimbursement are determined by your individual insurance plan and are not guaranteed.
No therapist can ethically guarantee a particular outcome. What I offer is nearly 25 years of specialized clinical experience, a clear understanding of complex relationship dynamics, and a personalized approach to helping you make meaningful progress. Your willingness to participate and follow through also plays an important role in the results we work toward.
Every relationship is different, and not every situation calls for the same approach. During our private consultation, we'll briefly discuss your concerns and whether my expertise may be appropriate for your needs. Our initial therapy session then allows me to better understand your circumstances, assess the challenges you're facing, and determine whether continuing our work together is the right fit.
Begin by requesting a private consultation using the form on this page. My office will follow up to arrange an initial therapy session. From there, we'll decide together whether to continue and what your personalized treatment should look like.
