Couples Therapy & Marriage Counseling in Greater Boston

One therapist. Every session. A direct, honest approach — focused specifically on communication struggles and infidelity.

When Your Relationship Feels Stuck

Couples Therapy Boston Omar Ruiz
Maybe you’re arguing about the same three things on a loop, and neither of you can remember how to stop. Maybe the distance has been building quietly for years. Maybe something specific happened — a betrayal, a broken promise — and you don’t know if you’re supposed to fix this or grieve it. I work with couples on exactly two things: communication struggles and infidelity and trust repair. That’s a deliberate choice, not a limitation. I’d rather go deep in the areas I know best than offer a broad, generic practice.
Couples Therapy Boston Omar Ruiz

My Approach: Narrative Therapy

I work from a narrative therapy framework — an approach built on a simple belief: you are not the problem. The problem is the problem. We name what’s actually happening between you — the distance, the pattern of shutting down, the aftermath of a betrayal — as something separate from either of you as a person. Couples who see the pattern as the shared problem, instead of each other, move from blame into collaboration faster. We also look for “unique outcomes” — the moments, even during a hard stretch, where you didn’t fall into your usual pattern. Those moments are evidence of a different story you’re both capable of living.

Why Work With Me Directly — Not a Rotating Team

Omar Ruiz, LMFT, offering couples therapy in Wellesley, MA
Some larger practices route you to whichever therapist has an opening, or hand you off between associates. That’s not how I work.
  • Consistent, One-on-One Care When you work with me, you work with me — every session, full context carried forward.
  • Licensed and Credentialed LMFT with over 15 years of experience, trained in narrative therapy.
  • A Real Wellesley Office In-person sessions available, telehealth throughout Greater Boston.
  • A Track Record Clients Vouch For One of the highest endorsement counts of any therapist on Psychology Today; consistent 4.8-star Google reviews.
  • Transparent Pricing $250 per 45-minute session, flat rate, private pay.
Omar Ruiz, LMFT, offering couples therapy in Wellesley, MA

Does This Sound Familiar?

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  • The same argument, on repeat, that never actually resolves
  • Feeling like co-managers of a household instead of partners
  • One or both of you shutting down instead of engaging
  • Growing distance you can’t quite name or explain
  • Wondering whether you’re just not compatible anymore, or whether this is fixable
  • Struggling to talk about the hard things without it turning into a fight
If this sounds like where you are, that’s exactly the work we’d do together.
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The Two Things I Focus On

1. Communication Struggles The same argument on a loop, feeling like co-managers of a household instead of partners, one or both of you shutting down instead of engaging.

2. Infidelity and Trust Repair Betrayal, broken trust, and the work of understanding what happened and deciding what comes next, together or apart. This work has its own dedicated focus

If your relationship is struggling with something outside these two areas — blended family dynamics, substance use, immigration-related stress, infertility — I’ll say so directly on our first call and help you find a better-matched therapist.

How This Actually Works

We Name What's Really Going On, Together Not "you're too defensive" — we find language, often chosen by you, for the actual pattern, separate from either of you as people.

We Look for What's Already Different Even couples in real distress have moments that don't fit the problem story. We build from there.

I'll Tell You What I Actually See That's the direct, honest approach clients consistently describe.

What Clients Say

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Elizabeth Mahaney

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Omar’s speciality in helping couples navigate the challenges of infidelity, affairs, and betrayal is outstanding.

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Natasha Harrison

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If you’re a couple in need of help, especially when it comes to communication issues & infidelity, I would highly recommend you consider contacting Omar.

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Megan Shaw

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Omar was supportive to our non-monogamous marriage and was extremely helpful in complexities of this new-to-us relationship structure…

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What Clients Say

Frequently Asked Questions

No. This work is for any committed relationship — married, engaged, or long-term partners.

In practice, very little — both describe the same work of improving communication and resolving conflict in a committed relationship. I use the terms somewhat interchangeably, since the actual process doesn’t change based on whether you’re married.

An approach built around the idea that people aren’t the problem — the problem is the problem. We name the specific pattern, treat it as something you’re both working against together, and build a stronger, more accurate story of your relationship going forward.

Communication struggles and infidelity/trust repair, deliberately. If you’re dealing with something outside that scope, I’ll tell you directly and help point you toward the right fit.

Still have questions? Schedule a Free Consultation

No fixed timeline. Some couples see meaningful shifts in a handful of sessions; others, especially after a breach of trust, benefit from several months.

Yes. Starting with the partner who’s ready can shift dynamics enough to bring the other person in.

Private pay, with documentation available for out-of-network reimbursement.

Still have questions? Schedule a Free Consultation

Yes. My office is at 11 River Street in Wellesley, an easy drive from Boston and the surrounding towns. If you’d rather skip the commute, I also offer online sessions anywhere in Massachusetts. I work with couples from Boston, Newton, Needham, Natick, Weston, Wayland, Waltham, Dover, Sherborn, and Brookline.

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