Therapy over the phone/computer

Initial Consultation
2 hr
Individual Talk Therapy
1 hr
Couples Counseling
1 hr

Learn More About Individual Therapy

Learn More About Couples Therapy

iCNS Telehealth Services


We can do phone sessions once you have become an established client.  This can be for individual therapy or couples and family therapy, however the first session must be in my office so that we can establish a relationship in person prior to using the phone or the computer as a therapy medium.

Couples and Marriage Therapy


Marriage and Couples Therapy

"I can't trust my husband anymore," she said.

"I feel that she doesn't love me anymore. Our love is dead," he says.

"We used to be so close, but now, all we ever do is fight," they chime together.


Trust issues come in all shapes and sizes. The two ways of trying to handle trust issues are Conflict and Exits. They can manifest in name calling, contempt, abuse, working too much, getting so involved with the children that there is no time for each other, separation, addiction, anxiety, emotional and sexual infidelity, and divorce. This is called the "power struggle." Trust issues become stressful, the stress either becomes distancing or fighting, then comes the question: "Can our relationship be saved and is it even worth trying?" Then someone dusts off the phonebook or fires up the computer and it's time to look for a counselor. That's where we come in. Our job is to determine where your issues lie, why you are experiencing the power struggle, and what kind of marriage your relationship has become.


  • The "Passionless Marriage" otherwise known as a "parallel marriage" where the couple lives independent lives while trying to put on a facade of the "perfect marriage." In reality they have become "room mates." There is distance and a lack of communication between the two of you that increases your feeling of disconnection with your significant other.


  • The "Passionate-conflict Marriage" or the "hot marriage" where fighting and conflict are the norm, and you fluctuate between "break up" periods and "make up" periods. You are either enemies or best friends, but cannot find the middle ground where you are partners. These marriages create the deepest wounds as labels and harsh words fly between two people who should have the deepest respect and trust in each other.


The beauty of relationship is that as long as the decision to end it permanently is not set in stone, it can be restored. There is hope in sight. Getting back to the love and connection that you had at the beginning of your relationship is possible. Give us a call and find out how.


Everyone is familiar with marriage therapy, but relationships can take many forms, not just marriage. Couples therapy can be two people who are romantically involved, but not married yet, a couple who are divorced but trying to communicate in a healthy way for the kids, or even two close friends who find that they can no longer communicate without fighting. Whatever your elephant in the room, Dr. Novian, Mrs. Denny, and Ms. Lutterman can help you strengthen your relationship and help you learn to relate to one another in a healthy way.

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21015 Market Ridge

Suite 102

San Antonio, TX 78258

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