Couples therapy
Couples therapy in Marbella.
Communication breakdown, distance, infidelity or a major life change has shifted your relationship. Isabel will support you to rebuild connection, resolve conflict and decide together the future you want. In-person sessions in Marbella and online.
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Isabel Agüera San Martín, Psychologist / Sex therapist
Who is couples therapy for?
Couples in crisis
Recurring conflict, coldness, arguments that go nowhere. You feel you do not understand each other and the gap is widening. We want to help you break that cycle and rediscover dialogue.
Mistrust and infidelity
An affair, a suspicion, or the sense that there is no trust any more. These are deep wounds, but they are not irreparable. We work through truth, forgiveness and rebuilding intimacy.
Sexual or intimacy difficulties
Lack of desire, pain, or simply feeling that the spark has gone. Isabel, a sex therapist specialist, addresses these issues naturally and without taboo, in the context of your couple relationship.
Life transitions
The arrival of a child, moving house, a job change, retirement. Big moments can stress you and pull you apart as a couple. We want to help you navigate them together.
Before making a major decision
If you are thinking about separation but want to explore every option, or you simply do not know how to move forward, therapy can bring clarity. Sometimes it heals the relationship; sometimes it helps you part with respect.
What we work with
Communication and conflict
Rows that repeat, misunderstandings, not knowing how to discuss the difficult things. We teach concrete tools for respectful dialogue.
Mistrust and infidelity
Rebuilding trust after betrayal. It is not easy, but it is possible if both are willing.
Sexual difficulties
Low desire, pain, mismatch of needs. We address this as an integral part of your relationship, without taboo.
Parenting disagreements
Parents with different approaches to raising children. We find common ground.
Life transitions
Parenthood, house moves, job changes, retirement. Big moments that can destabilise but also strengthen a couple.
Should we stay or leave?
Sessions to explore your relationship with honesty and make a decision from clarity, not desperation.
How we work
Isabel uses a cognitive-behavioural and systemic approach, tailored to what each couple needs. It is not theory: we work on concrete patterns we detect in the session, with measurable strategies and changes you can see in everyday life.
First session: your story and diagnosis
We listen to how you met, when things started to unravel, what you have already tried. Without judgment. At the end, you have a clear map of the problematic patterns and a tailored proposal for your work together.
Session work: tools and practice
You practise new ways of communicating, explore what lies beneath your conflicts, and work on intimacy. Each session has a clear structure and you leave with concrete tasks to do together at home.
Real-world change: from session to life
The real therapy happens outside the consulting room. We teach you to apply what you practise with us in your everyday life, at moments of stress, in difficult conversations.
Follow-up and closure
As your relationship improves, we space out sessions. Some processes resolve in 8 to 10 sessions; others need more time. When you reach stability, we equip you with tools to sustain it on your own.
Your therapist
Isabel Agüera San Martín
Psychologist / Sex therapist · Degree in Psychology (Licenciatura), Universidad de Málaga · Master’s in Sexuality and Couples Therapy
Isabel is an expert in sex therapy and couples therapy. When couples work brings up sexual difficulties, desire or intimacy, Isabel guides the process naturally, without taboo and with therapeutic rigour.
Her specialism is understanding how communication, trust and sexual health are intertwined. She works with heterosexual, same-sex and all couples, always from a place of respect and acceptance.
At Ergo Psicología, Isabel is dedicated to helping you rebuild intimacy, improve communication in your relationship and resolve the conflicts that distance you from your partner. Her approach is systemic and cognitive-behavioural, focused on concrete strategies you see working in your real life.
Pricing
Couples therapy session
€75 / 1:30h
The first session is the same price. In it we diagnose your situation, listen to your story and design a realistic plan together. Some processes resolve in 8 to 10 sessions; others need longer. We give you a clear estimate after the initial assessment.
Frequently asked questions about couples therapy
- When is the right time to seek couples therapy?
- Do not wait until the crisis becomes unbearable. If you have recurring conflicts, poor communication, emotional distance, or infidelity, it is a good time to seek help. Also if you are going through a major life change (moving house, becoming parents, job changes) and want to navigate it together. The sooner you come, the more options you have.
- How do we know if our relationship is "bad enough" to come?
- You don't have to be on the brink of breaking up. Many couples come with problems that seem "minor" (the same arguments on a loop, a sense of living in parallel, low desire, not feeling heard) and discover that this was the right time to start. Therapy is more effective the earlier you come, not when there is barely any room left.
- What if one partner doesn't want to come?
- This is a common worry. Couples therapy works best when both participate, but it is not a requirement to start. Sometimes a first session, individual or joint, opens the door. If one of you comes to the session, that is already a beginning. I respect each couple's pace and do not push.
- What happens in the first session? Where do we even start?
- In the first session I listen to both of you. How you met, when things started to fail, what you have already tried, how each of you sees the situation. You don't need to prepare or bring it all neatly arranged. By the end, you have a clear map of the dynamics that are hurting you, and I propose a concrete plan of work. You don't have to decide anything in the first session.
- Is everything we say confidential? What if I tell you something privately?
- Everything said in session is protected by professional confidentiality. Confidentiality works in both directions: what each of you tells me alone is respected. That said, my work is oriented towards solving the relationship problem, not towards keeping secrets for the sake of it. When something is relevant for the therapy to move forward, I help you find the best way to bring it into the joint session. The consulting room is not a place to hide things, it is a place where things move forward.
- If we don't connect with you as a therapist, can we change?
- Of course, and it's a legitimate thing to raise. Couples therapy needs both of you to feel comfortable with whoever is supporting you. If that's not the case, tell me. Sometimes I can adjust the approach, sometimes the most useful thing is to refer you to another professional. The priority is that the process works for you.
- Do you work with infidelity?
- Yes. Infidelity is one of the most complex situations in couples therapy, but also one of the most transformative if both are willing. We work with emotional betrayal, rebuilding trust and forgiveness, without judgment and without blame. It is a process, not a quick fix.
- Do you do joint sessions or separate ones?
- Sessions are joint by default. That way I can see how you communicate, what patterns repeat, and work in real time. Sometimes, at specific moments, an individual session can be helpful, but normally you will both be present.
- Can couples therapy be done online?
- Yes, we offer video sessions. Online couples therapy works well for couples living outside Marbella, who travel frequently or prefer that format. We maintain the same quality and structure as in-person therapy.
- How much does it cost and how many sessions will we need?
- A couples therapy session costs €75 and lasts 1 hour 30 minutes. There is no set number of sessions: some processes take 8 to 10 sessions, others take longer. In the first session we make a diagnosis and give you a realistic estimate.