Private, Results-Driven Relationship Therapy in Houston.
Concierge-level care with Dr. Viviana Coles for couples facing serious relationship challenges
– OR –
Expert, accessible care with our associate clinicians
Specializing in Couples and Sex Therapy
Concierge-level care with Dr. Viviana Coles for couples facing serious relationship challenges
– OR –
Expert, accessible care with our associate clinicians
Relationship Counseling
Sex Therapy
Premarital Counseling
Affair Recovery
Private, Personalized Relationship Support for Couples Facing Serious Challenges
Work directly with nationally recognized relationship and intimacy expert Dr. Viviana Coles. Couples typically reach out when their relationship feels unstable, trust has been broken, or years of disconnection have reached a breaking point.
Relationship Rescue: Crisis Intervention
When a relationship is in serious trouble, one hour per week is often not enough to change the direction of the relationship.
Relationship Rescue is a focused two-month intervention designed for couples facing relationship crisis, including situations such as:
• recent infidelity or betrayal
• threat of separation or divorce
• intense breakdown in trust or communication
• years of emotional or physical disconnection that have reached a breaking point
This structured process helps stabilize the relationship, address the underlying breakdown, and determine whether the relationship can rebuild in a healthy way.
A brief phone consultation helps determine whether this approach is the best fit.
Ongoing Therapy with Dr. Viviana
These sessions are appropriate for couples who want to:
• strengthen their emotional connection
• improve communication and conflict resolution
• rebuild intimacy in their relationship
• work through long-standing relational patterns
Hourly sessions with Dr. Viviana are available for select new clients and returning couples.
Hourly Sessions: $695 per 50-minute session
Expert-Guided Relationship Therapy at Affordable Rates
Our associate clinicians are carefully selected and work under the direct supervision of Dr. Viviana Coles.
They offer compassionate, high-quality support for individuals and couples seeking expert-guided therapy at an accessible investment.
Weekly therapy sessions
Evidence-based approaches to relationship and personal growth
Affordable investment starting at $115 per 50-minute session
Personalized care supervised by Dr. Viviana

Private Relationship Support for High-Stakes Clients
Dr. Viviana Coles is a nationally recognized Doctor of Marriage & Family Therapy, Licensed Marriage and Family Therapist Supervisor, and Certified Sex Therapist with over 20 years of experience helping individuals and couples thrive emotionally and physically.
At Houston Relationship Therapy, Dr. Viviana specializes in working with leaders, public figures, executives, and high-pressure individuals seeking rapid, discreet, and transformative support.
If you’re ready to prioritize your relationship with the highest level of personalized care, concierge-level services with Dr. Viviana are available by appointment.


Dr. Viviana is also available for media features, keynote speaking engagements, and expert commentary on relationships, intimacy, and emotional wellness.
Most Requested Topics:

In addition to Dr. Viviana’s private services, Houston Relationship Therapy also offers expert-guided, accessible therapy options with our talented associate clinicians, under Dr. Viviana’s direct supervision.
Get free resources, coaching tools, and expert guidance delivered straight to your phone. The VIVID Relationships app puts everything you need for a thriving relationship in one place.
Have you noticed a significant decrease in sexual frequency and connection with your partner? In The 4 Intimacy Styles©, Licensed Relationship and Sex Expert Dr. Viviana Coles has shared her proven method of repairing broken intimacy bonds and rekindling sexual intimacy in long-term committed relationships.
Take The 4 Intimacy Styles Quiz and share the results and this book with your partner to get started on your journey to satisfying and lasting physical intimacy.
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