Marriage and Family Counseling

Relationships rarely die overnight. Almost always the destruction of a couple happens little by little, over time. I often hear from couples who are in despair – frightened that their relationship is beyond repair. Their communications have broken down, trust has eroded and they live a parallel life.

Our office becomes a safe haven, where problems can be discussed without fear or pain, judgment or retribution. In session, we will explore healthy styles, interventions and techniques that will replace hurtful and destructive patterns and create a stronger more open and meaningful connection.

Your relationship may be in trouble if you are experiencing:

  • Communication breakdown

  • Diminished sexual desire and activity level

  • Replaying old arguments and resurrecting old hurts

  • Resentment and contempt have replaced patience and love

  • One or both of you are having an affair

Healthy communication is a key ingredient of a successful relationship and successful couples know how to communicate in a way that can actually improve their relationship. Through counseling, we will help you to understand the way in which you presently communicate and then teach you new skills and solutions to improve ways to talk to each other.

Working together as a team, we will guide you to:

  • Learn how to stop blaming each other so you can work through problems without power struggles

  • Recognize the cause and effect patterns in your relationship

  • Find healthy ways to communicate that will get you through the difficult phase of reparation so that you can reconnect to the love and passion of your earlier relationship


Elma Pisano, LCSW-R

Experienced Individual and Marriage Therapist / Counselor in Smithtown, NY
Main Street Smithtown, NY
Phone: 631-979-1199