RELATIONSHIP AND SEX THERAPY
PIA ARRENDELL, LMFT
RELATIONSHIP AND SEX THERAPY
PIA ARRENDELL, LMFT
Why Work With Me
spent nearly two decades helping individuals and couples navigate some of the most painful and complex moments in their lives including infidelity, trauma, and deep relational disconnection.
My approach is both structured and deeply relational. I draw from evidence-based methods like EMDR and ketamine-assisted psychotherapy, while also focusing on attachment, emotional safety, and real-world change.
This work is not about surface-level communication skills. It’s about understanding the deeper patterns that keep you stuck—and helping you create meaningful, lasting shifts in how you relate to yourself and each other. If you’re looking for thoughtful, direct, and experienced support, this may be a good fit. Most of the couples and individuals I work with have already tried to “fix it” on their own—and are ready for something deeper that actually creates real change.
Start with a consultation to see if this feels like the right fit.
When Your Relationship is Broken,There is a Way Back
I work with individuals and couples navigating infidelity, trauma, and emotional disconnection. If you feel stuck, overwhelmed, or unsure how to move forward, we’ll work together to understand what’s happening beneath the surface and help you rebuilt trust, connection, and a relationship that actually feels good again.
You may feel hurt, disconnected, or stuck in the same painful patterns. Maybe trust has been broken, communication feels impossible, or you’re questioning whether things can really change. You don’t have to go through this alone.
Counseling Services
Couples Intensive or WeeTherapy
Navigate through the complexities of your relationship with expert guidance tailored to strengthen communication, resolve conflicts, and build lasting connections.
Sex Therapy
Rediscover intimacy and enhance your sexual well-being with personalized therapy designed to address physical, emotional, and relational aspects of your sexual health.
Counseling
Life's challenges, such as anxiety, depression, PTSD, and ADHD, can strain relationships. In therapy, we explore these internal stressors, helping you navigate crises and restore trust and intimacy.
EMDR
Eye Movement Desensitization Reprocessing (EMDR) is effective for treating PTSD, depression, anxiety, and other issues. This technique helps the brain process distressing memories, reducing emotional distress.
Ketamine Therapy
Ketamine Therapy for individuals and Couples have shown to help with mental health concerns like depression, anxiety, PTSD, chronic pain, and substance use issues. It combines psychotherapy with a temporary blocking of NMDA receptors to spark a rapid antidepressant effect, which may offer longer-lasting benefits with fewer total treatments.
Empower your relationship with the support it needs.
Revitalize Your Relationship: Why Couples Intensive Therapy Works
Struggling with relationship issues? Traditional therapy may not always provide the depth you need. Couples intensive therapy offers a 12-hour immersive experience that delves deeper, encourages meaningful progress, and strengthens bonds faster than weekly one-hour sessions. By focusing fully on your relationship over a condensed period, you can achieve faster breakthroughs, deeper connection, and lasting improvements.
Ready for more insights?
Big Ideas, Real Impact.
You can be committed to your relationship and still feel disconnected or unseen
Relationship therapy in Asheville, NC for couples and individuals navigating trauma, infidelity, and disconnection.
How to Know If This Is Right for You
You may be here because something in your relationship doesn’t feel right anymore. Conversations turn into disconnection, trust has been shaken, or you feel more alone than you expected to feel with someone you love.
Maybe you’re trying to decide if this relationship can be repaired—or if it’s already too far gone. You might find yourselves having the same arguments, avoiding each other, or feeling stuck in patterns you don’t know how to change.
I work with individuals and couples navigating infidelity, trauma, emotional disconnection, and major life transitions. Whether you’re looking for weekly therapy or a focused couples intensive, my goal is to help you understand what’s happening beneath the surface and create a path forward that actually feels different.
I also offer ketamine-assisted psychotherapy in Asheville, NC for individuals and couples working through trauma, depression, and emotional overwhelm.
People often come to me searching for:
Relationship therapy in Asheville, NC
Help after infidelity or betrayal
Couples intensives in Asheville
Ketamine therapy for trauma
Marriage counseling in Asheville NC
How to rebuild trust in a relationship
If this resonates, you don’t have to figure it out alone. You can start with a brief consultation to help you decide if this is the right fit.
Relationship Therapy in Asheville, NC
At Between Us Practice, we provide couples and relationship therapy in Asheville, NC, helping partners navigate infidelity, emotional disconnection, and communication challenges. Led by Pia Arrendell, LMFT, our work integrates EMDR and ketamine-assisted psychotherapy to support deep healing and lasting change. Whether you are rebuilding trust after betrayal or feeling stuck in recurring conflict, we offer a structured, compassionate approach to help you reconnect and move forward.
How do I find a couples therapist in Asheville, NC?
Finding the right couples therapist in Asheville, NC starts with choosing someone experienced in relationship dynamics, infidelity recovery, and evidence-based approaches like EMDR. It’s important to work with a therapist who can help both partners feel heard while guiding structured communication and repair. At Between Us Practice, Pia Arrendell, LMFT, specializes in helping couples rebuild trust, improve communication, and create lasting change through a compassionate, direct approach.