Couples Therapy

Couples Therapy | Austin, TX

Whether you feel the need for marriage counseling, premarital counseling, couples counseling, relationship therapy, or marital therapy, I work with all types of committed couples. During couples therapy sessions, we address difficult issues that can be part of all relationships.

Couples Counseling – Rekindle Affection and Trust

34992473Throughout each couples counseling session, our goal is to foster positive change. All aspects are open for discussion and we focus on:

  • Restoring Friendship, Respect, Civility and Mutuality, Trust and Loyalty
  • Appreciation and Gratitude
  • Communication and Affection
  • Sexual issues
  • Finances
  • Children
  • Emotional interactions
  • Extended family
  • Family dynamics

Collaborative Couples Therapy Treatment Option

During traditional couples therapy with one psychotherapist, one of the clients might think the counselor’s view is gender-biased and thereby interpret sessions as a two-against-one atmosphere. To help eliminate these concerns, my colleague, Dr. George Pazdral, MD, JD, and I provide a highly beneficial form of collaborative couples counseling and marriage counseling.

Opening Doors to Communication

Couples counseling in a collaborative setting works best when there is an evolving level of trust and wide-open communication, feedback and interaction. Efforts our clients make to put insight into action also enable and improve success.

Collaborative couples therapy succeeds for relationships that need only minimal improvement and redirection, as well as relationships requiring rescue-level intervention. Our marriage counseling and couples counseling are highly individualized to the couple-clients. We follow no specific program or formula, but have, as a result of our experience and training, a rich selection of interventions to help couples evolve to a richer, more companionable relationship.

The first few couples therapy sessions allow us to hear your individual stories and concerns, and understand what particular changes each of you desires. You are also evaluating us during this period to determine if we can help you.

Session60_v3We usually advise clients to commit to three months of weekly couples counseling sessions or six months on a twice-monthly schedule. We are sensitive to the expense this entails in time and dollars. However, anything less does not offer realistic possibilities for permanent life changes. Our therapists have very interactive styles and vigorously attempt to move couples therapy treatment forward to achieve the changes you desire.

We provide MasterCard, Visa and Discover credit card services to enable clients to budget for their psychotherapy treatments. Please call to discuss your situation and learn how best to proceed.

George Pazdral, MD, JD

DrGeorgePazdral2George Pazdral, MD, JD, has practiced psychiatry in Austin since 1982. He is board certified in general adult psychiatry and forensic (legal) psychiatry. He received his medical degree from the University of Texas Medical Branch in 1978, and has received specialty training at the New York Hospital – Cornell University Medical Center and the University of Texas Health Science Center in San Antonio.

His office-based practice offers both psychiatric evaluation and treatment, including cognitive-behavioral therapy and in-depth psychotherapy and counseling for personal change. Many treatment efforts utilize combined psychotherapy and medication. Dr. Pazdral works with other mental health professionals as a consultant, as a supplemental therapist, or as a prescribing psychiatrist.

Dr. Pazdral is also a 1988 graduate of the University of Texas School of Law. His experience in forensic psychiatry includes matters involving child custody, litigation, competency evaluations and adult and juvenile justice. Dr. Pazdral’s practice is exclusive to psychiatry. He does not practice law.

His other interests include spiritual and religious concerns as they affect mental health needs, risk management for physicians and for other mental health clinicians, and medical and mental health ethics consultations.

To reach Dr. George Pazdral’s office about his private-practice individual fees, please call (512) 328-2488.

For Your Austin Counseling Convenience

For more information, please call (512) 306-9992, or send an email to All inquiries are held in strict confidence. Please understand that no counseling will be provided via the Internet or e-mail. Working with you in person is the best way to help you achieve your goals.

Daytime and selected early-evening sessions are available, Tuesday through Thursday 10:00am to 6:30pm. You may choose from three types of sessions: individual, couples, and family. Please feel free to ask about other possibilities to fit your lifestyle and needs.

Ann McIntosh, MA, LCSW, Counseling and Psychotherapy

4407 Bee Cave Road
Building 5, Suite 513
Austin, Texas 78746


Video produced by Michael Quick of QuickOne Media Ann McIntosh is also listed on the following Web site directories: Psychology Today | | Eating Disorder Referral and Information Service