ADRIENNE COSSOM THERAPY

Couples Counselling Pitt Meadows

You’re here because something important keeps happening.

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You try to talk about an issue with your spouse, and somehow the conversation goes sideways. Voices rise. Defences go up. The same points repeat, and you both walk away feeling unheard.

Instead of feeling closer, you both walk away feeling unheard. Misunderstood. Alone.

You wanted a genuine conversation and to feel like you’re on the same team. To talk about something difficult without it turning into another exhausting loop.

Every Couple Hits This Point

Arguments circle around, and soon you both avoid the topics that matter most. Conversations circle the same arguments. Soon, you both start avoiding the topics that matter most.

Not because they’re unimportant, but because bringing them up feels like lighting a fuse. So you stay quiet. You change the subject. You push things aside. And slowly, something painful happens.

You begin living more like roommates than partners. The warmth fades. Resentment quietly builds. Suddenly, the smallest things spark outsized arguments. Resentment quietly builds.

You catch yourself thinking, why can’t we just talk? What’s wrong with us? Does my partner even care anymore? Or worse, is there something wrong with me?

But here’s the truth most couples never hear: Communication breakdown doesn’t mean your relationship is broken. It means you’re stuck in a pattern. A pattern that pulls both of you into the same argument over and over again.

The Good News?

Patterns can change when you recognize the cycle you’re in. When couples understand the cycle they’re caught in, everything begins to shift.

Instead of reacting automatically. You begin recognizing the triggers.
Instead of escalating, you learn how to interrupt the cycle before it explodes. And slowly, something powerful returns to your conversations: Curiosity. Kindness. Understanding.

You start hearing each other again. Not perfectly. But clearly. And with that clarity comes relief. Real relief. Because you finally feel like you’re moving forward instead of spinning in circles.

This is exactly the work I specialize in with couples, using an approach designed to uncover and change the communication patterns that keep partners feeling distant, rather than applying generic solutions.

Not quick tricks. Not surface-level advice. It’s about real change in how you communicate, understand, and repair conflict together.

My Experience

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With more than twenty years of focused experience, I guide partners through a proven process, one built on understanding and reshaping the patterns unique to their relationship, that helps them: Understand the emotional triggers beneath the arguments, and rebuild communication that works.

Most couples feel nervous before starting counselling. They worry the therapist will take sides. Judge them. Or tell them the relationship is beyond repair.

That is not how my unique process works; I create a space where both voices and stories are acknowledged and respected.

My role is not to pick a winner. My role is to help you both understand each other again. To create conversations that feel safer, clearer, and more productive. Because when couples regain that sense of connection, something remarkable happens. The relationship starts to feel like a partnership again.

Humans are wired for close, supportive relationships. When that bond feels strong, life itself feels lighter. Your relationship deserves this kind of connection.

It can start now.

Book your free consultation and take the first step.

Book an appointment now in Pitt Meadows

Frequently Asked Questions

How do counselling sessions work?

  • Sessions are 50 or 80 minutes in length.

  • We can meet in person, by video, or by phone — or use a combination, depending on what works best for you.

  • Your first session is a chance for you to see if my approach feels like a good fit. I’ll also ask a few extra questions to understand your background and your hopes for counselling.

  • Together, we’ll develop a plan for how often to meet and for how long. Many clients notice improvement within just a few sessions, and most don’t need more than eight appointments.

  • My approach is collaborative, supportive, and tailored to your needs — blending guidance with practical tools you can use in daily life.

How much does counselling cost?  Do my benefits cover the cost?  How do I pay?

  • My fee is $160 for a 50-minute individual appointment and $180 for a 50-minute couples session
  • Many extended health plans cover counselling.  If you have a plan, check to confirm coverage for a Registered Clinical Social Worker
  • I offer direct billing for Sunlife and Greenshield.  For those of you with different coverage, I ask for payment on the day of the appointment.  You will then be issued a receipt which you can submit for reimbursement
  • I accept payment by e-transfer, credit card, cheque and cash

What if I can’t afford therapy?

  • I believe cost should never stand in the way of getting help. If my services aren’t within your budget, contact me and I’ll share resources for free or low-cost counselling options in your community.

How do I book an appointment?  What is your availability?

  • You can view my availability and book directly online through the booking app links on my Contact page

  • I offer both daytime and evening appointments in my Port Coquitlam and Pitt Meadows offices

  • If you are not finding appointments that fit your schedule, reach out at adrienne.cossom@gmail.com to see if I can accommodate your scheduling needs