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Cambridge·Online
Integrative Behavioural Couple Therapy · Cambridge and online

Couples therapy in Cambridge

When you keep arguing about the same thing and neither of you can find the way out.

You love each other, and yet sharing a life has become exhausting. I’m not here to give you advice or decide who’s right: I’m here to help you break the pattern that keeps you stuck.

Your first 15-minute conversation is free. Sessions in English or Spanish. All couples are welcome, and this is a 100% safe space for LGBTQ+ people.

The three most common reasons
01An affair has broken trust and you don’t know how to rebuild it.
02Exhausting arguments that only make the problem bigger and always end the same way.
03You’re thinking about separating, but emotionally you can’t, because you still love them.

These patterns harden over time and tend to resist traditional approaches. Integrative Behavioural Couple Therapy (IBCT) was designed for exactly that.

Psychologist in Cambridge
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Warning signs

When is it time for couples therapy?

Unhappiness rarely arrives all at once: it creeps in little by little. If you recognise three or more of these signs, you’re not just going through a rough patch. You’re caught in a pattern.

The same arguments on repeatYou argue about different things but always end up in the same underlying fight.
Tense or cold communicationImportant conversations end in blame or awkward silences.
Damaged trustJealousy, suspicion or an affair, and no idea where to start dealing with it.
Emotional or sexual disconnectionLow desire, disagreements about intimacy, or the feeling that you’re living like flatmates.
A life change has knocked you off balanceA pregnancy, a move, a new job or retirement has upset the balance between you.
You’re thinking about separatingTherapy helps with that too: deciding with clarity and, if separating is the right step, doing it with far less hurt.
How you talk to each other when you argue

The Four Horsemen and their antidotes

The psychologist John Gottman spent decades watching couples argue and described four ways of talking that, once they become a habit, slowly wear a relationship down. He called them the Four Horsemen: criticism, contempt, defensiveness and stonewalling. Each one has an antidote. Read each line, decide which horseman is showing up, and the card will flip to show how it could be said instead.

Educational activity · not a testResearch with couples, used as a map of communication

    Each horseman turns into its antidote once you uncover one of its cards.

      0 of 8 cards uncovered

      A note on reading this: the Four Horsemen come from observational research with couples, mostly married couples in the US. Here we use them as a map of communication to recognise patterns, not to label anyone or predict what will happen to you. If your arguments involve fear, threats or control, that isn’t a communication problem: please read “Is this a good time for couples therapy?” further down.

      Sources: Gottman & Silver (1999), The seven principles for making marriage work (horsemen, antidotes and physiological self-soothing); Gottman (1994), What predicts divorce?

      What’s really going on

      The loop almost every couple gets caught in

      One of you moves towards the problem; the other moves away from the heat. Each move is a reasonable response to the other’s, which is exactly why it never gets resolved: what calms one of you is what alarms the other.

      One pushes and moves in The other pulls away felt as pressure felt as abandonment

      The one who pursues

      Brings the subject up again, asks one more time, follows the other into the next room, and sometimes says it badly because saying it nicely didn’t work. Underneath: if I stop pushing, nothing will ever change.

      The one who withdraws

      Goes quiet, gives short answers, leaves the room, or agrees to everything just to make it stop. Underneath: if I engage now, this will get worse and I’ll say something I can’t take back.

      Neither role is the bad guy, and arguing over who’s right gets you nowhere. In therapy we make the loop visible as it happens, in the session, and build a different way out. It’s a skill you can practise, not a personality change.

      1You learn to spot the loop in the first thirty seconds, before it picks up speed.
      2You have a way to stop mid-argument that is neither slamming the door nor giving in.
      3Making up no longer takes three days. That change alone transforms your week.
      The loop, in motion

      The pursuer–distancer dance

      Move either slider and try to make just one person move. You won’t manage it: the more one pushes, the further the other pulls away, and the further one pulls away, the harder the other pushes. This is the loop you’ve just read about, seen from the inside.

      Educational activity · not a test

      One of you raises something that matters to you. You’re still close.

      Animated scene: two figures, the pursuer and the withdrawer. As the pushing increases, the distance between them grows. distance the pursuer the withdrawer

      The pursuer

      The withdrawer

      What the pursuer wants: closeness. What they get:little distance

      The problem is the dance, not the couple.

      The pursuer isn’t “needy” and the withdrawer isn’t “cold”: each is responding to what the other does. The roles can swap depending on the topic, and they have nothing to do with gender. That’s why, when a single step changes, the whole dance changes.

      1. 1

        Watch the dance from the outside

        In Integrative Behavioural Couple Therapy (IBCT) this is called unified detachment: together we describe the sequence step by step, as if you were watching it on video, without looking for someone to blame. Many couples end up giving it their own name (“here we go, the hallway again”), and naming it already slows it down.

      2. 2

        Say what’s underneath

        This is empathic joining: behind the pushing there’s often a fear of not mattering; behind the withdrawing, a fear of things getting worse or of letting the other down. Once that’s said out loud, the other person stops experiencing it as an attack.

      3. 3

        Rehearse new steps

        With that groundwork, change follows: asking without blaming, and taking a break while saying when you’ll be back. We rehearse it in session, with your real issues, until it stops feeling hard.

      A simplified scene for educational purposes: in a real relationship many more things are at play. If your arguments involve fear, threats or control, it isn’t a dance between equals; please see “Is this a good time for couples therapy?” further down.

      The small moments

      Turning towards: the everyday bids for connection

      John Gottman’s team calls them bids: tiny gestures that ask for the other person’s attention, like a comment, a complaint or a sigh. You can respond to each one by turning towards your partner, turning away or turning against. Each scene shows a bid and a response: decide which way it turns. Nobody is being scored here; it’s about training your eye.

      Educational activity · not a test

      Scene 1 of 6

      The response

      Which way does this response turn?
      How it works

      How Integrative Behavioural Couple Therapy (IBCT) is structured

      Developed in the US by Neil Jacobson and Andrew Christensen, IBCT combines change strategies (for what can be changed) with acceptance tools (for what can’t). It is an evidence-based model that has been shown to work even with long-standing problems that haven’t shifted with other help.

      Session 1 · 90 min

      The two of you, together

      Your story, what changed, and a detailed look at your last bad week. A neutral space where you are both heard and nobody is judged. If the loop starts up, I’ll stop it: you already know how it ends.
      Sessions 2 and 3 · 60 min

      An individual session with each of you

      Your personal history, your doubts and the things that are hard to say in front of your partner. Before we start, the three of us agree on what I do with what’s said here, so nobody is left wondering.
      Session 4 · 90 min

      Back together, with a map

      I explain in plain language what I think keeps this going, we set goals, and I give you an estimate of how many sessions it would take. You’re free to disagree with my version: that conversation is useful too.

      The ground rules

      I’m not a referee

      Nobody will be declared the winner. If I take anyone’s side, it’s the relationship’s, and I’ll say so out loud.

      Staying together isn’t the goal

      A good outcome is a decision you both understand. Sometimes that means repairing things; sometimes it means separating with far less damage.

      If only one of you comes

      We can still work. One person coming already changes the dynamic: it’s common, and there are specific tools for it.

      When it isn’t the right fit

      Where there is physical violence, serious coercive control or an ongoing affair that isn’t being addressed, joint therapy can be counterproductive or unsafe. Tell me on the call and I’ll point you towards the right support.
      Your map · 5 steps, about 4 minutes

      Your DEEP formula: draw the loop

      In Integrative Behavioural Couple Therapy (IBCT), the map I share with you in the fourth session has four pieces that spell DEEP: Differences, Emotional sensitivities, External stress and Patterns of communication. Sketch a first draft here, alone or with your partner, and skip anything you’re unsure about: with each step, the two threads weave together.

      Educational activity · not a test

      If there is fear, threats or violence in your relationship, it isn’t a communication problem. In an emergency, call 999. National Domestic Abuse Helpline: 0808 2000 247 (free, 24/7). If you’re thinking of harming yourself: Samaritans 116 123.

      Before you book

      Is this a good time for couples therapy?

      Couples therapy helps in many situations, but not all of them. Tick the statements that describe where you are right now and the traffic light will give you some guidance: green, amber or red, with what is usually recommended in each case. There’s no score, and nothing you tick is saved or sent anywhere.

      Educational guidance · not a test
      Right now, in our relationship…

      If you’re afraid of your partner or in danger: National Domestic Abuse Helpline 0808 2000 247 (free, 24/7) · 999 in an emergency · Men’s Advice Line 0808 8010 327. If you’re thinking of harming yourself: Samaritans 116 123 (free, 24/7). In Spain: 016 / 112.

      Front of Tamara House, home of the psychology practice on Queen Edith’s Way, Cambridge
      Where we meet
      Tamara House, 30 Queen Edith’s Way
      Cambridge CB1 7PL

      A quiet, private room on a leafy road in south Cambridge. Under a mile from Addenbrooke’s and the Biomedical Campus, about two miles from the city centre. Online sessions are available too.

      Fees

      How much couples therapy costs

      In Cambridge, private couples therapy typically costs between £90 and £200 a session. These are my fees, published in full with no small print, so that money isn’t the reason you don’t get started.

      First conversation15 minutes by phone or video, with one of you or both. I’ll explain how it would work and what it would cost in your case.
      No obligationFree
      Joint session · 90 minThe main format of the process, usually fortnightly. Ninety minutes so you both get to speak and still leave with something done.
      In person£120
      Online£100
      Individual session within the process · 60 minOne with each of you at the start, and the odd extra one if the process calls for it. Charged at the individual rate.
      In person£90
      Online£80
      No packages or bundlesYou pay session by session, by bank transfer before each session. No buying a block of sessions in advance, and no minimum number.
      CancellationsFree with at least 48 hours’ notice. With two diaries to juggle, things come up.
      How many sessionsIt varies from couple to couple, but by the fourth session you’ll have a concrete estimate, not an open-ended number.
      Book your free call

      Where am I?

      I am based in Cambridge, UK. My central practice is located within walking distance from Addenbrooke’s hospital. I currently offer mostly in in-person and online sessions.

      For clients in other locations (including Europe or USA) sessions are 100% online, with the same quality and confidentiality as in‑person therapy. Wherever you are, you can count on professional and close support.

      Skip map

      Location map

      Interactive map with 1 marker. Use Tab to focus the map. Arrow keys can pan once focused.

      Frequently asked questions

      What couples ask before booking

      Do we both have to come to every session?

      To the joint sessions, yes: that’s what lets us work on the conflict from the inside. The process also includes individual sessions with each of you. And if one of you can’t or won’t come, therapy isn’t ruled out: we work with whoever comes.

      What if my partner isn’t convinced about therapy?

      It’s one of the most common situations, and it isn’t a dead end. We work with whoever comes: what isn’t working in your communication, what fears are holding your partner back, and how to stop responding out of frustration. One person taking the step already changes the dynamic.

      How long is each session and how much does it cost?

      Joint sessions last 90 minutes and cost £120 in person in Cambridge or £100 online. Individual sessions within the process last 60 minutes and cost £90 in person or £80 online. The first 15-minute call is free. You’ll find the details under fees.

      Are there times when couples therapy isn’t appropriate?

      Yes. Where there is physical violence, serious coercive control or an ongoing affair that isn’t being addressed, joint therapy can be counterproductive or even unsafe. In those cases individual therapy is the right route and, if there is violence or abuse, legal and protective support too. Tell me and I’ll point you in the right direction.

      Can we do couples therapy online?

      Yes, and with two diaries to juggle it’s often the most realistic option. You can join together from home or each from wherever you are. If you live in or near Cambridge, you can also mix online sessions with occasional in-person ones. Sessions can be in English or Spanish.

      Will you take one of our sides?

      No. My job isn’t to hand out blame or give advice, but to understand how you work when you’re in conflict and break that pattern. All kinds of couples are welcome, and sessions are a safe space for LGBTQ+ people.

      You don’t have to be on the brink of breaking up to ask for help

      Fifteen minutes by phone or video, free and with no obligation. Tell me roughly what’s going on and I’ll tell you honestly whether I can help.

      Book your free call

      Or email me at jose.gonzalez.m@cop.es or message me on WhatsApp at +44 7490 975208. I reply within 24 working hours.

      Book a free conversation

      Here you can tell me what's on your mind, ask a question, or request an appointment with no obligation. All communication is protected by professional confidentiality.