Rebeca sees couples in English and in Spanish. She works mostly from Emotionally Focused Therapy, with some Imago dialogues, and keeps a slow pace.
Couples and premarital therapy · Las Vegas
Therapy for the two of you, in Las Vegas
Tether is two couples therapists, Rebeca Barrera and Harish Doshi. We see couples and engaged pairs in person or by video, in sessions of 50 or 80 minutes. Rebeca sees couples in Spanish and in English; Harish, in English.
Who it is for
Who Tether is for, and who it is not
Couples in a rut
You may love each other and still not know how to get through the week. Sessions are for talking to each other with someone helping.
Engaged pairs
Before a wedding, premarital sessions give family, money, children and arguments a place to be talked about.
Couples who want Spanish
Rebeca sees couples fully in Spanish, or in both languages if that is how you talk at home.
When this is not the first step
If one of you is afraid of the other, couples therapy is not a safe place to start. Tell us, and we will help you find the right help first.
Before you book
Three ways to do couples therapy, side by side
Couples ask which method to choose. Here are the three we draw on, in plain words. Your clinician explains how they use each one.
| Emotionally Focused Therapy (EFT) | The Gottman method | Imago therapy | |
|---|---|---|---|
| What it looks at | Emotionally Focused Therapy (EFT)The pattern between you: who reaches, who pulls back, and what each of you feels underneath. | The Gottman methodHow you handle disagreement, friendship and shared goals, starting with a questionnaire each of you fills in. | Imago therapyHow old hurts, often from childhood, show up in the relationship you have now. |
| What a session feels like | Emotionally Focused Therapy (EFT)Mostly conversation, slow and paced. Your clinician helps each of you say what you need and hear the other. | The Gottman methodMore structured: exercises in the room, and goals you set together. | Imago therapyDialogues with a set form: one of you speaks, the other repeats back what they heard. |
| Between sessions | Emotionally Focused Therapy (EFT)Notice the pattern when it happens. No homework unless you want some. | The Gottman methodShort exercises, such as a daily check-in. | Imago therapyA few minutes of the dialogue at home. |
| Who it may suit | Emotionally Focused Therapy (EFT)Couples who keep having the same argument and want to understand it. | The Gottman methodCouples who like a plan and things to practice. | Imago therapyCouples who want a set way to talk when it gets heated. |
What we offer
Every session is 50 or 80 minutes, and you choose
The same two lengths on every service. Eighty minutes leaves room for both of you to speak and to rest in between.
- 50 or 80 minutes
Couples therapy
For two partners, married or not, who want help talking to each other and being heard.
About couples therapy - 50 or 80 minutes
Premarital counseling
For engaged pairs who want to talk through family, money, children and how they argue before the wedding.
About premarital counseling - 50 or 80 minutes
Sessions in Spanish
Couples therapy with Rebeca entirely in Spanish, or in both languages if that is how you talk at home.
About sessions in Spanish
How it starts
From a first message to a first session
- 01
You write or call
Tell us which times suit both of you and which language you would like. You do not need to say more.
- 02
We reply
We say who has an opening, and when. You choose between Rebeca and Harish.
- 03
A fee in writing
Your fee is given to you in writing before you start, with a good faith estimate if you pay without insurance.
- 04
The first session
Eighty minutes with both of you, to get to know each other and to see whether we fit. After that, 50 or 80.
Your clinicians
Two clinicians, and you choose
Rebeca sees couples in English and in Spanish. Harish sees couples in English. Meet them before you book: each has a page of their own.
Harish sees couples and engaged pairs in English. He works mostly from the Gottman method, with some Imago dialogues, and likes to leave you one small thing to try during the week.
Licenses
Who is licensed, and where
The license numbers are in the footer. A clinician's page says how they work; this says what lets them practice.
Licenses
Rebeca Barrera, Licensed Marriage and Family Therapist (LMFT)
NV Lic. # 000000 · Nevada Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors
Required to practice marriage and family therapy in Nevada
Harish Doshi, Licensed Clinical Social Worker (LCSW)
NV Lic. # 000000 · Nevada State Board of Social Work Examiners
Required to practice clinical social work in Nevada
Languages
Rebeca Barrera: English and Spanish
Harish Doshi: English
How fees work
What nearly every couple asks before a first session.
Insurance we work with
Tether is out of network with every insurance plan, so we do not bill your plan: you pay for each session yourselves. A plan often covers couples therapy only when one partner has a diagnosis, so ask yours before you start. If you want a clinician who bills your plan, we will gladly give you names.
Out of network with insurance plans
Medicare and Medicaid are not accepted
If you pay yourself
Your fee depends on the length of the session, 50 or 80 minutes, and on which clinician you see. It is one fee for the session, not one for each partner, and it is given to you in writing before you start. A limited number of reduced-fee spots are open; ask how to request one. HSA and FSA cards can be used. We ask for 24 hours' notice to change an appointment.
Receipts for reimbursement
Each month we give you an itemized receipt (a superbill) with the dates and the length of each session, to send to a plan that may reimburse part of out-of-network care. It carries a diagnosis code that your insurer can see. Your plan decides whether it pays anything, and reimbursement is never guaranteed.
An estimate in advance
If you pay without insurance, you have the right to receive a written good faith estimate of what your care will cost before you start. We send one before your first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.
Checking your benefits
We do not check benefits, because we do not bill your plan. To find out whether your plan reimburses out-of-network care, call it before the first session and ask about out-of-network mental health benefits for couples therapy, and which diagnosis code it needs.
By video
Where we see couples by video
In person we are on West Sahara Avenue. By video we see couples in the state where we are licensed: today, Nevada. Both of you must be in Nevada during the session.
- Las Vegas
- Henderson
- North Las Vegas
- Summerlin
- Boulder City
- Enterprise
If either of you is outside Nevada during a session, we cannot yet see you. We will help you find someone licensed where you live.
Questions
What couples ask us before they book
Do you take our insurance?
Tether is out of network with insurance plans, so we do not bill your plan. A plan often covers couples therapy only when one partner has a diagnosis. We can give you a monthly receipt to send to your plan; it may reimburse part of the cost, and it may not.
What is a superbill, and can we use one?
A superbill is an itemized receipt, with the dates, the length of each session and a diagnosis code, that you can send to your plan, which may reimburse part of the cost and decides for itself. Ask your plan how it wants to receive it.
What is a Good Faith Estimate?
If you pay without insurance, you have the right to a written estimate of the cost of your care before you start. We send one before your first session. If the final bill is $400 or more above it, you can dispute the bill. The estimate is not a contract.
How much does it cost, and how do fees work?
Your fee depends on the length of the session, 50 or 80 minutes, and on which clinician you see. It is one fee for the session, not one for each of you. We give it to you in writing before you start. The page on how fees work has the details.
Can we use an HSA or FSA card?
Yes, HSA and FSA cards can be used for sessions. Your plan sets its own rules, so ask it whether couples therapy qualifies.
What happens in the first session?
The first session is 80 minutes with both of you. We ask what you would like to be different, hear each of you in turn, and talk about how we would work together. You do not have to decide anything that day.
How often do we meet, and for how long?
Sessions are 50 or 80 minutes, and you choose. Most couples meet every week or every other week at first. Your clinician sets the pace with you and does not promise a number of sessions.
Are you licensed where we live?
We are licensed in Nevada. In person, that means our office on West Sahara Avenue. By video, both of you must be in Nevada during the session.
What do we do in a crisis?
This site and our messages are not monitored around the clock. Call or text 988 any time, or call 911 in an emergency. If you are afraid of your partner, couples therapy is not the right first step; call us or use the help on our crisis page.
What is private, and what are the limits?
We keep your records private and share them only as the law allows. The law has limits: a serious risk of harm, abuse of a child or an older adult, or a court order. In couples therapy we do not keep secrets between partners.
Do you see teens, children or families?
No. Tether sees adult couples and engaged pairs. If you are looking for a clinician for a teen or a child, we will gladly give you names.
What is your cancellation policy?
Please give us 24 hours' notice to change or cancel an appointment. Write or call and say which session; we will find another time.
Write to us
Tell us how the two of you would like to start
We answer by the method and at the time you choose. If one of you would rather not be named in a message, just say so.
Phone(702) 555-0108
Hours
- Monday – ThursdayToday
- 12 p.m. – 9 p.m.
- FridayToday
- 10 a.m. – 4 p.m.
- SaturdayToday
- 9 a.m. – 1 p.m.
- SundayToday
- Closed