Dr. Viviana Coles is President and Lead Psychotherapist at Houston Relationship Therapy. Dr. Coles holds a Bachelor’s Degree in Psychology and Master’s and Doctoral Degrees in Marriage and Family Therapy. She is also President at the National Sex Therapy Institute, a Sex Therapy Certification program for mental health professionals.
Need to be seen asap/today? Please call 1.800.913.9613 for Urgent Session options.
NOTE: Special accommodations can be made for clients who require special privacy measures on a case-by-case basis.
Catch her live most mornings at Fox 26 Houston’s Morning Show where she is the Resident Relationship Expert and as the Marriage and Intimacy Expert on hit show Married At First Sight (Seasons 9-14) available on all major streamers, including Netflix and Hulu.
Concierge Couples Counseling with Dr. Viviana
A selective, marriage-preservation model for couples who want proactive, intentional support during both calm and high-stress seasons.
Availability: This service is offered exclusively to couples residing in Texas, California, New York, and Florida, where Dr. Viviana is licensed.
A Different Approach to Couples Counseling
After more than 20 years of clinical experience, Dr. Viviana has found that the deepest and most lasting change for couples happens when care is continuous, intentional, and responsive to real life—not limited to weekly sessions or sporadic returns during crisis.
Many couples cycle in and out of therapy: they seek help when things are hard, pause once life stabilizes, and then return months later saying, “We shouldn’t have stopped.” Not because they failed—but because relationships need ongoing care, not just repair.
This concierge model was created to address that gap.
Dr. Viviana believes that regular check-ins and maintenance sessions are just as important as crisis-focused therapy. Preventive care allows couples to protect intimacy, address issues early, and stay aligned as life evolves.
In her experience, this approach leads to stronger accountability, deeper engagement, and more meaningful long-term outcomes than traditional in-and-out models of care.
Who This Model Is For
This model is designed for couples who:
- Love each other and are committed to staying together
- Want to protect their marriage before problems escalate
- Value discretion, depth, and experienced clinical guidance
- Prefer intentional, needs-based pacing over standing weekly sessions
- Are willing to invest energy and attention into long-term relationship health
This is not a fit for couples seeking casual coaching, unlimited access, or an open calendar they can book at any time.
How the Concierge Model Works
“I intentionally manage a limited schedule to ensure availability when it matters most.”
Concierge couples counseling is structured around:
- Continuity of care
- Priority access during urgent moments
- Flexible pacing based on real-time needs
Rather than defaulting to weekly sessions, care adapts to your relationship—offering increased support during high-stress seasons and intentional maintenance during calmer periods.
Sessions are coordinated directly and scheduled thoughtfully, not through open self-booking.
$695/hr with most couples sessions being 2-hours
Priority scheduling allows her clients to have access to her based off of their relationship’s needs.