---
title: "Communication Problems in Relationships · Maryland Couples Therapy"
description: "Couples therapy for recurring conflict and communication breakdown across Maryland, by secure video, with Hélène Ndoye Diop, LCPC."
lang: en
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---

[![](/assets/logo-mark-tRNiWrBI.png)C-G Health Psychotherapy · Maryland ](/)

-   How I Work
    
    -   [How I work](/how-i-work)
    -   [What to expect in a first session](/what-to-expect-first-session)
    -   [Cognitive Behavioral Therapy](/cognitive-behavioral-therapy)
    -   [Schema Therapy](/schema-therapy)
    -   [Gottman method](/gottman-method)
    -   [Emotionally Focused Therapy](/emotionally-focused-therapy)
    -   [Psychodynamic therapy](/psychodynamic-therapy)
    -   [Mindfulness-based therapy](/mindfulness-based-therapy)
    
-   What I Treat
    
    Conditions
    
    -   [What I treat](/what-i-treat)
    -   [Anxiety therapy](/anxiety-therapy)
    -   [Depression therapy](/depression-therapy)
    -   [Trauma therapy](/trauma-therapy)
    -   [OCD therapy](/ocd-therapy)
    -   [Grief counseling](/grief-counseling)
    -   [Religious and spiritual concerns](/religious-and-spiritual-concerns)
    -   [Life transitions](/life-transitions)
    -   [Burnout and work stress](/burnout-and-work-stress)
    -   [Substance use counseling](/substance-use-counseling)
    -   [Bipolar support](/bipolar-support)
    
    Relationships
    
    -   [Couples therapy](/couples-therapy)
    -   [Relationship therapy](/relationship-therapy)
    -   [Infidelity and affair recovery](/infidelity-and-affair-recovery)
    -   [Separation and divorce support](/separation-and-divorce-support)
    -   [Premarital counseling](/premarital-counseling)
    -   [Communication problems in relationships](/communication-problems-in-relationships)
    
-   Who I See
    
    -   [Therapy for families](/therapy-for-families)
    -   [Therapy for young adults](/therapy-for-young-adults)
    -   [Therapy for seniors](/therapy-for-seniors)
    -   [Veterans and first responders](/therapy-for-veterans-and-first-responders)
    -   [LGBTQ+ affirming therapy](/lgbtq-affirming-therapy)
    -   [Culturally responsive therapy](/culturally-responsive-therapy)
    -   [Immigrants and first generation](/therapy-for-immigrants-and-first-generation)
    -   [Professionals and executives](/therapy-for-professionals-and-executives)
    -   [Clinical supervision in Maryland](/clinical-supervision-maryland)
    
-   Areas Served
    
    -   [Telehealth therapy in Maryland](/telehealth-therapy-maryland)
    -   [Therapy in Laurel, MD](/therapy-in-laurel-md)
    -   [Therapy in Columbia, MD](/therapy-in-columbia-md)
    -   [Therapy in Silver Spring, MD](/therapy-in-silver-spring-md)
    -   [Therapy in Bethesda, MD](/therapy-in-bethesda-md)
    -   [Therapy in Rockville, MD](/therapy-in-rockville-md)
    
    -   [Therapy in Baltimore, MD](/therapy-in-baltimore-md)
    -   [Therapy in Annapolis, MD](/therapy-in-annapolis-md)
    -   [Therapy in Frederick, MD](/therapy-in-frederick-md)
    -   [Therapy in Bowie, MD](/therapy-in-bowie-md)
    -   [Therapy in Gaithersburg, MD](/therapy-in-gaithersburg-md)
    -   [Therapy in College Park, MD](/therapy-in-college-park-md)
    
-   Français
    
    -   [Thérapie en français](/therapie-en-francais)
    -   [Thérapeute francophone au Maryland](/therapeute-francophone-maryland)
    -   [Thérapie de couple en français](/therapie-de-couple-en-francais)
    -   [Thérapie familiale en français](/therapie-familiale-en-francais)
    -   [Thérapie de l'anxiété en français](/therapie-anxiete-en-francais)
    -   [Thérapie de la dépression en français](/therapie-depression-en-francais)
    -   [Trauma et deuil en français](/trauma-et-deuil-en-francais)
    -   [Immigration et double culture](/immigration-et-double-culture)
    
-   Practical
    
    -   [Rates and insurance](/rates)
    -   [Out of network and superbills](/out-of-network-and-superbills)
    -   [Frequently asked questions](/faq)
    -   [About](/about)
    -   [Contact](/contact)
    -   [Crisis resources](/crisis-resources)
    

[Book an appointment](/contact)

![](/assets/logo-mark-tRNiWrBI.png)C-G Health Psychotherapy · Maryland 

-   How I Work
    
    -   [How I work](/how-i-work)
    -   [What to expect in a first session](/what-to-expect-first-session)
    -   [Cognitive Behavioral Therapy](/cognitive-behavioral-therapy)
    -   [Schema Therapy](/schema-therapy)
    -   [Gottman method](/gottman-method)
    -   [Emotionally Focused Therapy](/emotionally-focused-therapy)
    -   [Psychodynamic therapy](/psychodynamic-therapy)
    -   [Mindfulness-based therapy](/mindfulness-based-therapy)
    
-   What I Treat
    
    Conditions
    
    -   [What I treat](/what-i-treat)
    -   [Anxiety therapy](/anxiety-therapy)
    -   [Depression therapy](/depression-therapy)
    -   [Trauma therapy](/trauma-therapy)
    -   [OCD therapy](/ocd-therapy)
    -   [Grief counseling](/grief-counseling)
    -   [Religious and spiritual concerns](/religious-and-spiritual-concerns)
    -   [Life transitions](/life-transitions)
    -   [Burnout and work stress](/burnout-and-work-stress)
    -   [Substance use counseling](/substance-use-counseling)
    -   [Bipolar support](/bipolar-support)
    
    Relationships
    
    -   [Couples therapy](/couples-therapy)
    -   [Relationship therapy](/relationship-therapy)
    -   [Infidelity and affair recovery](/infidelity-and-affair-recovery)
    -   [Separation and divorce support](/separation-and-divorce-support)
    -   [Premarital counseling](/premarital-counseling)
    -   [Communication problems in relationships](/communication-problems-in-relationships)
    
-   Who I See
    
    -   [Therapy for families](/therapy-for-families)
    -   [Therapy for young adults](/therapy-for-young-adults)
    -   [Therapy for seniors](/therapy-for-seniors)
    -   [Veterans and first responders](/therapy-for-veterans-and-first-responders)
    -   [LGBTQ+ affirming therapy](/lgbtq-affirming-therapy)
    -   [Culturally responsive therapy](/culturally-responsive-therapy)
    -   [Immigrants and first generation](/therapy-for-immigrants-and-first-generation)
    -   [Professionals and executives](/therapy-for-professionals-and-executives)
    -   [Clinical supervision in Maryland](/clinical-supervision-maryland)
    
-   Areas Served
    
    -   [Telehealth therapy in Maryland](/telehealth-therapy-maryland)
    -   [Therapy in Laurel, MD](/therapy-in-laurel-md)
    -   [Therapy in Columbia, MD](/therapy-in-columbia-md)
    -   [Therapy in Silver Spring, MD](/therapy-in-silver-spring-md)
    -   [Therapy in Bethesda, MD](/therapy-in-bethesda-md)
    -   [Therapy in Rockville, MD](/therapy-in-rockville-md)
    
    -   [Therapy in Baltimore, MD](/therapy-in-baltimore-md)
    -   [Therapy in Annapolis, MD](/therapy-in-annapolis-md)
    -   [Therapy in Frederick, MD](/therapy-in-frederick-md)
    -   [Therapy in Bowie, MD](/therapy-in-bowie-md)
    -   [Therapy in Gaithersburg, MD](/therapy-in-gaithersburg-md)
    -   [Therapy in College Park, MD](/therapy-in-college-park-md)
    
-   Français
    
    -   [Thérapie en français](/therapie-en-francais)
    -   [Thérapeute francophone au Maryland](/therapeute-francophone-maryland)
    -   [Thérapie de couple en français](/therapie-de-couple-en-francais)
    -   [Thérapie familiale en français](/therapie-familiale-en-francais)
    -   [Thérapie de l'anxiété en français](/therapie-anxiete-en-francais)
    -   [Thérapie de la dépression en français](/therapie-depression-en-francais)
    -   [Trauma et deuil en français](/trauma-et-deuil-en-francais)
    -   [Immigration et double culture](/immigration-et-double-culture)
    
-   Practical
    
    -   [Rates and insurance](/rates)
    -   [Out of network and superbills](/out-of-network-and-superbills)
    -   [Frequently asked questions](/faq)
    -   [About](/about)
    -   [Contact](/contact)
    -   [Crisis resources](/crisis-resources)
    

[Book an appointment](/contact)

![A quiet room with a green armchair, a bookshelf and a desk by the window](/assets/hero-office-CfYACyEn.jpg)

Communication · couples

# The same argument, in a slightly different _outfit._ 

Couples therapy for recurring conflict and communication breakdown, across Maryland by secure video.

[Book an appointment](/contact)

Most couples who describe a communication problem can communicate perfectly well. What they cannot do is get through one specific conversation without it turning into the argument they have already had forty times.

The content changes. The structure does not. The work is on the structure.

## What is actually happening

Recurring conflict usually runs on a small number of moves: criticism that lands as character rather than behavior, defensiveness that answers a charge nobody made, contempt that ends the discussion, and withdrawal that reads as abandonment to the other person.

These are identifiable and, once named, visible in real time. Most couples can spot their own within two or three sessions.

![A single oak in soft golden morning light](/__l5e/assets-v1/3348e537-1d51-4564-8440-58301fd5df83/nature-oak.webp)

C 

## Repair, not victory

What distinguishes durable partnerships is not the absence of conflict but the ability to [repair afterwards](/gottman-method), quickly and without a formal negotiation.

A large part of the work is learning what a repair attempt from your partner actually looks like, since they are frequently made and just as frequently missed.

![](/__l5e/assets-v1/3845519e-f867-4035-82fc-449467453044/nature-water.webp)

A few markers before you get in touch.

![Warm sunlight across a reed bed at the water's edge](/__l5e/assets-v1/7e89d700-5d67-4611-85d3-2d1e4638e594/nature-reeds.webp)

## Underneath the pattern

Each partner brings expectations formed long before the relationship about what conflict means and what happens next. [Schema therapy](/schema-therapy) is used to look at these, because they explain why a small disagreement can produce a disproportionate response.

Understanding first, then decisions. Techniques applied without that understanding tend not to survive the first real fight.

## The practical frame

[Couples sessions](/couples-therapy) are 75 minutes at $280, by secure video, with both partners physically in Maryland. Individual sessions are $180 for 53 to 60 minutes.

Inquiries are answered within 24 to 48 hours. Sessions are available in English or French.

![Sunlight through a tall tree canopy](/__l5e/assets-v1/f003ee8f-bf81-4d59-834a-80b28c717d5a/nature-canopy.webp)

C 

Is this a fit?

## Is this the right fit? 

A few markers before you get in touch.

You'll likely get the most from this work if you are:

-   Couples across Maryland stuck in a repeating conflict 
-   Partners where one withdraws and the other pursues 
-   Couples who want tools they will still use in six months 

The work asks for:

-   Both partners attending 
-   A willingness to look at your own moves first 
-   Practice between sessions 

Related pages

## Keep reading

-   [![Backlit meadow grasses with a misty treeline](/__l5e/assets-v1/28215bb5-5cc6-49b1-bea1-66c26f24e5cd/nature-meadow.webp)
    
    ### Couples therapy
    
    Read more 
    
    ](/couples-therapy)
-   [![Still water at sunrise with a pine treeline](/__l5e/assets-v1/3845519e-f867-4035-82fc-449467453044/nature-water.webp)
    
    ### Gottman method
    
    Read more 
    
    ](/gottman-method)
-   [![A woodland path curving into morning light](/__l5e/assets-v1/971b41c8-ec16-432a-a08b-3440f77cf863/nature-path.webp)
    
    ### Relationship therapy
    
    Read more 
    
    ](/relationship-therapy)

Ready when you are

## Become the _author_ of your own life.

Telehealth psychotherapy across Maryland, in English or French. Individual and couples appointments; request one and a confirmation comes back within 24 to 48 hours.

[Book an appointment](/contact)[See how I work](/how-i-work)

![](/assets/logo-mark-tRNiWrBI.png)C-G Health Psychotherapy · Maryland 

C-G Health, Inc. provides telehealth psychotherapy across Maryland with Hélène Ndoye Diop, LCPC. Bilingual in English and French.

-   Licensed Clinical Professional Counselor
-   Maryland license LC3023
-   Seventeen years in practice
-   Secure video only · Maryland residents only
-   Phone: [410-292-9680](tel:+14102929680)

Practice

-   [How I Work](/how-i-work)
-   [What I Treat](/what-i-treat)
-   [About](/about)
-   [Rates](/rates)
-   [FAQ](/faq)
-   [Contact](/contact)

Specialties

-   [Couples therapy](/couples-therapy)
-   [Relationship therapy](/relationship-therapy)
-   [Anxiety therapy](/anxiety-therapy)
-   [Depression therapy](/depression-therapy)
-   [Trauma & PTSD](/trauma-therapy)
-   [OCD therapy](/ocd-therapy)
-   [Grief counseling](/grief-counseling)
-   [Life transitions](/life-transitions)
-   [Burnout & work stress](/burnout-and-work-stress)
-   [Substance use counseling](/substance-use-counseling)
-   [Bipolar support](/bipolar-support)

Approaches & who I see

-   [Family therapy](/therapy-for-families)
-   [Veterans & first responders](/therapy-for-veterans-and-first-responders)
-   [Seniors (65+)](/therapy-for-seniors)
-   [Young adults (18–29)](/therapy-for-young-adults)
-   [Thérapie en français](/therapie-en-francais)
-   [Telehealth in Maryland](/telehealth-therapy-maryland)
-   [Out-of-network & superbills](/out-of-network-and-superbills)
-   [Schema therapy](/schema-therapy)
-   [Psychodynamic therapy](/psychodynamic-therapy)
-   [Gottman Method](/gottman-method)
-   [Cognitive Behavioral Therapy](/cognitive-behavioral-therapy)
-   [Mindfulness-based therapy](/mindfulness-based-therapy)

© 2026 C-G Health, Inc. All rights reserved.

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