Couples Therapy in North Carolina

Why Couples Choose Our Approach

Marriages Helped
Since 2013
Assessment Questions
Most comprehensive available
Expert Couples Therapists
Advanced Gottman-trained
Hours of Focused Energy
Over 2.5 transformative days

Why Does Assessment Matter?

1. You Won’t Waste Your Expensive Intensive Repeating Your Story

Most couples spend their first intensive session explaining their history. Not here. Our 1,864-question assessment tells your story FOR you—so your therapist arrives knowing your patterns, your pain points, and what you’ve already tried.

2. Start Fixing From Minute One

The assessment reveals your communication cycles, conflict triggers, and hidden dynamics before you walk in the door. That means more time actually healing—not just explaining what’s broken. You paid for solutions, not storytelling.

3. Assessment Reveals What You CAN’T See

You know you’re stuck. But you can’t see WHY from inside the cycle. Our assessment reveals the invisible patterns: pursue-withdraw dynamics, the real needs underneath surface complaints, the bids for connection you’re both missing. When you can see the pattern, you can finally change it.

Ready to take the next step?
Begin your couples retreat inquiry today — we’ll walk you through every detail, with care.


“The intensive therapy centers around the BIG BIG Book. Put the time and effort into thoroughly completing this. It provides your therapist with the background so your time is spent discussing the core issues, not explaining your history.”

–Recent Couples

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Discuss if our assessment-based intensive is right for you

OUR RETREAT

When the Distance Feels Unbridgeable

Once, a glance was enough to warm the room.

You shared stories, laughter—even the quiet felt safe.

But something shifted.

Now, the silence feels like distance. Inches apart at the table, miles apart in meaning.

The connection that once felt effortless now feels out of reach.

Our Retreat

When the Distance Feels Like Too Much to Close


Many couples wait too long to get support. By the time they reach out, they’re tangled in hurt feelings, miscommunication, and emotional fatigue. We work with couples across the spectrum—from fiery conflict to long silences and everything in between.

In a North Carolina couples therapy intensive, you’ll have space to slow down, unpack what’s happening, and rebuild your connection with clarity and care. Our approach is rooted in science, compassion, and the belief that real change is always possible.

A classic vintage truck parked outside a historic tavern with red brick facade.

That’s what our intensive retreats in Tuckasegee & Asheville offer:

Time. Focus. Privacy.

A way to begin again—together.

These private retreats don’t just change how you talk.

They change how you relate—while you’re still in the thick of it.

You’ll unpack the deeper dynamics, rebuild emotional safety, and try out new ways of responding in real time.

It’s immersive, transformative, and built for couples who are done waiting for things to improve on their own.

Rediscover each other through a couples therapy intensive in Western North Carolina.

Do the deep work. Find your way forward—faster.

Why a Retreat?

Because some breakthroughs need more than an hour on the calendar.

In weekly therapy, time runs out just as things get real.
You’re opening up—then you’re out the door.

But in a retreat, you get the time and space to go all in.
No rushing. No distractions.

Just uninterrupted focus, expert guidance, and the chance to actually feel the change begin.

These Southern retreats offers the perfect setting to slow down, tune in, and start healing for real.

Just skilled, focused help—and time to feel something shift.

You’ve done what you could
in short bursts.


Now give your relationship
the depth it deserves.


More time = deeper work.
More focus = faster insight.
More privacy = fewer defenses.

This isn’t therapy as usual. It’s a reset.

One designed for couples who are ready to stop spiraling—and start rebuilding.

Meet Your Couples Therapist
in Tuckasegee & Asheville

Sierra Kehoe

Couples often come to me at a crossroads—hurting, stuck, and unsure whether repair is still possible. My role isn’t to take sides. It’s to hold the space for truth, structure the work, and guide you back to connection without shame or blame.

I draw from over two decades of experience, including 14 years of intensive in-home therapy, which taught me how to track systems, respond in real time, and see the patterns that drive disconnection. I’m a Certified Gottman Method Therapist and trained in Emotionally Focused Therapy (EFT) and EMDR. I specialize in affair recovery, trauma-informed work, and helping couples who love each other but keep missing each other in the day-to-day.

My clients describe me as calm, clear-eyed, and deeply present. I offer a steady hand through the emotional mess, helping you speak the unspeakable and reconnect with what matters most. Whether you’re navigating betrayal, parenting stress, or the quiet ache of disconnection, I help you find your way back—without losing yourself in the process.


Asheville & Tuckasegee, North Carolina

Peaceful, Creative, and Grounded in Nature.

Where Clarity Meets Calm.


Asheville offers a perfect blend of quiet charm and soulful inspiration. Nestled in the Blue Ridge Mountains, it’s a place where couples can slow down, breathe deeper, and connect more honestly. Whether you’re sharing a meal downtown, walking a wooded trail, or just listening to the river flow—something shifts here.

Sierra sees clients in two locations: a serene, private office in downtown Asheville, and a cozy retreat space in Tuckasegee—a lakeside mountain town that invites stillness and reflection. Both settings are ideal for couples who want to get away from the noise and focus on what matters.

If you’re looking for a restorative, nature-rich setting to do deep work together, the mountains of North Carolina offer just that.
Come for the therapy. Stay for the clarity.


When Love Hurts, It Reverberates

Relationship pain doesn’t stay in its lane. It echoes—through your parenting, your productivity, even your physical health.

You hear it in the curt goodnights.
You feel it in the pit of your stomach before speaking up.
You see it in the growing distance between you.

This kind of disconnection isn’t just exhausting—it’s disorienting. It erodes trust, self-worth, and the belief that things can ever feel good again.

And while friends may offer clichés or pick sides, what you really need is deeper.

You need grounded, skilled support.
You need space to be honest.
You need a path forward you can actually follow.

“Couples don’t break because they argue. They break because they stop believing things can change.
Our work is to restore that belief—with skill, structure, and truth.”

— Dr. Kathy McMahon, Founder, Couples Therapy Inc.

Is an Intensive Retreat Right for You?

Our retreats are designed for couples who are:

  • Facing infidelity, separation, or crisis
  • Stuck in patterns traditional therapy hasn’t shifted
  • Navigating long-distance or high-demand lives with limited time together
  • Preparing for marriage with depth, clarity, and intention
  • Hoping to strengthen an already solid bond

If you’re coping with untreated mental illness, active addiction, or domestic violence, those concerns deserve specialized care—and we’re happy to refer you to professionals who can help.

We are not a fit for every couple.

Healing takes courage. We work best with couples ready to show up with heart, honesty, and effort.

This isn’t about fixing everything.

It’s about fighting
for what still matters.

After the Retreat: Carrying It Forward

The breakthroughs don’t end when your retreat does.

We offer structured follow-up to help you maintain the gains you’ve made, including:

  • Online check-ins
  • Personalized home practices
  • Ongoing therapy (in-person or virtual)
  • Annual “refresher” retreats

We’re here for your growth.

We’re not just here for your crisis.

How is all of this done?

That’s why we’ve mapped the path—step by step, human to human.
No guessing. No “choose from a list of strangers.”

Just a clear, guided process that starts with listening—really listening—and ends with a match that actually fits.

We’ll walk you through what working with us looks like, how we choose your therapist, and what to expect every step of the way. Whether you’re nervous, hopeful, or somewhere in between, you’ll come away knowing what happens from your first call to your final day.

Prefer Atlanta? Check out our Atlanta Georgia Couples Therapy Retreat!

Let’s Begin


Not everything can be fixed overnight.

But this could be the weekend things finally shift.