Online therapy for New Hampshire adults and couples
Licensed Clinical Mental Health Counselor offering individual therapy and couples therapy across New Hampshire via secure telehealth. Specializing in infidelity recovery, intimacy work, and neurodivergent-affirming therapy for ADHD, Autism, and AuDHD. From the Seacoast to the White Mountains, the Lakes Region to the Monadnock.
A licensed mental health therapist for the Granite State
New Hampshire is small geographically but spread across communities that don't always have nearby specialty-trained therapists. From Pittsburg to Salem, from the Seacoast to the Connecticut River Valley, online therapy means you're not limited to the closest provider in your zip code.
Sagebrush Counseling is a solo New Hampshire mental health practice serving adults and couples across all 10 counties via secure telehealth. Licensed in NH as a Clinical Mental Health Counselor (LCMHC #5711), the work focuses on three areas where I have deep specialty experience: trust and infidelity recovery, intimacy and connection, and neurodivergent-affirming therapy for ADHD, Autistic, and AuDHD adults and couples.
"This is mental health counseling for emotional, relational, and mental health concerns."
Whether you live in Manchester or Meredith, Portsmouth or Plymouth, this practice serves you the same. Same depth of work, same specialty experience, same evening and Saturday availability. Just delivered through video instead of a waiting room.
Three areas of focused experience
Specialty experience matters more than general practice. These three areas are where my training and clinical focus live, available for both individual therapy and couples therapy across New Hampshire.
Affair recovery and betrayal repair
For NH couples navigating physical affairs, emotional affairs, online or app-based betrayals, financial deception, or sustained dishonesty. Gottman-method affair recovery, attachment-informed work, and structured repair when both partners want to try.
Learn moreCouples therapy and marriage counseling
For New Hampshire couples experiencing communication breakdown, emotional distance, desire discrepancy, sexual disconnection, or the slow drift that happens when work and life crowd out the relationship. Includes 90-minute extended sessions for couples who want to move faster than weekly.
Learn moreADHD, Autism, and AuDHD adults & couples
For New Hampshire adults and couples navigating ADHD, Autism, AuDHD, or any combination. AANE-trained, neurodivergent-affirming work built around how you actually function rather than neurotypical assumptions. Late diagnosis, self-identification, and questioning all welcome.
Learn moreBuilt for small towns and big winters
New Hampshire's geography creates real barriers to specialty mental health care. Rural and small-town NH residents often face long drives to find a specialty-trained therapist. Cross-border commutes to Boston or Burlington for in-person therapy aren't sustainable long term.
Online therapy removes those barriers. Sessions happen from your home regardless of season — no driving through snow to make a 5pm appointment, no rescheduling because the roads are bad, no canceling when the mud season hits the back roads.
Therapy through every NH season
Winter weather, mud season, summer travel — none of these become barriers. Sessions from home stay consistent year-round.
Specialty experience, statewide access
Specialty experience in ADHD, Autism, AuDHD, infidelity recovery, and neurodiverse couples work is available to every NH community, not just those near urban centers.
Privacy in small communities
In smaller NH towns, seeing a local therapist can mean visibility within a tight-knit community. Telehealth means a session from your home with no community exposure.
Flexible for NH schedules
Saturday appointments and evening slots available. Couples can join from separate locations within New Hampshire, useful for partners with different work schedules or those traveling for work.
Mental health therapy across New Hampshire's communities
Each major NH region has its own character. Online sessions, same depth of work, served from wherever you are in the state.
Manchester is New Hampshire's largest city and the working hub of the state. Therapy in Manchester often draws professionals managing demanding healthcare, education, manufacturing, or financial-sector roles, dual-income couples, and adults navigating the strain of long commutes to Boston. Mental health counseling, couples therapy, and neurodivergent-affirming therapy are all available statewide via telehealth.
Nashua sits on the Massachusetts border and is shaped by cross-state commuter culture. Many Nashua residents work in greater Boston, which means therapy schedules need to accommodate long workdays and travel. Telehealth removes the impossible logistics of fitting in-person therapy around a Massachusetts work schedule.
Concord is New Hampshire's capital and the center of state government and policy work. Concord-area therapy clients often navigate the specific stress of public-sector work, advocacy, and the tight-knit professional community that comes with capital city life. Privacy through telehealth is particularly valued here.
Portsmouth and the surrounding Seacoast — Hampton, Hampton Falls, Exeter, Stratham, Rye, North Hampton, Newington — bring couples and adults navigating the specific mix of small-town community and tourist economy. Many Seacoast residents are transplants, second-home owners, or service-industry families managing seasonal cycles.
The Dover-Rochester corridor including Durham (UNH), Lee, Madbury, Barrington, and Farmington brings a mix of academic, healthcare, and working-class communities. Mental health therapy in Strafford County serves university-affiliated couples, healthcare professionals, and adults navigating the housing and economic pressures particular to this part of NH.
Keene and the wider Monadnock Region — Peterborough, Jaffrey, Marlborough, Swanzey, Walpole — are some of NH's most rural and arts-leaning communities. Specialty-trained therapists are sparse here, making telehealth especially valuable. Online therapy in Keene means access to ADHD therapy, Autism therapy, AuDHD work, neurodiverse couples therapy, and infidelity recovery work that may not exist locally.
The Upper Valley including Lebanon, Hanover, Enfield, Plainfield, Cornish, and Lyme bring a heavily academic and medical community shaped by Dartmouth and Dartmouth-Hitchcock. Mental health therapy in the Upper Valley often serves academics, medical professionals, faculty couples, and the specific stresses that come with high-pressure intellectual environments.
The Lakes Region — Laconia, Meredith, Gilford, Wolfeboro, Moultonborough, Center Harbor, Alton — has a year-round resident population and a seasonal tourist surge. Lakes Region therapy clients navigate the strain of seasonal economies, second-home divides, and the tight community visibility that comes with year-round small-town life.
Online therapy for every NH community
Telehealth means therapy is available in every NH town, region, and rural area at the same depth as the larger cities. If your community is on this list or not, you can still book.
- Bedford
- Hooksett
- Goffstown
- Londonderry
- Derry
- Salem
- Hudson
- Merrimack
- Litchfield
- Amherst
- Milford
- Hollis
- Brookline
- Pelham
- Windham
- Atkinson
- Plaistow
- Hampton
- Hampton Falls
- Exeter
- Stratham
- North Hampton
- Rye
- Newington
- Greenland
- Newmarket
- Durham
- Lee
- Madbury
- Barrington
- Strafford
- Farmington
- Milton
- Bow
- Pembroke
- Loudon
- Hopkinton
- Henniker
- Boscawen
- Meredith
- Gilford
- Belmont
- Tilton
- Sanbornton
- Wolfeboro
- Alton
- Moultonborough
- Center Harbor
- North Conway
- Conway
- Bartlett
- Jackson
- Lincoln
- Woodstock
- Franconia
- Plymouth
- Holderness
- Peterborough
- Jaffrey
- Marlborough
- Swanzey
- Walpole
- Hinsdale
- Rindge
- Hanover
- Enfield
- Plainfield
- Cornish
- Lyme
- Berlin
- Lancaster
If you live in New Hampshire and don't see your community listed, you can still book. Telehealth covers every NH zip code and every NH region.
How I work with NH clients
Solo practice. No interns, no associates, no rotating providers. The therapist you meet on the consultation call is the therapist you work with.
Specialty-focused, not generalist
Advanced certifications in Gottman affair recovery, AANE neurodiverse couples and intimacy, AANE PDA, ACT, DBT for neurodivergent clients, and inference-based CBT.
Neurodivergent-affirming
If you or your partner are ADHD, Autistic, or AuDHD, the work is built around how you actually function. No fixing, no neurotypical assumptions, no pathologizing.
Direct and warm
I'll tell you what I'm seeing. I won't perform neutrality when something's clearly off. Therapy that's too gentle to land doesn't help anyone.
Couples or individual
Both partners welcome for couples work. Individual therapy alongside or instead. Sessions can be 50 minutes, 90 minutes, or 3-hour intensives depending on what fits.
Built for New England rhythm
Therapy that respects the realities of NH life: seasonal work, weather, long commutes, small-town visibility, and the practical considerations of accessing care here.
Practical, not abstract
Insight matters. So does what you do on Tuesday morning. The work moves between understanding and action so something actually changes.
Clear rates, no surprises
Sagebrush Counseling is a private pay practice. Rates are the same for individuals and couples, with no surprises and no insurance company deciding what kind of work you're allowed to do.
- Standard session: $200 (50 minutes)
- Extended session: $350 (90 minutes)
- Couples intensive: $600 (3 hours)
- Same rates apply to individuals and couples
- Superbills available on request for possible out-of-network reimbursement
For full details on rates and session formats, see the services page.
When sessions happen
Monday through Friday and Saturday 8am to 5pm Eastern. The first step is a free 15-minute consultation call to see whether the fit feels right.
- Monday through Friday appointments
- Saturday appointments 8am to 5pm
- Join from anywhere in NH: home, office, or any private space
- Free 15-minute consultation to see if we are a good fit
- Couples can join from separate NH locations
- HIPAA-compliant secure telehealth platform
Common questions about NH therapy
Quick answers to what New Hampshire clients most often ask before booking.
A Licensed Clinical Mental Health Counselor (LCMHC #5711) in New Hampshire. This is mental health counseling for emotional, relational, and mental health concerns. I see both individual clients and couples.
Master's-level education with advanced certifications and specialty training in couples therapy, infidelity recovery, and neurodivergent-affirming work. Sessions involve conversation, reflection, and structured therapeutic methods.
Yes. I'm licensed in New Hampshire (LCMHC #5711) and serve adults and couples statewide via secure telehealth. This includes Manchester, Nashua, Concord, Portsmouth, Dover, Keene, Lebanon, the Seacoast, the Lakes Region, the White Mountains, the Monadnock Region, and every NH community in between.
Three main areas: trust and infidelity recovery for couples, intimacy and connection work, and neurodivergent-affirming therapy for ADHD, Autistic, and AuDHD adults and couples. Mental health counseling, couples therapy, individual therapy, and 90-minute extended sessions are all available.
Research consistently shows telehealth counseling is comparable to in-person therapy for most presenting concerns, including couples therapy, anxiety, depression, and ADHD. For New Hampshire residents, telehealth removes commute barriers, expands access to specialty-trained therapists across rural areas, and means you can attend sessions even during winter weather.
Sagebrush Counseling is a private pay practice. Rates are $200 for a 50-minute session, $350 for a 90-minute extended session, and $600 for a 3-hour couples intensive. Same rates apply to individuals and couples.
Superbills are available on request, which you can submit to your insurance company for possible out-of-network reimbursement. Out-of-network coverage varies significantly by plan, so please contact your insurance company directly if you'd like to explore that option.
For full details on rates and session formats, see the services page.
Yes. As long as both partners are physically located in New Hampshire during the session, you can join from separate locations. This works well for partners with different schedules, those who travel, or couples temporarily separated by work.
A free 15-minute video call where we discuss what you're navigating, what you're hoping to work on, and whether the fit feels right. No pressure to book afterward. For couples, both partners are welcome on the call.
Yes. Hours are Monday through Friday and Saturday 8am to 5pm Eastern. Evening and Saturday slots are available for New Hampshire clients managing demanding work schedules, dual-income households, and family obligations during the standard workday.
No. Self-identified, questioning, late-discovered, and formally diagnosed clients are all welcome. Many New Hampshire adults come to therapy in their 30s or 40s suspecting ADHD, Autism, or AuDHD without ever having been formally evaluated. Therapy can be a place to explore that.
Ready to start the work?
The free 15-minute consultation is the first step. No pressure, no commitment. Just a conversation to see if this is the right fit.