RELATIONSHIP THERAPY IN RENO | NEVADA & CALIFORNIA TELEHEALTHNo one taught you how to do relationships.
For individuals ready to break old cycles and couples ready to move from distance into connection --deep, practical work to understand what drives you, feel genuinely heard, and decide what comes next.
You’re already whole.
The work here starts with a radical premise: you are already whole. Your anxiety, overthinking, and inner voice of shame, those aren't broken parts of you to fix. They're strategies you needed to get by - and at one point they worked.
Whether you're trying to repair a relationship, navigate estrangement, or simply come back to your own center, you don't have to keep doing it the way you've been doing it. If you're ready for something more, more connection, more ease, you're in the right place.
Services
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Reno | California & Nevada Telehealth
$190–$275*For adults untangling trauma, family patterns, attachment wounds, anxiety, and depression.
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Reno | California & Nevada Telehealth
$225–$350*For partners and families stuck in the same fight, growing distant, or living behind a wall of silence.
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Reno | California & Nevada Telehealth
$400-550*For couples contemplating divorce, when one person is leaning out, and one still wants to try.
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Reno | California & Nevada Telehealth
Starting at $1,200*For relationships that need immediate attention.
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Reno Only
Learn MoreFor clients who do better outdoors & moving.
Specialities
Common areas of focus for individuals, couples, & families:
My approach
I believe the quality of our lives comes down to the quality of our relationships. We're wired for it - built to find steadiness and belonging through safe connection with other people. When it's missing, we know it. We feel lonely, unseen, missed, and misunderstood often in ways that trace all the way back to being young.
So much of my work is closing that gap. We begin with what your nervous system needs: a felt sense of safety, and from there, we get underneath the patterns instead of just around them. It's deep work and built to last.
My hope is to help you move from autopilot back toward curiosity, connection, and even joy. Because when you finally feel at home in yourself, everything else has room to change.
★ ★ ★ ★ ★“Deb creates a safe and courageous space where clients can explore long-avoided parts of themselves and their relationships.”
Taylor Swanson, PhD
Deb Altman, LMFT
I Love What I DoAt the heart of this work is a belief in the healing power of presence, self-compassion, and reconnection - to ourselves, each other, and the world around us. Here, you don't have to pretend, perform, or minimize your pain. You can be messy, uncertain, grieving, angry, raw, and still completely worthy of care.
Healing doesn't move in a straight line, and we can't rush growth. So here, we trust the unfolding. I love watching people learn they're allowed to be messy and “wild.” I love seeing a couple move from polite chit-chat and resentment back into real, raw connection. I love watching someone set down the weight of other’s expectations and finally ask, "Who do I want to be?"
My care is liberation-oriented; it honors your experience while keeping an eye on the larger systems we're all moving through.
Outside the therapy room, you'll find me hiking, listening to history podcasts, reading nerdy psychology books, playing new wave or ABBA too loud, and rewatching Gilmore Girls and Scrubs.
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Schedule a CallWe’ll talk through what’s happening and whether therapy here feels like a fit.
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Start TherapyWe’ll meet in Reno or online, moving at a pace your nervous system can handle.
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notice The ChangeYou’ll build steadier patterns, deeper connection, and a quieter inner critic.
There is a quiet longing in all of us to stop performing and simply live.