RELATIONSHIP THERAPY IN RENO | NEVADA & CALIFORNIA TELEHEALTH

No one taught you how to do relationships.

For individuals and couples navigating recurring conflict, growing distance, or a relationship at a crossroads--deep, practical work that helps you understand the pattern and decide what comes next.

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You’re already whole.

The work here starts with a radical premise: you are already whole. Your anxiety, the ways your relationships keep struggling, those aren't broken parts to fix. They're strategies you learned to survive, and they made sense.

Whether you're trying to mend things with a partner, find your footing with family, or 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.

How we can work together

A tan leather sofa with tufted cushions and two gray textured throw pillows, situated in a room with wooden shelves in the background.
Deb Altman, sitting on a chair, wearing a cream-colored satin shirt, with a large green plant and a wall with a framed picture in the background.

  • Reno | California & Nevada Telehealth
    $190–$275*

    For adults untangling trauma, family patterns, emotional neglect, anxiety, depression and old survival strategies.

  • Reno | California & Nevada Telehealth
    $225–$350*

    For partners stuck in the same fight, growing distant, or living in roommate mode.

  • Reno | California & Nevada Telehealth
    $400-550*

    For couples at a crossroads, especially when one person is leaning out, and one still wants to try.

  • Reno | California & Nevada Telehealth
    Starting at $1,200*

    For relationships that need immediate attention, deeper repair, or more momentum than weekly therapy.

  • Reno Only
    Custom Pricing*

    For clients who feel clearer in motion, with side-by-side outdoor therapy in Reno.

We can work on:

CPTSD & Trauma
Burnout
Anxiety
Family Conflict
Attachment Wounds
Couples Counseling
Divorce Exploration
Intergenerational Trauma
Reno therapist Deb Altman holding a book standing in a cozy living room with a bookshelf and leather furniture.

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 feel it: lonely, unseen, a little "missed," 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.

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★ ★ ★ ★ ★

“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

Relationship therapist Deb Altman, sitting on a beige couch next to a window, smiling gently at the camera. 
I Love What I Do

At 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. I love seeing a couple move from "polite roommates" back into real, raw connection. I love watching someone set down the weight of their family's expectations and finally ask, "Who am I, actually?"

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.

More about me →

01

Schedule a Call

We’ll talk through what’s happening and whether therapy here feels like a fit.

02

Start Therapy

We’ll meet in Reno or online, moving at a pace your nervous system can handle.

03

Live with Ease

You’ll build steadier patterns, deeper connection, and a quieter inner critic.

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This isn’t surface-level; it’s deep, practical therapy for your full, untamed self.

Book a consult