6320 Democracy Blvd, Bethesda, MD 20817
Monday - Saturday 08.00 - 18.00
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Couples Therapy in Bethesda, MD

Rebuild Trust and Connection with Evidence-Based Couples Therapy

Long-term romantic relationships (LTRRs) are challenging for everyone. There are so many factors working against couples: romantic imagery in the media that wrongly implies what healthy LTRRs look like, the absence of education for couples on how to do a LTRR well, the super-duper-easy access to online sexual experiences and the 50-billion-dollar divorce industry. No wonder about half as many people divorce each year as get married and many who stay together describe a state of tolerance rather than happiness.

Our approach to helping couples can best be described as a blending of behavioral (e.g., Gottman Institute) and emotionally focused (e.g., EFT) methods. (Dr. Dave can be found on the Gottman Institute’s therapist directory which only includes those clinicians that have completed at least two levels of their training).

Our initial evaluation includes a 90-minute couple interview, the completion of the Gottman Institute’s battery for couples, the completion of a battery of supplemental measures, a 50-minute feedback session and the preparation of a slide show that includes sources of information, strengths, results of the rating scales, a list of problems and a list of recommended interventions. It is common for us to spend 3-4 hours preparing for the feedback session.

Our treatment approach involves skill building, is structured and usually time limited. We say “usually” as the work can take longer when there are significant resentments that need to be resolved. In our opinion, the skills we teach are ones that all couples would do well to know before formalizing a long-term commitment. They are also practices that promote resilience in a couple’s life. We believe there are seven such practices. Here they are:

Therapist taking notes while counseling two clients

Why Do Couples Counseling?

Common Concerns We Address

Anxiety & Stress

We help clients manage overwhelming stress, trauma, constant worry, and anxiety-related challenges.

Depression & Low Mood

Supporting individuals experiencing sadness, hopelessness, or loss of motivation in daily life.

Grief & Loss

Guidance through the grieving process, helping clients cope with the loss of a loved one.

Relationship Challenges

Counseling for individuals struggling with family conflict, breakups, or communication issues.

Self-Esteem Issues

Helping clients build confidence, overcome self-doubt, and develop a healthier self-image.

Life Transitions

Support for major changes such as career shifts, moving, retirement, or new life stages.
“I have had the privilege of working with David Palmiter for the past two years in my role as a school counselor. David is an exceptional clinician with a vast amount of experience treating children and adolescents with ADHD, Anxiety, Depression, and Oppositional Defiance. He takes a holistic approach to treatment, regularly collaborates with school personnel, and creates trusting relationships with both children and families. I confidently recommend David Palmiter to any family looking for a caring, experienced psychologist who is deeply committed to supporting children's mental health and overall well-being.”
— Meghan Keller, MA, NCC
School Counselor
“Dr. David Palmiter is an expert in the field of ADHD and anxiety, working closely with children and couples to create meaningful change. With more than 30 years of experience, Dr. Palmiter is committed to helping his clients reach their goals. Dr. Palmiter blends years of experience with a strong dedication to evidence-based practice, often using biofeedback as a method to help clients better understand and work through anxiety in real-time. He takes the time to really connect with those whom he works and I feel honored to have learned so much from him.”
— Gabrielle Gross, LCSW
Psychiatric Social Worker
“Dr. Palmiter is an excellent mentor and colleague. I have referred many families and patients to him for consultation, and have been thrilled by our collaboration. Patients frequently rave about his approach and his seemingly unending treasure trove of magic tricks! For families navigating anxiety, ADHD, and oppositional behaviors -- Dr. Palmiter is absolutely a trustworthy resource.”
— Lin Gyi, MD
Child Psychiatrist
Watch Dr. Hazzouri’s video testimonial.
— Lauren Hazzouri, Psy.D.
Clinical Psychologist and owner of HeyLauren.com
Watch Dr. Luchansky’s video testimonial.
— Amanda Luchansky, Psy.D.
Owner, Luchansky Psychological Services, LLC
Watch Dr. Norford’s video testimonial.
— Brad Norford, Ph.D.
Practice Director, Bryn Mawr Psychological Services & Past President, Pennsylvania Psychological Association
“Dr. Palmiter, thank you for your work with our staff....your insight is much needed in our line of work...it was a balm–especially during these trying times.”
— Ryan Brunsink, Esq.
Immigration Attorney
“It was our absolute pleasure having you. I have had employees thanking me for your wonderful presentation. I don’t think there was one person who kept a dry eye the entire time! A colleague, who is a personal friend, confided in me that she is already trying to apply some of what she heard.”
— Dana Zaldivar
Sr. Manager of a financial institution

Take the First Step Toward Better Mental Health

Our counseling services offer a safe space to talk openly, gain clarity, and develop healthier ways to handle stress, anxiety, relationships, and life challenges.
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