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Business Details
15 Years
experience
Couples & Marriage Therapy Experts in Paoli, PA
At Main Line Marriage Counseling, we specialize in helping couples and individuals navigate relationship challenges through evidence-based therapy. With decades of combined experience, our therapists utilize proven methodologies like the Gottman Method, Emotionally Focused Therapy (EFT), and Cognitive Behavioral Therapy (CBT) to address communication breakdowns, infidelity, premarital concerns, and life transitions.

Our team prioritizes empathy and practical solutions, offering tailored sessions that foster emotional connection, resolve conflicts, and restore intimacy. We serve clients in-person across Pennsylvania and virtually, providing accessible care that adapts to modern needs. Committed to ethical standards, we emphasize transparency, client empowerment, and measurable outcomes to ensure long-term relationship success.
Services
Individual Therapy Premarital Counseling Virtual Therapy Infidelity Counseling Couples Counseling Relationship Counseling Marriage Counseling Addiction Counseling Anxiety Treatment Postpartum Support
Details
  • Year established: 2011
Highlights and features
  • Specialized in couples therapy with over 10 years of experience
  • Gottman Method and EFT-certified therapists for proven results
  • Offer virtual therapy sessions for convenience and accessibility
  • Focus on evidence-based techniques for communication and trust-building
  • Personalized treatment plans tailored to each relationship's unique needs
Services
Infidelity Counseling
Specialized therapy for couples navigating the aftermath of infidelity. Our clinicians use Gottman Method techniques to rebuild trust, address emotional wounds, and establish healthier communication patterns. Sessions focus on restoring intimacy while processing betrayal in a safe, structured environment. Ideal for partners committed to either rebuilding or redefining their relationship post-affair.
Premarital Counseling
Structured 8-week program preparing couples for marriage through communication skills training and conflict resolution strategies. Addresses financial planning, family dynamics, and expectation alignment. Helps future spouses develop collaborative problem-solving frameworks before committing to lifelong partnership.
Virtual Therapy
Secure HIPAA-compliant video sessions for relationship and individual therapy. Designed for clients seeking flexibility while maintaining therapeutic continuity. Utilizes the same evidence-based approaches as in-person sessions with added convenience for Pennsylvania and New Jersey residents.
Couples Counseling
Ongoing therapy addressing recurring conflicts, emotional disconnection, and life transition challenges. Incorporates Emotionally Focused Therapy to strengthen attachment bonds and Gottman techniques for constructive dialogue. Suitable for dating, engaged, or married couples facing both everyday and crisis-level relationship stressors.
Individual Therapy
Private sessions addressing anxiety, depression, life transitions, and co-parenting challenges. Therapists employ CBT and mindfulness-based approaches to improve mental wellness. Particularly beneficial for clients navigating relationship uncertainty or seeking personal growth while in couples therapy.
People
Natalie Nesbitt
Owner & Licensed Professional Counselor
Natalie Nesbitt founded Main Line Marriage Counseling in 2011 after working at Florida homeless shelters. She specializes in couples therapy, infidelity recovery, and co-parenting support, utilizing Gottman and EFT techniques. Holds a Master's in Clinical Mental Health Counseling from Nova Southeastern University.
Ashley Regina
Licensed Professional Counselor
Ashley Regina brings over a decade of couples therapy experience, specializing in Gottman Method and Emotionally Focused Therapy. Licensed in Pennsylvania and New Jersey, she focuses on restoring communication and rebuilding trust for partners navigating infidelity and life transitions.
Greg McFarland
Licensed Professional Counselor
Greg McFarland specializes in Christian counseling and substance use disorders. He integrates Gottman techniques with Cognitive Behavioral Therapy to help couples overcome emotional barriers. Holds a Master's degree in Professional Counseling from Liberty University.
Questions
What types of therapy do you offer?
We provide couples therapy, individual counseling, premarital counseling, infidelity recovery, and virtual therapy sessions using evidence-based approaches like the Gottman Method and Emotionally Focused Therapy (EFT).
Are your sessions confidential?
All in-person and virtual sessions maintain strict confidentiality within HIPAA-compliant platforms. We follow ethical guidelines for maintaining client privacy while addressing relationship challenges.
Do you accept insurance?
We operate as an out-of-network provider. Clients receive superbill receipts for potential insurance reimbursement. Contact your provider for details about mental health coverage and reimbursement processes.
How long are counseling sessions?
Initial intake sessions last 85 minutes for couples, while standard sessions range from 45-60 minutes. Premarital counseling includes an 8-week structured program with weekly sessions.
What areas do you serve?
Our Paoli, PA office serves Main Line Philadelphia communities including Malvern, Wayne, and Exton. Virtual sessions extend our reach across Pennsylvania and New Jersey with secure teletherapy platforms.
Reviews (7)
Liz Martin
Jul 24, 2021 Report
Natalie is an excellent therapist. She is very compassionate and helped us see things from different perspectives. Highly recommend!
Kristen Watts
Aug 01, 2019 Report
Natalie is a wonderful therapist. She has an uncanny understanding about people and relationships. Her breadth of psychological knowledge exceeds standards.
Lisa Rangel
Oct 15, 2018 Report
Natalie truly understands couples and their needs. This shows in the way she approaches clients from the initial consultation all the way to completion of services.
Becca McDermott
Oct 02, 2018 Report
Natalie is where you need to go for couples counseling on the mainline. Smart, empathetic and compassionate!
Heather Pace
Oct 02, 2018 Report
Natalie is not only a skilled therapist, she comes by it naturally. She is empathetic and passionate about helping couples deepen their connection and have more fulfilling relationships.
Stephanie Savo
Oct 02, 2018 Report
Natalie is dedicated to working with couples and providing them with realistic tools to help them with their relationship goals.
Alison Seponara
Aug 19, 2018 Report
Natalie is a wonderful and warm hearted clinician. Her kind and passionate nature makes anyone feel welcome and safe. I highly recommend Natalie!