Sarah Cook Ruggera, M.F.T.
Marriage and Family Therapist

Helping People Who Ask The Question....
"Should I Stay or
Should I Go?"

Sarah Cook Ruggera
5230 Carroll Canyon Road
Suite 116
San Diego CA 92121
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License MFC 31998

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Couples Counseling

  • Is It Difficult To Talk Without Fighting?
  • Do other people seem more attractive to you than your partner?
  • Have you thought, said or heard, "I love you, but I'm not in love with you anymore"?
  • Is there a loss of communication and connection?
  • Has an affair already happened?

If you’ve answered "Yes!" to any of these questions, Couples Counseling would be the first step in making a significant change. Many times people don't realize that feelings of love can be rekindled with fresh skills for communicating, different ways of seeing each other, and a renewed commitment to the relationship.

The beginning of any relationship is the easiest. You get along fabulously with little effort. This is what some people call the "honeymoon phase" where there is a feeling of oneness and infatuation.

couple face to face

As time goes on they enter into the "conflict phase," where each person realizes all is not perfect and start to look at their differences and respond to them in ways that trigger their own personal issues learned from ways that are familiar to them. It is how they manage these responses that predict whether or not the relationship will move forward in a happy way or continue struggling.

As a licensed Marriage and Couples Counselor I help couples improve their relationships by improving their Individual Selves. By listening to each partner's concerns and identifying the problem areas I am able to identify what the possible triggers are that effect the relationship issues. By helping each partner understand each other's concerns and communicate them to one another they can appreciate how those triggers can create miscommunication and affect their end result.

I help couples improve their relationships and their Individual Selves. I'm a practical, hands on Couples' Therapist. My clients say I operate more like a Coach than a stereotypical therapist. I give homework, direction, and problem solve giving you both the most improvement possible in the shortest amount of time. I develop a customized Moving Forward Plan where practical tools are acquired for learning new ways to effectively communicate. Whether you’re working on issues in a new relationship or looking to revive the spark in an established one, I can help build a relationship that is not only functional, but happy and satisfying.

I'm here to help so call me at (858) 735-1139 or email me at