Many couples reach out when conversations keep turning into the same argument, communication feels strained, or the relationship starts to feel distant. You may care deeply about each other, but feel stuck in patterns you can’t seem to change.
Couples therapy provides a structured space to slow things down, understand what’s happening beneath the conflict, and begin rebuilding trust and connection.
Private pay therapy • Free 15-minute consultation • HSA/FSA accepted
The Free Consultation is simply a chance to talk, ask questions, and see if this feels like the right fit. No pressure to continue.

Sessions are paced so that both partners feel respected and supported. The focus is on creating a safe space where difficult conversations can happen in a more productive way. Sessions are offered online across Ohio.
- Michelle Kramer LISW
Online across California and Ohio • Private pay • Superbills available for out-of-network reimbursement
Michelle Kramer, LISW I.2506423 Ohio / LCSW 139260 California
Licensed in the state of Ohio and California
Call (330) 295-2868 Ohio
Call (925) 966-1613 California
California Address: 936 Dewing Ave. Suite A1
Lafayette CA. 94549
Copyright © 2026 Rising From Within LLC Ohio and Rising From Within - Michelle Kramer LCSW California All Rights Reserved.
Good Faith Estimate:
If you don’t have health insurance or you plan to pay for health care bills yourself, generally, health
care providers and facilities must give you an estimate of expected charges when you schedule an
appointment for a health care item or service, or if you ask for an estimate. This is called a “good faith
estimate.” Rising From Within LLC ( Rising From Within Counseling ) will provide an annual good faith estimate to any client planning to pay for therapy without the use of insurance.
Further information on Good Faith Estimates is available here: https://www.cms.gov/files/document/nosurpriseactfactsheet-whats-good-faith-estimate508c.pdf
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