Elizabeth Miraglia, LICSW

About Your Therapist

Elizabeth Miraglia, LICSW

I specialize in couples therapy, drawing on Emotionally Focused Therapy (EFT) — an attachment-based, research-supported approach — alongside psychodynamic insight that illuminates the patterns shaping how you relate to one another. While cognitive approaches work well for some, others find that understanding a problem intellectually isn't enough to change how they feel. My work goes deeper, exploring what lies beneath the surface for partners and individuals alike.

I hold a Master of Social Work in Clinical Social Work from the Smith College School for Social Work. My training spans homeless services, inpatient psychiatry, youth work, and street outreach. I also bring an educational background in philosophy, with a focus on the studies of mind, language, science, and religion.

I completed a fellowship at the Psychodynamic Couples and Family Institute of New England and am a member of the Northeastern Society for Group Psychotherapy. I have also completed the Emotionally Focused Couples Therapy (EFCT) Externship through the International Centre for Excellence in Emotionally Focused Therapy (ICEEFT). I participate in ongoing supervision and continuing education to deepen my clinical expertise.

I became a therapist because I love being with people and learning from them. Therapy offers the opportunity to understand who you are and to build a relationship with yourself. I'm here to facilitate that unique relationship.
LICSW EFCT Externship · ICEEFT Psychodynamic Couples & Family Institute Smith College MSW NSGP Member LGBTQIA+ Affirming

Therapy Services

Couples Therapy — Plus Individual & Group Support

Couples therapy is the heart of my practice. Individual and group therapy are also available. All services are conducted virtually via secure telehealth for anyone residing in the state of Massachusetts.

Couples Therapy

For all types of couples — romantic partners, friends, siblings, or parent and adult child. Specializing in LGBTQIA+ relationships and interfaith partnerships. Drawing on Emotionally Focused Therapy (EFT) and psychodynamic insight to help you navigate miscommunication and rediscover understanding.

$130 / session
All Relationship Types Welcome

Individual Therapy

One-on-one psychodynamic therapy that addresses existential concerns, unresolved wounds, and recurring relationship patterns. Together, we'll examine what no longer serves you and build a fresh perspective with new skills.

$90 / session
Telehealth • Massachusetts

Group Therapy

Breakup recovery and relationship decision-making groups. Mixed gender, LGBTQIA+ inclusive, open to adults of all ages. Rolling enrollment with a four-week minimum commitment.

$45 / session
$90 Individual Intake Required

Therapeutic Approach

How Psychodynamic Therapy Works

Relational & Depth-Oriented

I work relationally, creating space for honesty, humor, and validation. Rather than prescribing solutions, I challenge assumptions and thinking patterns while honoring that you are the expert on your own life. The therapeutic relationship itself becomes a vehicle for growth.

Past Informing Present

Past experiences shape how we see ourselves and relate to others, but we determine the meaning of our own experiences. Psychodynamic therapy draws connections between past and present, revealing the parallel struggles that keep us stuck — and opening new pathways forward.

Compassion & Healthy Skepticism

I combine fierce compassion with healthy skepticism, focusing first on building a trusting relationship between us. I approach our differences with curiosity, respect, and humility, learning from our work together and growing as a clinician and person.

Beyond Surface-Level Solutions

While some people benefit from cognitive-behavioral methods, others find that "knowing" the answer isn't enough. Psychodynamic therapy goes deeper — exploring what dwells beneath your feelings and helping you cultivate a strong sense that you are capable of change and deserving of goodness.

Couples & Relational Therapy

Navigate Relationships with Understanding

Every close relationship includes each individual and the space between them. That space can be a playground for honesty, compassion, and understanding — but there are times when miscommunication and misinterpretation take hold.

Couples usually identify their problem broadly, as 'communication' or 'trust.' Nearly always they are activating their attachment systems in ways they aren't able to understand — in each other, and in themselves. These issues are not defects of your relationship, but reflect the universal experiences of being with another person. We are all equal in the world of love and connection.

Everyone brings a unique set of past experiences and survival skills to their relationships. We all face the challenge of loving someone through difference, leading each other through the woods again and again.

In my couples work I draw on Emotionally Focused Therapy (EFT) — an attachment-based, research-supported approach — alongside psychodynamic understanding. Having completed the Emotionally Focused Couples Therapy (EFCT) Externship through ICEEFT, I help partners recognize the attachment needs beneath their conflicts, soften the negative cycles that keep them stuck, and build new patterns of safety, responsiveness, and connection.

I work with every type of couple, including those involved non-romantically — friends, siblings, or parent and adult child. I am especially interested in working with LGBTQIA+ individuals and couples, and those in interfaith relationships.

Book a Free Consultation
Couples therapy
Individual psychotherapy

Individual Psychotherapy

Build a Deeper Relationship with Yourself

Our past experiences inform our present — they shape how we see ourselves, the world around us, and how we relate to others. However, you determine the meaning of your own experiences, and everyone's narrative is different.

My approach involves addressing your existential concerns alongside unhealed internal wounds. Together we will examine your relationship patterns and work to replace what no longer serves you with a fresh perspective and new skills.

My hope is that through our work together, you cultivate a strong sense that you are capable of change and deserving of goodness.

Book a Free Consultation

Group Therapy Programs

Heal in Community with Others Who Understand

Group therapy provides a unique space for shared understanding and mutual support. Both groups are mixed gender, LGBTQIA+ inclusive, and open to adults of all ages. Members join on a rolling basis for a minimum of four weeks.

Breakup Recovery Group

The grief following the end of a relationship can be intense and devastating. Not only do we experience the pain of losing the relationship, but old wounds often resurface, making it harder to cope. Many of us hope to learn and grow in the wake of a breakup, but the process can be confusing and lonely. Everyone deserves to feel supported and given space to honor their grief. This group offers that space.

Rolling Enrollment 4-Week Minimum LGBTQIA+ Inclusive $45/session

Should I Stay or Should I Go

A group for those considering leaving a relationship. There are times when a relationship feels too good to leave but not good enough to stay. The decision about how to move forward can feel paralyzing. Bring your doubts, questions, and all the accompanying feelings. This group offers a space to explore the complexity of these emotions and the role a relationship plays in your life.

Rolling Enrollment 4-Week Minimum LGBTQIA+ Inclusive $45/session

Fees & Insurance

Transparent, Accessible Pricing

Individual Therapy $90
Couples Therapy $130
Group Therapy $45
Group Intake (Individual Session) $90
Initial Phone Consultation Free

Insurance & Sliding Scale

I do not currently accept insurance directly. However, I offer sliding scale pricing based on income to make therapy accessible. I also provide superbills — detailed receipts you can submit to your insurance company for out-of-network reimbursement.

Please inquire directly to request a reduced rate. We can discuss options during our free phone consultation.

Discuss Pricing Options

Frequently Asked Questions

Common Questions About Therapy

What types of couples do you work with?
I work with every type of couple, not just romantic partners. This includes friends, siblings, parent and adult child, and any other close relational pair. In couples work I draw on Emotionally Focused Therapy (EFT), an attachment-based approach, to help partners understand and shift the cycles that keep them stuck. My couples work is LGBTQIA+ affirming, and I welcome interfaith partnerships as well.
What is psychodynamic therapy?
Psychodynamic therapy works by drawing connections between your past and present experiences, highlighting the struggles that run parallel to one another. Unlike approaches like CBT that focus primarily on changing thought patterns, psychodynamic therapy takes a deeper look into what lies beneath your feelings — helping you understand recurring relationship patterns and resolve unhealed internal wounds.
Do you accept health insurance?
I do not currently accept insurance directly. However, I offer sliding scale pricing based on your income and provide superbills — detailed receipts that you can submit to your insurance company for potential out-of-network reimbursement. Please reach out during your free consultation to discuss pricing options.
Are sessions in-person or virtual?
All therapy sessions are conducted virtually via secure telehealth. This means anyone who resides in the state of Massachusetts can access therapy from the comfort and privacy of their own home. No commute, no waiting room — just meaningful therapeutic work.
Is your practice LGBTQIA+ affirming?
Yes, absolutely. I am committed to creating a safe, affirming therapeutic space for LGBTQIA+ individuals and couples. I am especially interested in working with LGBTQIA+ clients and those in interfaith relationships. All group therapy sessions are LGBTQIA+ inclusive as well.
How do I know if psychodynamic therapy is right for me?
If you've found that knowing the "answer" to a problem isn't enough to change how you feel, psychodynamic therapy may be a great fit. This approach is especially helpful for people who notice recurring patterns in their relationships, want to understand the deeper roots of their emotions, or feel that something beneath the surface is holding them back. The best way to find out is to schedule a free 15-minute consultation.
How do group therapy sessions work?
Before joining a group, each participant completes an individual intake session ($90) so we can determine fit and prepare you for the group experience. Groups meet weekly at $45 per session. Enrollment is on a rolling basis with a minimum four-week commitment, and you're welcome to stay as long as you need. Groups are kept intentionally small to foster meaningful connection.

Get Started

Schedule a Free 15-Minute Consultation

Whether you're seeking couples therapy together or support on your own, finding the right therapist is essential but can be time-consuming. Request a free phone call to see if we're a good fit before scheduling your first appointment. I look forward to hearing from you.

Request a Consultation

Or call directly: (617) 564-0739