Welcome to Main Line Marriage Counseling!

Allow me to introduce myself to you. My name is Natalie Nesbitt, and I am an expert at helping couples tell their story. I am here to listen to my clients so that I can help them listen to each other. I am extremely passionate about relationships, specifically the couple dynamic. Whether you call it couples counseling, marriage therapy, relationship counseling, pre-marital counseling, post-affair counseling; it is all the same. Here at Main Line Marriage Counseling I help my clients to be heard; to take a relationship that is dying on the vine and turn it into a thriving partnership. We all yearn for reciprocity in a relationship, and the embodiment of love and commitment, which can last a lifetime. However, it isn’t easy. I help my clients navigate through the rough seas. I offer them different perspectives on the obstacles most long-lasting relationships face.

Picture of a happy couple. Marriage Therapy and Premarital Counseling in Chester County, PA. 19301

As a relationship therapist, I provide marriage, couples and pre-marital counseling to help you keep your relationship strong!

Reasons you may be seeking counseling include, but are not limited to:


Loss of desire/intimacy New parents

Pre-marital concerns “Empty Nesters”

Poor communication Substance use/abuse Lack of conflict resolution skills

What are the warning signs of a marriage in trouble?

  • Ridicule.
  • Contempt.
  • Lack of trust.
  • Stonewalling (ignoring).
  • Name calling.
  • Hurtful comments.
  • Sarcasm that is hurtful.
  • No or infrequent sex.
  • No or very little attraction.
  • No or very little affection.
  • Avoiding phone calls or emails.
  • Refusing to discuss things in the relationship.
  • Defensiveness.
  • Working constantly in or outside the home or spending all the time with the children somas to avoid talking or spending time together.
  • Criticism.
  • Physical or emotional abuse.

Any of these sound familiar to you? There is no wrong reason to reach out to a professional in a time of need. You and your partner deserve a safe and secure

relationship. Through therapy, we can equip you with the tools you and your partner need to more efficiently and confidently manage life’s challenges and lead a happier, more fulfilling life.

Image of a happy couple after counseling in West Chester County, PA. Begin marriage counseling today!

Although I offer counseling for a wide range of emotional and mental health concerns, my specialty is to accompany individuals on their quest for a meaningful relationship. If you are feeling lost and struggling, I’m confident that Main Line Marriage Counseling has the experience to help you rediscover what brings happiness to your life and your relationship. Through therapy, there is always a way to address the issues you face and learn coping strategies to help you right now, as well as in the future. Every relationship faces battles to fight and hurdles to overcome. Couples Therapy focuses on identifying ineffective thought and behavior patterns in order to help actualize the dreams of both partners. After recognizing underlying problems, clients can fully realize their strengths and adjust certain behaviors and thoughts to see things a different, healthier way.

Outside of being a wife and mother, I spend the majority of my time focusing on better ways to help you and your partner. Although my greatest assets are my compassion and empathy for a couple in crisis, I also have a plethora of resources, trainings, books, etc. at my disposal to give my clients the best shot at becoming masters of their own life and relationship.

Such methods and techniques include:

Gottman Method – John and Julie Gottman Emotionally Focused Therapy (EFT) – Dr. Sue Johnson The work and teachings of Esther Perel

Cognitive Behavioral Therapy (CBT) Family Systems

Humanistic (Rogerian)

It is my job to use the above mentioned resources to teach you new ways to communicate, resolve conflict, and increase intimacy and connectedness. I am responsible for making sure your wants, needs, desires and feelings are truly heard. That doesn’t mean you get off easy! It is up to YOU as a partner in your relationship to keep your side of the street clean and work on the couple. To be open and honest. To commit to the process with all its ups and downs. To work harder than me and maybe even harder than your spouse. Practice makes perfect, so you will use your time away from the sessions to hone all we have learned when we are together.

Image of train tracks heading into a new horizon. Couples counseling in Chester County, PA 19301

I help couples (new relationships, engaged, raising kids or long time married), new therapists and moms who own businesses find a better path forward. Call today to start!

What is the couples therapy process like?

Natalie Nesbitt, couples counselor & marriage therapist in Chester County, PA. Also clinical supervision for therapists and coaching for therapist moms in private practice.

Natalie Nesbitt: couples counselor, clinical supervisor & coach to mom therapists

Before the first session I ask that you print and fill out intake paperwork, which helps me learn more about you each individually. The initial session is an 85-minute intake where I ask you both questions regarding your relationship, like where and how you met and so forth. This session is not intervention focused. Instead, I take this time to take in all you have to offer in this session; I soak your relationship up like a sponge. I listen to your story and my goal by the end of the session is to give you hope for a better tomorrow in whatever way that may look like for your particular situation. I typically recommend that my couples make our sessions (a special time set aside specifically for you and your partner/spouse) more frequent in the beginning and to push them farther apart when we approach the maintenance stage of therapy. I also encourage a dyadic conversation in my office, meaning you will be doing a lot of talking to each other with my guidance and support as needed. Many ask if they can begin therapy individually and then move into counseling. My suggestion is an emphatic “no.” However, I see many of my clients individually after we have the initial couples session.