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We provide compassionate, evidence-based support for couples navigating conflict, communication breakdowns, intimacy concerns, and life transitions. Whether you’re looking to rebuild trust, navigate parenting challenges, or deepen your connection, we create a space where both partners feel seen and supported. Our work draws from the Imago and Gottman methods, attachment theory, emotionally focused therapy, and trauma-informed practices to help couples move from disconnection to deeper understanding.

Butterflies

“Reiki is love, Love is wholeness, Wholeness is balance, Balance is well being, Well being is freedom from disease.”
- Madam Hawayo Takata

Bilingual - English / Swahili

 

My name is Karah Germroth and I’m looking forward to meeting you in our therapeutic space. A native of Tennessee who has lived in New York, Thailand, Malaysia, and Tanzania, I enjoy the diversity that our world has to offer and appreciate the uniqueness of each client I serve. 

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Rockland County Counseling Services LCSW

99 Main Street, Nyack, NY 10960

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