Private Client Couples Therapy
Relationship Therapy For High-Achieving Couples
Beyond Traditional Marriage Counselling
London – Monaco – Dubai – Online Worldwide

Couples Therapy With Wisdom and Depth
You’ve built something remarkable in your career. But success — real, hard-won success — doesn’t protect a relationship from what quietly erodes it.
The distance that creeps in. The arguments that circle back to the same painful place. The quiet question, late at night, about whether this can still work.
Like many of the couples I work with, you may have tried therapy before. What you found was either too superficial — techniques without understanding — or too abstract, all insight with no movement forward.
You’re looking for something different. A therapist who can hold complexity. Who won’t shy away from difficulty. Who can help you see what you haven’t been able to see on your own.
I sense you already know that quick fixes won’t work here.
My Approach
Before I became a therapist, I spent twenty years in television production — working with Miramax, Disney, PBS, and Channel 4. Storytelling was my life.
That earlier career taught me something crucial: we all construct our stories. We decide what matters. What gets left out. What meaning we assign to events. Couples do this constantly — building narratives about who they are, who their partner is, what their relationship means.
The problem? Sometimes we get trapped inside stories that no longer serve us. We cast our partner as the villain when they’re struggling too. We tell ourselves, “This is just how it is” when something different is actually possible.
As an internationally accredited specialist with nearly 20 years focused exclusively on couples, I’ve developed an integrated approach. It brings together understanding your recurring patterns with exploring what lies beneath them — the deeper currents that keep pulling you back to the same conflicts, the same distance, the same frustration.
This isn’t therapy that stays on the surface. But it’s also not endless analysis without traction.
It’s work that goes deep enough to create real understanding—while staying focused enough to deliver genuine change.
Who I Work With
I work with entrepreneurs, executives, founders, public figures and their partners, online worldwide and in person in London. That includes co-founders whose relationship and business are entangled. I take on a limited number of couples at a time, which allows the depth and discretion this work requires. People who bring rigour to their professional lives want that same depth in their relationships.
Areas of Specialist Focus
Success adds complexity to a relationship: shared businesses, public profiles, wealth, and very little room for things to go wrong privately. These are the situations where I’ve built particular depth.
After an affair. Discovery changes everything. Whether you were betrayed, were the one who strayed, or don’t yet know what you want, I work with both of you, and with each of you separately, to understand what happened and whether there is a relationship worth rebuilding.
When one of you is unsure. One partner is halfway out the door while the other holds on. Discernment work is designed for couples who don’t want the same outcome.
When conflict has become the relationship. The same fight, escalating, or a silence that has hardened into distance.
When desire has gone, or never matched. Differences in desire, intimacy after betrayal or children, sexual difficulty. Direct conversation, supported by specialist training.
Exclusivity or consensual non-monogamy. Open and non-monogamous relationships can be difficult to talk about with anyone. I am experienced in this field and work with these situations as a specialist, not an advocate. I can help you both find your own way, honestly and with sensitivity and understanding.
How We Work Together
Our work starts with an intensive: the Focused Intensive, a shorter format online or in person, or the Accelerated Intensive, a full-day in-person intensive in London. Both create the continuity and depth that weekly appointments rarely achieve. Ongoing sessions follow for couples who want to continue.
When you’re in the middle of something difficult, momentum matters. These formats let us work with what’s happening between you in real time—rather than reconstructing it after the fact.
Complete discretion is fundamental. Your privacy is protected at every level.
Begin Your Journey
If you’re questioning your future together, working through betrayal, or simply aware that something essential has gone missing, you don’t have to figure this out alone.
The stories we tell ourselves about our relationships can change. Sometimes that’s all it takes. For many couples, the intensive is the turning point, and ongoing sessions afterwards help the change take root.
My couples therapy ServicesPeter Fowler

I’m an internationally accredited couples therapist with nearly 20 years focused exclusively on this work — a specialist, not a generalist. I’m a Registered Member of BACP (MBACP) — Registration Number 404785 — with additional accreditations in the UK and internationally.
My clinical focus is infidelity and the recovery of trust, ambivalence and stay-or-leave decisions, high-conflict relationships, and sexual and intimacy difficulties.
My training spans relational psychoanalytic, systemic, and evidence-based approaches. That range matters. It means I can meet each couple where they are, not where a textbook says they should be.
Learn More about Peter’s approach to TherapyCounselling Services
Working Together – A Different Kind Of Couples Therapy
My approach is structured to create the conditions for genuine change—not just conversation, but transformation.
The Framework
- Seventy-five-minute couples sessions that let patterns emerge fully rather than getting cut short in a traditional 50-minute session
- A full-day Accelerated Intensive, or a shorter Focused Intensive, for couples who need depth and momentum, not months of weekly appointments
- Absolute confidentiality with careful attention to privacy at every level
- A consistent, boundaried space where difficult things can safely be explored
My Background
Nearly two decades of specialising exclusively in couples therapy has shaped my distinctive approach. My work draws on contemporary relational psychoanalytic thinking while integrating pattern recognition and practical insight. The result is therapy that’s deep enough to matter, focused enough to deliver.
My earlier career in television production brings additional perspective on how narratives and patterns shape relationships—understanding that proves particularly valuable when helping couples move beyond repetitive scripts.
Your Investment
The cost of letting a relationship continue to deteriorate—emotionally, professionally, and in terms of what it means for your family—typically far exceeds the investment in work that actually addresses what’s wrong. My fees reflect specialised experience, extensive training, and the focused attention you receive.
Getting Started
Taking the first step isn’t easy. It means acknowledging that something needs to change. I handle every enquiry with complete confidentiality.
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