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Des Moines Counseling and Couples Therapy

Co-Therapy For You

You receive a rare opportunity at Real Connections Counseling: Co-Therapy. Co-therapy means two counselors go together with you into counseling! Be better heard, understood, respected, and healed with co-therapy.

Galena, IL Couples Retreat

Make your best relationship happen. Join us for our upcoming "Intimacy Reimagined" Retreat in Galena, Illinois on September 11-14, 2025!
Time has run out!
Contact us for information about upcoming retreats.

Our Counseling and Services

Learn about our Des Moines area (located in Urbandale) counseling and therapy services. Each couple has the power to make our community better by making their relationship better. Each time we start with a new relationship, we’re inspired to wonder what good can happen all around us when your relationship is better than ever. Work with us as your co-therapists to help you make your relationship stronger and more resilient. Are you in your “best ever” relationship? If the answer is “no,” come and see us at Real Connections Counseling. Looking forward and hope-filled!
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Pre-Marital Counseling

We build 'real connections' - solid and safe connections between you two that will last your whole life!
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Marriage Counseling

Marriage counseling can be the best long-term gift you have ever given each other. Heal hurts, build better memories.
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Couples Counseling

Whatever your reasons for therapy, we are here to help you take steps together, to better your relationship.
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Couples Retreats

All-inclusive couples retreats, where you can relax, grow together, and build new skills and knowledge.
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Speaking Engagements

From keynotes to workshops to relationship resilience training, our expert speakers can help you inspire, educate, and build stronger connections.
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Group Therapy

Interact with multiple people at the same time especially when we all need similar information, education, or support.
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CoTherapy

What if your relationship became your greatest investment?

Strong, leadership-minded couples invest.

Seriously, something brought you here.

Betrayal, distance, anger, or a relationship that has settled into something you know it was never meant to be. Living like that doesn’t work for you, and it doesn’t work for us either.

We don’t leave patterns like that untouched.

Our team steps into what’s happening, exposes what keeps breaking down, and rebuilds your relationship with clarity, strength, and connection you can actually live inside of.

Rebuild trust. Restore closeness. Lead your relationship forward.

👉 Contact Real Connections Counseling & Coaching

The Real Connections Experience

Not just therapy.

Not just coaching.

We're far more transformative.

Meet the Team

Our life as counseling partners is also our life’s work. We bring our own unique personalities and approaches to counseling that actually becomes a unique asset to our couples and families.
Rick Elgersma

Rick Elgersma

LMFT, M. Litt

Monique Elgersma

LMFT
Alyssa Elgersma

Alyssa Elgersma

MA, LPCC (CO)

Rebecca Wolford

INTERN

From the Blog

"Having both counselors in the same room means we have the same goal. We are there together, workign together, as a team effort."
-Lisa and Derek

Contact us to get Started

We're here to help, please reach out and we’ll help at our earliest convenience.
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