Trauma therapy for couples and individuals.

Online therapy for your entire relational world. In Philadelphia and serving clients in Pennsylvania, New York, New Jersey, & Connecticut.

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Modern Therapy For Modern Relationships.

Don’t let the scars of the past define your current relationship.
Trauma and anxiety may shape your story, but healing gives you the pen to rewrite the ending.

When old wounds shape how you connect, even the strongest relationships can start to feel like survival.

The world is starved of healthy relational repair, conflict management, self-reflection, and accountability. And that’s where our therapists create profound change.

Trauma therapy helps you and your nervous system learn new ways to feel safe, with yourself and with others. Healing isn’t about fixing what’s broken; it’s about remembering how to trust, feel, and love without fear running the show..

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How We Can Help

  • Individual Therapy

    Therapy isn’t about changing who you are, it’s about uncovering the patterns that no longer serve you.

    Together, we’ll process the hurts still living in your body and mind so you can feel more confident, connected, and free. This is your space to heal, grow, and create the kind of relationships you truly want.

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  • Couples Therapy

    Whether it’s emotional distance, trust issues, constant tension, or low intimacy, we help you find your way back to a stronger partnership with healthier communication, expectations, and boundaries through Relational Therapy, Attachment-Based Therapy, and Emotionally Focused Therapy.

    This is your starting point for big growth and even bigger healing.

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  • Trauma Therapy

    At Relational Realm, we don’t just talk about your trauma—we dismantle the systems it built in your nervous system, your relationships, and your sense of self.

    This is therapy for people who are tired of repeating the same patterns and ready to face the real stuff: the childhood wounds, the intimacy fears, the harmful cycles. No toxic positivity, no spiritual bypassing—just grounded, gutsy healing that sticks.

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  • EMDR Therapy

    EMDR at Relational Realm isn’t just a buzzword, it’s full-body healing from the trauma that’s been running your life behind the scenes. We target the stuck memories, the emotional flashbacks, the triggers that hijack your relationships and self-worth.

    This is healing for people who are done managing symptoms and ready to rewire their brain for real freedom. No numbing, no endless talk loops—just deep, efficient, evidence-based transformation.

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  • Support For Partners of Trauma Survivors

    Therapy for partners of survivors isn’t about teaching you to “carry it all” or sacrificing your well-being. It’s about helping you feel grounded, supported, and effective in your relationship.

    Together, we work on shifting patterns, building resilience, and finding ways to connect so you can thrive alongside your partner without losing yourself.

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  • Therapy For Teens & Adolescents

    Growing up today comes with unique challenges: social media and access to world events, on top of school stress, friendships, family dynamics, and everything in between.

    Teen therapy offers a safe, supportive space where young people can sort through their feelings, build resilience, and discover healthier ways to cope with life’s pressures. We love to help adolescents navigate this stage with confidence and clarity.

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  • Therapy For LGBTQ+

    Therapy should be a place where you don’t have to shrink, explain, or defend who you are. At Relational Realm, your full identity is cherished.

    Whether you’re navigating identity, family dynamics, relationships, trauma, or the weight of daily stress in a world that doesn’t always get it, this is a space to lay it all down.

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  • Therapy For Dating

    Whether you’re re-entering the dating world after a breakup, exploring online dating for the first time, in a situationship that feels unclear, or trying to deepen an existing relationship, therapy can help you move toward connection that feels safe, authentic, and aligned with who you are.

    Relational Realm welcomes all daters: LGBTQ+, straight, monogamous, polyamorous, kink, questioning, survivors of abuse, and survivors sexual trauma.

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Why work with Relational Realm? 

Whether You’ve Already Tried Everything Or Are Brand New to Therapy…

Most talk therapy couches are either too soft to be effective or too rigid to feel safe opening up. And that’s exactly why it hasn’t worked.

Relational Realm is a team of online trauma therapists led by Mariah Gallagher, a Columbia- and NYU-trained clinician who merges logical expertise with real-world emotional intelligence to serve individuals and couples in Pennsylvania, New York, New Jersey, and Connecticut.

We give you the actionable tools to heal your trauma and thrive in your relationships so you can get back to living life to its fullest by:

  • Skipping the fluff and getting straight to the real work

  • Identifying the relational cycles within your life (and how they’ve impacted you)

  • Healing from trauma and taking sustainable steps towards a better future

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No Topic Is Off Limits

  • Romantic Relationships

    Dating and relationship confidence, sex and desire, betrayal, trust, and conflict — no topic is too juicy or taboo for us!

  • Friendships

    Friendship and social connection are essential to well-being, yet you feel lonely, drained, and disconnected. We’re here to help you navigate your social relationships with confidence and ease.

  • Family Dynamics

    Whether exploring childhood trauma, navigating your adult relationship with family members, or attempting to break a cycle of generational trauma, we can help. You got this.

  • Breakups

     We won’t sugar coat it — healing from heartbreak really sucks. We provide the support you need to process grief, gain insight, and rebuild your sense of self.

  • Life Transitions

    Feeling your relationship strain under the weight of moving in or becoming parents? Trying to decide how to navigate a change in your career or social life? We got you!

  • Workplace Dyanamics

    Toxic coworkers, poor boundaries, people-pleasing, or constant burnout—if work relationships are affecting your mental health, you're not alone.

  • Narcissistic Abuse Recovery

    We’ll gently untangle the gaslighting, rebuild your inner clarity, and help you reconnect with your worth. You deserve safety, truth, and happiness.

How it Works

You didn’t choose your trauma. You adapted. You survived. But it’s time we unravel what’s underneath so you can finally move forward.

1

Get in touch.

Book a free 20 minute consultation to get matched with the right therapist based on what brought you here.

2

Begin your journey.

We help you identify your goals for therapy and develop a personalized plan to help you heal and transform.

3

Rediscover yourself.

We believe therapy should be a path to transformation, not a lifelong sentence. We’ll support you as you grow, heal and transform.

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Relational Realm Therapists

  • A woman with curly brown hair, wearing glasses, a black lace top, and hoop earrings, sitting at a marble-topped table, smiling and resting her chin on her hand in a bright room with white brick walls and a large green plant in the background.

    Shira Adams, LPC, NCC

  • A young woman with long, wavy brown hair smiling and crossing her arms, wearing a red sleeveless top, standing indoors with a colorful artwork and a window in the background.

    Madison Wilde, MFT (pre-licensed)

  • A woman with long, wavy brown hair and a beige blazer, sitting at a white marble table, smiling softly, with large green monstera leaves and a white brick wall in the background.

    Mariah Gallagher, LCSW

Meet The Team

UPCOMING EVENTS

UPCOMING EVENTS

Nov 19

Home For The Holidays
Online Workshop

In this one-hour workshop, we’ll explore why family gatherings can feel complicated—and how you can show up differently this year. You’ll learn tools to help you stay grounded, set healthy boundaries, and protect your emotional safety while still making space for meaningful moments. We’ll be running this workshop on December 9th as well! See below.

Sign Up

Dec 3-Jan 21

Anxious Hearts Club
Group Therapy Online in Pennsylvania

Anxious Hearts Club is a cozy 6-week group where women ages 18–25 can unpack the ways anxiety shows up in connection, and learn how to build secure, balanced, and nourishing female friendships. Together, we’ll explore boundary-setting, emotional regulation, communication, and how to stop spiraling when friendship feels uncertain.

Schedule a free consultation

Home For The Holidays
Online Workshop

Dec 9

In this one-hour workshop, we’ll explore why family gatherings can feel complicated—and how you can show up differently this year. You’ll learn tools to help you stay grounded, set healthy boundaries, and protect your emotional safety while still making space for meaningful moments.

Sign Up

Jan 8 - ongoing

Queer Joy After Trauma
Group Therapy Online in Pennsylvania

Life after sexual trauma can feel heavy and lonely. Have you ever felt like no one really gets what it’s like to be queer and a survivor? Like your healing journey is yours alone? Healing doesn’t have to be lonely. This group is for LGBTQ+ survivors who want to heal in community, learn new tools, and re-connect with joy. You’ll be heard, seen, and supported by people with shared identities.

Schedule a free consultation

Ready to embrace change?

When you’re ready to heal and embrace transformation, we’re here to help you get started with online trauma therapy in Pennsylvania, New York, and Connecticut.

SCHEDULE A FREE CONSULATION

 FAQs

  • Many people hear the word trauma and think it only applies to major events…but relational trauma often looks quieter. It can come from growing up without feeling truly seen, having to be the “strong one,” or learning early that your needs were too much. You might not call that trauma, but your nervous system remembers.

    If you struggle with closeness, feel overly responsible for others, feel anxious in relationships, or shut down during conflict, these patterns may be traces of how your body learned to stay safe. Trauma therapy isn’t about labeling your story. It’s about understanding the ways your past shapes connection, and helping you experience love and safety in real time, not just in theory.

  • 100% yes! But, it does not look like undoing the past. Instead, we reestablish safety in your body and environment, explore and mourn the losses associated, connect with meaningful and rewarding experiences, and reconnect with yourself and others in a safe and supportive way.

  • We have a strong No Topic Is Off Limits rule: friendships, family dynamics, breakups, life transitions, romance…you bring it and we’ll dive into it.

  • As a concierge therapy service, Relational Realm does not accept insurance because most insurance companies dictate the methods, frequency, and length of your treatment. As trauma therapists, we cannot ethically treat you based on someone else’s assumptions of your needs. Additionally, insurance companies require treatment “justification,” asking therapists to prove that someone is “sick” and is not improving. This goes directly against our mission and values; you are not broken. 

    We provide Superbills for out of network insurance reimbursement.

  • Relational Realm is a registered provider with the Pennsylvania Victims’ Compensation Assistance Program (VCAP). Through VCAP, survivors of sexual assault (in childhood or adulthood) are eligible for up to $5,000 in funding for therapy services if the crime occurred in adulthood, and $10,000 if the crime occurred in childhood.

    Sexual assault victims seeking counseling services related to their abuse are not required to have reported the assault to police or other authorities to be eligible to receive these benefits.

  • We meet online via a HIPAA-compliant electronic health & video conferencing platform, JaneApp. Once your account is created, you’re able to log in to maintain appointments and payments and meet with your therapist via secure telehealth video chat.

  • All cancellations made sooner than 48 hours before an appointment will not incur a charge. If you cancel your appointment less than 48 hours before it is scheduled, you will be subject to the full charge of the session. Likewise, a “no-show” charge of the full cost of the session will be incurred if you miss a scheduled session with no notice. If you are more than 15 minutes late to your appointment, it is considered a “no show” and you will be responsible for the session fee.