Telehealth Couples & Family Therapy | Massachusetts & Vermont | Private Pay
When addiction or loss has reorganized your family
Structured, direct therapy for the person holding things together, and for the person trying to change — especially when what you've already tried hasn't worked.
Licensed in MA & VT · Former clinical director, residential addiction treatment · Hospice bereavement background
Start with a free 15-minute call
A short phone conversation — you tell me what's happening, I'll tell you honestly whether I'm the right fit. No forms, no commitment.
If any of this is familiar
Your partner's drinking or use has become the thing you plan your life around.
You or someone you love is in recovery — but the family still feels unstable.
A loss has changed how your family works, not just how it feels.
You keep having the same argument, and nothing shifts.
You're questioning your own drinking or use — or you're in recovery and the rest of life hasn't caught up.
These situations rarely resolve through willpower or one more hard conversation. They're patterns — and patterns can be worked with.
How I work
Structured
We name what we're working on and track whether it's changing. Therapy has a direction, not just a rhythm.
Direct
I say what I see, including the parts that are hard to hear. Clarity is a form of respect.
Systems-focused
The problem is rarely one person. We work with the pattern the whole family is caught in.
Ways we can work together
Couples & Relationships
For couples caught in the same fights, growing apart, or repairing trust — when you can’t find your way back to each other, whether the strain is everyday or something bigger.
Grief & Life Transitions
For anyone navigating a loss — of a person, a relationship, a role, or a version of life they expected to have.
Families & Parents
For parents and families carrying the weight of someone else's struggle — when one person's addiction, crisis, or loss has reorganized the entire family system.
Individual Therapy
For individuals who are functioning but feel the strain — carrying relational stress, life disruption, or the weight of loving someone through something hard.
Addiction & Recovery
For people who are drinking, using, or in recovery — questioning your use, newly out of treatment, or years in — and for the families around them.
Maxwell Crystal, LICSW
I spent years as the Clinical Director of Sana at Stowe, a residential addiction treatment program, and as the Bereavement Program Coordinator for BAYADA Hospice. I've sat with hundreds of families in their hardest weeks — that experience is why this practice looks the way it does: small, structured, and focused on the family around the crisis.
"Max is a very talented therapist and amazing at his work!"
Google Review"I have known Max for a few years professionally and think the world of him. He is kind, mission-driven, and passionate about helping individuals seeking recovery, and is truly non-judgmental, meeting the client exactly where they're at. I am thrilled he opened a practice in Vermont, a state that desperately needs resources and couldn't recommend him more highly."
Google Review"Max brings both a wealth of clinical experience and a genuine, human warmth to his work. He is organized, direct, and compassionate. Max is particularly skilled at helping complex family families impacted by substance misuse."
-Clinician Endorsement, Psychology Today"Max has always been trustworthy and reliable. Wouldn’t want anyone else in my corner!"
Google Review"Max is a true professional. Great communication and expertise. I highly recommend."
Google Review“Max has a unique ability to be both calm and direct; structured but not rigid. He is skilled at navigating high-stress and high-conflict situations, bringing clarity, steadiness, and warmth. I would recommend him to anyone seeking support.”
-Clinician Endorsement, Psychology TodayCommon Questions
Do you accept insurance? No. My practice is private pay only. I can provide a superbill upon request for potential out-of-network reimbursement. For more information please see my pricing and payment options page.
How do I pay for therapy? My practice is private pay (out-of-network). Payment is due at the time of service, but I offer options to help make care accessible:
Superbills for Insurance Reimbursement: While I do not bill insurance companies directly, I can provide you with a monthly superbill (an itemized receipt of services). You can submit this directly to your insurance provider to seek out-of-network reimbursement, depending on your plan's benefits.
Sliding Scale: I reserve a limited number of sliding-scale spots for clients experiencing financial hardship or navigating difficult circumstances. Please feel free to ask about sliding-scale availability during your initial consultation.
How much does couples therapy cost? Couples and family sessions are $200 per 50-minute session. Individual sessions are $175.
How does telehealth work? Sessions are conducted via a secure, HIPAA-compliant video platform accessible from any computer, tablet, or phone — no commute, no waiting room.
Are you accepting new clients? Yes. I keep a small caseload to provide focused, consistent care. Schedule a free 15-minute consultation to check availability and see if we're a good fit.
What happens on the free 15-minute call? I call you at the time you pick. You tell me briefly what's going on, I ask a few questions, and we decide together whether working together makes sense. No cost, no commitment.
Where do you work? By telehealth anywhere in Massachusetts or Vermont — including Beverly, Salem, Newburyport, Marblehead, Gloucester and Swampscott on the North Shore, and Stowe and Burlington in Vermont. You need to be in one of those two states during sessions.
Practice Details
Telehealth therapy across Massachusetts and Vermont
Private pay — no insurance billing
$175 per 50-minute individual session
$200 per 50-minute couples or family session
Now accepting new clients