Throuple and polycule therapy here holds multi-partner relational structures as workable material — the structure is context, not the problem.
Key Takeaways

What to know before you start:
- Genuinely affirming multi-partner care requires clinicians who understand poly configurations closely — not providers who default to dyadic frameworks and treat poly as complication.
- The transformation-oriented reframe: the specific configuration you are building is workable material. The complexity is real; the pathology framing is not.
- Depth-oriented work engages the specific dynamics that arise in multi-partner care — hierarchy, metamour dynamics, structural change, jealousy — as clinical material.
- The practice works with throuples, polycules, ENM configurations, kitchen-table and parallel poly across LGBTQ+ identities and orientations.
- Sessions are available in person at our Mid-Wilshire office and by secure telehealth across California, beginning with a free consultation.
01 — What it isMulti-partner care as clinical territory
The reframe that shapes this work: multi-partner relational structures are workable clinical material. Not intuitively — the mainstream therapy world defaults to dyadic frameworks and often treats poly configurations either as a complication to work around or as the presenting problem itself. Genuinely affirming poly care starts from a different place. The structure is context. The dynamic bringing you in is the material.
That reframe matters because poly-experienced clinicians can hold the specific dynamics that arise in multi-partner care — hierarchy negotiation, metamour relationships, structural change (opening, closing, nesting shifts), jealousy as information rather than as pathology — without collapsing them into whether the structure itself is workable. Public resources from the American Psychological Association, the Human Rights Campaign, and the Movement Advancement Project document the growing recognition of ethical non-monogamy as clinically-workable, affirming territory.
At Angeles Psychology Group this work sits inside depth-oriented care. If you have already read the broader affirming frame, our LGBTQ+ Affirming Therapy pillar page steps back to the wider context, and sibling clusters like ENM and non-monogamy therapy and LGBTQ+ relationship therapy address adjacent territory.
Metamour dynamics. The specific relational territory that exists between partners of the same partner (your partner’s other partner). Clinically distinct in poly configurations and one of the specific dynamics affirming poly-experienced clinicians hold.
Not sure whether depth work fits what you are actually working on? A free 20-minute consultation is the simplest way to find out.
02 — How we deliver itDepth care for the configuration you're actually in

Multi-partner work at APG is delivered inside the practice’s coordinated stack: somatic and depth psychology for the nervous-system layer of what happens between partners; Internal Family Systems for the parts each person brings; attachment-oriented frameworks for the underlying patterns; and EFT for the vulnerable feelings surfacing as safety builds.
Practical scope: the practice works with throuples (three-partner configurations), polycules (larger networks), ENM configurations of many kinds, kitchen-table and parallel poly, and both closed and open configurations. Sessions can include all partners together, subsets of partners, or individual work — the format is matched to what the work needs. Practical delivery information is on our homepage.
All configurations held
Throuples, polycules, ENM, kitchen-table and parallel poly, closed and open — the structure is context, not the problem.
Poly-experienced clinicians
Clinicians who understand poly configurations closely — you do not spend session time educating your therapist.
In person or online
Delivered at our Mid-Wilshire office or by secure telehealth across California — same depth, both formats.
03 — Getting startedA first step for the configuration you're actually in
Beginning is low-pressure and in your control. You book a free, 20-minute consultation — one partner or multiple, individual or joint — and together with the clinician decide whether depth-oriented poly-experienced care fits.
Angeles Psychology Group is a private-pay practice; superbills are provided for out-of-network reimbursement, and fees are explained transparently before you commit. Public resources from American Psychological Association and Human Rights Campaign are useful if you are still weighing whether depth work fits what you are working on. On scope: Angeles Psychology Group provides psychotherapy and does not prescribe medication. If medication management is or becomes part of your care, we coordinate with your existing prescriber with your written consent, and can support a referral to a psychiatrist when clinically appropriate. If your situation is a mental-health emergency, please call or text 988 for the Suicide and Crisis Lifeline, or reach the Trevor Project at 1-866-488-7386 or the Trans Lifeline at 1-877-565-8860 — support that is available now.
What the consultation actually covers is practical. A clinician asks what brought you or your configuration to this page — often it is having tried couples therapy that defaulted to dyadic frameworks or wanted to pathologize the structure — and describes candidly which approaches from the practice’s stack seem most relevant. You are welcome to bring questions about clinician fit, session format (all together, subsets, individual), your specific configuration and any current structural change, insurance and superbills, and what a typical arc of care looks like.
A typical first month runs weekly, 50 minutes per session. Session format is matched to the work — some configurations benefit from starting with the full group, others from subsets or individual work first. Early sessions are oriented toward the working relationship and mapping the specific dynamics at play. Deeper material tends to surface once safety is established. Many configurations notice, in the first month, that they can bring their real dynamics into the room without translation labor — often the first felt signal the fit is real. Format can shift through the arc of care too: a configuration that starts with all partners together may move to subset sessions when specific dyadic material surfaces, and back to full-group sessions when integration calls for it.
Practical notes on preparing for the consultation: there is no intake paperwork to complete before the call and no requirement to describe your situation in a particular way. You are welcome to bring notes if that helps you speak clearly under pressure, and equally welcome to arrive with none. If English is not your primary language, you can ask about language preferences during the call. If you have accessibility needs, mention them at booking so the practice can accommodate. If a specific clinician has been recommended to you by a therapist, prescriber, or friend, you can request them by name at booking; if not, the practice matches based on what you describe. Reviewer standing behind every page: David Zohar, MFT.
Frequently Asked Questions
Do you actually work with poly configurations, or is this a marketing page?
The practice works with poly configurations substantively. Clinicians who are not trained to hold multi-partner care do not take on this population. The consultation is where fit gets clarified.
Can we bring all partners to sessions?
Yes. Session format is matched to the work. Some configurations start with all partners; others start with subsets. Your consultation is where format is planned.
What if some partners are ENM and some are not?
That configuration is one the practice sees. Mixed-orientation-to-ENM dynamics are clinically-workable material, held without pushing toward any specific structural conclusion.
Do you affirm kink alongside poly?
Yes. See sibling page on kink-aware therapy for the specific kink frame.
Is jealousy pathological in poly?
No. Jealousy is information — sometimes about the structure, sometimes about individual history, sometimes about communication. Depth work engages what the jealousy is signaling, not the jealousy itself as problem.
Can this be done by telehealth?
Yes. Secure, HIPAA-compliant telehealth across California delivers the same depth as in-person work for most of the work; some experiential elements benefit from being in the room and your clinician will be candid about which.
How do I get started?
Book a free, 20-minute consultation through our online scheduling. You talk with a clinician about what brings you in, with no commitment, and together decide what fits.
About this page
This page reflects the practice of Angeles Psychology Group, a depth-oriented, affirming psychology practice in Los Angeles founded by Dr. Neil Schierholz, PsyD (PSY25154). Angeles Psychology Group is a psychology practice and does not prescribe medication. Where medication is relevant, care is coordinated with a client's own psychiatrist or prescriber, who manages any medication. Clinical statements are framed as research suggests and cited to primary sources.
Reviewed by Dr. Neil Schierholz, PsyD. Last updated August 2026.