Cultivating a stronger bond, together.
Couples & Marriage Counseling in Winston-Salem, NC and virtual across NC and VA
Services
Rekindling Connection & Desire
Conflict Management
Infidelity Recovery
Trauma & PTSD
Parenting & Family Consultation
Couples & Addiction Recovery
Discernment Counseling
Sex + Body Positive, LGBTQ+ Affirming
Couples & Marriage Counseling in Winston-Salem, NC — and Online Across NC & VA
At Bloom Couples Counseling, we offer expert, evidence-based marriage and relationship therapy in a calm, supportive setting — both in-person in Winston-Salem, NC and online for clients across North Carolina and Virginia.
Our science-backed approach helps couples get to the root of their relationship struggles and equips them with practical tools to reconnect, repair trust, and move forward with clarity and confidence.
Whether you’re recovering from betrayal, feeling emotionally distant, or simply looking to strengthen your bond, Bloom provides a safe, nonjudgmental space where your story is heard — and your patterns are transformed. We specialize in helping couples break free from chronic conflict, communication breakdowns, and emotional avoidance, guiding you toward deeper connection and lasting change.
A healthy, fulfilling relationship takes intention and effort — but you don’t have to do it alone. Whether you're meeting us in person or virtually, we’re here to help you turn your relationship into something beautiful.
👉 Now accepting new couples for in-person and virtual therapy in NC and VA.
Ryan MacLeod, LMFT
I grew up in Raleigh, NC surrounded by humidity, music, and a family who loves to laugh. In 2002 I moved to Winston-Salem to pursue my bachelor’s degree at UNC School of the Arts in classical guitar. It was there that two wonderful things happened amidst all of the music I was playing: I met my wife and I found my desire to be a therapist.
After my wife completed her master’s degree in Virginia, we moved back to our home in Winston-Salem. I enrolled in Pfeiffer University’s Marriage and Family Therapy program, commuting to Charlotte for 3 years, and graduated in 2013 with my Master of Arts degree. While there I earned the Outstanding Master’s Intern award for my work in the training clinic, and began a mental health-related podcast called In Session with George Bitar, Ph.D., of Connect Couples Therapy in Charlotte, NC.
From 2016-2022, I was a Senior Mental Health Counselor at Wake Forest University School of Medicine’s Counseling & Well-Being Services, serving medical and graduate PhD students in the extremes of academic adversity. This position has also afforded me to continue my passion in working with couples and to seek advanced training in the area.
I often tell people that my first experiences working with couples scared the living daylights out of me. But it soon became clear that relying on intuition alone wasn’t enough to help couples transform their relationship. I tell the same to couples who worry that I use science-based methods as a cornerstone of my clinical work, and I see this providing the pathway to make couples therapy more successful and enriching for the people I work with.
Professional Background
Licensed Marriage & Family Therapist in North Carolina
Certified Gottman Therapist
Certified Discernment Counselor
Core Skills Trained in Emotionally Focused Couples Therapy
EMDR Trained Therapist, pursuing certification
Treating Affairs & Trauma Advanced Clinical Training (Gottman Institute)
Couples and Addiction Recovery Advanced Clinical Training (Gottman Institute)
Gottman Approved Educator for 7 Principles of Making Marriage Work
Going Into the Fire - Working with Highly Escalated Couples, Advanced Clinical Training with George Faller
Esther Perel Sessions Live - The Masculinity Paradox
Esther Perel Sessions Live - Finding Eros: Love, Lust, & Commitment
Master of Arts in Marriage and Family Therapy, Pfeiffer University in 2013
Awarded Outstanding Master’s Intern for clinical internship
Contact Us
Bloom Couples Counseling, PLLC
Ryan MacLeod, LMFT
1066 W 4th St. Suite 202A
WS/NC 27101
336.413.6488
ryan@bloomcouplescounseling.com
Fees
55-minute session = $210
85-minute session = $315
Gottman Relationship Assessment Fee =
$100 per couple
*I am an out-of-network provider and therefore I do not directly accept any insurance plans. However, I can give you a detailed receipt once you’ve paid for your session(s), upon request, that you may file directly with your insurance provider.