Support available now—
Anywhere Clinic

Relationship, Family & Crisis Mediation

Pastor Vic Caruso

When a relationship or family feels stuck in conflict, uncertainty, grief, or crisis, Vic helps people lower the temperature, have the difficult conversation, and determine the next right step.

Drawing from more than four decades of pastoral leadership and community service, Vic offers practical, compassionate guidance for couples, individuals, and families. Christian faith and spiritual guidance can be incorporated when requested, but they are never required.

All beliefs and backgrounds are welcome.

$200per one-hour session·Sliding-scale available for financial hardship
Vic Caruso, relationship, family, and pastoral care coach at Anywhere Clinic

40+

years serving Las Vegas families

Ordained Reverend

Training in Family Psychology & Pastoral Counseling

40+ Years of Pastoral and Community Service

Executive Director, City Impact Center

About Vic

Experience, honesty and compassion for life's hardest conversations

Vic does not begin by taking sides or deciding who is right. He helps each person slow down, speak honestly, listen more carefully, and understand what is needed to move toward repair, acceptance, or a healthier transition.

Reverend Vic Caruso has spent more than four decades helping people navigate relationship conflict, family hardship, loss, major life transitions, and questions of faith and meaning.

As an ordained reverend and longtime community leader, Vic brings a calm, direct, and compassionate presence to conversations that families often struggle to have on their own. His pastoral education included training related to relationships, marriage and family dynamics, grief, spiritual care, reconciliation, and crisis support.

He also serves as Executive Director of City Impact Center, a non-profit organization in Las Vegas, where he has spent decades supporting individuals and families throughout the community.

Learn More About City Impact Center

How Vic Can Help

Support for relationships, families, faith and life transitions

You do not need to wait until a relationship or family has completely broken down to ask for help. Vic works with people preparing for a new chapter, struggling through a difficult season, or trying to decide what should happen next.

Relationship and Discernment Support

Support for couples at every stage of a relationship — from preparing for marriage to rebuilding trust or deciding whether the relationship should continue.

Vic can help with:

  • Premarital preparation
  • Marriage and couples communication
  • Recurring conflict and resentment
  • Emotional distance and loss of connection
  • Infidelity and rebuilding trust
  • Difficult decisions about staying together
  • Discernment when one or both partners are uncertain
  • Respectful separation planning
  • Healing after separation or divorce

The goal is not to pressure people to remain together or to separate. It is to create enough honesty, understanding, and emotional safety for both people to make thoughtful decisions.

Family Intervention and Reconnection

When a family is overwhelmed by conflict or crisis, it can be difficult to begin a productive conversation without falling into blame, defensiveness, avoidance, or another blowup.

Vic helps families prepare for structured conversations involving:

  • Substance use and addiction
  • Gambling and financial problems
  • Parenting struggles
  • Adult-child conflict
  • Caregiving responsibilities
  • Grief and loss
  • Infidelity and broken trust
  • Estrangement and longstanding resentment
  • Household boundaries and responsibilities
  • Major health or life changes

The purpose of a family intervention is to bring the truth into the room with compassion, establish healthy expectations, and identify realistic next steps.

Vic's services are not emergency intervention services or a replacement for medical, psychiatric, addiction, legal, or emergency care.

Christian Pastoral Care

Faith-based support is available for individuals, couples, and families who want their Christian beliefs incorporated into the conversation.

Depending on your preferences, sessions may explore:

  • Prayer and scripture
  • Forgiveness and reconciliation
  • Marriage and family commitments
  • Spiritual conflict or disconnection
  • Guilt, shame, hope, and redemption
  • Meaning during suffering or loss
  • Reconnecting with personal values
  • Making difficult decisions through the lens of faith

Christian guidance is always optional. Vic welcomes people from every belief system, including people who do not identify as religious or spiritual.

End-of-Life, Grief and Legacy Support

Serious illness, caregiving, death, and grief can bring difficult emotions and unfinished conversations to the surface.

Vic offers compassionate support for those navigating:

  • Anticipatory grief
  • A serious or life-limiting illness
  • Caregiver stress
  • Fear of death or uncertainty
  • Conversations about wishes and values
  • Reconciliation and unfinished relationships
  • Preparing family members for loss
  • Meaning, dignity, faith, and legacy
  • Grief following the death of a loved one

These conversations can help families remain connected, communicate what matters most, and approach the end of life with greater honesty, love, and peace.

Emotional support complements but does not replace hospice, palliative care, medical treatment, mental health treatment, estate planning, or legal advice.

Is This for You?

You may benefit from speaking with Vic if…

  • You love one another but cannot communicate without fighting.
  • You are considering marriage and want to build a stronger foundation.
  • One partner wants to repair the relationship while the other is uncertain.
  • Your family needs help addressing addiction, gambling, money, grief, or another difficult issue.
  • Trust has been damaged and you do not know whether it can be rebuilt.
  • You are preparing for or recovering from separation or divorce.
  • You want Christian guidance incorporated into your conversations.
  • Your family is facing serious illness, caregiving, death, or grief.
  • You need a calm, experienced person to help facilitate a difficult conversation.

Vic's Approach

A conversation focused on truth, love and the next right step

Vic's approach is compassionate, practical, and direct. Sessions focus on helping people move from gridlock toward clarity.

You do not need to have everything figured out before reaching out. The first step is simply being willing to have an honest conversation.

  1. Slow down emotionally charged conversations
  2. Speak honestly without attacking one another
  3. Listen for understanding rather than rebuttal
  4. Recognize patterns that keep the conflict going
  5. Clarify responsibilities and boundaries
  6. Repair trust when repair is possible
  7. Accept difficult realities when they cannot be changed
  8. Decide what healthy next steps look like

Session Information

$200/ one-hour session

Sliding-scale rates may be available for individuals and families experiencing financial hardship. Mention your circumstances when requesting a consultation.

Free initial consultation call

Individual, couple, or multi-family-member sessions

Goals established together during your consultation

Christian guidance optional — never required

Free consultation

Start With a Free Consultation With Pastor Vic

Share a few details about the relationship, family concern, loss, or life transition you are facing. Vic will contact you to learn more, determine whether his services are a good fit, and discuss possible next steps.

Your information will be submitted securely and handled in accordance with Anywhere Clinic's privacy practices.

Bring the difficult conversation

Whether you are trying to protect a relationship, repair a family, make a difficult decision, reconnect with your faith, or find peace during a season of loss, you do not have to navigate it alone.

Scope of Services

Reverend Vic Caruso provides nonclinical relationship coaching, family support, and pastoral care. These services do not include mental health diagnosis, psychotherapy, medical treatment, addiction treatment, legal advice, or emergency intervention, and they are not a substitute for services from a licensed mental health or healthcare professional.

When appropriate, clients may be encouraged to seek additional support from an Anywhere Clinic clinician or another qualified medical, mental health, addiction, legal, hospice, or emergency professional.

If you are experiencing an immediate safety or mental health emergency, call 911 or 988.