Specialized Care

Top Rated Couples Therapy Therapists in San Francisco

Connect with 39 verified specialists for couples therapy in San Francisco. Read reviews, check availability, and find the right support for your needs.

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Is Couples Therapy right for you?

Quick decision guide for San Francisco residents.

?30-second check

When it helps

  • You want structured, practical tools
  • You are dealing with specific anxiety or phobias
  • You prefer shorter-term treatment (12-20 weeks)

!When it may not

  • You just want to "vent" without homework
  • You are looking for deep psychoanalysis
  • You are in an active crisis requiring stabilization first

Alternatives

Local Specialists

Showing 1-20 of 39 providers in San Francisco

Calm Again Counseling in San Francisco, CA

Calm Again Counseling in San Francisco, CA

4155 24th St, San Francisco, CA 94114, USA

5.0(16)
👁️EMDR Therapy💑Couples Therapy👨‍👩‍👧‍👦Family Therapy🩹Trauma Therapy
Google VerifiedProfile last reviewed: January 2026
San Francisco Bliss Counseling & Couples Psychotherapy

San Francisco Bliss Counseling & Couples Psychotherapy

4111 18th St #7, San Francisco, CA 94114, USA

5.0(23)
💑Couples Therapy👨‍👩‍👧‍👦Family Therapy😰Anxiety Therapy🩹Trauma Therapy
Google VerifiedProfile last reviewed: January 2026
Brendan Hall

Brendan Hall

3095 21st St, San Francisco, CA 94110, USA

5.0(42)
💑Couples Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
Michelle Deely, MFT Therapy for Burned Out Moms

Michelle Deely, MFT Therapy for Burned Out Moms

3896 24th St, San Francisco, CA 94114, USA

5.0(11)
👁️EMDR Therapy💑Couples Therapy👨‍👩‍👧‍👦Family Therapy😰Anxiety Therapy
Google VerifiedProfile last reviewed: January 2026
Janet Lee Therapy

Janet Lee Therapy

1726 Fillmore St, San Francisco, CA 94115, USA

5.0(11)
💑Couples Therapy😰Anxiety Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
Sara Sanford Therapy-Teens & Adults In-Person & Virtual Trauma LGBTQIA+ Inclusive Affirming San Francisco

Sara Sanford Therapy-Teens & Adults In-Person & Virtual Trauma LGBTQIA+ Inclusive Affirming San Francisco

4200 18th St #204, San Francisco, CA 94114, USA

5.0(13)
💑Couples Therapy👨‍👩‍👧‍👦Family Therapy😰Anxiety Therapy🩹Trauma Therapy
Google VerifiedProfile last reviewed: January 2026
Sage & Sunshine Therapy, A Professional Clinical Counselor Corporation

Sage & Sunshine Therapy, A Professional Clinical Counselor Corporation

3322 Steiner St, San Francisco, CA 94123, USA

5.0(13)
💬Cognitive Behavioral Therapy👁️EMDR Therapy💑Couples Therapy😰Anxiety Therapy
Google VerifiedProfile last reviewed: January 2026
Whole Health Counseling Center

Whole Health Counseling Center

2024 Divisadero Street, 1734 Fillmore St, San Francisco, CA 94115, USA

5.0(10)
💑Couples Therapy👶Child Therapy🎒Teen Therapy👥Group Therapy
Google VerifiedProfile last reviewed: January 2026
Andrea Crapanzano Ph.D

Andrea Crapanzano Ph.D

879 14th St, San Francisco, CA 94114, USA

5.0(21)
💑Couples Therapy👨‍👩‍👧‍👦Family Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
The Connective - San Francisco

The Connective - San Francisco

870 Market St Suite 340, San Francisco, CA 94102, USA

5.0(27)
👁️EMDR Therapy💑Couples Therapy😰Anxiety Therapy🎒Teen Therapy
Google VerifiedProfile last reviewed: January 2026
Psyched in San Francisco

Psyched in San Francisco

Hobart Building, 582 Market St #1110, San Francisco, CA 94104, USA

5.0(2)
💑Couples Therapy👨‍👩‍👧‍👦Family Therapy🎒Teen Therapy👥Group Therapy
Google VerifiedProfile last reviewed: January 2026
Dr. Sylvia Khromina Psychotherapy

Dr. Sylvia Khromina Psychotherapy

870 Market St #520, San Francisco, CA 94102, USA

5.0(8)
👁️EMDR Therapy💑Couples Therapy🩹Trauma Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
San Francisco Counseling and Consulting

San Francisco Counseling and Consulting

55 New Montgomery St Suite #323, San Francisco, CA 94105, USA

5.0(2)
💑Couples Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
California Couples Counseling · San Francisco

California Couples Counseling · San Francisco

490 Post St STE 939, San Francisco, CA 94102, USA

5.0(1)
💑Couples Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
Golden Gate Counseling Services

Golden Gate Counseling Services

1717 Union St, San Francisco, CA 94123, USA

5.0(11)
💑Couples Therapy👥Group Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
Bradford Smallwood Marriage and Family Therapy

Bradford Smallwood Marriage and Family Therapy

4155 24th St, San Francisco, CA 94114, USA

5.0(10)
💑Couples Therapy👨‍👩‍👧‍👦Family Therapy😰Anxiety Therapy👶Child Therapy
Google VerifiedProfile last reviewed: January 2026
Marla Cass, San Francisco Psychotherapy

Marla Cass, San Francisco Psychotherapy

870 Market St #767, San Francisco, CA 94102, USA

5.0(3)
💑Couples Therapy👥Group Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
The Couples Center

The Couples Center

870 Market St #1076, San Francisco, CA 94102, USA

5.0(33)
💑Couples Therapy👥Group Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
Fiachra Figs O'Sullivan LMFT

Fiachra Figs O'Sullivan LMFT

999 Sutter St Suite 207, San Francisco, CA 94109, USA

5.0(15)
💬Cognitive Behavioral Therapy💑Couples Therapy👨‍👩‍👧‍👦Family Therapy😰Anxiety Therapy
Google VerifiedProfile last reviewed: January 2026
The Davon Method Relationship Coaching & Tantra Workshops

The Davon Method Relationship Coaching & Tantra Workshops

2501 Harrison St STE 15, San Francisco, CA 94110, USA

5.0(38)
💑Couples Therapy👥Group Therapy
Google VerifiedProfile last reviewed: January 2026

About Couples Therapy in San Francisco

Couples Therapy in San Francisco

Couples therapy in San Francisco offers a safe and supportive environment for you and your partner to explore your relationship dynamics. With the guidance of a trained therapist, you can develop effective communication skills and learn to navigate conflicts in a constructive way. Many couples find that therapy not only helps to resolve immediate issues but also strengthens their emotional connection.

During sessions, you will engage in open discussions about your feelings and experiences, allowing you to gain a deeper understanding of each other's perspectives. Couples therapy can provide you with tools to enhance intimacy and foster a healthier partnership. Many couples leave therapy feeling more connected and equipped to face future challenges together.

Common Issues Treated

  • Communication Problems - Learn to express needs and feelings effectively.
  • Trust Issues - Work through feelings of betrayal and rebuild trust.
  • Intimacy Challenges - Address issues related to emotional and physical closeness.
  • Life Transitions - Navigate changes such as moving in together or starting a family.

Finding the Right Couples Therapy Specialist

Choosing the right couples therapy specialist is crucial for your journey toward a healthier relationship. Look for a licensed therapist who specializes in couples work and aligns with your values and goals. Remember, taking the first step towards therapy can be daunting, but it is a powerful opportunity for growth and healing. You deserve a fulfilling relationship, and with the right support, you can achieve it.