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 21-39 of 39 providers in San Francisco

Bay Area DBT & Couples Counseling Center

Bay Area DBT & Couples Counseling Center

584 Castro St #908, San Francisco, CA 94114, USA

5.0(13)
💑Couples Therapy🩹Trauma Therapy👥Group Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
INDIVIDUAL & COUPLES COUNSELING - ILENE WOLF LMFT

INDIVIDUAL & COUPLES COUNSELING - ILENE WOLF LMFT

2161 Union St, San Francisco, CA 94123, USA

5.0(5)
💬Cognitive Behavioral Therapy💑Couples Therapy👨‍👩‍👧‍👦Family Therapy😰Anxiety Therapy
Google VerifiedProfile last reviewed: January 2026
Sara Alexander MFT

Sara Alexander MFT

3600 California St, San Francisco, CA 94118, USA

5.0(6)
💑Couples Therapy
Google VerifiedProfile last reviewed: January 2026
L

Lasting Change Couples Marriage Therapy

909 Hyde St Suite 620, San Francisco, CA 94109, USA

5.0(2)
💑Couples Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
Heather Atles, Relationship, Sex, & Intimacy Coaching

Heather Atles, Relationship, Sex, & Intimacy Coaching

Tocoloma Ave, San Francisco, CA 94134, USA

5.0(26)
💑Couples Therapy👨‍👩‍👧‍👦Family Therapy🕊️Grief Therapy
Google VerifiedProfile last reviewed: January 2026
Noe Valley Therapist

Noe Valley Therapist

4019 24th St, San Francisco, CA 94114, USA

5.0(3)
💬Cognitive Behavioral Therapy💑Couples Therapy😰Anxiety Therapy💙Depression Therapy
Google VerifiedProfile last reviewed: January 2026
CK Blackmore Psychotherapy

CK Blackmore Psychotherapy

584 Castro St #176, San Francisco, CA 94114, USA

5.0(10)
👁️EMDR Therapy💑Couples Therapy🩹Trauma Therapy👶Child Therapy
Google VerifiedProfile last reviewed: January 2026
Therapy Now SF

Therapy Now SF

582 Market St Suite 1203, San Francisco, CA 94104, USA

4.8(5)
💑Couples Therapy🎒Teen Therapy🛋️Psychotherapy💻Online Therapy
Google VerifiedProfile last reviewed: January 2026
Dr. Cammy Froude | Licensed Couples Trauma Therapist

Dr. Cammy Froude | Licensed Couples Trauma Therapist

350 Townsend St, San Francisco, CA 94107, USA

4.8(23)
💬Cognitive Behavioral Therapy👁️EMDR Therapy💑Couples Therapy👨‍👩‍👧‍👦Family Therapy
Google VerifiedProfile last reviewed: January 2026
Andrew Kushnick Psychotherapy

Andrew Kushnick Psychotherapy

870 Market St #980, San Francisco, CA 94102, USA

4.8(17)
👁️EMDR Therapy💑Couples Therapy😰Anxiety Therapy🩹Trauma Therapy
Google VerifiedProfile last reviewed: January 2026
P

Peggy Burns, LMFT

801 Portola Dr, San Francisco, CA 94127, USA

4.8(18)
💬Cognitive Behavioral Therapy💑Couples Therapy😰Anxiety Therapy💙Depression Therapy
Google VerifiedProfile last reviewed: January 2026
Maria Burch, LCSW, PMH-C, San Francisco Therapist

Maria Burch, LCSW, PMH-C, San Francisco Therapist

557 Waller St, San Francisco, CA 94117, USA

4.8(17)
💬Cognitive Behavioral Therapy💑Couples Therapy😰Anxiety Therapy💙Depression Therapy
Google VerifiedProfile last reviewed: January 2026
SavantCare - Mental Health Clinic

SavantCare - Mental Health Clinic

490 Post St Suite 1606, San Francisco, CA 94102, USA

4.7(42)
💬Cognitive Behavioral Therapy💑Couples Therapy👨‍👩‍👧‍👦Family Therapy😰Anxiety Therapy
Google VerifiedProfile last reviewed: January 2026
Lovewell Relationship Coaching and Psychotherapy

Lovewell Relationship Coaching and Psychotherapy

45 Franklin St, San Francisco, CA 94102, USA

4.7(14)
💑Couples Therapy😰Anxiety Therapy💙Depression Therapy🩹Trauma Therapy
Google VerifiedProfile last reviewed: January 2026
The San Francisco Marriage and Couples Center

The San Francisco Marriage and Couples Center

582 Market St # 1101, San Francisco, CA 94104, USA

4.5(8)
💑Couples Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
Keeley Rankin Sex & Relationship Therapist, M.A.

Keeley Rankin Sex & Relationship Therapist, M.A.

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

4.5(8)
💬Cognitive Behavioral Therapy💑Couples Therapy😰Anxiety Therapy💙Depression Therapy
Google VerifiedProfile last reviewed: January 2026
Stella Nova Psychology, Inc.

Stella Nova Psychology, Inc.

2211 Post St #300, San Francisco, CA 94115, USA

4.4(11)
💑Couples Therapy👥Group Therapy🛋️Psychotherapy
Google VerifiedProfile last reviewed: January 2026
G

Grisham Dr Dwight-Couples Counseling and Therapy Clinic

235 Montgomery St Suite 830, San Francisco, CA 94104, USA

💑Couples Therapy
Google VerifiedProfile last reviewed: January 2026
Karen Kyle McMahan MFT- Individual Psychotherapy, Couples Therapy, and Consultation

Karen Kyle McMahan MFT- Individual Psychotherapy, Couples Therapy, and Consultation

2186 Geary Blvd STE 211, San Francisco, CA 94115, USA

💑Couples Therapy🛋️Psychotherapy
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.