Couples Therapy in San Antonio, TX

The 20 Best Couples Therapists in San Antonio, TX

We analyzed 20 local practices with an average rating of 4.7 stars. San Antonio dating often involves family and deep community, so genuine connections build thoughtfully over time.

20 verified 4.7 avg rating 2 remote
LoveFix Research — Best Couples Therapists in San Antonio, TX

Why LoveFix is here

  • LoveFix gives couples private, guided support for under $10 (especially when weekly therapy feels too big or too expensive).
  • Human-led therapy is irreplaceable, so we analyzed the top-rated therapists in San Antonio to help you choose if and when you're ready.

Therapists in San Antonio, TX

Top couples therapists

Marney W. DeFoore, LCSW-S, Marriage Counseling and Consulting

4241 Woodcock Dr ste c-110, San Antonio, TX 78228, USA

Top RatedHighly Reviewed
5
24 reviews

Marney W.

DeFoore, LCSW-S, focuses primarily on providing biblically-based marriage counseling that equips couples with lifelong communication tools.

Clients appreciate his compassionate approach and the practical guidance he offers to help navigate relationship challenges.

For those seeking a supportive environment to strengthen their partnership, connecting with his practice may be a meaningful step forward.

Into the Roots Therapy - Medical Center

4203 Gardendale Rd c206, San Antonio, TX 78229, USA

Top RatedHighly Reviewed
5
53 reviews

Into the Roots Therapy is dedicated to providing valuable counseling services specifically for children and adolescents facing mental health challenges.

Many families describe their experiences as life-changing, highlighting the compassionate support and thorough professionalism of the therapists.

Those seeking assistance are encouraged to reach out and discover the difference that tailored therapeutic care can make.

Elite Performance Counseling | San Antonio

17806 W Interstate 10 Frontage Rd Suite 300, San Antonio, TX 78257, USA

Top RatedHighly Reviewed
5
26 reviews

Elite Performance Counseling in San Antonio focuses primarily on empowering individuals to overcome personal struggles and enhance their problem-solving skills through insightful guidance.

Reviewers frequently highlight the transformative impact of the counseling sessions, emphasizing the counselors' ability to facilitate personal growth and instill confidence during challenging situations.

This practice warmly invites those seeking meaningful change to explore how they can achieve their goals in a supportive environment.

Jennifer L. Hillier M.A. LPCS for Online Counseling, Trauma, and Narcissistic Abuse.

8620 N New Braunfels Ave Suite# 538, San Antonio, TX 78217, USA

Top Rated Online
5
11 reviews

Jennifer L.

Hillier is known especially for her compassionate approach to online counseling, focusing on trauma and recovery from narcissistic abuse.

Many partners describe her as creating a safe and inclusive environment where all clients feel valued and supported in their healing journeys.

Begin your path toward transformation and growth today.

Breath of Hope Professional Counseling

4081 De Zavala Rd Suite 101, Shavano Park, TX 78249, USA

Top RatedGottman Method
5
12 reviews

Breath of Hope Professional Counseling focuses primarily on holistic therapy methods, integrating techniques such as Gottman Couple Therapy and EMDR to address relationship dynamics and individual challenges.

Clients appreciate the compassionate and knowledgeable approach of the counselors, who create a safe environment for healing and personal growth.

Explore the transformative possibilities this practice offers for couples seeking support in their journey together.

Desta Therapy, LLC

Building 12 - Suite 12103, 16607 Blanco Rd, San Antonio, TX 78232, USA

Top RatedHighly Reviewed
5
76 reviews

Desta Therapy, LLC is devoted to providing compassionate counseling services for individuals of all ages, including children, teens, and adults.

Many partners describe their experiences as transformative, emphasizing the warm, welcoming atmosphere created by the dedicated staff who genuinely care about their clients' well-being.

Begin your journey to healing today and discover how supportive therapy can enhance your life.

About couples therapy in San Antonio, TX

How much does couples therapy cost in San Antonio?

While prices vary, the average session in San Antonio costs between $150 and $250. We found 20 highly-rated practices to choose from.

Do these therapists offer online sessions?

Yes. Currently, 2 of the top-rated providers in San Antonio offer remote video sessions.

How do I choose the best therapist?

Look for verified reviews and specific methodologies like Gottman or EFT. Practices like Marney W. DeFoore, LCSW-S, Marriage Counseling and Consulting (Rated 5 stars) are excellent starting points.

Where they are

Map of top couples therapists in San Antonio, TX

How to decide?

Step 1

If you’re facing abuse, severe distress, or crisis, seek licensed therapy or emergency support. For ongoing conflict or distance, you may have more options.

Step 2

Therapy in San Antonio often costs $150–$250 per session. LoveFix offers guided support for under $10, and many couples use both: therapy for deeper work, LoveFix for daily conversations.

Step 3

Start with LoveFix to work on communication and conflict. If things don’t improve or you see deeper patterns, add a therapist from this list—or combine therapy with LoveFix between sessions.

How do I combine them?

If therapy feels like too big a jump

Start with LoveFix

  • Clarify what you need before booking sessions.
  • Practice communication and de-escalation privately.
  • Build confidence without weekly appointments.

If you’re already in therapy

Use LoveFix between sessions

  • Stay aligned on goals and commitments.
  • Reinforce skills you learn with your therapist.
  • Handle flare-ups without waiting for the next appointment.

FAQ: using LoveFix

Can LoveFix replace therapy?

No. Therapy is irreplaceable for deep trauma, severe distress, or diagnosis. LoveFix offers guided support for communication, conflict, and next steps.

How does LoveFix work alongside a therapist?

Use LoveFix between sessions to practice communication, de-escalation, and stay aligned on goals, so therapy time goes deeper.

Is my data private?

Yes. LoveFix is a private space for you and your partner. We do not share your conversations with therapists or third parties.

Ready to transform your relationship?

Join thousands of couples who have discovered that conflict doesn't have to mean the end. With LoveFix, it can be the beginning of something stronger, more understanding, and more connected.

Feel understood
Stop fighting
Grow together
No credit card • Cancel anytime • Includes 1–2 sessions to try

We believe a stronger connection is always possible

Learn more about our mission and values that guide everything we do.