Couples Therapy in San Francisco, CA

The 20 Best Couples Therapists in San Francisco, CA

We analyzed 20 local practices with an average rating of 4.9 stars. In SF, finding a truly deep connection often requires patience, given how busy and ambitious everyone tends to be.

20 verified 4.9 avg rating 2 remote
LoveFix Research — Best Couples Therapists in San Francisco, CA

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 Francisco to help you choose if and when you're ready.

Therapists in San Francisco, CA

Top couples therapists

San Francisco Bliss Counseling & Couples Psychotherapy

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

Top RatedHighly Reviewed
5
23 reviews

San Francisco Bliss Counseling & Couples Psychotherapy focuses primarily on creating a safe and nurturing environment for emotional healing and transformation.

Clients appreciate the depth and compassionate approach that fosters deep connections and facilitates the release of fear and trauma.

For those seeking a holistic path towards greater intimacy and understanding, this practice offers a welcoming space to embark on that journey.

Calm Again Counseling in San Francisco, CA

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

Top Rated
5
16 reviews

Calm Again Counseling is dedicated to providing evidence-based therapy for couples, helping them navigate issues such as communication, conflict resolution, and emotional intimacy.

Many partners describe their experiences as transformative, highlighting the compassionate and skilled approach of the therapists.

Reach out today to explore how this supportive environment can foster healing and connection in your relationship.

California Couples Counseling · San Francisco

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

Top Rated Online
5
1 reviews

California Couples Counseling focuses primarily on providing compassionate support to couples seeking to strengthen their relationships through both in-person sessions in San Francisco and convenient online options throughout California.

Many partners describe their experience as transformative, appreciating the expertise and dedication of the therapists and staff.

Those interested in enhancing their connection are encouraged to explore the valuable resources available at this practice.

Fiachra Figs O'Sullivan LMFT

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

Top Rated
5
15 reviews

Fiachra Figs O'Sullivan LMFT focuses primarily on helping couples restore connection and understanding through empathetic communication and validation.

Many partners describe the therapy experience as transformative, noting significant improvements in both their relationships and personal growth.

For those seeking a compassionate therapist to navigate life's challenges together, a consultation is an excellent next step.

The Couples Center

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

Top RatedHighly Reviewed
5
34 reviews

The Couples Center focuses primarily on revitalizing relationships through specialized marriage, premarital, and family therapy.

Many partners describe their experiences as transformative, appreciating the unique workshops designed to enhance connection and authenticity.

Couples are warmly invited to explore the supportive environment and tools offered to foster deeper bonds.

Bay Area DBT & Couples Counseling Center

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

Top Rated
5
13 reviews

The Bay Area DBT & Couples Counseling Center emphasizes Dialectical Behavior Therapy (DBT), helping individuals manage overwhelming emotions and foster healthier relationships.

Reviewers frequently highlight the therapist's skillful and compassionate approach, noting significant personal growth and transformation through group facilitation.

Interested individuals are encouraged to explore the impactful services offered to enhance their emotional well-being and relationship dynamics.

About couples therapy in San Francisco, CA

How much does couples therapy cost in San Francisco?

While prices vary, the average session in San Francisco 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 Francisco offer remote video sessions.

How do I choose the best therapist?

Look for verified reviews and specific methodologies like Gottman or EFT. Practices like San Francisco Bliss Counseling & Couples Psychotherapy (Rated 5 stars) are excellent starting points.

Where they are

Map of top couples therapists in San Francisco, CA

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 Francisco 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.