Couples Therapy in St. Louis, MO

The 20 Best Couples Therapists in St. Louis

We analyzed 20 local practices. With an average rating of 4.8 stars, Balancing romance amidst Forest Park's endless attractions and St. Louis's friendly pace can be a delightful, unique challenge.

20 verified 4.8 avg rating 2 remote
LoveFix Research — Best Couples Therapists in St. Louis, MO

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 St. Louis to help you choose if and when you're ready.

Therapists in St. Louis, MO

Top couples therapists

Penalba Valentina PHD. St. Louis Couple and Family Therapy LLC

7750 Clayton Rd Suite 204, St. Louis, MO 63117, USA

Top Rated
5
8 reviews

St.

Louis Couple and Family Therapy LLC focuses primarily on empowering individuals and families to navigate relational complexities and cultivate personal growth within a comfortable setting.

Clients appreciate the supportive environment and clear communication, frequently highlighting significant progress in self-awareness and improved relationship management through new techniques.

Consider connecting to explore a path toward greater well-being and thriving connections.

Marble Wellness

301 Sovereign Ct Suites 100 & 115, Ballwin, MO 63011, USA

Top RatedHighly Reviewed
5
79 reviews

Marble Wellness places emphasis on cultivating genuine connection and insight, supporting clients as they navigate life's challenges and foster deeper interpersonal understanding.

Couples consistently report profound experiences of being seen, heard, and understood, noting the therapists' grounding presence and thoughtful insights.

Explore how their empathetic approach can help cultivate stronger, more resilient relationships.

Mika Ross - Therapist | Relationship Coach

106 W Madison Ave Suite 205, Kirkwood, MO 63122, USA

Top RatedHighly Reviewed
5
26 reviews

Mika Ross, a St.

Louis therapist and relationship coach, focuses primarily on strengthening marriages and helping individuals navigate life's challenges.

Couples consistently report life-changing tools and empathetic guidance that makes working on relationships less intimidating and more effective.

Discover supportive and practical pathways to a healthier relationship and personal growth.

Saint Louis Family Counseling

13412 Clayton Rd, St. Louis, MO 63131, USA

Top Rated
5
2 reviews

Saint Louis Family Counseling is centered on guiding couples through relationship challenges by creating a supportive and safe space for deep emotional exploration.

Couples consistently report a highly supportive presence that helps them feel safe and confident in exploring deep, often hidden emotions.

Explore how dedicated support can help strengthen your bond.

Saint Louis Counseling

5 Premier Dr Suite 200, Fenton, MO 63026, USA

Top Rated
5
5 reviews

Saint Louis Counseling brings particular strength to fostering compassionate and insightful support for couples seeking to navigate their relationships.

Couples consistently report a wonderful and compassionate resource, highlighting the friendly, helpful staff and insightful, knowledgeable professionals.

Consider exploring their supportive services for your relationship journey.

Abundant Life Counseling St. Louis LLC

1034 S Brentwood Blvd #555, Richmond Heights, MO 63117, USA

Top Rated
5
4 reviews

Abundant Life Counseling St.

Louis LLC places emphasis on empowering individuals, couples, and families to flourish, offering specialized support for complex relationship dynamics and anxieties.

Many partners describe receiving incredibly compassionate and mindful guidance, often noting the counselor's unique ability to understand complex relationship issues like anxiety and narcissistic dynamics.

Discover supportive pathways to healing and thriving in your relationships.

About couples therapy in St. Louis, MO

How much does couples therapy cost in St. Louis?

While prices vary, the average session in St. Louis costs between $150–$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 St. Louis offer remote video sessions.

How do I choose the best therapist?

Look for verified reviews and specific methodologies like Gottman or EFT. Practices like Penalba Valentina PHD. St. Louis Couple and Family Therapy LLC (Rated 5 stars) are excellent starting points.

Where they are

Map of top couples therapists in St. Louis, MO

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 St. Louis 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.