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Couples therapists in San Francisco, CA


Top couples therapists in San Francisco, CA
San Francisco couples can access flexible relationship counseling through Headway's network of compassionate providers specializing in communication, conflict resolution, and intimacy. With 70+ insurance plans accepted, many clients save 75% on sessions. Book your free intake call today.
Welcome, I'm Jenn. I am glad you are here. Slowing down and considering your own support can be difficult for many of the folks I work with, and you’ve taken the first step.
My clients tend to be smart, quirky, thoughtful, community-minded professionals. They are also often perfectionists who expect a lot from themselves. Anxiety, depression, dissatisfaction in work and relationships, and burnout can arise when you relate to yourself critically or chronically minimize your own needs.
A licensed Marriage and Family Therapist, I offer depth-oriented psychotherapy for adults. I welcome your present challenges, lifetime of experiences, and unique inner world and offer a space where even the most confusing and distressing concerns can be met with warmth and intelligence. I work to model and support you in relating to yourself with kindness and with clear-eyes. From there, you may better connect with your own wisdom and find you can make more confident and kind choices in your relationships and career.
I hold an M.A. in counseling psychology from the California Institute of Integral Studies where I trained in holistic approaches to healing emotional pain.
I’m a licensed therapist trained in somatic psychology at the California Institute of Integral Studies. I work with individuals, couples, and men, supporting clients with anxiety (including social anxiety), depression, ADHD, relationship challenges, trauma, and life transitions. I also help people navigating loneliness, work-related stress, and cultural or identity-related experiences, including multiracial relationships. My goal is to help people better understand themselves, their patterns, and how they relate to others. I tend to be warm, down-to-earth, and collaborative, while also being direct when it’s helpful.
As a mature therapist with more than 35 years of experience, I bring both professional expertise and the wisdom that comes from a lifetime of helping people navigate life's challenges. I have extensive experience working with anxiety, trauma, grief, relationship difficulties, and life transitions.
I believe that every person has the capacity to heal and grow. I work comfortably with people from diverse cultural, spiritual, and socioeconomic backgrounds and strive to create a warm, respectful environment where clients feel safe, heard, and genuinely understood. I love my work and consider it a privilege to walk alongside people as they create healthier, more meaningful lives.
I have a deep commitment to seeing people flourish in relationship to themselves, and to others. For many of us, we have some sense of what makes relationships great and what makes them terrible. Knowing and experiencing what makes great relationships stronger, and what turns terrible relationships around, is where I can work alongside you. As someone who has been stepped in Attachment science, I love allowing for people to make more coherent sense of their internal world, to build or restore bonds with others.
Hello,
I'm a licensed marriage and family therapist in California. My goal as a therapist is to support you in your journey to regain trust in your unique strengths and overcome life's challenging situations, and help you make your life happier and more meaningful. My style is warm, collaborative, and culturally sensitive.
I have been in practice for over a decade, and work with a wide range of conditions including trauma, depression and complex life transitions.
I am a Licensed Marriage and Family Therapist based in Sonoma County with six years of clinical experience working with young people and families. I've worked across a range of settings including intensive residential treatment, county behavioral health, and outpatient care, and I bring that breadth of experience into my private practice. I specialize in working with preteens, teens, young adults, and families navigating anxiety, trauma, identity, family conflict, and life transitions. I also work with couples on a private pay basis.
I'm an open minded individual and welcome any topics in treatment
Ready to feel more connected, confident, and in control of your life? Whether you’re facing relationship struggles, overwhelming emotions, or challenges around identity, you deserve a space where you feel truly seen and supported.
I’m Rocio Vaca, a Licensed Clinical Social Worker with 17+ years of experience helping couples, individuals, children, and teens create meaningful, lasting change.
For couples, I help turn conflict and disconnection into stronger communication, deeper friendship, and emotional intimacy.
I provide an affirming, judgment-free space for those exploring identity, preparing to come out, building self-acceptance, or navigating gender-affirming care. Together, we can strengthen resilience and address anxiety, depression, and stress.
About our couples therapists located within 20 miles of San Francisco, CA



- 100%Relationship issues
- 95%Stress management
- 90%Anxiety
- 90%Grief or loss
- 85%Depression

- 95%Aetna
- 60%Providence Health Plan
- 45%Carelon Behavioral Health
- 40%Anthem Blue Cross California
- 30%Cigna

- 100%English
- 10%Hebrew
- 10%Russian
- 5%Farsi
- 5%Spanish

- 95%In-person or online
- 5%In-person only

- 65%Woman
- 35%Man

- 65%Licensed Marriage/Family Therapist
- 20%Clinical Psychologist
- 15%Licensed Clinical Social Worker

- 100%Individual therapy
- 55%Couples therapy
- 45%Family therapy
- 30%Child or adolescent therapy
Frequently asked questions


Find the right couples therapist for you
Headway makes it easy to find support for your relationship — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing a Couples Therapist in San Francisco, CA
Finding couples therapists in San Francisco starts with knowing what you and your partner want to work on. Many people search for couples therapy in San Francisco for support with communication patterns, conflict, trust after infidelity, major life changes, or parenting disagreements. Not all therapists have specific training in couples work, so look for licensed marriage and family therapists or therapists who list couples modalities like the Gottman Method or emotionally focused therapy in their profiles.
San Francisco has many therapists across neighborhoods like the Mission, SoMa, the Richmond, and Noe Valley, which can make the search for the right fit more detailed. For couples counseling in SF, logistics matter for both partners: appointment times, office location, transit access, virtual availability, and whether the therapist is accepting new patients. Some therapists offer a brief initial consultation, which can help both partners understand the therapist’s style, session structure, and approach before booking ongoing care.
Relationship counseling in San Francisco can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs, and Headway helps you see estimated out-of-pocket costs before you book. You can compare San Francisco marriage counselors and couples therapists by specialty, availability, format, and insurance fit, then review bios and book directly when you’re ready.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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