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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.
Hi, I’m Jessica Castro, a Licensed Marriage and Family Therapist. I’m a mother of two and have been married for 15 years, which gives me a deep, personal understanding of the joys and challenges that come with relationships and family life. With over 10 years of experience in the mental health field, I specialize in working with individuals who are seeking clarity, healing, and stronger connections. My clients often share that therapy with me helps them feel heard, empowered, and better equipped to handle life’s stressors. I’m committed to creating a safe, supportive space where meaningful change can happen.
Welcome! I’m Marissa Brooks, a Licensed Clinical Social Worker with years of experience working in the mental health field. Throughout my career, I have worked in a variety of treatment settings, including crisis residential programs and outpatient mental health services. I hold a Bachelor’s degree in Psychology with an emphasis in Criminal Law and Behavior, as well as a Master’s degree in Social Work. I specialize in working with adults experiencing anxiety, depression, life transitions, and stress management.
I commit to supporting your growth whilst challenging your outdated defense mechanisms. Old patterns got you this far, and my Gestalt training allows me to see your obstacles as creative adjustments. I will empower you to choose, consciously, what works and what works no longer.
Licensed Clinical Social Worker with over 20 years in the field of social work. I have a wealthy portfolio of experiences working with individuals from diverse backgrounds. My specialty interests include anxiety, depression, stress, family conflict, and grief. My educational background include a Bachelors of Social Work, Masters of Social Work, and a Doctorate of Education in Counseling Psychology. I look forward to partnering with you to begin the journey toward wellness.
I am a bilingual therapist offering therapy in both English and Spanish, and I work with couples, families, adolescents, young adults, and children through many different stages of life. I know that reaching out for support can feel vulnerable, so I strive to create a warm, accepting space where you can feel comfortable being yourself. Whether you're navigating relationship challenges, trauma, family concerns, or a difficult season of life, my goal is to help you feel supported as you heal, grow, and work toward the life and relationships you want.
I am a bilingual therapist dedicated to supporting women navigating complex life transitions, young adults, college students, and Spanish speaking & Latino communities. Whether you're dealing with anxiety, stress, relationship challenges, or simply feeling overwhelmed by where you are in life, you don't have to navigate it alone. I have extensive experience working with individuals, couples, and families. My goal is to create a welcoming space where you feel understood, and comfortable sharing the concerns that brought you to therapy. We'll work together to honor your background and experiences while finding an approach that feels right for you.
About our couples therapists located within 20 miles of San Francisco, CA



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

- 95%Aetna
- 60%Providence Health Plan
- 50%Anthem Blue Cross California
- 45%Carelon Behavioral Health
- 30%Curative

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

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

- 65%Woman
- 35%Man

- 60%Licensed Marriage/Family Therapist
- 20%Clinical Psychologist
- 20%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
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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