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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.
My passion is for helping others get unstuck and flourish! The focus of my practice is geared toward helping you develop affirming responses and positive interpretations of what has happened in your life. I will help you have agency and integrity in the midst of a life transition or challenge that has you feeling stuck or out of ways to help yourself.
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.
As a licensed therapist with both an MSW and a PhD in clinical practice and research, I bring a depth of academic knowledge and real-world experience to my work with individuals and couples. My approach is rooted in compassion, collaboration, and evidence-based strategies tailored to meet each client’s unique needs.
I specialize in helping people navigate life transitions, relationship challenges, emotional resilience, and self-exploration. Whether you're seeking personal growth or looking to strengthen your connection with a partner, my goal is to create a safe, affirming space where meaningful insight and change can emerge.
Are you feeling overwhelmed by anxiety, ADHD, depression, or the weight of past trauma? I work with adults who want to feel more grounded, understood, and confident in navigating their lives. Together, we can make space for what you’ve been carrying, better understand what may be holding you back, and reconnect with your strengths. I offer a warm, affirming, and collaborative space where your story matters and change can happen at a pace 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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