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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.
As a therapist, my goal is to help you live a happier and more fulfilling life. It can be difficult to know if you are on the right path, have healthy relationships, and are satisfied with your life's direction. How do you feel about where you are headed? I can support your self discovery in a compassionate and understanding way. I work towards identifying one's strengths and empowering clients struggling with anxiety, depression, substance abuse, relationship problems and life transitions. I specialize in working with young women, new moms and couples navigating the transitional stages of family life.
Hello! My name is Juan Zuluaga and I am a LPCC (Licensed Professional Clinical Counselor) in California. I have been working in the mental health field for the past 14 years in a multitude of settings including: therapist, director of an adult program, and case manager. My therapy focus has been working with individuals struggling with anxiety, depression, victims of domestic violence, individuals experiencing life transitions/adjustments, struggles with interpersonal conflicts, men’s issues, and self-esteem concerns. Rooted from a Cognitive Behavioral Therapy background, I primarily employ CBT, REBT, & DBT modalities into my practice. I am here to walk with you on your journey and assist uncover what is best for your life.
Pamela Hughes received her Undergraduate Degree in Psychology and her Masters Degree
in Clinical Psychology from Vanguard University, Costa Mesa, California.
Pamela has worked with individuals, couples and families improving their relationships
using the Collaborative Communication Skills as an Instructor. Pamela specializes in Addictions, ADHD, Family Systems and Hoarding.
Always happy to help!
I am a Licensed Marriage and Family Therapist who works with individuals, couples, and families. My professional experience includes inpatient hospitalization, community-based mental health, and private practice settings, allowing me to support clients with a wide range of emotional, relational, and life challenges. I specialize in grief and loss, relationship concerns, caregiving stress, chronic and terminal illness, workplace burnout, and major life transitions. I also have specialized experience supporting individuals and families affected by Huntington’s Disease and strive to provide an inclusive, culturally responsive space where clients feel respected and supported.
A lot of people who find their way to me have spent years in a world that wasn't quite built for the way their brain works, and they're still figuring out what that means. I'm Brittany, a Neurodiversity affirming Licensed Clinical Social Worker working with adolescents, adults, and seniors. I specialize in supporting Autistic teens and adults, including those who received their diagnosis later in life, alongside people navigating anxiety, OCD, trauma, ADD/ADHD, and relationship challenges. Clients often tell me I'm the first therapist who has really understood them.
I have a strong track record of working with parents, building relationships and connecting with youth who are reluctant or nervous about therapy. I have a doctorate in Clinical Psychology and Masters in Education and Childhood Development. I've worked as a therapist in Jr. High and High School settings and currently work in private clinic to heal family relationships. I give you the tools to be kinder to yourself and step back into your life refreshed and empowered.
I am a clinical psychologist working in San Diego, with over 20 years of experience. I earned a BA in Psychology from University of California Santa Barbara, and a Ph.D. in Clinical Psychology from Alliant International University (formerly California School of Professional Psychology). I completed a postdoctoral fellowship in substance use disorders at the San Diego Veteran's Affairs Healthcare System. I have expertise in working with depression, anxiety, mood disorders, substance use problems, relationship issues, and assertiveness. I also conduct psychological testing for questions around ADHD, Autism, mood disorders, giftedness, learning problems, and personality issues, among others. I believe psychotherapy is a collaborative process to help clients understand themselves better, achieve goals, and become one's best self.
I am deeply committed to helping individuals reconnect with themselves, understand the emotions beneath their experiences, and develop effective coping tools that support greater happiness and well-being. I have been licensed since 1998 and specialize in anxiety, depression, trauma, and PTSD.
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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