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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.
avigating emotional distress or long-standing conflict can feel like being fractured, but healing often begins with finding a reliable and experienced partner. I am Dr. Julie Cohen, a Clinical Psychologist with over 45 years of experience. I have spent my career helping individuals, couples, and families resolve conflict—whether it’s occurring in the living room or the workplace. I specialize in treating depression, anxiety, and stress, particularly for those who are ready to dive into their inner experience to improve how they feel about themselves and their relationships. I feel privileged to help my clients achieve their goals and improve their lives by providing the expert, seasoned care necessary to handle even the most complex challenges with precision and kindness.
I believe that the foundation of our work is a relationship of absolute trust and safety. My extensive training allows me to look at your life through a wide lens, understanding how your past experiences and upbringing shape your current personality and challenges. I encourage an honest and direct dialogue, as that is where true mutual understanding begins. When I am not working with clients, I value the perspective that comes from a long career dedicated to human behavior, often finding restoration in the very principles of balance and growth that I share in my sessions. I want my clients to feel safe and empowered during their time with me, knowing they have a safety net of four decades of clinical expertise behind them.
I am a Licensed Clinical Social Worker and founder of CRiY Therapeutic Services: Cultivating Resilience in You. I specialize in helping individuals navigate stress, trauma, grief, and emotional challenges using varying approaches that build resilience and leads to lasting change as you journey to renew your mind. I provide support to individuals 13 yrs and up, couples, and families. I also provide support to individuals living with chronic pain including sickle cell anemia, long term disease, and individuals struggling with varying life challenges.
I’m Maria, and I am a Licensed Marriage and Family Therapist with over twelve years of experience working with families, children, and adults. My work has focused on breaking generational cycles of trauma and navigating challenging life transitions. In my work I have supported individuals and families through growing up, raising their children, and bringing healing and harmony into the home. I am deeply passionate about helping others on their journeys toward personal growth and a better quality of life and consider it a gift to be an agent of change.
In addition to my clinical work, I am also a working mother of a college student and clinically supervise and train other clinicians. This experience gives me a unique perspective and understanding on navigating life transitions and balancing multiple roles.
My approach is warm, affirmative, and solution-oriented – with some humor mixed in. While it can feel intimidating to take that first step, if you are ready, I can guide you in finding areas of strength while also challenging areas for growth in a compassionate way. Together we can work toward healing in a safe environment and create positive change to improve your quality of life.
My passion lies in working with clients who need assistance with personal empowerment and identity development. My goal is to instill hope by identifying areas of strength, resilience, and capacity for positive change. Effective therapy takes effort and commitment from both the therapist and the client.
I specialize in supporting women through major life transitions and personal shifts, as well as challenges related to boundaries, self-trust, self-worth, and emotional resilience. I also work with women who find themselves repeating unhelpful relational patterns or struggling with overwhelm, stress, and uncertainty. In my trauma work, I incorporate Brainspotting, a brain-body modality that helps process trauma, emotional stress, and experiences that may feel difficult to access through talk therapy alone. I also support clients navigating grief and loss in its many forms. My goal is to help you better understand yourself, strengthen your ability to cope, and move toward healing and meaningful change in a way that feels sustainable.
All roads lead to Rome! It doesn't matter where we jump in, if you’re ready, we’ll get there. My POV is through a Neurodiverse lens and incorporates Attachment Theory and C-PTSD with the idea that much of our conflict and distress stems from old wounds & unmet needs that can often be traced back to necessary adaptations needed to survive not only our families of origin but also societal norms and expectations. The gig of being human is hard and de-coding this blueprint can provide a path toward understanding, healing and, fulfillment. I utilize a variety of therapeutic modalities including Ketamine Assisted Psychotherapy.
Melinda Fay is a Licensed Marriage and Family Therapist with a specialty in Art Therapy. I received my MA in Psychology from Phillips Graduate Institute in 2002 and I have been licensed since 2008.
I am a board certified, doctoral prepared PMHNP. I completed my post graduate at National University in Adult, Child and Adolescent Psychiatry. I earned my DNP from Azusa Pacific University and graduated from CSUSB MSN program. I have been a faculty at CSUSB since 2014. Extensively trained and a certified Trauma-Informed specialist. I diagnose and treat mental disorders including medication-assisted treatment along with counseling for chemical dependency and substance use disorders.
I bring 14 + years of experience providing thrrapy in both private and clinical settings. My work is grounded in a client centered strengths-based approach, rooted in unconditional, positive regard and a commitment to providing a safe, non-judgmental space where client can openly share their stories.
I identify as neurodivergent and have personally and professionally navigated ADHD. This experience allows me to bring both clinical knowledge lived understanding to my work, helping clients recognize their strengths, develop effective strategies, and move toward meaningful growth and stability.
Feeling stuck and ready to take the next step in your life? You’re not alone. I support clients who are navigating anxiety, self-doubt, and long-standing unresolved challenges by helping them explore their experiences with curiosity, compassion, and safety. My goal is to help you feel more connected to yourself, trust your inner voice. I see therapy as a collaborative partnership. Together, we’ll identify goals that matter most to you whether that’s improving relationships, building self-esteem, addressing unresolved challenges, or figuring out what’s next when you’re ready for change but unsure where to begin. I primarily integrate evidence-based therapeutic methods, with EMDR as the central approach guiding the treatment process
I believe everyone needs help from time to time.
I specialize in evening and weekend appointments. Later appointments are available, please request your needs.
I am a friendly goal-oriented therapist who believes strongly in positive self-reinforcement. I have a Master's degree from La Tech University with a background in private practice for over 20 years. I am Licensed in Louisiana and Texas as a professional counselor. I am also Licensed as a marriage and family therapist in Louisiana.
I'm a Marriage and Family Therapist based in Los Angeles and love this work. I came to therapy through an unconventional path — nearly a decade in film and photography, work as a youth counselor, and service in the military — all of which deeply shaped how I understand people and their stories.
I earned my master's degree from Pacifica Graduate Institute, where I focused on psychodynamic and depth-oriented approaches. My thesis centered on ketamine-assisted psychotherapy, a specialty I've continued developing through advanced trainings I've completed.
I work with individuals, couples, adolescents & families across a wide range of concerns, including depression, anxiety, trauma, relationship challenges, and life transitions. I have a particular love for working with creative professionals, veterans and young adults. I'm LGBTQ+ affirmative and love working with folks from the queer community.
My practice spans traditional talk therapy, Internal Family Systems (IFS), and Ketamine-Assisted Psychotherapy (KAP) — including psychedelic integration support for those processing experiences outside of our work together. I see clients in person in Atwater Village in Northeast LA, and virtually throughout California.
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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