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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.
I'm a therapist based in the Coachella Valley with a broad scope. I work with individuals, couples, families, and children navigating some of life's most difficult terrain: trauma and PTSD, anxiety and depression, substance use and addiction, family conflict, grief, anger, and the particular pressures that come with being a man in a culture that rarely teaches men how to ask for help.
I offer both in-person sessions in the valley and telehealth appointments throughout California. My approach is direct but never harsh, structured but never rigid. I don't believe in one-size-fits-all therapy, I meet you where you actually are.
I'm Josiah — a licensed marriage and family therapist (LMFT) practicing via telehealth across California. My work centers on three communities I care deeply about: veterans navigating the often-invisible work of coming home, LGBTQ+ individuals and couples looking for a therapist who genuinely gets it, and parents who are doing their best while carrying more than they show. I'm Transgender Allied, trained in trauma-informed and multicultural frameworks, and I work with individuals, couples, and families. Before anything else, I work hard to make sure you feel like yourself in the session — not a diagnosis, not a file.
The therapeutic approach I commonly use is Cognitive Behavioral Therapy (CBT), which focuses on changing thought patterns, and Psychodynamic Therapy, which explores past experiences and unconscious conflicts.
I’m Kali, and I have been licensed as a Marriage and Family Therapist in California since 2007. I want to help you have the relationships you want with yourself and with others. I have an MA in Applied Behavioral Science, with a concentration in Systems Counseling. What this means for you, practically speaking, is that as I work with you, I am also thinking about all of the other people, family and friends, co-workers and acquaintances, who are a part of and influential in your life, and you in theirs. I’m also thinking about the relationship you have with yourself, and how all of the parts of you, past, present and future interplay with each other and the world around you. Which is a long-winded way of saying I want to help you have the relationship you want with yourself and with others. I want you to find happiness, joy and health. I'd like to help you identify and meet your goals, and I am a warm, supportive presence whether or not you have any idea as to what your goals might be.
The focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. I help individuals focus on the Solution.
Go beyond coping and create real, lasting change by transforming the patterns at the root. Less time circling the problem. More time transforming it.
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.
Hi, I’m Julie. I have been a therapist for almost 20 years. I have experience with individuals and families who are living with mental health issues, and I also have extensive experience helping those with substance use problems. If you’re feeling anxious, overwhelmed, or unsure how to move forward, therapy can offer a supportive place to feel understood, begin to recover, and reconnect with yourself.
Hi, I’m Dr. Lizeth Moreno. I am a first-generation Salvadoran Latina who provides therapy for individuals seeking personal growth, healing, and a deeper understanding of themselves across various stages of life. My work focuses on creating a supportive and collaborative therapeutic environment where clients feel heard, respected, and emotionally safe. I understand that reaching out for support can feel difficult, and I strive to provide a space where you can explore your experiences, develop insight, and work toward meaningful change. My goal is to help clients build greater self-awareness and strengthen coping strategies.
I'm Mary, and I want you to know that whatever's bringing you here — anxiety that won't quiet down, a relationship that's fraying, grief you can't shake, or patterns you keep repeating despite your best efforts — you don't have to figure it out alone. I've worked with individuals, couples, families, and teens facing some of life's hardest chapters, and I genuinely believe that the right support at the right time changes everything.
I'm California-licensed and offer telehealth sessions statewide, which means flexible, private care from wherever you're most comfortable. I accept Aetna, Blue Shield of California, Cigna, and Carelon Behavioral Health, and I'm happy to help you understand your benefits before your first session.
If you’re struggling with your relationship with food, your body, or feeling stuck in cycles of restriction, bingeing, or guilt, you are not alone—and you don’t have to face it by yourself. In my private practice, I specialize in working with individuals navigating eating disorders and disordered eating.
I provide compassionate, individualized therapy for adolescents and adults experiencing anorexia, bulimia, binge eating disorder, chronic dieting, and body image concerns. In addition to eating disorder treatment, I work with children, teens, and adults facing anxiety, depression, trauma, personality disorders, substance use, and challenges related to identity and the LGBTQIA+ community. I am committed to creating an affirming, inclusive space where clients of all backgrounds feel seen, respected, & supported.
If anxiety, depression, or the weight of past trauma has started to feel like it's steering your life instead of you, that's exactly where I do my best work. I'm Erica, a Licensed Professional Clinical Counselor, and I think of myself as your therapeutic GPS — you set the destination, and I help you find the route. I work with children, teens, adults, and couples, and I bring genuine respect, real-world knowledge, and yes, some humor to every session, because feeling comfortable with your therapist actually matters for getting better.
My name is Jeffrey W. Danese, MS, MA, LMHC, LPCC, and I am a licensed mental health counselor in Washington State and California, currently based in Sacramento. I bring over 15 years of clinical experience across private practice, inpatient and outpatient mental health settings, and college counseling, along with a an academic background teaching psychology, religious studies, and the history of science in higher education from UCSB, FSU, and 10 years at SJSU to various community colleges in the Puget Sound region and in North Florida and cross-cultural experiences such as living in Taiwan, Zambia, Germany and traveling around the world; I studied Spanish, German, and Chinese language, world history and religions, psychology, evolutionary psychology and the cognitive science of religion; was raised Catholic but ordained as a Buddhist monk in Thailand; and continue to meditate, explore and read broadly. One of my favorite quotes is by the Roman writer, Terence: "I am human and there is nothing human foreign to me." (or, Homo sum, humani nihil a me alienum puto. -- Publius Terentius Afer, 165 BCE)
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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