Book couples therapy, covered by insurance
Couples therapists in San Jose, CA


Top couples therapists in San Jose, CA
Navigate relationship challenges with compassionate couples therapy in San Jose. Our providers specialize in communication, trust-building, and emotional intimacy to help partners reconnect. Sessions are available within days, with most clients saving 75% through insurance.
I've found that building a strong relationship is the foundation of any successful therapy. My grounding philosophy is to meet people where they are at and to tailor my knowledge and experience to help them get to where they want to be. My ideal clients are those motivated, committed, and open to exploring various parts of the inner self and how these parts motivate, protect, grieve, and organize us for action.
Through therapy, clients develop new skills, discover new insights, and strengthen their resilience for whatever life brings.
Ready to feel more connected, confident, and in control of your life? Whether you’re facing relationship struggles, overwhelming emotions, or challenges around identity, you deserve a space where you feel truly seen and supported.
I’m Rocio Vaca, a Licensed Clinical Social Worker with 17+ years of experience helping couples, individuals, children, and teens create meaningful, lasting change.
For couples, I help turn conflict and disconnection into stronger communication, deeper friendship, and emotional intimacy.
I provide an affirming, judgment-free space for those exploring identity, preparing to come out, building self-acceptance, or navigating gender-affirming care. Together, we can strengthen resilience and address anxiety, depression, and stress.
I’m a licensed therapist with a background in supporting adults and teens through anxiety, trauma, life transitions, and relationship stress. I earned my graduate degree in counseling and have worked in both community-based and private practice settings, which has helped me understand the real-life pressures people carry—work, family, finances, identity, and burnout.
My style is practical and compassionate: we look at patterns, the stories you’ve learned to live by, and what it would feel like to respond differently—more grounded, more empowered, and more like “you.” I often integrate inner child work, trauma-informed care, and skills for emotional regulation and ADHD/executive functioning.
I primarily work with adults who want to improve communication, rebuild trust, and create more secure connection.
I strive to provide a warm, safe, and non-judgmental environment for my clients. I am passionate about helping clients find support and tools to navigate life's challenges, release emotional burdens, and reconnect with their own strengths and values. My goal is to provide a space where you feel heard, understood, respected, and empowered to move forward through life's challenges.
I did my training with adoptees, foster care, and attachment trauma. I specialize in trauma and how early childhood trauma continues to effect us into adulthood. Since becoming a therapist, I have continued my training with trauma and have extensive experience with positive parenting, managing work/life balance, managing life's challenging transitions, managing trauma reminders, and anxiety.
I’m grateful to have a career that allows me to be authentically myself and spend my days talking deeply about things that matter. I love working with motivated, bright people who know they have a lot to offer, but feel a bit blocked. I find great joy in helping people unblock to find ease and authenticity in their own lives.
Welcome. I'm a licensed psychotherapist dedicated to supporting people who are going through a tough life transition, whether it’s a diagnosis, relationship loss, other loss, or it’s you who have changed. You may be stressed, burnt out, depressed, anxious, and/or traumatized by what you are going through and carrying. You don’t have to do this alone. You can find your spark again. I have specialized training in somatic psychotherapy and evidence-based mindfulness therapies. As a person living with T1D, I love working with others in the diabetes community, and I understand the mental load and energy it takes, every single day.
Some of what you are carrying has never fit neatly into words. I'm Richard, a licensed marriage and family therapist in California and a working artist with a master's degree in fine art. Over twenty years in mental health, across inpatient units, day programs, and skilled nursing, I have sat with teens, adults, and seniors through anxiety, depression, grief and loss, bipolar disorder, family conflict, stress, and the weight of chronic illness. I am patient, open-minded, and inclusive, and when talking stalls I bring in expressive art. You do not need to be an artist for that to help. Come as you are.
I am a Board Certified Psychiatric Mental Health Nurse Practitioner who provides compassionate, patient-centered, and evidence-based care. I strive to create a safe, nonjudgmental space where you feel heard and supported. Together, we develop personalized treatment plans focused on your goals, well-being, and long-term mental health.
I have an M.A. in Spiritual Psychology from the University of Santa Monica as well as an M.A. in Clinical Psychology from Antioch University. I work with individuals, couples, families, and children and am LGBTQ+ affirmative. One of my specialties is using EMDR for the treatment of trauma, anxiety and depression.
I believe therapy works best when you feel safe, understood, and genuinely supported. My approach is warm, collaborative, and nonjudgmental, and I strive to create a space where you can be yourself. People often describe me as easy to talk to, and I believe that compassion—and even a little humor when appropriate—can make the healing process feel more comfortable. We'll work together to build on your strengths and help you create meaningful, lasting change.
About our couples therapists in San Jose, CA



- 98%Anxiety
- 93%Depression
- 92%Relationship issues
- 91%Stress management
- 85%Trauma

- 98%Aetna
- 84%Carelon Behavioral Health
- 78%Cigna
- 76%Anthem Blue Cross California
- 70%Blue Shield of California

- 98%English
- 15%Spanish
- 2%Farsi
- 1%Mandarin
- 1%Korean

- 88%Online only
- 12%In-person or online

- 78%Woman
- 22%Man
- 1%Non-binary

- 58%Licensed Marriage/Family Therapist
- 25%Licensed Clinical Social Worker
- 7%Clinical Psychologist
- 7%Licensed Professional Clinical Counselor
- 3%Nurse Practitioner

- 100%Individual therapy
- 71%Couples therapy
- 61%Family therapy
- 21%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 Jose
Searching for couples therapists in San Jose starts with identifying what you want to work on together. Couples therapy may focus on communication, repeated conflict patterns, trust after infidelity, major life changes, parenting disagreements, or premarital concerns. If you are also comparing couple counseling San Jose, marriage counseling San Jose, or unmarried couples counseling options, look for a therapist whose profile lists specific couples experience. Not all therapists have training in couples work, so it can help to look for licensed marriage and family therapists or therapists trained in approaches like the Gottman Method or Emotionally Focused Therapy.
In San Jose, finding one therapist who works for both partners can depend on schedule, location, and appointment format. Local in-office options may be more limited in some neighborhoods, so virtual couples therapy can expand the number of therapists available across the Bay Area. As you compare San Jose couples therapy options, consider appointment availability, whether the therapist is accepting new clients, and whether they offer a brief consultation for both partners to assess fit. Reading profiles can also show how a therapist structures sessions, communicates with couples, and supports shared goals.
Couples therapy in San Jose, CA can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand your estimated out-of-pocket cost before you book. Headway helps you search for couples therapists who accept a wide range of insurance plans, compare profiles, and book directly when you are ready. This makes it easier to find a therapist who matches your needs, works with your schedule, and is accepting new clients.
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.
Use left and right arrow keys to switch tabs. Press Shift+Tab to return to the tab list from links in the selected tab.







































