Book couples therapy, covered by insurance
Couples therapists in San Antonio, TX


Top couples therapists in San Antonio, TX
Navigate relationship issues with compassionate couples therapy in San Antonio. Our providers specialize in helping partners improve communication, resolve conflicts, and build stronger connections. Many sessions available within two weeks, with flexible scheduling and insurance coverage.
I am a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based care for adults. I earned my Master of Science in Nursing with a psychiatric specialty from Chamberlain University, graduating Cum Laude and earning induction into the Sigma Theta Tau Honor Society. I am currently pursuing my Doctor of Nursing Practice (DNP) degree with a focus in Psychiatric Mental Health Nursing, further advancing my clinical expertise and commitment to providing high-quality mental health care. I specialize in treating conditions such as depression, anxiety, PTSD, ADHD, mood disorders, trauma-related concerns, and substance use disorders. My approach is personalized and collaborative, combining medication management, brief supportive therapy, lifestyle strategies, and patient education to help clients achieve their mental health goals.
"As a Certified Sex Addiction Therapist (CSAT), I specialize in treating both porn/sexual addiction and the resulting Partner Betrayal Trauma. My work delves into the unconscious, deep-rooted patterns and past experiences that fuel compulsive behaviors.
Utilizing a psychodynamic approach, I help clients gain the insight necessary for lasting change, full life restoration, and healing the core issues."
I have been a licensed clinical social worker for over 30 years bringing broad experience and perspective to my sessions. I believe that joining with a client is paramount to establishing trust. Trusting that your provider cares for you, has your best interest at heart and provides you with reasonable and doable solutions is key to growth. If we don’t connect, no harm/no foul. We agree to move on and I will assist with that process, if necessary.
Being told I "talk too much" in grade school has really worked out for me. I have 15 + years of experience working with diverse populations. Those populations include: homeless persons, LGBTQ+, those with chemical dependency, those living with HIV/AIDS, adolescents, college students, incarcerated persons, and senior adults. My experience and education has afforded me the opportunity to provide psychotherapy (which includes teletherapy), group therapy, consultation, and outreach services. I received my Masters in Mental Health Counseling through Capella University. I am dedicated to diversity, inclusion, and equity.
I understand that attending therapy can feel intimidating and overwhelming, and frequently, the most difficult aspect of the entire process is simply taking the initial step to begin. Nevertheless, you are here now, and you are officially embarking on your personal path to heal and rebuild. I genuinely welcome the chance to connect with you and discover more about exactly how I can support you. My personal approach is consistently warm, deeply empathetic, and highly collaborative.
Clients should know that I am a Licensed Professional Counselor (LPC) with specialized training and experience working with trauma, depression, and anxiety.
I believe in a person-centered approach, meaning therapy is tailored to your unique needs, strengths, and goals. Whether you are facing overwhelming emotions, seeking new coping tools, or exploring personal growth, I walk alongside you with empathy and respect to support your journey toward healing and well-being.
My goal is to empower you with practical strategies and insights while fostering self-compassion and resilience. Together, we will create a collaborative, supportive partnership that honors your experience and helps you move forward with renewed hope.
I work well with children, adolescents and adults, parents, couples and families. I work with helping people improve their self concept, eliminating negative thoughts that disturb our peace of mind. I help people through transitions in their life, trauma, whether that be changes in school/work, relationships, grief and loss, moves, retirement, recreating themselves etc. I help individuals, couples and families communicate in a way that betters their interpersonal relationships. I work with past grief and traumas that get in the way of healthy life functioning. I help people move toward a balanced and happier overall way of life.
I offer an interpersonal style of therapy and I use many modalities and much experience to help individuals, couples and families work through difficulties they may be facing or helping work toward living a more aware, peaceful life. Check out my website for more information. My clients say that they are put at ease with me immediately and I help them.
I am here to listen with a trained ear and help with a easy warmth that will allow you to be gentler with yourself as you become the you that you dreamed to be.
Hi, I’m Renée Rivers, a Licensed Mental Health Counselor (LMHC) based in South Florida. I specialize in working with individuals, couples, teens, and families navigating trauma, identity, and major life transitions. As a first-generation Haitian-American woman, I deeply understand the cultural and intergenerational layers that shape how we relate to ourselves and others. My clinical work is grounded in empathy, accountability, and authenticity, I create a space where you don’t have to explain “everything” because I hold space for complexity. I am especially passionate about helping clients unlearn survival patterns that no longer serve them and redefine success, connection, and rest on their own terms.
I’ve worked in school settings, community mental health agencies, and now lead my own private practice, Reflective Rivers Therapy & Consulting. I hold a master’s in Clinical Mental Health Counseling and am currently pursuing a Ph.D. in Counseling with a specialization in Couples and Family Therapy.
About our couples therapists located within 20 miles of San Antonio, TX



- 98%Anxiety
- 96%Depression
- 94%Stress management
- 92%Relationship issues
- 88%Trauma

- 98%Aetna
- 94%Cigna
- 92%Carelon Behavioral Health
- 83%Blue Cross and Blue Shield of Texas
- 77%Ascension

- 100%English
- 17%Spanish

- 98%In-person or online
- 2%In-person only

- 85%Woman
- 15%Man

- 65%Licensed Professional Counselor
- 15%Licensed Clinical Social Worker
- 10%Licensed Marriage/Family Therapist
- 6%Psychologist
- 4%Advanced Practice Registered Nurse - Certified Nurse Practitioner

- 100%Individual therapy
- 79%Couples therapy
- 60%Family therapy
- 31%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.
Browse by specialty
Find someone who works with what you’re going through.Browse by city
Explore the cities patients search for most.- Schertz, TX
- New Braunfels, TX
- Austin, TX
- Corpus Christi, TX
- Laredo, TX
- Bryan, TX
- Richmond, TX
- Waco, TX
- Cypress, TX
- Sugar Land, TX
- Missouri City, TX
- San Angelo, TX
- Lake Jackson, TX
- Houston, TX
- Humble, TX
- Pasadena, TX
- Kingwood, TX
- Mansfield, TX
- Weatherford, TX
- Fort Worth, TX
- Duncanville, TX
- Arlington, TX
- Grand Prairie, TX
- Bedford, TX
- Colleyville, TX
- Grapevine, TX
- Forney, TX
- Lufkin, TX
- Garland, TX
- Rockwall, TX
- Nacogdoches, TX
- Denton, TX
- Frisco, TX
- Longview, TX
- Lubbock, TX
- Amarillo, TX
- El Paso, TX
Browse by state
Explore mental health care in another state.- Alabama
- Alaska
- Arizona
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Hawaii
- Illinois
- Indiana
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New York
- North Carolina
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming







































