Relationship and Marriage Counseling in San Francisco, California CA
We are proud to feature top rated Relationship and Marriage Counseling in San Francisco. We encourage you to review each profile to find your best match.
Relationship and Marriage Counseling
Practical Psychology, Inc.
Psychologist, Ph.D.
Relationships can feel especially challenging when your brain works in ways that don’t quite match what others expect. At Dr. Shoup’s practice, you’ll find a therapeutic space built around how you think: full of empathy, structure, and insight. Because we understand how intense focus, rapid associations, or lingering disconnects impact connection, we tailor couples and relational work to translate misunderstandings into deeper understanding, and build communication strategies that really work for your unique style. With support built around your perspective, you can move from friction and confusion toward connection and clarity.
6 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Tessa Sinclair
Marriage and Family Therapist, LMFT
You may love your partner and still feel lonely, misunderstood, or stuck in the same painful patterns. Many of the people I work with are thoughtful and capable, yet caught in cycles of criticism, over-functioning, withdrawal, or quiet resentment. Together, we slow the process down and look beneath the surface—at attachment wounds, unspoken expectations, and the emotional labor you carry.
Whether you are working to repair your connection or discerning whether to stay or separate, our work is honest, structured, and depth-oriented. For some, this strengthens the relationship. For others, it brings clarity about ending it with integrity. Either way, the goal is not just symptom relief, but relational maturity, self-respect, and lasting change.
10 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Corrie Blissit
Marriage and Family Therapist, MA, LMFT#150479
Strong relationships are built on emotional safety, honest communication, and satisfying intimacy. As a Certified Sex Therapy Informed Professional (CSTIP), I work with couples using an integrative approach that honors the emotional, relational, and embodied dimensions of connection. I support partners in exploring both emotional and sexual intimacy in a respectful, shame-free way. Whether you’re facing communication struggles, mismatched desire, disconnection, or navigating changes in intimacy, our work focuses on understanding relational patterns, repairing ruptures, rebuilding trust, and strengthening closeness. Sessions draw from attachment-based therapy, trauma-informed care, nervous system awareness, and sex-positive frameworks—supporting couples in feeling more secure, connected, and aligned with one another.
5 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
David Gumpert
Psychologist, PsyD
While I do not offer couples counseling, I do a lot of work with individuals around communication and boundaries. This includes being aware of your own needs and coming up with healthy ways to express your needs while also tracking the needs of others. Remember, boundaries are not there to harm others but are there to protect you.
5 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Michael Myette Therapy
Licensed Clinical Social Worker, LCSW
I specialize in treatment for relationships and marriage
19 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Anders Greenwood
Psychologist, Psy.D, Ph.D.
I enjoy helping clients accept and like themselves, organize around strengths, achieve greater emotional presence, think clearly, and let go of shame, guilt and old habits of emotional survival. I believe therapy should lead to better decisions, as well as improved quality of life and relationships.
23 Years Experience
In-Person in San Francisco, CA 94104
Relationship and Marriage Counseling
David Oretsky Psychotherapy
Marriage and Family Therapist, LMFT
As a couples therapist my goal is to provide a safe, non-judgmental environment for couples to explore their emotional patterns, understand their deeper needs, and find healthier ways to communicate. By delving into your emotional experiences and the patterns that may have led to disconnection or conflict, we can work together to shift these patterns towards creating a more secure, resilient, and loving bond.
Whether you're experiencing a relationship crisis, struggling with communication, or simply wishing to deepen your connection, I believe in your capacity to change and grow within your relationship. Together, we will strive to rekindle the emotional bond that brought you together, enabling a relationship that is fulfilling, supportive, and emotionally rich. Remember, it is never too late to heal, grow, and foster a thriving relationship with your partner.
14 Years Experience
In-Person in San Francisco, CA 94115
Online in San Francisco, CA California
Relationship and Marriage Counseling
Eric Olsen
Life Coach, PTSD, Trauma Triage, BSc Social Sciences, DoD Career Councilor, SARC, DAPA, Pre Licensed Human Intelligence / Psychology, Life Coach. | Professional Support: LSSBB, PgM, Bluestone PMP,
We help you find balance and clarity in your relationship or marriage working through all issues and concerns in the relationship.
17 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Dr. Lori Lynn Mann
Marriage and Family Therapist, LMFT, Psy.D.
I have hosted a 13 episode national podcast of relationships, conduct pre and post marital therapy, assist with dating and uncoupling, have copy-written 3 books on relationships.
14 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Brad Byrum
Marriage and Family Therapist, MA, MBA, LMFT
I am a relationship therapist. I help couples in relationship distress. Many of the couples I work with come to therapy feeling lost in conflict cycles which they don't understand and desperately want to change. I understand how much courage it takes to reach out for help and to let another person get inside your relationship, especially when you are feeling hurt, discouraged, angry, or humiliated. If you are searching for a safe place to explore what's not working in your relationship, and support in creating solutions, please contact me.
I realized early in my clinical practice that I wanted to focus on couples therapy. In addition to many hundreds of hours working with couples in distress, I have pursued training specific to couples therapy, including advanced training in both Emotion Focused Therapy and the Gottman approach. I am truly passionate about helping couples heal and flourish.
Please know that no matter what you bring to couple therapy, I will meet you with compassion. I will help you explore what isn’t working in your relationships and why. We work together to understand what you want and need and to identify the changes you want to make. Together, we create solutions that work for you.
10 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Vanessa Ffrench
Marriage and Family Therapist, Licensed Marriage and Family Therapist (140713), Certified Yoga & Meditation Instructor
I have experience working with couples and I am deeply passionate about using Hakomi techniques with couples; I also appreciate identifying and working with a couple's relationship cycle with an emotionally-focused approach.
15 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Heidi Hartston
Psychologist, PhD
Marriages and long term relationships can go through rocky periods as well as rewarding chapters. Recurring arguments, emotional distance, parenting pressures, financial stress, affairs or other breeches of trust can take your relationship in a direction you never anticipated. You can end up feeling lonely in your relationship. Or you may feel unheard, starting conversations with good intent but ending up having the same fight over and over. Relationship and marriage counseling can help rebuild trust, healthy communication and emotional connection. In couples therapy we can identify where the communication breaks down, and help both partners feel understood and valued. I combine insightful, caring depth work and emotion focused therapy techniques with other evidence based tools that effectively free you from destructive patterns, and help you to establish the secure, happy relationship you deserve.
35 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
San Francisco Counseling Collective
Licensed Professional Counselor, LPCC, LMFT, LCSW
At San Francisco Counseling Collective ("SFCC"), we assist couples in enhancing communication, resolving conflict, and deepening connection. Therapy focuses on understanding interaction patterns, rebuilding trust, and aligning relationship goals with values.
9 Years Experience
In-Person in San Francisco, CA 94114
Online in San Francisco, CA California
Relationship and Marriage Counseling
Dr. Shawn V Giammattei
Psychologist, PhD
Fostering healthy relationships is a cornerstone of our practice and working with partners and couples is an area that many of our clinicians work with. We help relationships in all forms, including those in poly, kink and BDSM relationships. We help partners through gender transitions as well as life transitions.
17 Years Experience
In-Person in San Francisco, CA 94116
Online in San Francisco, CA California
Relationship and Marriage Counseling
Marcelle Little
Marriage and Family Therapist, MPH, MA
Who does not or has not had a challenging relationship? Our deepest desire is to connect; yet, conflict and pain is unavoidable. Seeing things from an attachment style lens (anxious, avoidant, chaotic) helps identify gaps while cultivating self-compassion, a conduit for intimacy and connection to Self and others.
9 Years Experience
In-Person in San Francisco, CA
Online in San Francisco, CA California
Relationship and Marriage Counseling
Talia Chanoff
Marriage and Family Therapist, MA, LMFT
I offer couples therapy that supports partners in understanding the patterns that keep them feeling disconnected or stuck. Our work focuses on slowing down communication and exploring the emotional and relational histories each partner brings into the relationship. We can work to make sense of how misunderstandings and conflicts take shape and practice actionable steps to take in the moment to foster more connection. Together, we can work toward greater attunement and empathy for the other and develop more compassionate ways of relating, repairing rupture, and moving forward with intention and care in your relationship.
8 Years Experience
Online in San Francisco, CA California (Online Only)
Relationship and Marriage Counseling
Ryan James Carroll
Therapist, AMFT, APCC
I support couples in deepening their connection and addressing underlying conflicts using present-moment awareness and Emotionally Focused Therapy (EFT). Whether rebuilding trust or improving communication, we focus on creating secure, meaningful relationships.
3 Years Experience
In-Person in San Francisco, CA 94102
Online in San Francisco, CA California
Relationship and Marriage Counseling
Anxiety Eliminated
Hypnotherapist, Certified Hypnotherapist and Health Coach, MBA
Helped many clients through sticking points in their romantic relationships.
14 Years Experience
In-Person in San Francisco, CA 94104
Online in San Francisco, CA California
San Francisco's extreme housing costs and the psychological toll of the tech industry — characterized by intense performance pressure, rapid layoff cycles, and boom-bust uncertainty — have made burnout, anxiety, and economic grief among the most common presenting concerns. The city has a historically significant LGBTQ+ community, and affirming therapists specializing in gender identity, queer relationships, and HIV-related concerns remain an important part of the local therapy landscape. UCSF Health provides world-class institutional mental health resources, while the city's dense network of independent practitioners reflects a culture that has long embraced therapy as a normal and valued part of life. Telehealth has expanded access significantly for Bay Area residents commuting from Oakland, the East Bay, and the Peninsula.
Relationship and Marriage Counseling therapists in San Francisco, California Statistics
Relationship and Marriage Counseling therapists in San Francisco, California average 16 years of experience and charge around $201 per session. 98% offer online sessions. The top treatment approaches are Cognitive Behavioral Therapy (CBT) (65%), Psychodynamic Therapy (45%), and Existential / Humanistic Therapy (39%).
Average years in practice
16 Years Experience
Average cost per session
$201
Accept insurance
32%
Offer sliding scale
51%
Gender ID
| 62% |
Female |
|
| 32% |
Male |
|
| 3% |
Non-Binary |
|
| 3% |
Gender Fluid |
|
Session Type
| 67% |
In Person and Online |
|
| 31% |
Online Only |
|
| 2% |
In Person Only |
|
Top Treatment Approaches
| 65% | Cognitive Behavioral Therapy (CBT) |
| 45% | Psychodynamic Therapy |
| 39% | Existential / Humanistic Therapy |
| 38% | Family Systems Therapy |
| 38% | Emotionally Focused Therapy (EFT) |
| 36% | Person-Centered Therapy (Rogerian) |
| 34% | Solution-Focused Brief Therapy (SFBT) |
Ages Served
| 95% | Adult |
| 56% | Teen |
| 56% | Senior |
| 55% | Young Adult |
| 27% | Children |
Client Focus
| 54% | Women |
| 44% | LGBTQ+ |
| 42% | Men |
| 28% | Christian |
| 26% | Hispanic / Latino |