Care without the wait

See a licensed therapist, psychiatrist, or psychiatric provider in Charleston, SC—in person or online, evenings and weekends available

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

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1,926 people sought couples/marriage therapy help at Charleston in the last year

Discover how starting couples/marriage therapy can support your own journey toward a happier, more fulfilling life.

Meet with a couples/marriage therapist as soon as this week

We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.

Stay updated on availability

We don't have any openings right now, but schedules change daily. We’ll reach out as soon as a spot opens up.

Couples/marriage therapy FAQs

What is couples & marriage counseling?

Couples therapy and marriage counseling, also known as relationship counseling, helps couples work through their specific relationship issues. Some examples of common focuses within couples therapy and marriage counseling include:

  • Jealousy
  • Trust issues
  • Infidelity
  • Opposing values
  • Different visions for the future
  • Disagreements in parenting
  • Lack of trust
  • Financial distress
  • Sex issues

What type of therapy is used in couples therapy?

The types of therapy used in couples and marriage counseling include:

  • The Gottman Method
  • Cognitive behavioral therapy (CBT)
  • Emotionally-focused therapy (EFT)
  • Solution-focused brief therapy (SFBT)
  • Strength-based therapy

What kind of therapist is best for couples?

At Thriveworks, Couples/marriage therapy is led by licensed professionals — often licensed marriage and family therapists (LMFTs) — who are experts in their field and best-equipped to help couples.

What is the Gottman Method of couples therapy?

The Gottman Method of couples therapy is a research-supported approach designed to enhance relationships by bolstering the bond between partners, resolving conflicts, and fostering shared meaning in their relationship through comprehensive assessments and tailored interventions that improve communication, trust, and the overall health of the partnership.

How to tell if I need couples therapy?

If you’re facing persistent relationship problems, communication breakdowns, or unresolved conflicts that are impacting your emotional well-being and happiness, Couples/marriage therapy may be beneficial for you.

Should every couple go to couples therapy?

While marriage and couple’s counseling is typically recommended for couples who are experiencing persistent or severe relationship issues, any relationship can benefit from attending these sessions.

Is couples & marriage counseling conducted in person or online?

Marriage and couples counseling at Thriveworks is conducted both in person and online by video. We encourage you to choose the option that works best for you and your partner.

How long does couples & marriage counseling last?

On average, couples attend marriage and couples counseling for 12 weeks. However, couples & marriage counseling may last longer or shorter, dependent on the couples’ needs, the challenges they’d like to work through, and the pace of their progress.

How much does couples & marriage counseling cost?

At Thriveworks, we accept most major insurance plans, allowing many clients to pay as little as $0–$50 per session with their co-pay. We also offer self-pay options for those out-of-network or without insurance. Self-pay rates for talk therapy range from $160 to $240 for intake sessions and $135 to $195 for follow-ups, depending on your state. For psychiatry services, self-pay intake sessions are $255–$375, with follow-ups ranging from $175–$300, also varying by state. More information on current self-pay costs is available on our pricing page.

Need more help deciding?

Couples Therapy and Marriage Counseling in Charleston, SC—Therapists and Counselors

One of the main reasons people seek couples therapy and marriage counseling is for help with their closest, most intimate relationships. While couples therapy tends to be viewed as something for relationships in crisis, there are many reasons that individuals in relationships pursue it. Whether the reasons are large or small, they deserve to be explored and improved upon.

Couples therapy and marriage counseling at Thriveworks Charleston has helped many couples with a variety of issues. These qualified therapists help their clients learn new insights, improve cognitive and emotional skills, as well as adopt new habits that can have a huge impact on their lives and relationships. The couples therapists and marriage counselors at Thriveworks Charleston can guide couples toward better relationships. If this sounds like something you’re interested in or could benefit from, give us a call at (843) 480-4034 to schedule a couples therapy or marriage counseling appointment.

Common Relationship Issues Discussed in Couples Therapy

Throughout our relationships, there may be small conflicts that arise every now and then. In other cases, there may be large issues that appear or prove to be monumental. Each scenario can be explored with the help of a professional therapist who can guide couples through the “bumps in the road” or the seemingly overwhelming roadblocks. Some of the most common issues couples experience are:

1. Communication

The foundation of all relationships, communication can be face to face, over the phone, text messaging, and social media. Counselors can teach couples how to communicate with each other in positive ways. The type of communication people experience while growing up strongly affects how they communicate in adult relationships. Thriveworks Charleston can help couples to adapt a communication style that works well instead of falling back on problematic habits they learned in their past.

 2. Sexual issues

Sexuality is complex and personal, entailing more than just sexual activity. An individual’s personal definition of sexuality may include feelings of attraction toward another, how they choose to be intimate, and feelings relating to body image and personal values. There are as many individual expressions of sexuality as there are preferences for music. When individuals experience confusion or distress about aspects of sexuality–anxiety, embarrassment, anger and hurt–counselors at Thriveworks Charleston can be of great help and act as your support system.

 3. Infidelity and Unfaithfulness

One of the most hurtful and damaging experiences a couple undergoes is infidelity, but it doesn’t mean the relationship is beyond repair or has to end. In couples therapy or marriage counseling, individuals have a safe place to begin the journey toward resolving the issue. Experienced therapists at Thriveworks in Charleston, SC can help find meaningful and practical ways to work through the rough waters of unfaithfulness.

These examples are only a few of the many issues couples may experience in their marriage. Whether couples experience a few ups and downs or a seemingly unsurmountable issue, there is help. Consider working with a couples therapist or marriage counselor at Thriveworks Charleston.

Work with a Couples Therapist or Marriage Counselor at Thriveworks Charleston

Call Thriveworks Charleston at (843) 480-4034 to schedule a session or to find out more about how couples therapy and marriage counseling can improve your relationship. When you call to set up your appointment, a scheduling specialist will help you find the right counselor, psychologist, or therapist for you. Additionally, they will assist you in finding an appointment day and time that works for you and your partner. We have extended hours in the evenings and on the weekends.

We look forward to working with you and your partner! Schedule an appointment at Thriveworks Charleston when you feel ready. We’ll be here.

Pricing & insurance

Our therapists accept most major insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in South Carolina accept 35 insurance plans

  • Absolute Total Care | Healthy Connections Medicaid

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Ambetter from Absolute Total Care | Commercial

  • AnMed Employee Program

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Blue Cross and Blue Shield of South Carolina Healthy Blue | Healthy Connections Medicaid

  • Blue Cross and Blue Shield of South Carolina Medicare Advantage

  • Blue Cross and Blue Shield of South Carolina | BCBS

  • Carelon

  • Cigna | Evernorth

View more
Self-pay costs at Charleston
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
Super easy to connect either a well matched therapist. Love love love Nancy
Alexa Aug 2026Thriveworks.com verified review
★★★★★
Yes. Psychologist should follow-up with their patients.
Avery Aug 2026Thriveworks.com verified review
★★★★★
Absolutely nothing I’m learning how to properly work through difficulties and getting closer to a healthier thought process to maintain healthy life balance and relationships
Christian Aug 2026Thriveworks.com verified review
★★★★★
I appreciate that she saw I was upset immediately and she asked what was wrong even when I said I’m ok. I was thankful to have her to talk to right then
Samantha Aug 2026Thriveworks.com verified review
★★★★★
She lets me feel seen. She is very fair and has been an absolute pleasure to work with
Andrea Aug 2026Thriveworks.com verified review
★★★★★
It was easy to find a provider & I appreciate zoom sessions
Heaven Aug 2026Thriveworks.com verified review
★★★★★
Mrs Sarah is amazing so far. I’ve had a lot of therapists in the past, and she’s the perfect balance of understanding and structured. She obviously cares about her clients, and the whole team at Thriveworks has always been nothing but amazing, even a few years back when I had to switch providers due to a move. There’s a reason I continue to choose them for my care. Thanks a bunch!
Read more
Kendall Aug 2026Thriveworks.com verified review
★★★★★
I felt heard. I felt safe. I felt as though I was in the right place.
Thomas Aug 2026Thriveworks.com verified review
8 of 72 reviews

Where to find us

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Address

215 E Bay St Suite 404
Charleston, SC 29401

Getting here

Thriveworks Counseling & Psychiatry Charleston is located near East Bay Street and Market Street, off US-17. It is right by Waterfront Park and a short distance from the Historic Charleston City Market.

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Phone number

(843) 376-6157
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Languages spoken by SC providers

  • English
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Hours

Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm

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Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm
Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm

Shown in ET

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