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2,820 people sought couples therapy help at San Antonio in the last year

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

Meet with a provider as soon as this week

Our San Antonio providers are currently booked, however we have 116 online providers available right now in Texas.
Pflugerville
Christus Health Plan Exchange, Christus Health Plan Medicare Advantage, JP Farley Corporation, +5 more
Military / Veteran, Anger, Coping Skills, Self Esteem, Stress, +10 more

As a therapist with lived experiences, I promise you that I will not suggest something that I have not tried myself.

San Antonio
Christus Health Plan Exchange, Christus Health Plan Medicare Advantage, Healthcare Highways, +7 more
LGBTQIA+, Anger, Behavioral Issues, Coping Skills, Infidelity, +15 more

As a career-long advocate for mental health and wellness, I am passionate about connecting with people from all walks of life to help them achieve the... As a career-long advocate for mental health and wellness, I am passionate about connecting with people from all walks of life to help them achieve their desired mindset and potential. Read more

Houston
Adventist Health Associates | Employee Health Program, Adventist Health Associates | Non-Employee Health Program, Aetna, +41 more
LGBTQIA+, Anger, Coping Skills, Self Esteem, Women’s Issues, +8 more

Sometimes you just need a break from doing ALL. THE. THINGS. If you’re the type of person that feels like you're drowning and gets anxiety about bei... Sometimes you just need a break from doing ALL. THE. THINGS. If you’re the type of person that feels like you're drowning and gets anxiety about being anxious, you’re not alone. Read more

San Antonio
Aetna, Cigna | Evernorth, Firefly Health Plan | Cigna PPO Network, +3 more
Military / Veteran, Domestic Abuse, Anger, Behavioral Issues, Coping Skills, +10 more

I chose a career in counseling because I’m passionate about helping others, committed to promoting social justice, upholding ethical standards, and ... I chose a career in counseling because I’m passionate about helping others, committed to promoting social justice, upholding ethical standards, and supporting clients in validating their experiences and achieving emotional well-being and their full potential. Read more

Austin
Healthcare Highways, JP Farley Corporation, Memorial Hermann Health Plan, +5 more
Domestic Abuse, LGBTQIA+, Behavioral Issues, Coping Skills, Self Esteem, +11 more

I have worked in the mental health field for over 25 years and I love providing quality, evidence-based care in a variety of outpatient settings.

Alexander Montero

Hear from Alexander Montero, Licensed Professional Counselor (LPC)

View Alexander Montero's profile

What is your go-to approach for couples/marriage counseling?

My go-to approach for helping people in marriage counseling is cognitive behavioral therapy. I enjoy CBT because you are able to work with various people within a specific unit to see what irrational expectations their minds may be holding and how they might best learn to communicate.

What tools do you teach in couples/marriage counseling?

I teach the following tools in couples counseling: active listening, 4 horsemen, expectations, values, and how to best understand love languages.

How do you know when a client is making meaningful progress in couples/marriage counseling?

I know a client is making meaningful progress in marriage counseling when they both can understand one another during a session and the tension is decreasing.

What can clients do in their personal time to supplement couples/marriage counseling?

Clients can supplement their time in couples counseling by finding activities that enhance the coping skills learned in the session.

What should someone do to prepare for starting couples/marriage counseling?

To prepare for your first couples counseling session, you can make sure to have established a safety with your partner so each person can feel they can speak freely.

Starting Couples therapy

What is couples therapy?

Thriveworks Couples therapy helps couples work through their specific relationship issues. It is led by licensed professionals — often licensed marriage and family therapists (LMFTs) — who are experts in their field and best-equipped to help couples. Some examples of common focuses within couples therapy include:

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

How does couples therapy work?

Couples therapy works by helping couples identify and better navigate their unique challenges. Following an initial assessment of the couple in terms of strengths and needs, the therapist would then discuss their therapeutic goals and any possible approaches or ways of working together as therapist and couple.
Couples attend sessions together, whether they meet in person or by video. In addition to regular couples therapy sessions, each partner may also be asked to attend a few individual sessions to supplement their progress. This will allow their counselor to get to know each individual better, assess each of their personal needs, and develop the very best treatment plan moving forward.

Is couples therapy conducted in person or online?

Couples therapy at Thriveworks is conducted both in person and via Online therapy. We encourage you to choose the option that works best for you and your partner.

How long does couples therapy last?

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

Need more help deciding?

Couples Counseling—Help for Struggling Relationships in San Antonio, TX

Every couple has highs and lows in their relationship. That loving communication, appreciation, and understanding are more easily described than carried-out in real life. When couples find themselves off-track, it does not mean the relationship is over. It often means that the couple just needs a little help. When trust has been lost, partners may be able to rebuild it. When couples are pulling in different direction, they can re-evaluate their priorities. When intimacy has been lost, that spark can be reignited. Couples therapy is not a magic formula to save a relationship, but it often helps. Skilled therapists can often turn challenges into opportunities for partners to grow closer to each other.

That is why Thriveworks San Antonio offers couples therapy. Many partners who want a better relationship do not always know how to improve their connection. Our therapists have helped many couples learn how to improve their relationship. Reach out today for help.

Common Relationship Issues

There is rarely a couple who sits down with a therapist and presents a new difficulty. Most couples struggle with very similar issues. That means, couples are not alone in their struggle. Therapists are often able to help, when both partners are willing. What are some of the challenges that couples regularly face? It would be impossible to list everything, but a few include…

Conflicting Relational Expectations – No two people align perfectly. Partners will disagree about expectations within the relationship. When each partner is respectful of the other’s vantage point, these differences can be reconciled. However, partners often have difficulty doing so. When one partner has certain expectations and the other partner has different expectations, they are each pulling the relationship toward distinct goals, and they will conflict. Couples counselors often work with partners on healthy conflict resolution skills.

Challenges with Communication – Personal responsibility, vulnerability, and empathy are key components of healthy communication. Many partners, however, have never learned these communication skills. Further, many circumstances can make healthy communication more difficult. When one or both partners’ needs are minimized, feelings go unexpressed, or problems begin to multiply, poor communication is often the underlying issue. Couples therapists often work with partners to increase their communication skills.

Lost Intimacy – Every couple loses their spark at some point. Sometimes, that intimacy is their physical and sexual relationship, but intimacy can also be social, spiritual, emotional, and more. Intimacy is simply how a couple comes together in a meaningful way. Couples therapists often work with partners on how to prioritize their intimacy.

Couples Counseling at Thriveworks San Antonio

If you can relate to some of these common issues that couples struggle with, it may be time to reach out for help. Relationships are difficult. There are never easy answers, but there are many tangible ways couples therapy may be able to help. Two of those ways include…

  • De-escalating the conflict. When partners are struggling, they can begin to attack each other instead of the problem. When conflict escalates, it becomes more difficult to solve. Couples counselors can often de-escalate conflict and focus partners’ attention upon what matters most.
  • Prioritizing which changes will help the couple most. Some changes will make a big impact and should be made immediately. Others are important, but they can wait. Experienced couples counselors can help couples see the difference.

If you want to start couples therapy, know that Thriveworks San Antonio has appointments available. When you contact our office, you may be meeting with your therapist within the same week. Many different insurance plans are accepted. Call today.

Pricing & insurance

Our therapists accept most major insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our San Antonio therapists and counselors accept 43 insurance plans

  • Adventist Health Associates | Employee Health Program

  • Adventist Health Associates | Non-Employee Health Program

  • Aetna

  • Ambetter by Superior Health Plan

  • Auto Club Enterprises (Employers Health Network)

  • Baylor Scott and White Health Plan

  • Baylor Scott and White Health Plan Medicare Advantage

  • Blue Cross Blue Shield of Texas HMO

  • Blue Cross Blue Shield of Texas PPO

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Buist Byars and Taylor (Employers Health Network)

  • Children's Medical Group (Employers Health Network)

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Self-pay costs at San Antonio
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
★★★★★
Unbiased and professional opinions and help. Highly recommended
Dylan Apr 2025
Thriveworks.com verified review
★★★★★
Welcoming experience
Sergio Apr 2025
Thriveworks.com verified review
★★★★★
Such an easy process to schedule and get a provide to meet my needs !
Monet Apr 2025
Thriveworks.com verified review
★★★★★
My therapist Deidre Rose Alder was very sweet and kind. Very intelligent and helpful in all the ways I needed.
Alex Apr 2025
Thriveworks.com verified review
★★★★★
He is very compassionate yet holds nothing back which I definitely need. He has helped with addiction and anxiety. I truly appreciate his help.
Amy Apr 2025
Thriveworks.com verified review
★★★★★
Great experience! No complaints at all! I'm feeling better everyday.
Jacy Apr 2025
Thriveworks.com verified review
★★★★★
My provider is amazing and I think the system is running pretty smoothly.
Alexandria Mar 2025
Thriveworks.com verified review
★★★★★
Im very happy,I appreciate everything,she is very nice and explain all very good,she have a big heart????
Laura Mar 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks in San Antonio, TX is at the corner of Broadway and W Sunset Road/ We are near Mission Orthodontics and Soluna.

Phone number

(210) 985-8078

Languages spoken by TX providers

  • English
  • Spanish
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm
Saturday 8:00am - 9:00pm
Sunday 8:00am - 9:00pm
Monday 8:00am - 9:00pm
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm

Shown in CT

Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm

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