Image of a therapist and client in a counseling session.

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 therapists in San Antonio are booked, but we have 49 other therapists in TX available for an online or in-person session.
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?

Being in a relationship means there will be drama. VH1’s show Couples Therapy capitalizes upon the drama in celebrity relationships. Every season, six couples work with relationship experts and go to couples counseling, trying to save their relationship. Viewers tune in to see which couples will split and which will stick together. Even though the show tailor made for theatrics, it gets some things about being a couple right. First, whether the partners are B-list celebrities or not, every couple has challenges. It is normal to struggle in a relationship. Hitting a rough patch does not mean that the relationship has to end—which leads to the second truth the show highlights: many couples could benefit from couples therapy. More and more, partners are willing to reach out for help when their relationship is experiencing difficulty, and they are reaping the rewards of couples counseling.

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.

Common Relational Difficulties

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…

Arguments about Extended Family – Some of the funniest movies and TV shows have used issues with the in-laws as fodder. It is absolutely cliché to say that extended family can drive a wedge between partners, but clichés always have an element of truth to them. Practically, couples may argue about where to spend holidays and with whom, but underneath that argument, there is a lot to work out about what role each other’s family will play. Couples therapists can often guide partners through that process.

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.

Distrust – Certain actions can annihilate trust within a relationship—cheating or lying, for example. Other actions slowly chip away at trust—forgetting an appointment or not following through on a promise, for example. In both cases, relationships need trust to grow and to continue. If partners are willing, trust can be restored, but it is a difficult process. Experienced couples counselors can often guide the process.

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 the following day. Many different insurance plans are accepted. Call today.

Pricing & insurance

Our therapists accept most major insurances. We cover 180 million Americans – and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our San Antonio therapists and counselors accept 41 insurance plans

  • Aetna

  • Ambetter by Superior Health Plan

  • APEX Memorial Hermann

  • ARIA | Covenant Management Systems

  • Arkansas Blue Cross Blue Shield Federal Employee Program (FEP)

  • Auto Club Enterprises (Employers Health Network)

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Blue Cross Blue Shield of Texas Exchange

  • Blue Cross Blue Shield of Texas HMO

  • Blue Cross Blue Shield of Texas PPO

  • Buist Byars and Taylor (Employers Health Network)

  • Carelon

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Self-pay costs at San Antonio
Talk therapy

Talk therapy

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

First session


Ongoing sessions


Talk therapy


Includes reducing symptoms with medication & management

First session


Ongoing sessions


Hear from our clients

5.0 Learn about verified reviews
I would definitely recommend Thriveworks to my family and friends. My talk therapy with Nadia Hines has been very helpful. I look forward to our sessions and I leave each one with the belief that I will become better soon.
Read more I would definitely recommend Thriveworks to my family and friends. My talk therapy with Nadia Hines has been very helpful. I look forward to our sessions and I leave each one with the belief that I will become better soon.
LaWanda Jan 2024 verified review
Ms. Hines is as professional as they come. Her voice is calming, and her professionalism is top notch. She will not only tell you want you want to hear, but what you need to hear to help you work through your concerns and issues.
Read more Ms. Hines is as professional as they come. Her voice is calming, and her professionalism is top notch. She will not only tell you want you want to hear, but what you need to hear to help you work through your concerns and issues.
San Antonio Sep 2022
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Where to find us

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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 7:00am - 9:30pm
Friday 7:00am - 9:30pm
Saturday 7:00am - 6:00pm
Sunday 8:00am - 5:00pm
Monday 7:00am - 9:30pm
Tuesday 7:00am - 9:30pm
Wednesday 7:00am - 9:30pm

Shown in CT