Image of a therapist and client in a counseling session.

2,820 people sought marriage counseling help at San Antonio in the last year

Discover how starting marriage counseling 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 58 other therapists in TX available for an online or in-person session.

Starting Marriage counseling

What is Marriage counseling?

Marriage counseling, also known as couples therapy and relationship counseling, helps couples work through their specific relationship issues. Thriveworks marriage counseling in San Antonio, TX 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 Marriage counseling include:

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

How does Marriage counseling work?

Marriage counseling 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 marriage counseling 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 Marriage counseling conducted in person or online?

Marriage 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 Marriage counseling last?

On average, couples attend marriage counseling for 12 weeks. However, 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. Marriage counselors and therapists at Thriveworks in San Antonio, TX work with their clients to create goals, decide on ideal timelines, and establish treatment plans.

Need more help deciding?

Anyone in a marriage knows that staying together can be just as difficult as getting together. That is why so many spouses vow to love each other “in good times and bad, for richer or poorer, in sickness and health.” Marriages often have seasons that are bad, poor, and sick. Marriages often need help, and more and more, spouses are going to marriage counseling to get the help they need.

The professionals at Thriveworks San Antonio frequently see spouses who need a little help creating a better relationship. We know that marriage takes work, and that every relationship will struggle at some point. The counselors and therapists at Thriveworks in San Antonio, TX are ready and qualified to guide you through your struggles and help you find clarity. With both in-person and online therapy options, Thriveworks can adapt to your needs while providing comprehensive evidence-based care.

Do I Need Marriage Counseling?

When couples are struggling, they often want to know, is this a reason why other people start marriage counseling? In essence, they want to know Will marriage therapy help? There are no easy answers to this question. Marriage therapy helps many couples, and how they define “help” is crucial. Sometimes, having a better relationship means working through difficult topics together. Sometimes, having a better relationship means parting ways with as much kindness and respect as is possible. In both cases, marriage counselors are often helpful guides.

How to Tell If I Need Couples Therapy

Should you and your spouse start marriage therapy? Just as there are no guarantees about the future of a relationship, there is no right or wrong time to start marriage counseling. It is a very personal decision, but if you are wondering if therapy may help, it probably can. Here are a few reasons spouses have started marriage counseling at Thriveworks San Antonio:

1.) The fighting is constant.

Differences. Debates. Disagreements. Every marriage has them. It is normal—even healthy—for spouses to fight, so long as they do so respectfully and fairly. When disagreements occur, healthy couples respect each other’s position, refuse to use personal attacks, and find a mutually beneficial solution. Then, they can move on to more positive interactions. 

Marriage therapists talk about The Golden Ratio: for every one negative interaction that spouses have, they need to have five positive ones. Negative interactions have great power to inflict harm. When disagreements occur too often or when differences are not handled respectfully, then both spouses may suffer. It may be time to go see a marriage counselor and learn some conflict resolution skills.

2.) There is nothing to fight about.

Sometimes, those negative interactions look like fire. Sometimes, they look like ice. When spouses ignore one another, downplay each other’s needs, stonewall or avoid problems, these actions may look peaceful on the surface. However, they are incredibly hurtful. 

When couples do not fight, there could be several reasons. One spouse’s emotions, thoughts, and needs may be dominated by the other spouse’s emotions, thoughts, and needs. Each spouse needs to maintain their individuality for the marriage to be healthy. 

Another possibility is that both spouses are so worn out with fighting that they have given up and apathy has set in. In either case, the root cause needs to be identified and addressed. It may be time to go see a marriage counselor and learn some communication skills.

3.) Someone cheated.

An affair is a crisis. It is also a decision point. Some couples work through the betrayal and try to save their marriage—although this is a tough process. Some couples decide to divorce—another tough process. There are no right answers, and there are no easy paths after one or both spouses have cheated. Whatever path each spouse chooses, it may be time to go see a marriage counselor.

4.) Each spouse is trying to change the other spouse.

In healthy relationships, people accept responsibility for their own growth—they do not try to change others. This is particularly true of a healthy marriage relationship. When spouses try to change each other, they never succeed. Instead, they often introduce frustration, shame, and disappointment into their relationship. If spouses are trying to change each other, it may be time to go see a marriage counselor to learn how to set boundaries.

Is There Couples Therapy Near Me? Marriage Counseling at Thriveworks San Antonio

If you and your spouse are struggling with something listed above, know that you are not alone. Others are struggling as well. If you and your spouse are struggling with something not listed above, know that you are not alone. Our marriage therapists know that each couple is unique. Whatever challenge you may be facing, the counselors at Thriveworks San Antonio are ready to help. 

You can go online and use our convenient booking tool and schedule an appointment quickly and easily. You can also call our office and speak with our helpful scheduling specialists. They can help you find the right counselor and answer any questions you may have. Book an appointment today and start your journey toward understanding.

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

$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
★★★★★
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
Thriveworks.com 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
Review left on Thriveworks.com

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

Shown in CT

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

Shown in CT