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686,000 people sought help with Thriveworks in the last year

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

Meet with a provider as soon as this week

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

Christus Health Plan Exchange, Christus Health Plan Medicare Advantage, JP Farley Corporation, +5 more
Military / Veteran, Medical / Health Issues, Domestic Abuse, LGBTQIA+, Anger, +21 more

As a woman of color, I feel deeply called to uplift marginalized voices, create lasting change, and help build a more inclusive and equitable world.

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

Lisa Cantu

Hear from Lisa Cantu, Licensed Professional Counselor (LPC)

View Lisa Cantu's profile

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

My go-to approach for helping people in couples/marriage counseling is to build rapport with the couple. I want both individuals to feel safe in knowing that I will be partial throughout this process. I find the best benefit in each individual providing their own perspective in each situation because this will allow their partners to know where they are coming from.

What tools do you teach in couples/marriage counseling?

I teach the following tools in couples/marriage counseling:

  • Conflict resolutions skills
  • Communication skills
  • Conflict repair skills

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

I know a client is making meaningful progress in couples/marriage counseling when a client is able to make couples therapy a priority and are practicing their new skills when in conflict with their partner.

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

Clients can supplement their time in couples/marriage counseling with using and implementing exercises learned, use worksheets as a script, and do homework assigned

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

To prepare for your first couples/marriage counseling session, you can have an open mind, be truthful and ask questions about the process.

Starting Couples/marriage therapy

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.

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 Counseling & Psychiatry San Antonio is located in the same building as University Medicine Associates Dominion Crossing, Behavioral Innovations, Juan Ferreris MD, Courtney Smith MD, Rafael Rosalez MD, Dinah S George MD, Christus Children’s Pediatric Medical Office, and many other doctors’ offices. In the same plaza is Club Pilates, and nearby is Baskin-Robbins, Dunkin Donuts, Rishi’s Beauty Salon, and Rock’s Discount Vitamins N More. Club Car Wash is also nearby.

Phone number

(726) 204-3834

Languages spoken by TX providers

  • English
  • Spanish
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
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm

Shown in CT

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
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm

Shown in CT

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