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

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

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Lisa Cantu

Hear from Lisa Cantu, Licensed Professional Counselor (LPC)

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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 41 insurance plans

  • APEX Memorial Hermann

  • ARIA | Covenant Management Systems

  • Aetna

  • Ambetter by Superior Health Plan

  • Auto Club Enterprises (Employers Health Network)

  • Baylor Scott and White Health Plan

  • 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)

  • Christus Health Plan Exchange

  • Christus Health Plan Medicare Advantage

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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

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
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

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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

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