Care without the wait

See a licensed therapist, psychiatrist, or psychiatric provider in San Antonio, TX—in person or online, evenings and weekends available

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

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8,723 people sought couples/marriage therapy help at San Antonio in the last year

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

Meet with a couples/marriage therapist as soon as this week

San Antonio, TX

I believe therapy is a collaborative journey of healing, and I strive to offer an inclusive, gentle, and tailored space where both...

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We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.
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.

Couples/marriage therapy FAQs

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 insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in San Antonio accept 58 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Aetna Medicare Advantage

  • Ambetter by Superior Health Plan

  • 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 of Texas | Blue Advantage HMO (BAV)

  • Blue Cross Blue Shield of Texas | Medicare Advantage

  • Blue Cross Blue Shield of Texas | MyBlue (BFT)

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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

4.9 Learn about verified reviews
★★★★★
I appreciate that I have someone who I can rely and have support for my issues. Someone that doesn’t judge me and provide guidelines.
Rochelle Aug 2026Thriveworks.com verified review
★★★★★
Dr. Hansen has been very benefitical in helping me move past a very hard moment in my life and seeing that a better future is there waiting for me. I can look back at what happened and see where I made mistakes and avoid those types of situations in the future.
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Emilia Aug 2026Thriveworks.com verified review
★★★★☆
I have helpful conversations with my therapist. I think we have a good rapport.
Autumn Aug 2026Thriveworks.com verified review
★★★★★
I appreciate that my Therapist gives me beneficial assignments/tasks.
Nora Aug 2026Thriveworks.com verified review
★★★★☆
Very understanding
Patricia Aug 2026Thriveworks.com verified review
★★★★★
Felt comfortable talking ,was great for 1st session.
Sophie Aug 2026Thriveworks.com verified review
★★★★★
She was kind and listened and wanted to understand so she can help me navigate this difficult situation
Madelyn Aug 2026Thriveworks.com verified review
★★★★★
She genuinely listens and give me outstanding feedback.
Quiana Aug 2026Thriveworks.com verified review
8 of 56 reviews

Where to find us

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Address

21727 Interstate 10 Suite 106
San Antonio, TX 78257

Getting here

Thriveworks Counseling & Psychiatry San Antonio is located near Interstate 10 and Dominion Drive, off Loop 1604. It is near the Friedrich Wilderness Park and just a short distance from the Leon Springs Elementary School.

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Phone number

(726) 204-3834
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Languages spoken by TX providers

  • Hindi
  • English
  • Spanish
  • Bengali
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Hours

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

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Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm
Tuesday 8:00am - 11:00pm

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