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9,721 people sought couples therapy help in California in the last year

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

Meet with a therapist as soon as this week

1  therapist available in San Francisco

I find it truly rewarding to help those who are struggling mentally....

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Look for a confirmation email in your inbox shortly. We'll help find you a provider and guide you through everything you should know about starting care at Thriveworks.

Starting Couples therapy in San Francisco

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?

Therapy for Couples in San Francisco, CA —Counseling

When difficult emotions and hard times arise, partners may wonder if it is time to break off the relationship. Some decide to part ways, but others work through the challenge and grow closer in the process. No one can make that decision except those within the relationship, but more and more, couples are reach out for help. They are going to couples therapy.

There is no magic formula for happy, healthy relationships. Being in a couple takes work, but partners do not have to shoulder the load alone. Couples therapists can often help them learn how to improve their relationship. The counselors at Thriveworks San Francisco have worked with many couples who are struggling. We have helped many partners work toward healthier ways of relating and establishing a happier relationship—whatever form they choose for it to take. Reach out today to schedule your first couples therapy session.

Characteristics of Happy Relationships

TV shows and movies are filled with models of unrealistic romantic relationships. The way that couples relate to each other on-screen is often sweet but it is rarely realistic. Everyday couples can never live up to those standards, and if they tried, they would exhaust themselves. So, what do happy couples look like?

1) They do not keep secrets, but instead they are fully known and accepted.

2) They maintain their individuality.

3) They handle disagreements with respect.

4) They make time together a priority.

5) They cheer each other on toward their goals.

6) They make sacrifices.

Scheduling an Appointment at Thriveworks San Francisco for Couples Therapy

Did you notice any ways that you and your partner could improve your relationship as you read through the characteristics of healthy couples? If you did, you are not alone. No relationship is perfect. Every partner can improve. No one has to work through relational challenges alone.

The counselors at Thriveworks San Francisco have worked with many couples, teaching them the relational and conflict resolution skills they need to have a healthier relationship—whether they continue as life partners or not. If you and your partner are ready to start couples therapy, our professionals are ready to help. When you call Thriveworks San Francisco, a scheduling specialist will answer your call and help you make an appointment. You may be meeting with your counselor the same week. We also accept many forms of insurance. Call today.

Pricing & insurance

Our therapists accept most major insurances. We accept 360+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our therapists and counselors in San Francisco accept 34 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Blue Shield of California | BCBS

  • Cigna | Evernorth

  • Compsych

  • Firefly Health Plan | Cigna PPO Network

  • First Health Network

  • HealthSpring | Medicare Advantage

  • Humana Medicare Advantage

  • Imperial Health Holdings Medical Group CA

  • Imperial Health Plan of California

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Self-pay costs at San Francisco
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
★★★★★
We can discuss anything. She catches things I miss. I value our discussions.
Mike Sep 2025
Thriveworks.com verified review
★★★★★
I have to say, text messages for reminders of an appointment have helped me with my ADHD. I think having features built in for certain Neuro Styles are SO helpful and wonderful for helping those process. Maybe even a Thriveworks app with specific support features. Like a check list a therapist can see on the fly. Or make a game out of building habits. Just resources to help certain people. Love it here though, and loving the changes I'm seeing! Evolving with technology is wonderful. It shows a sense of care and support that surpasses scientific standards that are dated.
Read more I have to say, text messages for reminders of an appointment have helped me with my ADHD. I think having features built in for certain Neuro Styles are SO helpful and wonderful for helping those process. Maybe even a Thriveworks app with specific support features. Like a check list a therapist can see on the fly. Or make a game out of building habits. Just resources to help certain people. Love it here though, and loving the changes I'm seeing! Evolving with technology is wonderful. It shows a sense of care and support that surpasses scientific standards that are dated.
Tristan Sep 2025
Thriveworks.com verified review
★★★★★
She is the best therapist I have been to! She listens and understands. Very knowledgable of my . Concerns. Has great insight! Would recommend her to everyone!
Barbara Sep 2025
Thriveworks.com verified review
★★★★★
Jamie is firm, fair, and friendly. She is a great listener, and she makes me feel seen and heard. There is a lot for us to get to, since I am new to therapy, but we cover something important every week. Eventually I know she will guide me through the events in my life that have lead me here. I appreciate the time she takes to prepare me for what is coming in my life.
Read more Jamie is firm, fair, and friendly. She is a great listener, and she makes me feel seen and heard. There is a lot for us to get to, since I am new to therapy, but we cover something important every week. Eventually I know she will guide me through the events in my life that have lead me here. I appreciate the time she takes to prepare me for what is coming in my life.
Troyous Jun 2025
Thriveworks.com verified review
★★★★★
Jamie is so easy to talk to and share personal experiences with.
Mike Jun 2025
Thriveworks.com verified review
★★★★★
Janeen is by fair one of the best therapist I have had. She is very knowledgeable, kind, and listens.
Barbara Jun 2025
Thriveworks.com verified review
★★★★★
Thriveworks made it easy to find in network providers that are available when I am. The use of telemedicine is great.
Thomas Jun 2025
Thriveworks.com verified review
★★★★★
She did a great job at listening
Ana Mar 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry San Francisco is located in the same building as Sport Healing & Massage Arts, Tylovastein Hana Hyde Street Community Service, Tenderloin Outpatient Clinic, Olay Spa, California Center for Sleep, and many other businesses. We are located at the intersection of Sutter Street and Hyde Street. Across the street is Ace’s sports bar and Dignity Health Medical Group. Colombini Bistro and Crostini & Java are also next door to our office.

Phone number

(628) 266-4525

Languages spoken by CA providers

  • English
  • Spanish
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
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Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm

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

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