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9,721 people sought marriage counseling help in California in the last year

Discover how starting marriage counseling 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 Marriage counseling in San Francisco

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 Francisco, CA 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 Francisco, CA work with their clients to create goals, decide on ideal timelines, and establish treatment plans.

Need more help deciding?

Therapy in San Francisco, CA—Marriage Counseling

The divorce rate for first marriages is intimating—40 percent. The rates for second and third marriages are even more so. And yet, when some couples hit difficult patches, they work through those challenges. You and your spouse are the only ones who can decide what the next right step is for your marriage, but if you are struggling and you want help, know that many spouses are going to marriage therapy to work toward a healthier relationship—whether the marriage continues or not.

The marriage therapists at Thriveworks San Francisco understand that being in a relationship can be difficult. Everyone has struggles. Spouses often need help, and that is why we offer marriage counseling. To schedule your first appointment, reach out to us today.

Should We Start Marriage Counseling?

There are any number of issues why spouses start marriage counseling. The decision to start therapy is often personal, and there are no right or wrong reasons to begin. In fact, if you are even considering going, it may be a sign that marriage counseling might help. Here are a few of the reasons some couples have chosen to reach out for help…

1) There has been cheating.

2) One or both spouses are trying to change each other.

3) Arguments happen all the time, or arguments never occur.

Working for a Healthier Relationship

You and your spouse may be facing one of these problems. You may be facing a different challenge. Whatever may be the case, many couples wonder how marriage therapy could help. Here are a few practical ways that marriage counseling may help you and your spouse establish a healthier relationship:

  • Helping spouses recognize toxic patterns. Certain ways of relating are more harmful than others. When spouses become aware of toxic patterns and when they are open to change, they can often learn new ways of connecting.
  • Setting sensible expectations for growth. People rarely change over night. It takes time to implement sustainable growth. Yet, growth needs to occur. Marriage therapist can often tell when spouses are stalling and when they are growing slowly.
  • De-escalating conflict. Conversations about heated topic can easily escalate into personal attacks. Marriage therapists can often help spouses have difficult conversations in a productive manner.
  • Advocating for each individual. Each individual within the marriage matters. Each spouse’s needs and preferences and feelings should be honored. Marriage counselors do not just advocate for the relationship but also each individual within the relationship.

Marriage Therapy Appointments at Thriveworks San Francisco

If you and your spouse are struggling, you are not alone; many spouses go to marriage counseling. Considering reach out to Thriveworks San Francisco. When you call for an appointment, you may be meeting with your therapist within the week. We offer evening and weekend appointments, and we accept many insurance plans. 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

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • Firefly Health Plan | Cigna PPO Network

  • First Health Network

  • 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
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
Wednesday 8:00am - 9:30pm

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

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