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1,437 people sought marriage counseling help at St. Louis in the last year

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

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Starting Marriage counseling

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 St. Louis, MO 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 St. Louis, MO work with their clients to create goals, decide on ideal timelines, and establish treatment plans.

Need more help deciding?

In what might be the most famous wedding scene of all time, Princess Buttercup and Prince Humperdink stand before the priest as he opens the ceremony, “Marriage. Marriage is what brings us together today.” The priest in The Princess Bride continues, “Marriage, that blessed arrangement, that dream within a dream… and love, true love, will follow you forever… so treasure your love.” The absurdity of this homily is sharpened as Prince Humperdink interrupts, yelling, “Skip to the end!”

Of course, the fake marriage between Buttercup and Humperdink is no dream within a dream, but the truth is no marriage is. Many times, spouses find themselves in a less-than-blessed-arrangement. It is normal for spouses to be frustrated, annoyed, or even angered at each other. That is one of the many reasons wedding vows usually include a promise to love “in good times and bad, in sickness and health, for rich or poor.” Every marriage has times that are hard. Many spouses are getting through those times by reaching out for help. More and more, spouses are going to marriage counseling together.

Marriage takes work. Life is hectic. Conflict is inevitable. Spouses can grow apart, but they can also come back together. There are no quick-fixes or magic formulas. Only those within the marriage can decide its future. Many spouses want a better marriage, but they may not know how to improve their relationship. Marriage therapy is often helpful for identifying areas where spouses can grow personally and within their relationship.

The marriage counselors at Thriveworks Counseling in St. Louis have worked with many couples as they are learning to love each other well. There are always good times and bad within any relationship, and our clients are learning how to optimize the good and work through the bad.

Should We Go to Marriage Counseling?

This is a common question couples may ask when they are struggling. Spouses who have never been to therapy previously may wonder, Is this the type of thing others go to counseling for? In many ways, there is no right time to start therapy. The good news is that there is also no wrong time to start therapy. If you are wondering if therapy might help your marriage, it may be time to get started. Of course, everyone will have their own reason to begin marriage counseling, but here are a few of the reasons clients have started working with a marriage therapist at Thriveworks in St. Louis:

1) You and your spouse argue nonstop.

All couples argue. Disagreeing is normal and even healthy. Many marriage counselors use a metric called The Golden Ratio to determine whether disagreements have become harmful. The Golden Ratio says that for every one negative interaction that couples have, they need five positive ones to balance it out. Negative interactions have more destructive power than positive interactions have healing power. Spouses may feel as if they are arguing all the time when The Golden Ratio is off balance. Marriage therapists often help couples improve their conflict resolution skills so that negative interactions are engaged and resolved. Then, spouses can move onto more positive interactions.

2) You and your spouse never argue.

Just as too many arguments can cause a problem, so can too few. The Golden Ratio can be thrown off when couples never argue. A healthy marriage consists of two individuals. When couples do not argue, it may be a sign that they are losing their individuality. Respect for differences is a sign of a mature marriage. Spouses can get into trouble when they stop advocating for their unique thoughts, feelings, and needs. Instead, they minimize their distinctiveness. Lack of arguments may also signal that spouses are weary of conflict and have given up. In either case, marriage therapy may be able to get the marriage to a healthier place.

3) Someone has cheated.

Affairs can send a marriage into crisis. In some ways, it is like the relationship going into cardiac arrest. Just like anyone having a heart attack needs intervention, often spouses need mental health care when one or both have cheated. Some spouses know that they are ready to separate. Some spouses know they want to try and save the marriage. Many spouses have no idea what their next steps should be. In all these cases, a marriage counselor is often a helpful guide for navigating an affair.

4) You are trying to change your spouse (or your spouse is trying to change you).

A fundamental of any healthy relationship is that people cannot change each other. They can only change themselves, and this is especially true in a marriage. When spouses try to change each other, they never success. Instead, they often introduce frustration, shame, and disappointment into the relationship. No one is perfect. Everyone needs to grow. However, personal growth comes from an internal motivation, not from a spouse’s prodding. Marriage therapists often work with spouses on appropriate boundaries and accountability and help them avoid trying to change each other.

Marriage Counseling at Thriveworks in St. Louis—Making an Appointment

When you contact Thriveworks in St. Louis for an appointment, you and your spouse may be meeting with your therapist the following day. We offer evening and weekend sessions. Many different insurance plans are accepted. Let’s work together. Call Thriveworks Counseling in St. Louis today.

Pricing & insurance

Our therapists accept most major insurances. We cover 180 million Americans – and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our Missouri therapists and counselors accept 23 insurance plans

  • Aetna

  • Blue Cross and Blue Shield of Kansas City | BCBS

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Carelon

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

  • Humana Exchange

  • Humana HMO/POS

  • Humana PPO/EPO/HDHP

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Self-pay costs at St. Louis
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session


Ongoing sessions


Talk therapy


Includes reducing symptoms with medication & management

First session


Ongoing sessions


Hear from our clients

5.0 Thriveworks St. Louis reviews are collected through
Thankful for the help and support from my counselor.
St. Louis Sep 2021
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Where to find us

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Getting here

Thriveworks Counseling St. Louis is located near the intersection of Euclid Ave and Laclede Ave, one block North of Forest Ave and West of Forest Park. Surrounded by many local restaurants and businesses, you will also find the Barnes-Jewish Center for Outpatient Health across Euclid Ave.

Phone number

(314) 254-1396

Languages spoken by MO providers

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
Thursday 8:00am - 9:00pm

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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
Thursday 7:00am - 9:30pm

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