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2,820 people sought marriage counseling help at San Antonio 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

30  therapists available in San Antonio

El Paso

I am excited to hear your story and help you find the answers you need....

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Missouri City

I am deeply dedicated to building connections and embracing diverse cultures. My goal is to help you empower yourself by assisting...

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Houston

I create a space where adolescents and adults feel seen, heard, and supported as they navigate life's challenges and discover thei...

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Cypress

I want to congratulate you for taking this important step. Finding the right fit can be difficult, but I am here to listen, help y...

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The Woodlands

I am a woman of color and a former educator who wants to empower you with the necessary tools to navigate life’s challenges and ac...

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McKinney

As a young adult, I understand the overwhelming feeling of life stressors and transitions as pressures of the past, present, and f...

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Houston

Sometimes you just need a break from doing ALL. THE. THINGS. If you’re the type of person that feels like you're drowning and gets...

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Beaumont

I understand how overcoming trauma or grief can improve relationships....

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Austin

I listen without judgement, and as a Black woman who grew up in a rural community in East Texas, I know firsthand how powerful it ...

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McKinney

l understand how families struggle with their loved ones in their quest for living purposeful and meaningful life...

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Austin

As a new multi-cultural professional, Cassandra Cantu believes in the holistic approach to health and personal transformation. It ...

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Missouri City

Welcome! I understand how daunting it can be to take the first step towards seeking support, but know that you’re not alone in thi...

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Pearland

I know just how unpredictable life can be, and I want to help you achieve the joy and peace you deserve....

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Cypress

My work exposure in different settings and among multicultural populations has taught me that everyone has what I call a "life bac...

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Waco

I desire to create a safe space for you to heal and build a life of purpose, fulfillment, and connection that reflects what matter...

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Rowlett

I use various approaches to make sure treatment is catered to my client's specific needs....

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Waco

I know the relief and confidence you can gain from confronting difficult life experiences. I’ve experienced it and see it everyda...

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Lubbock

As a Latin woman, I have had many experiences that enhance my clinical skills....

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Austin

I work to provide an affirming and nonjudgmental environment for exploring areas of growth where you want to make changes....

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Rowlett

“You can never fly higher than your angels can protect.” As a liberal African American woman, I understand the need for a safe spa...

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Cypress

Navigating life's challenges can feel overwhelming, but as your therapist, I am here to walk alongside you, offering empathic unde...

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McKinney

As a bereaved parent, I am passionate about guiding individuals through their journey of grief and loss by providing compassionate...

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Kingwood Area

As a daughter, friend, sister, mother, grandmother, and person who has experienced many of life's stressors, I bring compassion an...

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Austin

Welcome! I’m glad you’re here. I support teens and adults in building emotional resilience and making meaningful change through ev...

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Pearland

Creating new patterns is possible, and I am here to help you navigate challenges and improve your quality of life....

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Missouri City

Cheryl Clansy is a Licensed Professional Counselor Supervisor (LPC-S), trained Mediator, and Life Coach with 20 years of experienc...

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Pflugerville

As someone who has had my own mental health issues, I understand the challenges of finding your way out of depression, anxiety, an...

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Austin

I believe people thrive with connection and support. Connection to self, connection to others, and connection to something bigger ...

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Fort Worth

As a resident of New Orleans in 2005, I endured the tragedy of Hurricane Katrina and understand how it is to feel hopeless and exp...

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Arlington

You see what living in today's world requires. What used to work doesn't make sense anymore, but the demands of change and maintai...

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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 Antonio

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

Need more help deciding?

Anyone in a marriage knows that staying together can be just as difficult as getting together. That is why so many spouses vow to love each other “in good times and bad, for richer or poorer, in sickness and health.” Marriages often have seasons that are bad, poor, and sick. Marriages often need help, and more and more, spouses are going to marriage counseling to get the help they need.

The professionals at Thriveworks San Antonio frequently see spouses who need a little help creating a better relationship. We know that marriage takes work, and that every relationship will struggle at some point. The counselors and therapists at Thriveworks in San Antonio, TX are ready and qualified to guide you through your struggles and help you find clarity. With both in-person and online therapy options, Thriveworks can adapt to your needs while providing comprehensive evidence-based care.

Do I Need Marriage Counseling?

When couples are struggling, they often want to know, is this a reason why other people start marriage counseling? In essence, they want to know Will marriage therapy help? There are no easy answers to this question. Marriage therapy helps many couples, and how they define “help” is crucial. Sometimes, having a better relationship means working through difficult topics together. Sometimes, having a better relationship means parting ways with as much kindness and respect as is possible. In both cases, marriage counselors are often helpful guides.

How to Tell If I Need Couples Therapy

Should you and your spouse start marriage therapy? Just as there are no guarantees about the future of a relationship, there is no right or wrong time to start marriage counseling. It is a very personal decision, but if you are wondering if therapy may help, it probably can. Here are a few reasons spouses have started marriage counseling at Thriveworks San Antonio:

1.) The fighting is constant.

Marriage therapists talk about The Golden Ratio: for every one negative interaction that spouses have, they need to have five positive ones. Negative interactions have great power to inflict harm. When disagreements occur too often or when differences are not handled respectfully, then both spouses may suffer. It may be time to go see a marriage counselor and learn some conflict resolution skills.

2.) There is nothing to fight about.

When couples do not fight, there could be several reasons. One spouse’s emotions, thoughts, and needs may be dominated by the other spouse’s emotions, thoughts, and needs. Each spouse needs to maintain their individuality for the marriage to be healthy. 

Another possibility is that both spouses are so worn out with fighting that they have given up and apathy has set in. In either case, the root cause needs to be identified and addressed. It may be time to go see a marriage counselor and learn some communication skills.

3.) Someone cheated.

An affair is a crisis. It is also a decision point. Some couples work through the betrayal and try to save their marriage—although this is a tough process. Some couples decide to divorce—another tough process. There are no right answers, and there are no easy paths after one or both spouses have cheated. Whatever path each spouse chooses, it may be time to go see a marriage counselor.

4.) Each spouse is trying to change the other spouse.

In healthy relationships, people accept responsibility for their own growth—they do not try to change others. This is particularly true of a healthy marriage relationship. When spouses try to change each other, they never succeed. Instead, they often introduce frustration, shame, and disappointment into their relationship. If spouses are trying to change each other, it may be time to go see a marriage counselor to learn how to set boundaries.

Marriage Counseling at Thriveworks San Antonio

If you and your spouse are struggling with something listed above, know that you are not alone. Others are struggling as well. If you and your spouse are struggling with something not listed above, know that you are not alone. Our marriage therapists know that each couple is unique. Whatever challenge you may be facing, the counselors at Thriveworks San Antonio are ready to help. 

You can go online and use our convenient booking tool and schedule an appointment quickly and easily. You can also call our office and speak with our helpful scheduling specialists. They can help you find the right counselor and answer any questions you may have. Book an appointment today and start your journey toward understanding.

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 therapists and counselors in San Antonio accept 45 insurance plans

  • Adventist Health Associates | Employee Health Program

  • Adventist Health Associates | Non-Employee Health Program

  • Aetna

  • Ambetter by Superior Health Plan

  • Auto Club Enterprises (Employers Health Network)

  • 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 | Anthem (Blue Card)

  • Buist Byars and Taylor (Employers Health Network)

  • Childrens Medical Group (Employers Health Network)

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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
★★★★★
Unbiased and professional opinions and help. Highly recommended
Dylan Apr 2025
Thriveworks.com verified review
★★★★★
Welcoming experience
Sergio Apr 2025
Thriveworks.com verified review
★★★★★
Such an easy process to schedule and get a provide to meet my needs !
Monet Apr 2025
Thriveworks.com verified review
★★★★★
My therapist Deidre Rose Alder was very sweet and kind. Very intelligent and helpful in all the ways I needed.
Alex Apr 2025
Thriveworks.com verified review
★★★★★
He is very compassionate yet holds nothing back which I definitely need. He has helped with addiction and anxiety. I truly appreciate his help.
Amy Apr 2025
Thriveworks.com verified review
★★★★★
Great experience! No complaints at all! I'm feeling better everyday.
Jacy Apr 2025
Thriveworks.com verified review
★★★★★
My provider is amazing and I think the system is running pretty smoothly.
Alexandria Mar 2025
Thriveworks.com verified review
★★★★★
Im very happy,I appreciate everything,she is very nice and explain all very good,she have a big heart????
Laura Mar 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks in San Antonio, TX is at the corner of Broadway and W Sunset Road/ We are near Mission Orthodontics and Soluna.

Phone number

(210) 985-8078

Languages spoken by TX providers

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

Shown in CT

Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 12:01am - 11:59pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm

Shown in CT

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