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Couples therapists in San Francisco, CA
Top couples therapists in San Francisco, CA
San Francisco couples can access flexible relationship counseling through Headway's network of compassionate providers specializing in communication, conflict resolution, and intimacy. With 70+ insurance plans accepted, many clients save 75% on sessions. Book your free intake call today.
Hi, my name is Theresa and I have devoted 11+ years of experience to helping individuals and families navigate life’s emotional challenges with compassion and authenticity. Grounded in both professional expertise and lived experience, I bring genuine empathy and understanding to my therapeutic work.
My name is David Marquez and I am a Licensed Clinicial Social Worker (LCSW) in California. I have been a social worker for over 10 years and graduated from San Francisco State University. As a Latino therapist, I’m especially passionate about serving LGBTQ+ and BIPOC communities. I offer therapy in English and Spanish, and I bring cultural awareness, warmth, and real conversation into the room. Your identity, experiences, and personality aren’t side notes here — they’re part of the story we honor. Therapy with me is collaborative, affirming, and occasionally sprinkled with humor — because sometimes the most healing moments come right after we say, “Ohhh... that makes sense.”
I am a bilingual (English/Spanish) Licensed Marriage and Family Therapist dedicated to helping children, adolescents, and adults navigate difficult life experiences and build emotional resilience. I have extensive experience working with trauma, anxiety, family conflict, and self-esteem challenges.
My work focuses on creating a safe, supportive, and nonjudgmental space where clients can explore their emotions, understand their experiences, and develop healthier coping skills. I have worked with individuals and families dealing with trauma, abuse, relationship challenges, and life transitions.
I am passionate about helping clients rediscover their strengths, improve their emotional well-being, and build healthier relationships. My goal is to empower each person to move toward healing, self-understanding, and personal growth.
I’m Katrina Balian, a Licensed Marriage and Family Therapist. I earned my Master’s degree in Clinical Psychology with an emphasis in Marriage and Family Therapy from Pepperdine University. I’m passionate about helping individuals navigate trauma, anxiety, relationship challenges, emotional overwhelm, and life transitions. My goal is to create a supportive, nonjudgmental space where clients feel understood, empowered, and able to build meaningful change in their lives.
Robert Troy Vander Zwart obtained his Master's Degree at Gordon Conwell Theological Seminary and has over 25 years of experience. Prior to beginning in his private practice Troy worked in a variety of clinical settings. Troy's specialty is counseling individuals with symptoms of depression and anxiety and who have experienced trauma. He also has a passion for couples counseling, marriage and pre-marriage counseling, and family therapy.
Hello and Welcome
With 30 years of experience as a licensed marriage, family therapist, my journey began at Sacramento California, where I first received my license and found my calling serving families within the community. Over time I found my way into private practice where my reach into the community grew and a deep passion for working with adults at various stages of their life emerged and one that has become central to my calling as a therapist.
Throughout my career, I have remained deeply committed to learning and growing alongside the field pursuing, continued education and certifications.
My clients often want to know a little about the person behind this practice. I am someone who loves to travel and spends time outdoors . Camping and water adventures are always my happy place and those who know me best will tell you with a knowing grin that I have never met an animal I didn’t love
I believe wholeheartedly that it is vital for me to live a congruent life, to bring my heart and desires into a living presence My passion to live with purpose, curiosity and joy is core to who I am and this is how I show up for my clients every single day.
From your very first visit, you will be received warmly with quiet encouragement and assurance that this is a safe relaxed welcoming space just for you.
Through therapy, clients develop new skills, discover new insights, and strengthen their resilience for whatever life brings.
I am passionate of all things mental health! I enjoy working in crisis situations, and supporting individuals going through the ups and lows of life. My goal is to sprinkle confidence and joy into life
Frequently asked questions
Find the right couples therapist for you
Headway makes it easy to find support for your relationship — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing a Couples Therapist in San Francisco, CA
Finding couples therapists in San Francisco starts with knowing what you and your partner want to work on. Many people search for couples therapy in San Francisco for support with communication patterns, conflict, trust after infidelity, major life changes, or parenting disagreements. Not all therapists have specific training in couples work, so look for licensed marriage and family therapists or therapists who list couples modalities like the Gottman Method or emotionally focused therapy in their profiles.
San Francisco has many therapists across neighborhoods like the Mission, SoMa, the Richmond, and Noe Valley, which can make the search for the right fit more detailed. For couples counseling in SF, logistics matter for both partners: appointment times, office location, transit access, virtual availability, and whether the therapist is accepting new patients. Some therapists offer a brief initial consultation, which can help both partners understand the therapist’s style, session structure, and approach before booking ongoing care.
Relationship counseling in San Francisco can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs, and Headway helps you see estimated out-of-pocket costs before you book. You can compare San Francisco marriage counselors and couples therapists by specialty, availability, format, and insurance fit, then review bios and book directly when you’re ready.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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