Couples Therapy &
Marriage Counseling
in San Antonio, TX

When to Consider Couples Therapy

You do not need to be in crisis to benefit from couples therapy. Early intervention typically leads to better outcomes. The sooner you address relationship challenges with professional support, the more options you have for rebuilding your connection.

• Communication has become difficult or unproductive
• The same arguments keep repeating without resolution
• Trust has been broken by infidelity or dishonesty
• Navigating a major life change such as a new baby or job loss
• Intimacy or emotional connection has faded
• Considering separation and want to explore all options first

Our Approach to Couples Therapy

Our San Antonio therapists are trained in the two most extensively researched and effective couples therapy approaches. Depending on your needs, your therapist may draw from one or both methods, or combine them with other evidence-based techniques tailored to your specific relationship dynamics.

What to Expect in Couples Therapy

Our couples therapy process is structured to give both partners a clear understanding of where you are, where you want to be, and how to get there together.

1. 1
   Initial Assessment Session Your therapist gets to know both partners, your relationship history, and the specific challenges you are facing. Many therapists also conduct brief individual sessions with each partner to gain a fuller picture of the relationship dynamics.
2. 2
   Ongoing Joint Sessions Sessions last 50 to 60 minutes and are scheduled weekly or biweekly. Your therapist guides structured conversations, teaches communication skills, and helps you develop new interaction patterns that replace destructive cycles with constructive ones.
3. 3
   Progress and Adjustment Most couples begin to notice improvement within 8 to 12 sessions. Your therapist reassesses goals regularly and adjusts the approach based on your progress and any new challenges that arise.

Couples Therapy vs. Marriage Counseling

The terms couples therapy and marriage counseling are often used interchangeably, and at STMHA we offer both. Our therapists are equipped to help with specific presenting issues as well as deeper relational patterns, and we work with married couples, engaged couples, and unmarried partners at any stage of the relationship.

Schedule in San Antonio

Our San Antonio couples therapists are available for weekly and biweekly sessions. We also offer telehealth appointments for couples who prefer virtual sessions or need flexible scheduling. If you are also looking for individual therapy as part of the process, our San Antonio team offers both.

Insurance and Scheduling

Couples therapy is covered by some insurance plans when billed under an individual mental health diagnosis. Our team can help you understand your coverage options before your first session. To schedule a couples therapy or marriage counseling session, call our San Antonio office at (210) 468-7099 or complete the Become a Patient form on our website.

• Medicare
• Aetna
• Cigna
• Blue Cross Blue Shield
• United Healthcare

Couples Therapy: Common Questions