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Best Couples Therapists in Affton, MO (2026)

112 couples therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Affton: Dance of Change Counseling, RP Score 70/100; 4.5★ from 8 Google reviews; open evenings.

  2. 21

    Most-reviewed: LifeStance Therapists & Psychiatrists Saint Louis, 363 Google reviews at 4.6★, the most of 112 ranked; ranked #21.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

112 Affton couples therapists are ranked here by RP Score, from eight published factors. 32 open Saturdays and 12 open Sundays, based on posted hours. The median Google rating is 4.7★ across 112 rated practices.

Top 10 couples therapists in Affton at a glance

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

Top 10 couples therapists in Affton at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Dance of Change Counseling704.5★ (8)AfftonEveningsOverall
2Agape Christian Counseling Services694.4★ (45)St. Louis, 8 mi awaySat · Evenings—
3Penalba Valentina PHD. St. Louis Couple and Family Therapy LLC675.0★ (8)St. Louis, 6 mi awaySat · Evenings—
4The Premarital Architect664.7★ (13)Belleville, 17 mi awaySat · Sun · Evenings—
5Linda Weiner, Sex Therapist St. Louis665.0★ (12)St. Louis, 6 mi away——
6Personal Growth655.0★ (7)St. Louis, 10 mi awaySat · Evenings—
7Marriage & Family Institute643.3★ (3)St. Louis, 7 mi awayEvenings—
8Luminous Therapy645.0★ (14)St. Louis, 13 mi awaySat · Evenings—
9Agape Christian Counseling Services643.7★ (6)Columbia, 13 mi away——
10Dr. Davorka Marovic-Johnson, Ph.D., LPC Individual and Couples Therapy; Brainspotting; Clinical Hypnotherapy635.0★ (7)Clayton, 7 mi awaySat · Sun · Evenings—

The 112 best couples therapists in Affton, ranked

Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

  1. Ranked #1 in Affton

    Based in Affton

    70/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.5★ from 8 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 8 Google reviews
    Hours
    Mon 9 AM–5 PM · Tue 9 AM–8 PM · Wed–Thu 9 AM–5 PM · Fri 9 AM–3:30 PM · Sat–Sun closed
  2. Based in St. Louis, 8 mi away

    69/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 45 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 45 Google reviews
    Hours
    Mon–Fri 8 AM–9 PM · Sat 8 AM–4 PM · Sun closed
    Address
    12801 Flushing Meadows Dr Apt 100, St. Louis, MO 63131
  3. 67/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 8 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 8 Google reviews
    Hours
    Mon closed · Tue–Wed 8 AM–12 PM · Thu 5 PM–8 PM · Fri closed · Sat 9:30 AM–12:30 PM · Sun closed
    Address
    7750 Clayton Rd Suite 204, St. Louis, MO 63117
  4. Based in Belleville, 17 mi away

    66/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.7★ from 13 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 13 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    1549 Frank Scott Pkwy W, Belleville, IL 62223
  5. Based in St. Louis, 6 mi away

    66/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 12 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 12 Google reviews
    Hours
    Mon–Fri 10 AM–6 PM · Sat–Sun closed
    Address
    7750 Clayton Rd Suite 204, St. Louis, MO 63117
  6. Based in St. Louis, 10 mi away

    65/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 7 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 7 Google reviews
    Hours
    Mon 10 AM–3 PM · Tue–Thu 10 AM–7 PM · Fri–Sat 10 AM–3 PM · Sun closed
    Address
    443 N New Ballas Rd Ste 201, St. Louis, MO 63141
  7. Based in St. Louis, 7 mi away

    64/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.3★ from 3 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.3★ from 3 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat–Sun closed
    Address
    222 S Meramec Ave #303, St. Louis, MO 63105
  8. Based in St. Louis, 13 mi away

    64/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 14 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 14 Google reviews
    Hours
    Mon–Tue 10 AM–8 PM · Wed closed · Thu–Sat 10 AM–8 PM · Sun closed
    Address
    3 The Pines Ct Ste B, St. Louis, MO 63141
  9. 63/100RP Score

    Ranked #10 because of its Google rating and specialty focus: 5.0★ from 7 Google reviews, listed on Google as “Psychotherapist”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 7 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed 9 AM–7:30 PM · Thu 9 AM–6 PM · Fri 9 AM–7:30 PM · Sat–Sun 9 AM–5 PM
    Address
    230 S Bemiston Ave Ste 1213, Clayton, MO 63105
  10. Based in St. Louis, 2 mi away

    62/100RP Score

    Ranked #11 because of its Google rating and proximity: 4.5★ from 16 Google reviews, 2 mi from Affton.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 16 Google reviews
    Hours
    Mon 8 AM–9 PM · Tue–Wed 7 AM–9 PM · Thu 8 AM–9 PM · Fri 7 AM–6 PM · Sat 9 AM–5 PM · Sun 9 AM–9 PM
    Address
    11144 Tesson Ferry Rd #101, St. Louis, MO 63123
  11. Based in Kirkwood, 5 mi away

    62/100RP Score

    Ranked #12 because of its Google rating and specialty focus: 3.7★ from 3 Google reviews, listed on Google as “Mental health service”.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.7★ from 3 Google reviews
    Address
    699 W Woodbine Ave #1NW, Kirkwood, MO 63122
  12. Based in St. Louis, 3 mi away

    61/100RP Score

    Ranked #14 because of its Google rating and proximity: 5.0★ from 9 Google reviews, 3 mi from Affton.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 9 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–5 PM · Sun 9 AM–8 PM
    Address
    4193 Crescent Dr Ste E, St. Louis, MO 63129
  13. Based in Chesterfield, 14 mi away

    60/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 16 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 16 Google reviews
    Hours
    Mon–Fri 9 AM–5:30 PM · Sat–Sun closed
    Address
    PMB 1112, 1734 Clarkson Rd, Chesterfield, MO 63017
  14. Based in Clayton, 7 mi away

    60/100RP Score

    Ranked #16 because of its Google rating and specialty focus: 4.9★ from 54 Google reviews, listed on Google as “Mental health service”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 54 Google reviews
    Hours
    Mon–Sun 9 AM–5 PM
    Address
    230 S Bemiston Ave Ste 920, Clayton, MO 63105
  15. Based in Clayton, 7 mi away

    60/100RP Score

    Ranked #17 because of its Google rating and specialty focus: 4.9★ from 33 Google reviews, listed on Google as “Mental health service”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 33 Google reviews
    Hours
    Mon–Thu 8 AM–9 PM · Fri 8 AM–5 PM · Sat 9 AM–1 PM · Sun 9 AM–4 PM
    Address
    7711 Bonhomme Ave Ste 720 (7th Floor, Clayton, MO 63105
  16. Based in St. Louis, 5 mi away

    57/100RP Score

    Ranked #20 because of its Google rating and specialty focus: 4.2★ from 24 Google reviews, listed on Google as “Counselor”.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 4.2★ from 24 Google reviews
    Address
    1612 S Big Bend Blvd, St. Louis, MO 63117
  17. Based in St. Louis, 1 mi away

    57/100RP Score

    Ranked #22 because of its Google rating and proximity: 5.0★ from 5 Google reviews, 1 mi from Affton.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    74 Grasso Plaza, St. Louis, MO 63123
  18. Based in St. Louis, 5 mi away

    57/100RP Score

    Ranked #23 because of its Google rating and specialty focus: 3.7★ from 3 Google reviews, listed on Google as “Psychologist”.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.7★ from 3 Google reviews
    Address
    5131 Lemay Ferry Rd, St. Louis, MO 63129
  19. Based in Creve Coeur, 10 mi away

    56/100RP Score

    Ranked #24 because of its Google rating and specialty focus: 5.0★ from 19 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 19 Google reviews
    Hours
    Mon–Thu 10 AM–7 PM · Fri–Sun 10 AM–5 PM
    Address
    662 N New Ballas Rd, Creve Coeur, MO 63141
  20. 56/100RP Score

    Ranked #25 because of its Google rating and specialty focus: 5.0★ from 21 Google reviews, listed on Google as “Hypnotherapy service”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 21 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed 9 AM–9 PM · Thu 12 PM–9 PM · Fri 9 AM–7 PM · Sat 11 AM–3 PM · Sun closed
    Address
    225 S Meramec Ave UNIT 203, Clayton, MO 63105

Couples therapists ranked #26 to #50

#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 112 ranked couples therapists here; the rest are on their profiles.

couples therapists in Affton, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Jeramie Rosales Rodriguez, Psychiatrist565.0★ (49)4 mi
27True Vine Christian Services564.3★ (6)2 mi
28Gateway Wellness Associates564.4★ (7)6 mi
29Saint Louis Counseling565.0★ (5)6 mi
30Narissa Marasso, Psychiatric Nurse Practitioner554.9★ (32)4 mi
31LifeStance Therapists & Psychiatrists Richmond Heights554.6★ (221)6 mi
32The Care Collective555.0★ (3)6 mi
33Clayton Therapy | Peggy Levinson, LCSW, LMFT554.4★ (7)7 mi
34Laura Kern, Counselor554.7★ (26)4 mi
35Mika Ross - Therapist | Relationship Coach555.0★ (27)5 mi
36John Yunker licensed psychologist MS.543.8★ (4)7 mi
37Pearlman & Associates544.6★ (68)10 mi
38Angela Johnson, Counselor545.0★ (11)4 mi
39Fred Hudson, Counselor544.7★ (15)4 mi
40Marble Wellness545.0★ (95)9 mi
41Tamara Runge, Psychiatric Nurse Practitioner544.6★ (14)4 mi
42Emily Mukherji, Psychiatrist544.7★ (36)6 mi
43Mary Weiss, Psychiatrist545.0★ (7)4 mi
44Healing Reflections Therapy, LLC544.5★ (6)4 mi
45Tamara Runge, Psychiatric Nurse Practitioner534.7★ (25)6 mi
46Lotus Rising LLC535.0★ (9)5 mi
47N. James Vick, Counselor534.6★ (25)6 mi
48West County Behavioral Health & Psychiatry534.9★ (28)11 mi
49Abigail Blue, Counselor535.0★ (3)4 mi
50Leah Gregory, Counselor535.0★ (10)6 mi

Also serving Affton

20 more couples therapists within 20 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.

Unranked couples therapists serving Affton
BusinessGoogle ratingDistance
Baetz-Davis Cherie PHD, LLC4.0★ (2)11 mi
Creating Your Journey5.0★ (1)In Affton
Denise Dodson, Community Counseling Ministry LLC5.0★ (2)In Affton
Dr. Vivian Sierra3.0★ (2)9 mi
Ease Your Mind Counseling5.0★ (8)In Affton
Hayden Debora5.0★ (2)10 mi
Karen Levin-Tamaren3.0★ (2)12 mi
Leah Dents, Counselor5.0★ (2)6 mi
Morgan Counseling Services LLC5.0★ (2)2 mi
Nick Platipodis, Counselor5.0★ (2)4 mi
Raznick Heather K5.0★ (2)7 mi
Rebecca Mercurio, LCSW5.0★ (7)In Affton
Ruth Dorhauer, Counselor5.0★ (2)6 mi
Shannon Washington, Counselor5.0★ (2)12 mi
Speak Now Counseling5.0★ (1)In Affton
St. Louis Counselor5.0★ (2)2 mi
Tamara Blum, MSW, LCSW3.0★ (2)6 mi
Thalassa Therapy LLC5.0★ (2)9 mi
The Clements Counseling Group3.0★ (2)3 mi
Wise Mind Therapy5.0★ (19)In Affton

How we ranked Affton couples therapists

We scored 112 Affton couples therapists on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.

Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Affton data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose a couples therapist

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure couples and marriage counseling is a regular part of their work, and ask what approach they use and why.
  3. Ask what training they have in couples work specifically (for example the Gottman Method or Emotionally Focused Therapy).
  4. Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
  5. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  6. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask a couples therapist

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How much of your work is couples and marriage counseling?
  • Do you also see each partner on their own?
  • What do you charge per session, and do you take my insurance or provide a superbill?
  • Do you offer online sessions?
  • What is your cancellation policy?
  • What do you keep confidential, and when would you have to share information?

Terms explained

PhD / PsyD
Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
Licensed psychologist
A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
Psychological associate
In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
LPC / LMHC / LCPC
US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
LCSW
Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
LMFT
Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
RP / RCC
Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
PSYPACT
An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
Telehealth
Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
CBT
Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
DBT
Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
ERP
Exposure and response prevention: a form of CBT used for OCD.

Couples therapists in Affton: frequently asked questions

Who is the best couples therapist in Affton?

By RP Score, the highest-ranked couples therapist in Affton, MO is Dance of Change Counseling with an RP Score of 70/100. It has 4.5★ from 8 Google reviews. It is open evenings. Agape Christian Counseling Services (#2) and Penalba Valentina PHD. St. Louis Couple and Family Therapy LLC (#3) follow. We ranked 112 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Affton?

RankedPsychologists ranks 112 couples therapists serving Affton, MO. 1 of them is based in Affton; the rest serve it from nearby towns. Another 20 within 20 mi are listed but not ranked yet. Counts are as of November 2026.

What should I do if I need help right now?

In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.

Which couples therapists in Affton work on weekends?

32 of 112 ranked couples therapists post Saturday hours and 12 post Sunday hours. The highest-ranked open Saturdays are Agape Christian Counseling Services (#2), Penalba Valentina PHD. St. Louis Couple and Family Therapy LLC (#3) and The Premarital Architect (#4). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Affton couples therapists have?

The median Google rating among 112 rated couples therapists in Affton is 4.7★, with a median of 10 reviews. LifeStance Therapists & Psychiatrists Saint Louis has the most, 363 reviews, and ranks #21. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank couples therapists?

Each couples therapist gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.

Do couples therapists outside Affton count in this ranking?

Yes, if they are within 20 mi of the Affton city center, our service radius for couples therapists. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.

Can couples therapists pay to rank higher on RankedPsychologists?

No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.

How are couples therapists in Affton ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on couples and marriage counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

Do both partners need to come to couples therapy?

Most couples therapists prefer to see both partners, at least at first, but many will start with one. Ask how they handle individual sessions. If there is violence or fear in the relationship, tell the therapist privately; many do not offer joint sessions in that situation.

Can I see a couples therapist online?

Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.

What if I need help right now?

Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.

Update log for Affton

  1. November 2026: RP Scores recalculated for 112 couples therapists serving Affton.