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Best Couples Therapists in Helena, AL (2026)

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

The short answer

  1. 1

    Best overall in Helena: LaForty Counseling Services, RP Score 68/100; 5.0★ from 5 Google reviews.

  2. 27

    Most-reviewed: Grayson & Associates, 209 Google reviews at 2.0★, the most of 27 ranked; ranked #27.

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

27 Helena couples therapists are ranked here by RP Score, from eight published factors. 4 open Saturdays and 4 open Sundays, based on posted hours. The median Google rating is 4.7★ across 27 rated practices.

Top 10 couples therapists in Helena 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 Helena at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1LaForty Counseling Services685.0★ (5)Pelham, 4 mi away—Overall
2Relationships Incorporated644.4★ (20)Birmingham, 8 mi awaySat—
3MBH Wellness Clinic633.6★ (12)Birmingham, 8 mi awayEvenings—
4Mind Body & Heart Wellness Clinic (Dr. Misty Smith & Associated Counselors)595.0★ (3)Birmingham, 8 mi away——
5Insights Counseling Center, LLC584.2★ (13)Birmingham, 12 mi awayEvenings—
6Sparrow Counseling584.7★ (14)Birmingham, 13 mi awayEvenings—
7Soul Story Therapy574.9★ (49)Helena——
8Integrative Health Services, LLC-Riverchase-Pelham554.7★ (94)Pelham, 4 mi away——
9Thriveworks Counseling & Therapy Birmingham554.8★ (127)Birmingham, 13 mi awaySat · Sun · Evenings—
10Ron Yount Counseling Services, LLC513.7★ (3)Hoover, 6 mi away——

The 27 best couples therapists in Helena, 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 Helena

    Based in Pelham, 4 mi away

    68/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 5 Google reviews.

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

    • 5.0★ from 5 Google reviews
    Address
    2166 Pelham Pkwy, Pelham, AL 35124
  2. Based in Birmingham, 8 mi away

    64/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 20 Google reviews.

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

    • 4.4★ from 20 Google reviews
    Hours
    Mon closed · Tue–Thu 10 AM–4 PM · Fri 12 PM–4 PM · Sat 12 PM–5 PM · Sun closed
    Address
    2540 Valleydale Rd, Birmingham, AL 35244
  3. Based in Birmingham, 8 mi away

    63/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.6★ from 12 Google reviews.

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

    • 3.6★ from 12 Google reviews
    Hours
    Mon 12 AM–12 AM · Tue–Fri 8:30 AM–4:30 PM · Sat–Sun closed
    Address
    100 Suite 102, Century Park S, Birmingham, AL 35226
  4. 59/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 3 Google reviews.

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

    • 5.0★ from 3 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    100 Century Park S Ste 102, Birmingham, AL 35226
  5. Based in Birmingham, 12 mi away

    58/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.2★ from 13 Google reviews.

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

    • 4.2★ from 13 Google reviews
    Hours
    Mon 8 AM–7:30 PM · Tue–Fri 8 AM–7 PM · Sat–Sun closed
    Address
    200 Cahaba Park Cir #214, Birmingham, AL 35242
  6. Based in Birmingham, 13 mi away

    58/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.7★ from 14 Google reviews.

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

    • 4.7★ from 14 Google reviews
    Hours
    Mon–Thu 9 AM–7 PM · Fri 9 AM–5 PM · Sat–Sun closed
    Address
    1736 Oxmoor Rd #208, Birmingham, AL 35209
  7. Based in Helena

    57/100RP Score

    Ranked #7 because of its Google rating and proximity: 4.9★ from 49 Google reviews, based in Helena.

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

    • 4.9★ from 49 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed closed · Thu–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    511 Creekside Ct, Helena, AL 35080
  8. 55/100RP Score

    Ranked #8 because of its Google rating and specialty focus: 4.7★ from 94 Google reviews, listed on Google as “Mental health service”.

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

    • 4.7★ from 94 Google reviews
    Hours
    Mon–Thu 8 AM–5 PM · Fri 7:30 AM–4:30 PM · Sat–Sun closed
    Address
    9064 Helena Rd, Pelham, AL 35124
  9. Based in Alabaster, 9 mi away

    50/100RP Score

    Ranked #11 because of its Google rating and specialty focus: 5.0★ from 11 Google reviews, listed on Google as “Mental health service”.

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

    • 5.0★ from 11 Google reviews
    Hours
    Mon–Thu 8 AM–5 PM · Fri 8 AM–4:30 PM · Sat closed · Sun 8 AM–5 PM
    Address
    101 Aviators Vw Dr Suite 101 B, Alabaster, AL 35007
  10. Based in Birmingham, 8 mi away

    50/100RP Score

    Ranked #12 because of its Google rating and specialty focus: 3.5★ from 8 Google reviews, listed on Google as “Counselor”.

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

    • 3.5★ from 8 Google reviews
    Address
    2540 Valleydale Rd, Birmingham, AL 35244
  11. Based in Vestavia Hills, 9 mi away

    49/100RP Score

    Ranked #14 because of its Google rating and specialty focus: 4.4★ from 38 Google reviews, listed on Google as “Mental health service”.

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

    • 4.4★ from 38 Google reviews
    Hours
    Mon–Tue 7:30 AM–5:30 PM · Wed closed · Thu 7:30 AM–5:30 PM · Fri 7:30 AM–4:15 PM · Sat–Sun closed
    Address
    100 Centerview Dr #150, Vestavia Hills, AL 35216
  12. Based in Birmingham, 15 mi away

    48/100RP Score

    Ranked #15 because of its Google rating and specialty focus: 4.6★ from 14 Google reviews, listed on Google as “Mental health clinic”.

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

    • 4.6★ from 14 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun 9 AM–5 PM
    Address
    3918 Montclair Rd Ste 206, Birmingham, AL 35213
  13. Based in Birmingham, 13 mi away

    48/100RP Score

    Ranked #16 because of its Google rating and specialty focus: 5.0★ from 73 Google reviews, listed on Google as “Counselor”.

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

    • 5.0★ from 73 Google reviews
    Hours
    Mon–Thu 9 AM–6 PM · Fri 9 AM–5 PM · Sat–Sun closed
    Address
    4 Office Park Cir #306, Birmingham, AL 35223
  14. Based in Birmingham, 11 mi away

    45/100RP Score

    Ranked #18 because of its Google rating and specialty focus: 5.0★ from 7 Google reviews, listed on Google as “Counselor”.

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

    • 5.0★ from 7 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat–Sun closed
    Address
    3109 Blue Lake Dr Ste 205, Birmingham, AL 35243
  15. Based in Birmingham, 13 mi away

    45/100RP Score

    Ranked #19 because of its Google rating and specialty focus: 5.0★ from 10 Google reviews, listed on Google as “Counselor”.

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

    • 5.0★ from 10 Google reviews
    Hours
    Mon–Fri 8 AM–6:30 PM · Sat–Sun closed
    Address
    4000 Eagle Point Corporate Dr, Birmingham, AL 35242
  16. Based in Mountain Brook, 13 mi away

    44/100RP Score

    Ranked #20 because of its Google rating and specialty focus: 4.6★ from 11 Google reviews, listed on Google as “Counselor”.

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

    • 4.6★ from 11 Google reviews
    Hours
    Mon–Fri 8 AM–6 PM · Sat–Sun closed
    Address
    402 Office Park Dr #290, Mountain Brook, AL 35223
  17. Based in Birmingham, 15 mi away

    44/100RP Score

    Ranked #22 because of its Google rating and specialty focus: 5.0★ from 19 Google reviews, listed on Google as “Psychologist”.

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

    • 5.0★ from 19 Google reviews
    Hours
    Mon–Fri 9 AM–3 PM · Sat–Sun closed
    Address
    2112 11th Ave S #340, Birmingham, AL 35205
  18. Based in Mountain Brook, 13 mi away

    43/100RP Score

    Ranked #23 because of its Google rating and specialty focus: 4.3★ from 11 Google reviews, listed on Google as “Counselor”.

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

    • 4.3★ from 11 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    300 Office Park Dr #118, Mountain Brook, AL 35223
  19. Based in Birmingham, 14 mi away

    43/100RP Score

    Ranked #24 because of its Google rating and specialty focus: 4.2★ from 19 Google reviews, listed on Google as “Eating disorder treatment center”.

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

    • 4.2★ from 19 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    2401 Arlington Ave S, Birmingham, AL 35205
  20. Based in Vestavia Hills, 15 mi away

    40/100RP Score

    Ranked #25 because of its Google rating and specialty focus: 2.7★ from 149 Google reviews, listed on Google as “Mental health clinic”.

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

    • 2.7★ from 149 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat–Sun closed
    Address
    2016 Stonegate Trail Suite 112, Vestavia Hills, AL 35242

All 27 couples therapists

#1 to #25 are shown in full above. Here are #26 to #27, in RP Score order; each links to its profile.

couples therapists in Helena, ranks 26 to 27
RankBusinessRP ScoreGoogle ratingDistance
26Point of Grace405.0★ (6)19 mi
27Grayson & Associates392.0★ (209)12 mi

Also serving Helena

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.

How we ranked Helena couples therapists

We scored 27 Helena 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 Helena 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 Helena: frequently asked questions

Who is the best couples therapist in Helena?

By RP Score, the highest-ranked couples therapist in Helena, AL is LaForty Counseling Services with an RP Score of 68/100. It has 5.0★ from 5 Google reviews. Relationships Incorporated (#2) and MBH Wellness Clinic (#3) follow. We ranked 27 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Helena?

RankedPsychologists ranks 27 couples therapists serving Helena, AL. 1 of them is based in Helena; 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 Helena work on weekends?

4 of 27 ranked couples therapists post Saturday hours and 4 post Sunday hours. The highest-ranked open Saturdays are Relationships Incorporated (#2), Thriveworks Counseling & Therapy Birmingham (#9) and Ellie Mental Health (#15). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Helena couples therapists have?

The median Google rating among 27 rated couples therapists in Helena is 4.7★, with a median of 12 reviews. Grayson & Associates has the most, 209 reviews, and ranks #27. 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 Helena count in this ranking?

Yes, if they are within 20 mi of the Helena 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 Helena 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 Helena

  1. November 2026: RP Scores recalculated for 27 couples therapists serving Helena.
  2. November 2026: 1 duplicate listing merged.