73/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 13 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Best Couples Therapists in Lake Saint Louis, MO (2026)
71 couples therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Lake Saint Louis: Ryan Espenschied, MA, MATS, LPC, RP Score 73/100; 4.4★ from 13 Google reviews; open Saturdays until 3 PM.
- 17
Most-reviewed: LifeStance Therapists & Psychiatrists Saint Peters, 469 Google reviews at 4.4★, the most of 71 ranked; ranked #17.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
71 Lake Saint Louis couples therapists are ranked here by RP Score, from eight published factors. 16 open Saturdays and 2 open Sundays, based on posted hours. The median Google rating is 4.8★ across 71 rated practices.
Top 10 couples therapists in Lake Saint Louis 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.
| Rank | Business | RP Score | Google rating | Based in | Hours | Best for |
|---|---|---|---|---|---|---|
| 1 | Ryan Espenschied, MA, MATS, LPC | 73 | 4.4★ (13) | O'Fallon, 1 mi away | Sat · Evenings | Overall |
| 2 | St. Louis Marriage Coaching | 70 | 4.8★ (83) | O'Fallon, 7 mi away | Sat · Evenings | — |
| 3 | Marble Wellness | 61 | 5.0★ (29) | O'Fallon, 1 mi away | Sat · Evenings | — |
| 4 | Inclusive Counseling | 60 | 5.0★ (6) | Lake Saint Louis | Sat · Evenings | — |
| 5 | Luminous Therapy | 60 | 5.0★ (14) | St. Louis, 18 mi away | Sat · Evenings | — |
| 6 | Christian Counseling Connection, LLC | 59 | 4.4★ (7) | Lake Saint Louis | Sat | — |
| 7 | Lakeside Counseling Services | 59 | 5.0★ (6) | O'Fallon, 1 mi away | Sat · Evenings | — |
| 8 | Open Bedroom Doors | 58 | 5.0★ (16) | Chesterfield, 16 mi away | — | — |
| 9 | Shannon Roberson, LPC | 57 | 3.5★ (8) | O'Fallon, 4 mi away | — | — |
| 10 | Ellie Mental Health | 56 | 4.6★ (11) | Wentzville, 6 mi away | Sat · Evenings | — |
The 71 best couples therapists in Lake Saint Louis, 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.
Based in O'Fallon, 7 mi away
70/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.8★ from 83 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in O'Fallon, 1 mi away
61/100RP ScoreRanked #3 because of its Google rating and proximity: 5.0★ from 29 Google reviews, 1 mi from Lake Saint Louis.
Based on 7 of 8 factors; recency not yet collected.
Based in Lake Saint Louis
60/100RP ScoreRanked #4 because of its Google rating and proximity: 5.0★ from 6 Google reviews, based in Lake Saint Louis.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 18 mi away
60/100RP ScoreRanked #5 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.
Based in Lake Saint Louis
59/100RP ScoreRanked #6 because of its Google rating and proximity: 4.4★ from 7 Google reviews, based in Lake Saint Louis.
Based on 7 of 8 factors; recency not yet collected.
Based in O'Fallon, 1 mi away
59/100RP ScoreRanked #7 because of its Google rating and proximity: 5.0★ from 6 Google reviews, 1 mi from Lake Saint Louis.
Based on 7 of 8 factors; recency not yet collected.
Based in Chesterfield, 16 mi away
58/100RP ScoreRanked #8 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.
Based in O'Fallon, 4 mi away
57/100RP ScoreRanked #9 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.
Based in Wentzville, 6 mi away
56/100RP ScoreRanked #10 because of its Google rating and specialty focus: 4.6★ from 11 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in O'Fallon, 4 mi away
55/100RP ScoreRanked #11 because of its Google rating and specialty focus: 3.1★ from 31 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Charles, 13 mi away
54/100RP ScoreRanked #12 because of its Google rating and specialty focus: 5.0★ from 3 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 11 mi away
53/100RP ScoreRanked #13 because of its Google rating and specialty focus: 4.7★ from 3 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in O'Fallon, 5 mi away
53/100RP ScoreRanked #14 because of its Google rating and specialty focus: 4.5★ from 8 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 10 mi away
52/100RP ScoreRanked #15 because of its Google rating and specialty focus: 4.9★ from 62 Google reviews, listed on Google as “Psychiatrist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 10 mi away
52/100RP ScoreRanked #16 because of its Google rating and specialty focus: 5.0★ from 48 Google reviews, listed on Google as “Psychologist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 10 mi away
52/100RP ScoreRanked #17 because of its Google rating and specialty focus: 4.4★ from 469 Google reviews, listed on Google as “Mental health clinic”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 10 mi away
51/100RP ScoreRanked #18 because of its Google rating and specialty focus: 4.9★ from 35 Google reviews, listed on Google as “Psychiatrist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Wentzville, 5 mi away
51/100RP ScoreRanked #19 because of its Google rating and specialty focus: 3.0★ from 4 Google reviews, listed on Google as “Psychologist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 10 mi away
51/100RP ScoreRanked #20 because of its Google rating and specialty focus: 4.9★ from 32 Google reviews, listed on Google as “Psychiatrist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Charles, 14 mi away
51/100RP ScoreRanked #21 because of its Google rating and specialty focus: 3.5★ from 22 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Charles, 10 mi away
50/100RP ScoreRanked #22 because of its Google rating and specialty focus: 1.6★ from 7 Google reviews, listed on Google as “Mental health clinic”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 10 mi away
50/100RP ScoreRanked #23 because of its Google rating and specialty focus: 4.7★ from 13 Google reviews, listed on Google as “Psychotherapist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 10 mi away
50/100RP ScoreRanked #24 because of its Google rating and specialty focus: 4.7★ from 18 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 10 mi away
49/100RP ScoreRanked #25 because of its Google rating and specialty focus: 4.9★ from 9 Google reviews, listed on Google as “Psychotherapist”.
Based on 7 of 8 factors; recency not yet collected.
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 71 ranked couples therapists here; the rest are on their profiles.
Also serving Lake Saint Louis
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 Lake Saint Louis couples therapists
We scored 71 Lake Saint Louis 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.
| Factor | Weight | Computed from | In Lake Saint Louis data |
|---|---|---|---|
| Reputation | 25% | Google star rating, adjusted for how many reviews back it | Measured |
| Review volume | 5% | Number of Google reviews, compared with the most-reviewed practice on the list | Measured |
| Recency | 5% | Share of Google reviews from the last 12 months | Not yet collected |
| Availability | 10% | Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availability | Measured |
| Specialty focus | 25% | How clearly the practice does this specialty (its Google category and name) | Measured |
| Proximity | 15% | Based in the city scores highest, less the farther away it is | Measured |
| Claimed profile | 10% | The practice has claimed its Ranked Psychologists profile (free or paid earn the same) | Measured |
| Partnered | 5% | The practice links to Ranked Psychologists from its own website with our badge, checked periodically | Measured |
How to choose a couples therapist
- Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
- Make sure couples and marriage counseling is a regular part of their work, and ask what approach they use and why.
- Ask what training they have in couples work specifically (for example the Gottman Method or Emotionally Focused Therapy).
- 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.
- Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
- 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 Lake Saint Louis: frequently asked questions
Who is the best couples therapist in Lake Saint Louis?
By RP Score, the highest-ranked couples therapist in Lake Saint Louis, MO is Ryan Espenschied, MA, MATS, LPC with an RP Score of 73/100. It has 4.4★ from 13 Google reviews. It is open Saturdays until 3 PM. St. Louis Marriage Coaching (#2) and Marble Wellness (#3) follow. We ranked 71 couples therapists on eight factors, last updated November 9, 2026.
How many couples therapists are there in Lake Saint Louis?
RankedPsychologists ranks 71 couples therapists serving Lake Saint Louis, MO. 2 of them are based in Lake Saint Louis; 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 Lake Saint Louis work on weekends?
16 of 71 ranked couples therapists post Saturday hours and 2 post Sunday hours. The highest-ranked open Saturdays are Ryan Espenschied, MA, MATS, LPC (#1), St. Louis Marriage Coaching (#2) and Marble Wellness (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Lake Saint Louis couples therapists have?
The median Google rating among 71 rated couples therapists in Lake Saint Louis is 4.8★, with a median of 11 reviews. LifeStance Therapists & Psychiatrists Saint Peters has the most, 469 reviews, and ranks #17. 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 Lake Saint Louis count in this ranking?
Yes, if they are within 20 mi of the Lake Saint Louis 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 Lake Saint Louis 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 Lake Saint Louis
- November 2026: RP Scores recalculated for 71 couples therapists serving Lake Saint Louis.
More couples therapists and Lake Saint Louis pages
Couples therapists near Lake Saint Louis
- Couples therapists in Dardenne Prairie, MO83 ranked
- Couples therapists in Wentzville, MO54 ranked
- Couples therapists in O'Fallon, MO83 ranked
- Couples therapists in Saint Peters, MO120 ranked
- Couples therapists in Chesterfield, MO133 ranked
- Couples therapists in Wildwood, MO134 ranked
- Couples therapists in Troy, MO11 ranked
- Couples therapists in Saint Charles, MO129 ranked
- Couples therapists in Ballwin, MO132 ranked
- Couples therapists in Maryland Heights, MO132 ranked
Other specialties in Lake Saint Louis
- Psychologists in Lake Saint Louis61 ranked
- Therapists and counselors in Lake Saint Louis119 ranked
- Child and teen therapists in Lake Saint Louis36 ranked
- Family therapists in Lake Saint Louis69 ranked
- Trauma and PTSD therapists in Lake Saint Louis12 ranked
- Eating disorder therapists in Lake Saint Louis10 ranked
- Psychiatrists in Lake Saint Louis168 ranked
- Clinical social workers in Lake Saint Louis55 ranked
- Addiction counselors in Lake Saint Louis61 ranked
- ABA therapy providers in Lake Saint Louis37 ranked
- All psychologists in Lake Saint Louis