72/100RP 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.
Best Couples Therapists in Lexington-Fayette, KY (2026)
79 couples therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Lexington-Fayette: Affinitas Therapy, LLC, RP Score 72/100; 5.0★ from 5 Google reviews.
- 13
Most-reviewed: LifeStance Therapists & Psychiatrists Lexington, 1,355 Google reviews at 4.6★, the most of 79 ranked; ranked #13.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
79 Lexington-Fayette couples therapists are ranked here by RP Score, from eight published factors. 3 open Saturdays, based on posted hours. The median Google rating is 4.9★ across 79 rated practices.
Top 10 couples therapists in Lexington-Fayette 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 | Affinitas Therapy, LLC | 72 | 5.0★ (5) | Lexington, 4 mi away | — | Overall |
| 2 | LexCounseling | 72 | 4.3★ (11) | Lexington, 5 mi away | — | — |
| 3 | Don Sizemore & Associates | 67 | 5.0★ (10) | Lexington, 4 mi away | Evenings | — |
| 4 | Centered Holistic Health | 61 | 5.0★ (29) | Lexington, 3 mi away | — | — |
| 5 | Tiffany Bryant LPCC | 61 | 4.8★ (111) | Lexington, 4 mi away | — | — |
| 6 | Discover You Counseling, LLC | 58 | 5.0★ (22) | Lexington, 3 mi away | Sat | — |
| 7 | Lexington Counseling & Psychiatry-The Offices of Paul Dalton | 57 | 4.8★ (216) | Lexington, 3 mi away | — | — |
| 8 | LifeStance Therapists & Psychiatrists Lexington | 57 | 4.6★ (783) | Lexington, 4 mi away | — | — |
| 9 | Adriene Simpson, Psychiatric Nurse Practitioner | 57 | 4.9★ (91) | Lexington, 4 mi away | — | — |
| 10 | Lauren Wilson, Psychiatric Nurse Practitioner | 57 | 4.9★ (92) | Lexington, 4 mi away | — | — |
The 79 best couples therapists in Lexington-Fayette, 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 Lexington, 5 mi away
72/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 11 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Lexington, 4 mi away
67/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 10 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 3 mi away
61/100RP ScoreRanked #4 because of its Google rating and proximity: 5.0★ from 29 Google reviews, 3 mi from Lexington-Fayette.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Lexington, 4 mi away
61/100RP ScoreRanked #5 because of its Google rating and specialty focus: 4.8★ from 111 Google reviews, listed on Google as “Counselor”.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Lexington, 3 mi away
58/100RP ScoreRanked #6 because of its Google rating and proximity: 5.0★ from 22 Google reviews, 3 mi from Lexington-Fayette.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 3 mi away
57/100RP ScoreRanked #7 because of its Google rating and proximity: 4.8★ from 216 Google reviews, 3 mi from Lexington-Fayette.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
57/100RP ScoreRanked #8 because of its Google rating and specialty focus: 4.6★ from 783 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
57/100RP ScoreRanked #9 because of its Google rating and specialty focus: 4.9★ from 91 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
57/100RP ScoreRanked #10 because of its Google rating and specialty focus: 4.9★ from 92 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
57/100RP ScoreRanked #11 because of its Google rating and specialty focus: 4.8★ from 201 Google reviews, listed on Google as “Mental health clinic”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
56/100RP ScoreRanked #12 because of its Google rating and specialty focus: 3.4★ from 5 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 6 mi away
56/100RP ScoreRanked #13 because of its Google rating and specialty focus: 4.6★ from 1,355 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
56/100RP ScoreRanked #14 because of its Google rating and specialty focus: 4.9★ from 47 Google reviews, listed on Google as “Psychologist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
56/100RP ScoreRanked #15 because of its Google rating and specialty focus: 5.0★ from 21 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 3 mi away
56/100RP ScoreRanked #16 because of its Google rating and proximity: 4.4★ from 35 Google reviews, 3 mi from Lexington-Fayette.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 6 mi away
56/100RP ScoreRanked #17 because of its Google rating and specialty focus: 4.9★ from 134 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
56/100RP ScoreRanked #18 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.
Based in Lexington, 6 mi away
55/100RP ScoreRanked #19 because of its Google rating and specialty focus: 5.0★ from 69 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
55/100RP ScoreRanked #20 because of its Google rating and specialty focus: 5.0★ from 25 Google reviews, listed on Google as “Psychiatrist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
55/100RP ScoreRanked #21 because of its Google rating and specialty focus: 5.0★ from 18 Google reviews, listed on Google as “Psychiatrist”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
55/100RP ScoreRanked #22 because of its Google rating and specialty focus: 4.8★ from 23 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
55/100RP ScoreRanked #23 because of its Google rating and specialty focus: 5.0★ from 21 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 6 mi away
55/100RP ScoreRanked #24 because of its Google rating and specialty focus: 4.9★ from 99 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington, 4 mi away
55/100RP ScoreRanked #25 because of its Google rating and specialty focus: 5.0★ from 14 Google reviews, listed on Google as “Psychiatrist”.
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 79 ranked couples therapists here; the rest are on their profiles.
Also serving Lexington-Fayette
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.
| Business | Google rating | Distance |
|---|---|---|
| Abigail Nemec, Counselor | 5.0★ (2) | 4 mi |
| Alicia Carlos, Psychiatrist | 5.0★ (2) | 6 mi |
| Ashley McGar, Counselor | 3.0★ (2) | 4 mi |
| Billie Wilder, Counselor | 5.0★ (1) | 4 mi |
| Erin Aiello | 2 mi | |
| Glencairn Marriage & Family Therapy Center Inc. | 5.0★ (1) | 3 mi |
| Grief Recovery Care, LLC | 5.0★ (2) | 3 mi |
| Jennifer Waugh, Counselor | 5.0★ (1) | 4 mi |
| Julianne Sutter | 2 mi | |
| Laura Cooper, Counselor | 5.0★ (1) | 4 mi |
| Manion Marthanne | 5.0★ (1) | 2 mi |
| Manna Counseling Services | 5.0★ (1) | 19 mi |
| Missy Ammerman, L.C.S.W. | 5.0★ (2) | 2 mi |
| Parker Relationship Center | 5.0★ (2) | 2 mi |
| R. Alex Colston, LMFT, LLC | 2 mi | |
| Restoration Christian Counseling | 5.0★ (1) | 13 mi |
| Roland B. Hudson III, LMFT | 5.0★ (2) | 9 mi |
| The Mindfulness Center - Lexington | 2 mi | |
| Travis Drake, Counselor | 5.0★ (1) | 11 mi |
| Virginia Gilpin, Counselor | 5.0★ (2) | 6 mi |
How we ranked Lexington-Fayette couples therapists
We scored 79 Lexington-Fayette 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 Lexington-Fayette 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 Lexington-Fayette: frequently asked questions
Who is the best couples therapist in Lexington-Fayette?
By RP Score, the highest-ranked couples therapist in Lexington-Fayette, KY is Affinitas Therapy, LLC with an RP Score of 72/100. It has 5.0★ from 5 Google reviews. LexCounseling (#2) and Don Sizemore & Associates (#3) follow. We ranked 79 couples therapists on eight factors, last updated November 9, 2026.
How many couples therapists are there in Lexington-Fayette?
RankedPsychologists ranks 79 couples therapists serving Lexington-Fayette, KY. 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 Lexington-Fayette work on weekends?
3 of 79 ranked couples therapists post Saturday hours. The highest-ranked open Saturdays are Discover You Counseling, LLC (#6) and Integrative Counseling Center (#12). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Lexington-Fayette couples therapists have?
The median Google rating among 79 rated couples therapists in Lexington-Fayette is 4.9★, with a median of 19 reviews. LifeStance Therapists & Psychiatrists Lexington has the most, 1,355 reviews, and ranks #13. 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 Lexington-Fayette count in this ranking?
Yes, if they are within 20 mi of the Lexington-Fayette 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 Lexington-Fayette 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 Lexington-Fayette
- November 2026: RP Scores recalculated for 79 couples therapists serving Lexington-Fayette.
More couples therapists and Lexington-Fayette pages
Couples therapists near Lexington-Fayette
- Couples therapists in Lexington, KY85 ranked
- Couples therapists in Georgetown, KY93 ranked
- Couples therapists in Nicholasville, KY73 ranked
- Couples therapists in Winchester, KY48 ranked
- Couples therapists in Richmond, KY30 ranked
- Couples therapists in Lawrenceburg, KY40 ranked
- Couples therapists in Frankfort, KY29 ranked
- Couples therapists in Berea, KY5 ranked
- Couples therapists in Shelbyville, KY38 ranked
- Couples therapists in Mount Washington, KY65 ranked
Other specialties in Lexington-Fayette
- Psychologists in Lexington-Fayette65 ranked
- Therapists and counselors in Lexington-Fayette198 ranked
- Child and teen therapists in Lexington-Fayette31 ranked
- Family therapists in Lexington-Fayette69 ranked
- Trauma and PTSD therapists in Lexington-Fayette5 ranked
- Psychiatrists in Lexington-Fayette104 ranked
- Clinical social workers in Lexington-Fayette29 ranked
- Addiction counselors in Lexington-Fayette60 ranked
- ABA therapy providers in Lexington-Fayette8 ranked
- All psychologists in Lexington-Fayette