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Best Couples Therapists in Lexington, KY (2026)

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

The short answer

  1. 1

    Best overall in Lexington: Affinitas Therapy, LLC, RP Score 76/100; 5.0★ from 5 Google reviews.

  2. 7

    Most-reviewed: LifeStance Therapists & Psychiatrists Lexington, 1,355 Google reviews at 4.6★, the most of 85 ranked; ranked #7.

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

85 Lexington couples therapists are ranked here by RP Score, from eight published factors. 4 open Saturdays, based on posted hours. The median Google rating is 4.9★ across 85 rated practices.

Top 10 couples therapists in Lexington 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 Lexington at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Affinitas Therapy, LLC765.0★ (5)Lexington—Overall
2LexCounseling764.3★ (11)Lexington——
3Don Sizemore & Associates705.0★ (10)LexingtonEvenings—
4Tiffany Bryant LPCC644.8★ (111)Lexington——
5Centered Holistic Health635.0★ (29)Lexington——
6Discover You Counseling, LLC615.0★ (22)LexingtonSat—
7LifeStance Therapists & Psychiatrists Lexington604.6★ (1,355)Lexington—Most reviews
8LifeStance Therapists & Psychiatrists Lexington604.6★ (783)Lexington——
9Getulio Tovar, Psychiatrist604.9★ (134)Lexington——
10LifeStance Therapists & Psychiatrists Lexington604.8★ (201)Lexington——

The 85 best couples therapists in Lexington, 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 Lexington

    #1 Affinitas Therapy, LLC

    Based in Lexington

    76/100RP 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
    2035 Regency Rd Ste. 8, Lexington, KY 40503
    View profile for Affinitas Therapy, LLC(859) 568-3696

  2. #2 LexCounseling

    Based in Lexington

    76/100RP Score

    Ranked #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.

    • 4.3★ from 11 Google reviews
    Address
    207 E Reynolds Rd, Lexington, KY 40517
    View profile for LexCounseling(859) 457-1262

  3. #3 Don Sizemore & Associates

    Based in Lexington

    70/100RP Score

    Ranked #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.

    • 5.0★ from 10 Google reviews
    Hours
    Mon 2:15 PM–7 PM · Tue 1 PM–7 PM · Wed 8:30 AM–7 PM · Thu 1 PM–7 PM · Fri–Sun closed
    Address
    698 Perimeter Dr #103, Lexington, KY 40517
    View profile for Don Sizemore & Associates(859) 224-0265

  4. #4 Tiffany Bryant LPCC

    Based in Lexington

    64/100RP Score

    Ranked #4 because of its Google rating and proximity: 4.8★ from 111 Google reviews, based in Lexington.

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

    • 4.8★ from 111 Google reviews
    Address
    1500 Leestown Rd #304, Lexington, KY 40511
    View profile for Tiffany Bryant LPCC(859) 953-0119

  6. #6 Discover You Counseling, LLC

    Based in Lexington

    61/100RP Score

    Ranked #6 because of its Google rating and proximity: 5.0★ from 22 Google reviews, based in Lexington.

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

    • 5.0★ from 22 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed closed · Thu–Fri 9 AM–5 PM · Sat 9 AM–2 PM · Sun closed
    Address
    501 Darby Creek Rd Unit 40, Lexington, KY 40509
    View profile for Discover You Counseling, LLC(859) 433-0762

  7. #7 LifeStance Therapists & Psychiatrists Lexington

    Based in Lexington

    60/100RP Score

    Ranked #7 because of its Google rating and proximity: 4.6★ from 1,355 Google reviews, based in Lexington.

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

    • 4.6★ from 1,355 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1030 Monarch St Suites 100 & 120, Lexington, KY 40513
    View profile for LifeStance Therapists & Psychiatrists Lexington(859) 296-3141

  9. #9 Getulio Tovar, Psychiatrist

    Based in Lexington

    60/100RP Score

    Ranked #9 because of its Google rating and proximity: 4.9★ from 134 Google reviews, based in Lexington.

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

    • 4.9★ from 134 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1030 Monarch St Suites 100 & 120, Lexington, KY 40513
    View profile for Getulio Tovar, Psychiatrist(859) 296-3141

  17. #17 Lexington Counseling and Psychiatry - The Offices of Paul Dalton at Duval

    Based in Lexington

    60/100RP Score

    Ranked #17 because of its Google rating and proximity: 5.0★ from 69 Google reviews, based in Lexington.

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

    • 5.0★ from 69 Google reviews
    Hours
    Mon 8 AM–5 PM · Tue–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    1092 Duval St Unit 230, Lexington, KY 40515
    View profile for Lexington Counseling and Psychiatry - The Offices of Paul Dalton at Duval(859) 338-0466

  22. #22 Kelly Moore, Counselor

    Based in Lexington

    59/100RP Score

    Ranked #22 because of its Google rating and proximity: 4.9★ from 33 Google reviews, based in Lexington.

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

    • 4.9★ from 33 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1030 Monarch St Suites 100 & 120, Lexington, KY 40513
    View profile for Kelly Moore, Counselor(859) 296-3141

  23. #23 Paul Acra, Counselor

    Based in Lexington

    59/100RP Score

    Ranked #23 because of its Google rating and proximity: 4.7★ from 56 Google reviews, based in Lexington.

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

    • 4.7★ from 56 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1030 Monarch St Suites 100 & 120, Lexington, KY 40513
    View profile for Paul Acra, Counselor(859) 296-3141

  25. #25 Elizabeth Turner, Counselor

    Based in Lexington

    58/100RP Score

    Ranked #25 because of its Google rating and proximity: 5.0★ from 21 Google reviews, based in Lexington.

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

    • 5.0★ from 21 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1255 Providence Pl Pkwy Ste 115, Lexington, KY 40511
    View profile for Elizabeth Turner, Counselor(859) 214-7440

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 85 ranked couples therapists here; the rest are on their profiles.

couples therapists in Lexington, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Kelly Locknane, Psychiatric Nurse Practitioner585.0★ (21)In Lexington
27Jessica Price, Psychiatric Nurse Practitioner585.0★ (19)In Lexington
28Laura Brown, Counselor585.0★ (19)In Lexington
29Laura Williams, Psychiatric Nurse Practitioner584.9★ (23)In Lexington
30Lisa Bryant, Counselor585.0★ (20)In Lexington
31Mariem Kader, Psychiatric Nurse Practitioner584.8★ (28)In Lexington
32Nathan Mayo, Counselor584.7★ (34)In Lexington
33Melissa Acker, Counselor584.9★ (20)In Lexington
34Stacey Gash, Psychiatric Nurse Practitioner585.0★ (18)In Lexington
35Susan Holthaus, Counselor584.8★ (23)In Lexington
36Lexington Therapy584.4★ (35)In Lexington
37Jennifer McPeek, Psychiatric Nurse Practitioner584.8★ (21)In Lexington
38Holly Tussey, Counselor584.7★ (23)In Lexington
39Leigh (Ann) Gebhardt, Psychiatric Nurse Practitioner585.0★ (14)In Lexington
40Kelly Sherlock-Coffee, Counselor584.9★ (14)In Lexington
41Marsha Ritchey, Counselor584.9★ (14)In Lexington
42Ashley White, Counselor575.0★ (10)In Lexington
43Sean Blackburn, Counselor574.9★ (11)In Lexington
44Timothy Weddington, Counselor575.0★ (9)In Lexington
45Mia Perry, Counselor574.9★ (8)In Lexington
46Willow Creek Counseling Center574.5★ (8)In Lexington
47Alexandria Todd, Counselor575.0★ (7)In Lexington
48Megan Swanson, Counselor575.0★ (7)In Lexington
49Charles Shivley, Counselor575.0★ (6)In Lexington
50Kara Hardesty, Counselor575.0★ (6)In Lexington

Also serving Lexington

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 Lexington
BusinessGoogle ratingDistance
2nd Chance Clinic4.1★ (44)In Lexington
Altruism Counseling Services - Addiction Treatment Center & DUI Program4.5★ (48)In Lexington
Associates in Pediatric Therapy - Lexington4.8★ (79)In Lexington
Balance You, Counseling & Wellness, PLLC5.0★ (13)In Lexington
Bluegrass Counseling & Trauma Services, LLC4.0★ (22)In Lexington
BrightView4.6★ (81)In Lexington
Changed Lives Mental Health And Substance Use Counseling4.6★ (28)In Lexington
Cognitive Therapy and Mindfulness Practices - Counseling office in Lexington, KY3.9★ (9)In Lexington
Crossroads Counseling Services, Inc3.8★ (16)In Lexington
Infinite Community Achievement, LLC3.4★ (10)In Lexington
Kentucky Counseling Center4.5★ (380)In Lexington
Kentucky Services, LLC4.4★ (120)In Lexington
Lexington Addiction Center4.8★ (131)In Lexington
Marshall Pediatric Therapy - Lexington4.8★ (170)In Lexington
Mended Counseling & Trauma Services4.2★ (19)In Lexington
New Life Counseling Services, LLC.4.6★ (69)In Lexington
Open Doors Counseling Center, LLC4.2★ (9)In Lexington
Prevail Counseling and Associates LLC4.8★ (17)In Lexington
Shepherd's House Inc4.4★ (37)In Lexington
The Trauma-Informed Counseling Center, LLC3.4★ (30)In Lexington

How we ranked Lexington couples therapists

We scored 85 Lexington 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 Lexington 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 Lexington: frequently asked questions

Who is the best couples therapist in Lexington?

By RP Score, the highest-ranked couples therapist in Lexington, KY is Affinitas Therapy, LLC with an RP Score of 76/100. It has 5.0★ from 5 Google reviews. LexCounseling (#2) and Don Sizemore & Associates (#3) follow. We ranked 85 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Lexington?

RankedPsychologists ranks 85 couples therapists serving Lexington, KY. 50 of them are based in Lexington; 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 Lexington work on weekends?

4 of 85 ranked couples therapists post Saturday hours. The highest-ranked open Saturdays are Discover You Counseling, LLC (#6), Jaylee Awakened Ministries, LLC (#12) and Integrative Counseling Center (#18). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Lexington couples therapists have?

The median Google rating among 85 rated couples therapists in Lexington is 4.9★, with a median of 19 reviews. LifeStance Therapists & Psychiatrists Lexington has the most, 1,355 reviews, and ranks #7. 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 count in this ranking?

Yes, if they are within 20 mi of the Lexington 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 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

  1. November 2026: RP Scores recalculated for 85 couples therapists serving Lexington.

More couples therapists and Lexington pages