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Best Couples Therapists in Little Elm, TX (2026)

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

The short answer

  1. 1

    Best overall in Little Elm: A Better You Wellness, RP Score 70/100; 5.0★ from 17 Google reviews; open Saturdays until 12 PM and Sundays until 8 PM.

  2. 15

    Most-reviewed: Thriveworks Counseling & Psychiatry Little Elm, 64 Google reviews at 4.4★, the most of 344 ranked; ranked #15.

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

344 Little Elm couples therapists are ranked here by RP Score, from eight published factors. 118 open Saturdays and 23 open Sundays, based on posted hours. The median Google rating is 4.8★ across 344 rated practices.

Top 10 couples therapists in Little Elm 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 Little Elm at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1A Better You Wellness705.0★ (17)Frisco, 7 mi awaySat · Sun · EveningsOverall
2The Couple Zone704.0★ (4)Frisco, 4 mi awaySat · Evenings—
3Thriving Relationships695.0★ (3)Frisco, 7 mi away——
4Shane Adamson LCSW683.4★ (5)Frisco, 8 mi away——
5Dana Langston-Mccall, LMFT683.7★ (12)Lewisville, 9 mi away——
6Prana Counseling675.0★ (3)Plano, 10 mi away——
7Dr. Michele S. Greer674.3★ (11)Denton, 9 mi awaySat · Evenings—
8Bird Mark PhD665.0★ (3)Lewisville, 11 mi away——
9Richards Michelle J662.4★ (7)Lewisville, 10 mi away——
10Dr. Jan Martin Dunn, PLLC665.0★ (3)Frisco, 4 mi away——

The 344 best couples therapists in Little Elm, 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 Little Elm

    Based in Frisco, 7 mi away

    70/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 17 Google reviews.

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

    • 5.0★ from 17 Google reviews
    Hours
    Mon–Tue 4 PM–10 PM · Wed closed · Thu–Fri 4 PM–10 PM · Sat 8 AM–12 PM · Sun 2 PM–8 PM
    Address
    5300 Town and Country Blvd Ste 240-28, Frisco, TX 75034
  2. Based in Frisco, 4 mi away

    70/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.0★ from 4 Google reviews.

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

    • 4.0★ from 4 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 9 AM–2 PM · Sun closed
    Address
    2770 Main St #144, Frisco, TX 75033
  3. Based in Frisco, 7 mi away

    69/100RP Score

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

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

    • 5.0★ from 3 Google reviews
    Address
    5300 Town and Country Blvd Ste 240, Frisco, TX 75034
  4. Based in Frisco, 8 mi away

    68/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.4★ from 5 Google reviews.

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

    • 3.4★ from 5 Google reviews
    Address
    3550 Parkwood Blvd, Frisco, TX 75034
  5. Based in Plano, 10 mi away

    67/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 3 Google reviews.

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

    • 5.0★ from 3 Google reviews
    Address
    7800 Preston Rd #139, Plano, TX 75024
  6. Based in Denton, 9 mi away

    67/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 11 Google reviews.

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

    • 4.3★ from 11 Google reviews
    Hours
    Mon–Sat 7:30 AM–9 PM · Sun closed
    Address
    1410 Robinson Rd #400, Denton, TX 76210
  7. Based in Lewisville, 11 mi away

    66/100RP Score

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

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

    • 5.0★ from 3 Google reviews
    Address
    860 Hebron Pkwy Ste 1101, Lewisville, TX 75057
  8. Based in Lewisville, 10 mi away

    66/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 2.4★ from 7 Google reviews.

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

    • 2.4★ from 7 Google reviews
    Address
    105 Kathryn Dr, Lewisville, TX 75067
  9. Based in Frisco, 4 mi away

    66/100RP Score

    Ranked #10 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 closed · Tue–Thu 12 PM–6 PM · Fri 12 PM–5 PM · Sat–Sun closed
    Address
    5570 FM 423 Ste 250-201, Frisco, TX 75036
  10. Based in Frisco, 7 mi away

    65/100RP Score

    Ranked #11 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 9 AM–5 PM · Tue–Thu 9 AM–8 PM · Fri 9 AM–5 PM · Sat–Sun closed
    Address
    5300 Town and Country Blvd Ste 240, Frisco, TX 75034
  11. Based in Frisco, 8 mi away

    65/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 22 Google reviews.

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

    • 5.0★ from 22 Google reviews
    Hours
    Mon 11 AM–6 PM · Tue 11 AM–7 PM · Wed 11 AM–6 PM · Thu 11 AM–7 PM · Fri 11 AM–6 PM · Sat–Sun closed
    Address
    5850 Town and Country Blvd Bldg 8, Suite #801, Frisco, TX 75034
  12. Based in Plano, 10 mi away

    65/100RP Score

    Ranked #13 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 5 Google reviews.

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

    • 5.0★ from 5 Google reviews
    Hours
    Mon 9 AM–5 PM · Tue–Thu 8:30 AM–5:30 PM · Fri 8:30 AM–4:30 PM · Sat 8 AM–12 PM · Sun closed
    Address
    8105 Rasor Boulevard Ste 103, Plano, TX 75024
  13. Based in Plano, 14 mi away

    65/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.8★ from 10 Google reviews.

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

    • 3.8★ from 10 Google reviews
    Hours
    Mon–Wed 9 AM–8 PM · Thu 9 AM–9 PM · Fri 10 AM–5 PM · Sat 8 AM–12:30 PM · Sun 11 AM–3 PM
    Address
    2121 W Spring Creek Pkwy #106, Plano, TX 75023
  14. Based in The Colony, 7 mi away

    64/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.2★ from 5 Google reviews.

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

    • 4.2★ from 5 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    4400 TX-121 Ste 300 Located in Venture X, The Colony, TX 75056
  15. Based in Flower Mound, 12 mi away

    63/100RP Score

    Ranked #21 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 9 AM–7 PM · Sat 9 AM–1 PM · Sun closed
    Address
    3419 Cross Timbers Rd, Flower Mound, TX 75028
  16. Based in Plano, 13 mi away

    63/100RP Score

    Ranked #22 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 4 Google reviews.

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

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat 10 AM–3 PM · Sun closed
    Address
    5304 W Plano Pkwy #4, Plano, TX 75093
  17. Based in Denton, 11 mi away

    62/100RP Score

    Ranked #25 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–Fri 8 AM–6 PM · Sat–Sun closed
    Address
    1121 Dallas Dr #6, Denton, TX 76205

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

couples therapists in Little Elm, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Knowlton Counseling ~ Dr. Laney Knowlton, LMFT-S, CSAT-S, CPTT-S, CCPS, CST, CCRDS-S, RAE625.0★ (3)10 mi
27Power to Heal - Relationships625.0★ (43)13 mi
28Linda B. Francis, LPC623.0★ (4)12 mi
29Mindful Life Counseling PLLC625.0★ (3)14 mi
30Positive Outlook Counseling624.3★ (6)15 mi
31Positive Path Counseling, Therapy, and Diagnostic Assessments in Frisco615.0★ (13)3 mi
32Fundamental Foundations Counseling Center, PLLC614.7★ (41)In Little Elm
33Cluff Counseling PLLC614.6★ (11)11 mi
34North Texas Couple and Family Therapy614.4★ (7)15 mi
35The Bridge Christian Counseling Center615.0★ (3)15 mi
36Fully Living Counseling615.0★ (3)11 mi
37Dr. Monica Schocken613.0★ (4)16 mi
38Redemptive Christian Counseling Ctr.615.0★ (10)13 mi
39Greer & Assoc. Marriage and Family Counseling613.4★ (10)5 mi
40Warner Family Counseling614.7★ (31)14 mi
41The Marriage Place604.3★ (46)18 mi
42Kate Goodell MS, LMFT605.0★ (4)18 mi
43Samaritan's Well Counseling604.9★ (35)20 mi
44KW Coaching & Integration, LLC605.0★ (8)12 mi
45LiveBeyond Counseling & Coaching, LLC - Southlake594.4★ (7)19 mi
46Creative Couples and Counseling PLLC595.0★ (9)8 mi
47Kristy Norris,LMFT594.3★ (4)19 mi
48Deborah Holt Family Therapy PLLC594.5★ (27)20 mi
49Marriage Revolution595.0★ (14)16 mi
50Lifeologie Counseling Frisco584.7★ (25)8 mi

Also serving Little Elm

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 Little Elm
BusinessGoogle ratingDistance
3Strands Education & Counseling5.0★ (2)4 mi
AG Psychiatry PLLC4.9★ (262)In Little Elm
Ashley Dye, Counselor5.0★ (2)9 mi
Colorful Emotions Counseling Services5.0★ (2)4 mi
Finding Me Counseling & Wellness5.0★ (11)In Little Elm
Forté Counseling & Wellness Center, PLLC5.0★ (2)8 mi
Goldfinch Counseling PLLC5.0★ (2)10 mi
Ipek Isikli5.0★ (2)9 mi
Kids Belong Counseling LLC5.0★ (4)In Little Elm
Life Intensity Counseling Services3.0★ (2)9 mi
Mended Soul Counseling Services4.7★ (14)In Little Elm
Relationship Counseling ServiceIn Little Elm
Remedios Hebert, Psychiatric Nurse Practitioner5.0★ (2)7 mi
Rockhill Counseling5.0★ (9)In Little Elm
Sage Finch Counseling5.0★ (2)10 mi
Sean Mishra, Counselor5.0★ (2)7 mi
Spero Counseling Services, PLLC3.0★ (2)10 mi
Texas Mindfulness Solutions, LLC4.8★ (23)In Little Elm
The Green Space5.0★ (12)In Little Elm
Transitions Counseling3.0★ (2)7 mi

How we ranked Little Elm couples therapists

We scored 344 Little Elm 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 Little Elm 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 Little Elm: frequently asked questions

Who is the best couples therapist in Little Elm?

By RP Score, the highest-ranked couples therapist in Little Elm, TX is A Better You Wellness with an RP Score of 70/100. It has 5.0★ from 17 Google reviews. It is open Saturdays until 12 PM and Sundays until 8 PM. The Couple Zone (#2) and Thriving Relationships (#3) follow. We ranked 344 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Little Elm?

RankedPsychologists ranks 344 couples therapists serving Little Elm, TX. 3 of them are based in Little Elm; 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 Little Elm work on weekends?

118 of 344 ranked couples therapists post Saturday hours and 23 post Sunday hours. The highest-ranked open Saturdays are A Better You Wellness (#1), The Couple Zone (#2) and Dr. Michele S. Greer (#7). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Little Elm couples therapists have?

The median Google rating among 344 rated couples therapists in Little Elm is 4.8★, with a median of 10 reviews. Thriveworks Counseling & Psychiatry Little Elm has the most, 64 reviews, and ranks #15. 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 Little Elm count in this ranking?

Yes, if they are within 20 mi of the Little Elm 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 Little Elm 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 Little Elm

  1. November 2026: RP Scores recalculated for 344 couples therapists serving Little Elm.