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Best Couples Therapists in Los Altos, CA (2026)

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

The short answer

  1. 1

    Best overall in Los Altos: Dr. Steven S. Steele | ThriveNow Counseling, Inc. for Couples, Individuals and Families, RP Score 75/100; 4.6★ from 9 Google reviews; open Saturdays until 5 PM.

  2. 45

    Most-reviewed: Thriveworks Counseling & Psychiatry San Jose, 59 Google reviews at 4.3★, the most of 114 ranked; ranked #45.

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

114 Los Altos couples therapists are ranked here by RP Score, from eight published factors. 47 open Saturdays and 24 open Sundays, based on posted hours. The median Google rating is 5.0★ across 114 rated practices.

Top 10 couples therapists in Los Altos 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 Los Altos at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Dr. Steven S. Steele | ThriveNow Counseling, Inc. for Couples, Individuals and Families754.6★ (9)Los AltosSat · EveningsOverall
2Fox Penny734.0★ (4)Palo Alto, 4 mi away——
3Jeffrey Gielow733.7★ (3)Palo Alto, 4 mi awaySat · Sun · Evenings—
4Relationship & Trauma Therapy - Irena Shwartzman, LMFT725.0★ (6)Los AltosEvenings—
5The Couples Institute724.0★ (4)Menlo Park, 6 mi awaySat · Sun · Evenings—
6Silicon Valley Marriage Counseling , Azizeh Rezaiyan, LMFT714.5★ (43)Menlo Park, 6 mi awaySat—
7Lia Huynh, Licensed Marriage and Family Therapist695.0★ (22)Milpitas, 13 mi awaySat · Sun · Evenings—
8Resonance Relationship Counseling and Coaching685.0★ (7)Milpitas, 13 mi awaySat · Sun · Evenings—
9Sophie Marchand, LMFT675.0★ (12)Sunnyvale, 6 mi away——
10Ashwini Gupta MFT673.7★ (3)San Jose, 11 mi away——

The 114 best couples therapists in Los Altos, 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. 75/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.6★ from 9 Google reviews.

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

    • 4.6★ from 9 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–5 PM · Sun closed
    Address
    851 Fremont Ave #214, Los Altos, CA 94024
  2. Based in Palo Alto, 4 mi away

    73/100RP 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 6 of 8 factors; recency and availability not yet collected.

    • 4.0★ from 4 Google reviews
    Address
    1810 Birch St, Palo Alto, CA 94306
  3. Based in Palo Alto, 4 mi away

    73/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.7★ from 3 Google reviews.

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

    • 3.7★ from 3 Google reviews
    Hours
    Mon–Sun 9 AM–8 PM
    Address
    Palo Alto Square, Palo Alto, CA 94303
  4. Based in Menlo Park, 6 mi away

    72/100RP Score

    Ranked #5 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 9 AM–6 PM · Tue 9 AM–8 PM · Wed 9 AM–9 PM · Thu 9 AM–8 PM · Fri 9 AM–5 PM · Sat 8 AM–12 PM · Sun 9 AM–12 PM
    Address
    445 Burgess Dr #150, Menlo Park, CA 94025
  5. 71/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.5★ from 43 Google reviews.

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

    • 4.5★ from 43 Google reviews
    Hours
    Mon–Fri 9 AM–6 PM · Sat 9 AM–1 PM · Sun closed
    Address
    1134 Crane St #218, Menlo Park, CA 94025
  6. Based in Milpitas, 13 mi away

    68/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 7 Google reviews.

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

    • 5.0★ from 7 Google reviews
    Hours
    Mon 8 AM–7 PM · Tue 9:30 AM–9:30 PM · Wed 8 AM–3 PM · Thu 9:30 AM–9:30 PM · Fri 8 AM–3 PM · Sat 1 PM–8 PM · Sun 3 PM–9 PM
    Address
    545 Los Coches St Suite 112 B, Milpitas, CA 95035
  7. Based in Sunnyvale, 6 mi away

    67/100RP Score

    Ranked #9 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–6 PM · Tue 2 PM–6 PM · Wed closed · Thu 9 AM–6 PM · Fri 8 AM–3 PM · Sat–Sun closed
    Address
    830 Stewart Dr #251, Sunnyvale, CA 94085
  8. Based in San Jose, 11 mi away

    67/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.7★ from 3 Google reviews.

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

    • 3.7★ from 3 Google reviews
    Address
    1101 S Winchester Blvd M254, San Jose, CA 95128
  9. Based in Campbell, 12 mi away

    66/100RP 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–Fri 9 AM–7 PM · Sat 9 AM–12 PM · Sun closed
    Address
    45 N 1st St Ste h, Campbell, CA 95008
  10. 65/100RP Score

    Ranked #12 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–Thu 9 AM–6 PM · Fri–Sun closed
    Address
    12280 Saratoga Sunnyvale Rd Ste 106, Saratoga, CA 95070
  11. Based in San Jose, 11 mi away

    65/100RP Score

    Ranked #13 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 1.0★ from 3 Google reviews.

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

    • 1.0★ from 3 Google reviews
    Address
    1625 The Alameda Ste. 711, San Jose, CA 95126
  12. Based in Los Gatos, 13 mi away

    65/100RP Score

    Ranked #14 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–Thu 9 AM–9 PM · Fri–Sat 9 AM–6 PM · Sun closed
    Address
    334 Village Ln, Los Gatos, CA 95030
  13. 65/100RP Score

    Ranked #15 because of its Google rating and specialty focus: 5.0★ from 6 Google reviews, listed on Google as “Psychotherapist”.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Fri 7 AM–9 PM · Sat–Sun 7:30 AM–8 PM
    Address
    701 Menlo Ave, Menlo Park, CA 94025
  14. Based in Santa Clara, 8 mi away

    64/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.7★ from 3 Google reviews.

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

    • 3.7★ from 3 Google reviews
    Hours
    Mon–Fri 8:30 AM–5:30 PM · Sat–Sun closed
    Address
    4655 Old Ironsides Dr #170, Santa Clara, CA 95054
  15. Based in San Jose, 10 mi away

    64/100RP Score

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

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

    • 5.0★ from 7 Google reviews
    Hours
    Mon–Fri 9 AM–9 PM · Sat–Sun closed
    Address
    2901 Moorpark Ave #260, San Jose, CA 95128
  16. Based in San Jose, 11 mi away

    63/100RP Score

    Ranked #19 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    1245 S Winchester Blvd Ste 110, San Jose, CA 95128
  17. Based in Redwood City, 8 mi away

    63/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 2.3★ from 3 Google reviews.

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

    • 2.3★ from 3 Google reviews
    Hours
    Mon closed · Tue–Thu 9 AM–7 PM · Fri–Sun closed
    Address
    50 Woodside Rd #425, Redwood City, CA 94061
  18. Based in Campbell, 12 mi away

    62/100RP Score

    Ranked #22 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 8 Google reviews.

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

    • 5.0★ from 8 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    1875 S Bascom Ave #2400, Campbell, CA 95008
  19. Based in Los Gatos, 12 mi away

    62/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Fri 9 AM–6 PM · Sat–Sun closed
    Address
    987 University Ave #22, Los Gatos, CA 95032
  20. Based in San Mateo, 16 mi away

    62/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 2.3★ from 3 Google reviews.

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

    • 2.3★ from 3 Google reviews
    Address
    1650 Borel Pl, San Mateo, CA 94402

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

couples therapists in Los Altos, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Therapy for Every Body - Santa Clara Therapists615.0★ (6)8 mi
27J. Woodfin Counseling | Infidelity & Couples Therapy614.4★ (5)13 mi
28Rosalind Cardia - Licensed Marriage and Family Therapist605.0★ (3)13 mi
29Shalini Dayal, Marriage, Family & Child Therapist603.9★ (7)14 mi
30Evelyn Schmechtig Cochran, LMFT605.0★ (3)12 mi
31Marriage and Family Therapist, Kirsten Kell605.0★ (3)16 mi
32Niles Counseling and Therapy605.0★ (3)15 mi
33Lauren Matern Psychotherapy605.0★ (4)5 mi
34Lisa Alcala, MFT603.0★ (4)13 mi
35Claudio Vargas Silva, LMFT594.3★ (6)15 mi
36Palo Alto Therapy594.2★ (10)3 mi
37Therapy for Every Body - San Jose Therapists595.0★ (19)9 mi
38Yael Gonicman Marriage and Family Therapy Corp.595.0★ (5)6 mi
39Liz Paolozzi, MFT585.0★ (7)In Los Altos
40Nancy Gray, LMFT Therapy583.4★ (5)15 mi
41Playhouse Family and Group Therapy585.0★ (4)In Los Altos
42Adhoc Therapy585.0★ (3)In Los Altos
43SF Relationship Counseling & Psychotherapy585.0★ (8)17 mi
44Holman April R PhD585.0★ (4)5 mi
45Thriveworks Counseling & Psychiatry San Jose574.3★ (59)11 mi
46Della Fernandes, LMFT Stress and Anxiety counselor, Relationship and children counselor575.0★ (6)19 mi
47Izzo Marriage and Family Therapy, P.C. San Mateo Office573.1★ (15)14 mi
48Thrive Hive Counseling575.0★ (24)12 mi
49Elinor Wahrmann, MA, LMFT575.0★ (4)In Los Altos
50Noor Human Consulting564.9★ (41)9 mi

Also serving Los Altos

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 Los Altos
BusinessGoogle ratingDistance
851 Fremont Ave5.0★ (1)In Los Altos
Albert Mezistrano Psychotherapy LLC5.0★ (15)In Los Altos
Alice J. Sklar, MFT, CGP5.0★ (2)In Los Altos
Andrea Robicheau, LMFTIn Los Altos
Avigail Binyamin, LMFT5.0★ (1)In Los Altos
Catherine Athans, Ph.DIn Los Altos
Chen Bentov-HamamIn Los Altos
Counseling & Psychotherapy1.0★ (1)In Los Altos
Eric FitzMedrud, Ph.D.5.0★ (2)In Los Altos
Geri D. Weitzman, PHDIn Los Altos
Hila Teller, LCSW - Therapist in Los Altos5.0★ (2)In Los Altos
Iris Cohen, LMFT5.0★ (2)In Los Altos
Libre Therapy CenterIn Los Altos
Mind & Body Garden Psychology Inc. | 一三心理诊所3.9★ (7)In Los Altos
Minds Matter Psychotherapy5.0★ (2)In Los Altos
Mosaic Child and Family Therapy Services5.0★ (1)In Los Altos
Shelley Sinclair, Licensed Educational Psychologist4.8★ (23)In Los Altos
Tyson Mary Ann PhDIn Los Altos
Valerie A. Goss, MFT5.0★ (1)In Los Altos
Wildflowers Counseling5.0★ (4)In Los Altos

How we ranked Los Altos couples therapists

We scored 114 Los Altos 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 Los Altos 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 Los Altos: frequently asked questions

Who is the best couples therapist in Los Altos?

By RP Score, the highest-ranked couples therapist in Los Altos, CA is Dr. Steven S. Steele | ThriveNow Counseling, Inc. for Couples, Individuals and Families with an RP Score of 75/100. It has 4.6★ from 9 Google reviews. It is open Saturdays until 5 PM. Fox Penny (#2) and Jeffrey Gielow (#3) follow. We ranked 114 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Los Altos?

RankedPsychologists ranks 114 couples therapists serving Los Altos, CA. 8 of them are based in Los Altos; 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 Los Altos work on weekends?

47 of 114 ranked couples therapists post Saturday hours and 24 post Sunday hours. The highest-ranked open Saturdays are Dr. Steven S. Steele | ThriveNow Counseling, Inc. for Couples, Individuals and Families (#1), Jeffrey Gielow (#3) and The Couples Institute (#5). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Los Altos couples therapists have?

The median Google rating among 114 rated couples therapists in Los Altos is 5.0★, with a median of 6 reviews. Thriveworks Counseling & Psychiatry San Jose has the most, 59 reviews, and ranks #45. 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 Los Altos count in this ranking?

Yes, if they are within 20 mi of the Los Altos 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 Los Altos 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 Los Altos

  1. November 2026: RP Scores recalculated for 114 couples therapists serving Los Altos.
  2. November 2026: 1 duplicate listing merged.