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Best Couples Therapists in Mission District, CA (2026)

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

The short answer

  1. 1

    Best overall in Mission District: The Davon Method Relationship Coaching & Tantra Workshops, RP Score 79/100; 5.0★ from 43 Google reviews; open 7 days a week.

  2. 12

    Most-reviewed: mindfulSF, 40 Google reviews at 4.8★, the most of 220 ranked after The Davon Method Relationship Coaching & Tantra Workshops; ranked #12.

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

220 Mission District couples therapists are ranked here by RP Score, from eight published factors. 59 open Saturdays and 35 open Sundays, based on posted hours. The median Google rating is 5.0★ across 220 rated practices.

Top 10 couples therapists in Mission District 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 Mission District at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1The Davon Method Relationship Coaching & Tantra Workshops795.0★ (43)San Francisco, 1 mi awaySat · SunOverall
2The Couples Center785.0★ (36)San Francisco, 2 mi awaySat · Sun · Evenings—
3Keeley Rankin Sex & Relationship Therapist, M.A.764.5★ (8)San Francisco, 1 mi awaySat · Sun · Evenings—
4Rising Relationship Center765.0★ (5)San Francisco, 1 mi awaySat · Sun · Evenings—
5California Couples Counseling755.0★ (6)San Francisco, 2 mi awaySat · Sun · Evenings—
6The San Francisco Marriage and Couples Center754.5★ (8)San Francisco, 2 mi awaySat · Sun · Evenings—
7The Anxiety Relief Center745.0★ (3)San Francisco, 2 mi awaySat · Sun · Evenings—
8Rouse Relational Wellness744.4★ (14)San Francisco, 1 mi awaySat · Evenings—
9Marriage Prep 101735.0★ (3)San Francisco, 3 mi awaySat · Sun · Evenings—
10Robert Solley, PhD -- Solutions for Couples724.7★ (3)San Francisco, 1 mi awaySat · Evenings—

The 220 best couples therapists in Mission District, 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 Mission District

    Based in San Francisco, 1 mi away

    79/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 43 Google reviews.

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

    • 5.0★ from 43 Google reviews
    Hours
    Mon–Sun 9 AM–6 PM
    Address
    2501 Harrison St Ste 15, San Francisco, CA 94110
  2. Based in San Francisco, 2 mi away

    78/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 36 Google reviews.

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

    • 5.0★ from 36 Google reviews
    Hours
    Mon–Fri 9 AM–9 PM · Sat–Sun 9 AM–5 PM
    Address
    870 Market St #1076, San Francisco, CA 94102
  3. Based in San Francisco, 1 mi away

    76/100RP Score

    Ranked #4 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–Fri 8 AM–9 PM · Sat–Sun 9 AM–9 PM
    Address
    584 Castro St #3016, San Francisco, CA 94114
  4. Based in San Francisco, 2 mi away

    75/100RP Score

    Ranked #5 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 8 AM–9 PM · Sat–Sun 8 AM–5 PM
    Address
    490 Post St Ste 939, San Francisco, CA 94102
  5. Based in San Francisco, 2 mi away

    74/100RP Score

    Ranked #7 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–Sun 8 AM–8 PM
    Address
    870 Market St Ste 863, San Francisco, CA 94102
  6. Based in San Francisco, 1 mi away

    74/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 14 Google reviews.

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

    • 4.4★ from 14 Google reviews
    Hours
    Mon–Sat 9 AM–9 PM · Sun closed
    Address
    4124 18th St, San Francisco, CA 94114
  7. Based in San Francisco, 3 mi away

    73/100RP Score

    Ranked #9 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–Sun 8 AM–10 PM
    Address
    Fort Mason, 2 Marina Blvd 205 Building C, San Francisco, CA 94123
  8. Based in San Francisco, 1 mi away

    72/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.7★ from 3 Google reviews.

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

    • 4.7★ from 3 Google reviews
    Hours
    Mon closed · Tue–Sat 9 AM–6:30 PM · Sun closed
    Address
    1195 Valencia St, San Francisco, CA 94110
  9. Based in San Francisco, 3 mi away

    72/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 1.6★ from 7 Google reviews.

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

    • 1.6★ from 7 Google reviews
    Address
    1626 Union St, San Francisco, CA 94123
  10. Based in San Francisco, 2 mi away

    72/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.8★ from 40 Google reviews.

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

    • 4.8★ from 40 Google reviews
    Hours
    Mon–Thu 8 AM–7 PM · Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1726 Fillmore St, San Francisco, CA 94115
  11. Based in San Francisco, 1 mi away

    71/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 11 Google reviews.

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

    • 5.0★ from 11 Google reviews
    Hours
    Mon–Wed 8 AM–7 PM · Thu 8 AM–9 PM · Fri 8 AM–4 PM · Sat–Sun closed
    Address
    584 Castro St #176, San Francisco, CA 94114
  12. Based in San Francisco, 2 mi away

    71/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 23 Google reviews.

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

    • 5.0★ from 23 Google reviews
    Hours
    Mon–Fri 11 AM–8 PM · Sat–Sun closed
    Address
    999 Sutter St Ste 207, San Francisco, CA 94109
  13. Based in San Francisco, 1 mi away

    70/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.2★ from 10 Google reviews.

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

    • 4.2★ from 10 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat–Sun closed
    Address
    45 Franklin St, San Francisco, CA 94102
  14. 70/100RP Score

    Ranked #17 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–Thu 8 AM–8 PM · Fri 8 AM–6 PM · Sat–Sun closed
    Address
    4124 18th St, San Francisco, CA 94114
  15. Based in San Francisco, 2 mi away

    69/100RP Score

    Ranked #18 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–9 PM · Sat–Sun closed
    Address
    870 Market St #463, San Francisco, CA 94102
  16. Based in San Francisco, 2 mi away

    69/100RP Score

    Ranked #19 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–Thu 10 AM–8 PM · Fri 10 AM–6 PM · Sat–Sun closed
    Address
    55 New Montgomery St #804, San Francisco, CA 94105
  17. Based in San Francisco, 2 mi away

    69/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.2★ from 12 Google reviews.

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

    • 4.2★ from 12 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
    490 Post St Ste 1043, San Francisco, CA 94102
  18. Based in San Francisco, 2 mi away

    69/100RP 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–8 PM · Sat–Sun closed
    Address
    1944 Fillmore St, San Francisco, CA 94115
  19. Based in San Francisco, 3 mi away

    68/100RP Score

    Ranked #22 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–Thu 9 AM–9 PM · Fri–Sun closed
    Address
    310 3rd Ave, San Francisco, CA 94118
  20. Based in San Francisco, 1 mi away

    68/100RP Score

    Ranked #23 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 12 PM–8 PM · Sat–Sun closed
    Address
    786 Arkansas St, San Francisco, CA 94107
  21. Based in San Francisco, 2 mi away

    68/100RP Score

    Ranked #24 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–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    490 Post St Ste 1043, San Francisco, CA 94102
  22. Based in San Francisco, 1 mi away

    68/100RP Score

    Ranked #25 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 closed · Tue 9 AM–8 PM · Wed–Sun closed
    Address
    3896 24th St, San Francisco, CA 94114

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

couples therapists in Mission District, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Sindhura Reddy, Psychiatrist685.0★ (3)2 mi
27Bay Area Dating Coach684.7★ (12)12 mi
28Marla Cass, San Francisco Psychotherapy685.0★ (3)2 mi
29Sara Alexander MFT685.0★ (6)3 mi
30The Couples Center685.0★ (8)12 mi
31Misha Sivia, Psychiatrist682.8★ (5)2 mi
32Todd Harvey, MFT685.0★ (5)11 mi
33Julia Barokov, MFT685.0★ (9)11 mi
34Epiphany Kaye Coaching674.3★ (11)8 mi
35Jacob Brown | Couples Therapy & Individual Therapy675.0★ (7)7 mi
36Victoria Storr Therapy675.0★ (5)3 mi
37The Bridge Therapy Center672.3★ (3)11 mi
38Dr. Jayn Rajandran, PsyD, LMFT672.7★ (3)11 mi
39Guillory Donna674.2★ (5)11 mi
40Kimbo Prichard, MA, MFT , The Storied Self, Inc.665.0★ (3)11 mi
41Bay Area CBT Center665.0★ (8)10 mi
42Sinead Smyth LMFT653.7★ (3)10 mi
43Annie Danberg, LMFT655.0★ (4)13 mi
44INDIVIDUAL & COUPLES COUNSELING - ILENE WOLF LMFT644.8★ (11)3 mi
45DOT Center645.0★ (6)9 mi
46Tavio Counseling & Wellness645.0★ (12)9 mi
47Krug Counseling: Orah Krug PhD645.0★ (4)11 mi
48Wendy E. Maron, MA643.0★ (4)13 mi
49Sara Sanford Therapy645.0★ (12)1 mi
50Gay Couples Institute – LGBTQ+ Couples Therapy & Relationship Coaching635.0★ (3)2 mi

Also serving Mission District

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 Mission District couples therapists

We scored 220 Mission District 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 Mission District 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 Mission District: frequently asked questions

Who is the best couples therapist in Mission District?

By RP Score, the highest-ranked couples therapist in Mission District, CA is The Davon Method Relationship Coaching & Tantra Workshops with an RP Score of 79/100. It has 5.0★ from 43 Google reviews. It is open 7 days a week. The Couples Center (#2) and Keeley Rankin Sex & Relationship Therapist, M.A. (#3) follow. We ranked 220 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Mission District?

RankedPsychologists ranks 220 couples therapists serving Mission District, CA. 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 Mission District work on weekends?

59 of 220 ranked couples therapists post Saturday hours and 35 post Sunday hours. The highest-ranked open Saturdays are The Davon Method Relationship Coaching & Tantra Workshops (#1), The Couples Center (#2) and Keeley Rankin Sex & Relationship Therapist, M.A. (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Mission District couples therapists have?

The median Google rating among 220 rated couples therapists in Mission District is 5.0★, with a median of 6 reviews. The Davon Method Relationship Coaching & Tantra Workshops has the most, 43 reviews, and ranks #1. 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 Mission District count in this ranking?

Yes, if they are within 20 mi of the Mission District 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 Mission District 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 Mission District

  1. November 2026: RP Scores recalculated for 220 couples therapists serving Mission District.
  2. November 2026: 1 duplicate listing merged.