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Best Couples Therapists in Oakville, MO (2026)

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

The short answer

  1. 1

    Best overall in Oakville: Agape Christian Counseling Services, RP Score 68/100; 3.7★ from 6 Google reviews.

  2. 23

    Most-reviewed: LifeStance Therapists & Psychiatrists Saint Louis, 363 Google reviews at 4.6★, the most of 108 ranked; ranked #23.

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

108 Oakville couples therapists are ranked here by RP Score, from eight published factors. 29 open Saturdays and 10 open Sundays, based on posted hours. The median Google rating is 4.7★ across 108 rated practices.

Top 10 couples therapists in Oakville 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 Oakville at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Agape Christian Counseling Services683.7★ (6)Columbia, 9 mi away—Overall
2The Premarital Architect664.7★ (13)Belleville, 16 mi awaySat · Sun · Evenings—
3Agape Christian Counseling Services654.4★ (45)St. Louis, 13 mi awaySat · Evenings—
4Penalba Valentina PHD. St. Louis Couple and Family Therapy LLC635.0★ (8)St. Louis, 12 mi awaySat · Evenings—
5Linda Weiner, Sex Therapist St. Louis625.0★ (12)St. Louis, 12 mi away——
6Congruent Psychotherapy615.0★ (9)St. Louis, 3 mi awaySat · Sun · Evenings—
7Personal Growth615.0★ (7)St. Louis, 15 mi awaySat · Evenings—
8Luminous Therapy605.0★ (14)St. Louis, 18 mi awaySat · Evenings—
9Dance of Change Counseling604.5★ (8)Affton, 13 mi awayEvenings—
10Understanding Minds Psychological Services604.5★ (16)St. Louis, 5 mi awaySat · Sun · Evenings—

The 108 best couples therapists in Oakville, 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. Based in Belleville, 16 mi away

    66/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.7★ from 13 Google reviews.

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

    • 4.7★ from 13 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    1549 Frank Scott Pkwy W, Belleville, IL 62223
  2. Based in St. Louis, 13 mi away

    65/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 45 Google reviews.

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

    • 4.4★ from 45 Google reviews
    Hours
    Mon–Fri 8 AM–9 PM · Sat 8 AM–4 PM · Sun closed
    Address
    12801 Flushing Meadows Dr Apt 100, St. Louis, MO 63131
  3. 63/100RP Score

    Ranked #4 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 closed · Tue–Wed 8 AM–12 PM · Thu 5 PM–8 PM · Fri closed · Sat 9:30 AM–12:30 PM · Sun closed
    Address
    7750 Clayton Rd Suite 204, St. Louis, MO 63117
  4. Based in St. Louis, 12 mi away

    62/100RP Score

    Ranked #5 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 10 AM–6 PM · Sat–Sun closed
    Address
    7750 Clayton Rd Suite 204, St. Louis, MO 63117
  5. Based in St. Louis, 3 mi away

    61/100RP Score

    Ranked #6 because of its Google rating and proximity: 5.0★ from 9 Google reviews, 3 mi from Oakville.

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

    • 5.0★ from 9 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–5 PM · Sun 9 AM–8 PM
    Address
    4193 Crescent Dr Ste E, St. Louis, MO 63129
  6. Based in St. Louis, 15 mi away

    61/100RP Score

    Ranked #7 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 10 AM–3 PM · Tue–Thu 10 AM–7 PM · Fri–Sat 10 AM–3 PM · Sun closed
    Address
    443 N New Ballas Rd Ste 201, St. Louis, MO 63141
  7. Based in St. Louis, 18 mi away

    60/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 14 Google reviews.

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

    • 5.0★ from 14 Google reviews
    Hours
    Mon–Tue 10 AM–8 PM · Wed closed · Thu–Sat 10 AM–8 PM · Sun closed
    Address
    3 The Pines Ct Ste B, St. Louis, MO 63141
  8. Based in Affton, 13 mi away

    60/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.5★ from 8 Google reviews.

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

    • 4.5★ from 8 Google reviews
    Hours
    Mon 9 AM–5 PM · Tue 9 AM–8 PM · Wed–Thu 9 AM–5 PM · Fri 9 AM–3:30 PM · Sat–Sun closed
  9. Based in St. Louis, 5 mi away

    60/100RP Score

    Ranked #10 because of its Google rating and specialty focus: 4.5★ from 16 Google reviews, listed on Google as “Psychologist”.

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

    • 4.5★ from 16 Google reviews
    Hours
    Mon 8 AM–9 PM · Tue–Wed 7 AM–9 PM · Thu 8 AM–9 PM · Fri 7 AM–6 PM · Sat 9 AM–5 PM · Sun 9 AM–9 PM
    Address
    11144 Tesson Ferry Rd #101, St. Louis, MO 63123
  10. Based in St. Louis, 12 mi away

    60/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.3★ from 3 Google reviews.

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

    • 3.3★ from 3 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat–Sun closed
    Address
    222 S Meramec Ave #303, St. Louis, MO 63105
  11. 59/100RP Score

    Ranked #12 because of its Google rating and specialty focus: 5.0★ from 7 Google reviews, listed on Google as “Psychotherapist”.

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

    • 5.0★ from 7 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed 9 AM–7:30 PM · Thu 9 AM–6 PM · Fri 9 AM–7:30 PM · Sat–Sun 9 AM–5 PM
    Address
    230 S Bemiston Ave Ste 1213, Clayton, MO 63105
  12. Based in St. Louis, 3 mi away

    58/100RP Score

    Ranked #13 because of its Google rating and proximity: 3.7★ from 3 Google reviews, 3 mi from Oakville.

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

    • 3.7★ from 3 Google reviews
    Address
    5131 Lemay Ferry Rd, St. Louis, MO 63129
  13. Based in Kirkwood, 10 mi away

    58/100RP Score

    Ranked #14 because of its Google rating and specialty focus: 3.7★ from 3 Google reviews, listed on Google as “Mental health service”.

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

    • 3.7★ from 3 Google reviews
    Address
    699 W Woodbine Ave #1NW, Kirkwood, MO 63122
  14. Based in Chesterfield, 18 mi away

    57/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 16 Google reviews.

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

    • 5.0★ from 16 Google reviews
    Hours
    Mon–Fri 9 AM–5:30 PM · Sat–Sun closed
    Address
    PMB 1112, 1734 Clarkson Rd, Chesterfield, MO 63017
  15. Based in Clayton, 12 mi away

    56/100RP Score

    Ranked #17 because of its Google rating and specialty focus: 4.9★ from 54 Google reviews, listed on Google as “Mental health service”.

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

    • 4.9★ from 54 Google reviews
    Hours
    Mon–Sun 9 AM–5 PM
    Address
    230 S Bemiston Ave Ste 920, Clayton, MO 63105
  16. Based in Clayton, 12 mi away

    55/100RP Score

    Ranked #19 because of its Google rating and specialty focus: 4.9★ from 33 Google reviews, listed on Google as “Mental health service”.

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

    • 4.9★ from 33 Google reviews
    Hours
    Mon–Thu 8 AM–9 PM · Fri 8 AM–5 PM · Sat 9 AM–1 PM · Sun 9 AM–4 PM
    Address
    7711 Bonhomme Ave Ste 720 (7th Floor, Clayton, MO 63105
  17. Based in Arnold, 6 mi away

    55/100RP Score

    Ranked #20 because of its Google rating and specialty focus: 2.3★ from 3 Google reviews, listed on Google as “Mental health clinic”.

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

    • 2.3★ from 3 Google reviews
    Hours
    Mon–Fri 8:30 AM–8 PM · Sat 9 AM–6 PM · Sun closed
    Address
    16 Municipal Dr D, Arnold, MO 63010
  18. Based in St. Louis, 5 mi away

    54/100RP Score

    Ranked #21 because of its Google rating and specialty focus: 4.3★ from 6 Google reviews, listed on Google as “Mental health service”.

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

    • 4.3★ from 6 Google reviews
    Hours
    Mon–Fri 9 AM–9 PM · Sat–Sun closed
    Address
    11222 Tesson Ferry Rd #200, St. Louis, MO 63123
  19. Based in Manchester, 9 mi away

    53/100RP Score

    Ranked #22 because of its Google rating and specialty focus: 5.0★ from 5 Google reviews, listed on Google as “Counselor”.

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

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Thu 8 AM–8 PM · Fri 8 AM–4 PM · Sat 9 AM–2 PM · Sun closed
    Address
    5 Premier Dr Ste 200, Fenton, MO 63026

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

couples therapists in Oakville, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Avenues Counseling Center524.2★ (24)11 mi
27Level Up Counseling525.0★ (5)6 mi
28Sound Mind Therapy525.0★ (19)16 mi
29Sacred Healing Practices - Anxiety and Trauma Specialist525.0★ (21)12 mi
30Narissa Marasso, Psychiatric Nurse Practitioner524.9★ (32)9 mi
31Laura Kern, Counselor514.7★ (26)9 mi
32Gateway Wellness Associates514.4★ (7)12 mi
33Marble Wellness515.0★ (95)13 mi
34LifeStance Therapists & Psychiatrists Richmond Heights514.6★ (221)12 mi
35Mika Ross - Therapist | Relationship Coach515.0★ (27)9 mi
36Angela Johnson, Counselor515.0★ (11)9 mi
37Fred Hudson, Counselor514.7★ (15)9 mi
38Tamara Runge, Psychiatric Nurse Practitioner504.6★ (14)9 mi
39The Care Collective505.0★ (3)12 mi
40Clayton Therapy | Peggy Levinson, LCSW, LMFT504.4★ (7)12 mi
41Mary Weiss, Psychiatrist505.0★ (7)9 mi
42Pearlman & Associates504.6★ (68)15 mi
43Healing Reflections Therapy, LLC504.5★ (6)9 mi
44John Yunker licensed psychologist MS.503.8★ (4)12 mi
45Abigail Blue, Counselor495.0★ (3)9 mi
46CarePoint Christian Counseling494.4★ (7)10 mi
47Emily Mukherji, Psychiatrist494.7★ (36)12 mi
48Tamara Runge, Psychiatric Nurse Practitioner494.7★ (25)12 mi
49West County Behavioral Health & Psychiatry494.9★ (28)17 mi
50Lotus Rising LLC495.0★ (9)11 mi

Also serving Oakville

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 Oakville
BusinessGoogle ratingDistance
A Balanced Perspective Counseling PLLC5.0★ (1)7 mi
Baetz-Davis Cherie PHD, LLC4.0★ (2)17 mi
Darr John5.0★ (2)18 mi
Dr. Vivian Sierra3.0★ (2)15 mi
Hayden Debora5.0★ (2)15 mi
Karen Levin-Tamaren3.0★ (2)18 mi
Leah Dents, Counselor5.0★ (2)12 mi
Morgan Counseling Services LLC5.0★ (2)5 mi
Nick Platipodis, Counselor5.0★ (2)9 mi
Prairie Boschulte, Counselor5.0★ (2)19 mi
Raznick Heather K5.0★ (2)13 mi
Ruth Dorhauer, Counselor5.0★ (2)12 mi
Shannon Washington, Counselor5.0★ (2)17 mi
Shanon L. Harlow, PsyD1.0★ (1)5 mi
Shauna Aningo, NCC, LPC5.0★ (2)19 mi
St. Louis Counselor5.0★ (2)7 mi
Stoney Withers, Counselor5.0★ (2)19 mi
Tamara Blum, MSW, LCSW3.0★ (2)12 mi
Thalassa Therapy LLC5.0★ (2)15 mi
The Clements Counseling Group3.0★ (2)8 mi

How we ranked Oakville couples therapists

We scored 108 Oakville 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 Oakville 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 Oakville: frequently asked questions

Who is the best couples therapist in Oakville?

By RP Score, the highest-ranked couples therapist in Oakville, MO is Agape Christian Counseling Services with an RP Score of 68/100. It has 3.7★ from 6 Google reviews. The Premarital Architect (#2) and Agape Christian Counseling Services (#3) follow. We ranked 108 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Oakville?

RankedPsychologists ranks 108 couples therapists serving Oakville, MO. 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 Oakville work on weekends?

29 of 108 ranked couples therapists post Saturday hours and 10 post Sunday hours. The highest-ranked open Saturdays are The Premarital Architect (#2), Agape Christian Counseling Services (#3) and Penalba Valentina PHD. St. Louis Couple and Family Therapy LLC (#4). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Oakville couples therapists have?

The median Google rating among 108 rated couples therapists in Oakville is 4.7★, with a median of 11 reviews. LifeStance Therapists & Psychiatrists Saint Louis has the most, 363 reviews, and ranks #23. 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 Oakville count in this ranking?

Yes, if they are within 20 mi of the Oakville 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 Oakville 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 Oakville

  1. November 2026: RP Scores recalculated for 108 couples therapists serving Oakville.