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Best Couples Therapists in Pacifica, CA (2026)

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

The short answer

  1. 1

    Best overall in Pacifica: The Davon Method Relationship Coaching & Tantra Workshops, RP Score 71/100; 5.0★ from 43 Google reviews; open 7 days a week.

  2. 43

    Most-reviewed: Silicon Valley Marriage Counseling , Azizeh Rezaiyan, LMFT, 43 Google reviews at 4.5★, tied for the most of 142 ranked; ranked #43.

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

142 Pacifica couples therapists are ranked here by RP Score, from eight published factors. 33 open Saturdays and 17 open Sundays, based on posted hours. The median Google rating is 5.0★ across 142 rated practices.

Top 10 couples therapists in Pacifica 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 Pacifica at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1The Davon Method Relationship Coaching & Tantra Workshops715.0★ (43)San Francisco, 11 mi awaySat · SunOverall
2The Couples Center695.0★ (36)San Francisco, 13 mi awaySat · Sun · Evenings—
3Keeley Rankin Sex & Relationship Therapist, M.A.684.5★ (8)San Francisco, 11 mi awaySat · Sun · Evenings—
4Rising Relationship Center685.0★ (5)San Francisco, 11 mi awaySat · Sun · Evenings—
5California Couples Counseling665.0★ (6)San Francisco, 13 mi awaySat · Sun · Evenings—
6The San Francisco Marriage and Couples Center664.5★ (8)San Francisco, 13 mi awaySat · Sun · Evenings—
7Rouse Relational Wellness664.4★ (14)San Francisco, 11 mi awaySat · Evenings—
8Jamie Hanna Duddy MFT662.3★ (3)San Mateo, 10 mi away——
9The Anxiety Relief Center665.0★ (3)San Francisco, 13 mi awaySat · Sun · Evenings—
10Marriage Prep 101655.0★ (3)San Francisco, 14 mi awaySat · Sun · Evenings—

The 142 best couples therapists in Pacifica, 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 Pacifica

    Based in San Francisco, 11 mi away

    71/100RP 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, 13 mi away

    69/100RP 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, 11 mi away

    68/100RP 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, 13 mi away

    66/100RP 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, 11 mi away

    66/100RP Score

    Ranked #7 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
  6. Based in San Mateo, 10 mi away

    66/100RP Score

    Ranked #8 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
  7. Based in San Francisco, 13 mi away

    66/100RP 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–8 PM
    Address
    870 Market St Ste 863, San Francisco, CA 94102
  8. Based in San Francisco, 14 mi away

    65/100RP 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–Sun 8 AM–10 PM
    Address
    Fort Mason, 2 Marina Blvd 205 Building C, San Francisco, CA 94123
  9. Based in Burlingame, 6 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 5 Google reviews.

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

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Thu 10 AM–4 PM · Fri 10 AM–12 PM · Sat–Sun closed
    Address
    1838 El Camino Real Unit 220, Burlingame, CA 94010
  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 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat–Sun closed
    Address
    405 Primrose Rd #208, Burlingame, CA 94010
  11. 64/100RP Score

    Ranked #13 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–Thu 9 AM–8 PM · Fri 9 AM–2 PM · Sat–Sun closed
    Address
    1425 Broadway, Burlingame, CA 94010
  12. Based in San Francisco, 10 mi away

    64/100RP Score

    Ranked #14 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
  13. Based in San Francisco, 12 mi away

    63/100RP Score

    Ranked #16 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
  14. Based in San Francisco, 11 mi away

    63/100RP Score

    Ranked #17 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
  15. Based in San Mateo, 11 mi away

    63/100RP 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 12 PM–6 PM · Tue 4 PM–10 PM · Wed closed · Thu 10 AM–4 PM · Fri 10 AM–5 PM · Sat closed · Sun 2 PM–8 PM
    Address
    1720 S Amphlett Blvd, San Mateo, CA 94402
  16. Based in San Francisco, 13 mi away

    62/100RP Score

    Ranked #20 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
  17. Based in San Francisco, 13 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 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
  18. 62/100RP Score

    Ranked #23 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
  19. Based in San Francisco, 12 mi away

    61/100RP Score

    Ranked #24 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
  20. Based in San Mateo, 12 mi away

    61/100RP Score

    Ranked #25 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 6 Google reviews.

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

    • 4.3★ from 6 Google reviews
    Hours
    Mon–Fri 10 AM–8 PM · Sat–Sun closed
    Address
    1510 Fashion Island Blvd #110, San Mateo, CA 94404

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

couples therapists in Pacifica, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Rob Schene, MFT, CGP615.0★ (5)12 mi
27Anika Doherty, LMFT615.0★ (5)10 mi
28Vanessa B. Tate, LMFT605.0★ (7)13 mi
29Randy Weled, MFT605.0★ (3)13 mi
30Deborah J. Whiting, MSW603.7★ (3)11 mi
31SF Women's Therapy + Coaching605.0★ (3)12 mi
32Suragbhai Gohel, Psychiatrist604.2★ (12)13 mi
33Sara Alexander MFT605.0★ (6)12 mi
34Epiphany Kaye Coaching604.3★ (11)17 mi
35Jacob Brown | Couples Therapy & Individual Therapy605.0★ (7)16 mi
36Victoria Storr Therapy605.0★ (5)12 mi
37Ryan Blum, Psychiatrist604.2★ (5)13 mi
38Nancy Gray, LMFT Therapy603.4★ (5)12 mi
39Sindhura Reddy, Psychiatrist595.0★ (3)13 mi
40Marla Cass, San Francisco Psychotherapy595.0★ (3)13 mi
41Sinead Smyth LMFT593.7★ (3)17 mi
42Marialena Malejan-Roussere, Marriage and Family Therapist, Certified Group Psychotherapist594.8★ (18)10 mi
43Silicon Valley Marriage Counseling , Azizeh Rezaiyan, LMFT594.5★ (43)20 mi
44Misha Sivia, Psychiatrist592.8★ (5)13 mi
45Bay Area CBT Center585.0★ (8)20 mi
46Izzo Marriage and Family Therapy, P.C. San Mateo Office583.1★ (15)12 mi
47DOT Center575.0★ (6)18 mi
48Tavio Counseling & Wellness575.0★ (12)19 mi
49Sarah Wagner, MFT MBA565.0★ (4)17 mi
50INDIVIDUAL & COUPLES COUNSELING - ILENE WOLF LMFT564.8★ (11)13 mi

Also serving Pacifica

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 Pacifica
BusinessGoogle ratingDistance
Andrea D. Stephens, LMFTIn Pacifica
Beth Bashore, MFT3.5★ (2)In Pacifica
Brain State BalanceIn Pacifica
Deep Dive Therapy5.0★ (2)In Pacifica
Dr. Andrea PolkIn Pacifica
Dr. Laurie Goren, Clinical Psychologist & PsychotherapistIn Pacifica
Jalovaara Rosemary A PHD5.0★ (1)In Pacifica
Kassidy Butterworth, LMFTIn Pacifica
Lynn Gallo Marriage Family5.0★ (1)In Pacifica
Marcia I. Avila, MSIn Pacifica
Marianne C. Troxell, MA5.0★ (2)4 mi
Maureen "Eula Lys" Backman, AMFT #127025In Pacifica
Pacifica Mental HealthIn Pacifica
Rafael Portuges, LMFTIn Pacifica
Samantha Howard, LMFTIn Pacifica
StarVista Counseling Center2.3★ (6)In Pacifica
Stephanie Perez, MFTIn Pacifica
Tidal Changes Youth and Family TherapyIn Pacifica
Willow Family TherapyIn Pacifica
Xana Cook AMFTIn Pacifica

How we ranked Pacifica couples therapists

We scored 142 Pacifica 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 Pacifica 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 Pacifica: frequently asked questions

Who is the best couples therapist in Pacifica?

By RP Score, the highest-ranked couples therapist in Pacifica, CA is The Davon Method Relationship Coaching & Tantra Workshops with an RP Score of 71/100. 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 142 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Pacifica?

RankedPsychologists ranks 142 couples therapists serving Pacifica, 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 Pacifica work on weekends?

33 of 142 ranked couples therapists post Saturday hours and 17 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 Pacifica couples therapists have?

The median Google rating among 142 rated couples therapists in Pacifica 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 Pacifica count in this ranking?

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

  1. November 2026: RP Scores recalculated for 142 couples therapists serving Pacifica.
  2. November 2026: 1 duplicate listing merged.