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Best Couples Therapists in Richmond, KY (2026)

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

The short answer

  1. 1

    Best overall in Richmond: Richmond Counseling Office - The Offices of Paul Dalton Lexington Counseling and Psychiatry, RP Score 62/100; 4.9★ from 44 Google reviews; open Saturdays until 12 PM.

  2. 9

    Most-reviewed: LifeStance Therapists & Psychiatrists Lexington, 783 Google reviews at 4.6★, the most of 30 ranked; ranked #9.

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

30 Richmond couples therapists are ranked here by RP Score, from eight published factors. 2 open Saturdays, based on posted hours. The median Google rating is 5.0★ across 30 rated practices.

Top 10 couples therapists in Richmond 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 Richmond at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Richmond Counseling Office - The Offices of Paul Dalton Lexington Counseling and Psychiatry624.9★ (44)RichmondSatOverall
2Advanced Solutions Counseling and Play Therapy Center595.0★ (14)RichmondEvenings—
3G&A Counseling584.5★ (33)Richmond——
4Living Well Counseling574.5★ (15)Richmond——
5Mustard Tree Counseling573.7★ (9)Richmond——
6Don Sizemore & Associates555.0★ (10)Lexington, 19 mi awayEvenings—
7Discover You Counseling, LLC465.0★ (22)Lexington, 20 mi awaySat—
8Lexington Counseling and Psychiatry - The Offices of Paul Dalton at Duval455.0★ (69)Lexington, 19 mi away——
9LifeStance Therapists & Psychiatrists Lexington454.6★ (783)Lexington, 19 mi away—Most reviews
10Lexington Counseling & Psychiatry-The Offices of Paul Dalton454.8★ (216)Lexington, 20 mi away——

The 30 best couples therapists in Richmond, 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.

Scores below: based on 7 of 8 factors; recency not yet collected. Hatched segments mark factors we don't have yet.

  1. Ranked #1 in Richmond

    #1 Richmond Counseling Office - The Offices of Paul Dalton Lexington Counseling and Psychiatry

    Based in Richmond

    62/100RP Score

    Ranked #1 because of its Google rating and proximity: 4.9★ from 44 Google reviews, based in Richmond.

    • 4.9★ from 44 Google reviews
    Hours
    Mon–Fri 8:30 AM–5 PM · Sat 9 AM–12 PM · Sun closed
    Address
    1043 Center Dr, Richmond, KY 40475
    View profile for Richmond Counseling Office - The Offices of Paul Dalton Lexington Counseling and Psychiatry(859) 314-1281

  3. #3 G&A Counseling

    Based in Richmond

    58/100RP Score

    Ranked #3 because of its Google rating and proximity: 4.5★ from 33 Google reviews, based in Richmond.

    • 4.5★ from 33 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    244 W Irvine St, Richmond, KY 40475
    View profile for G&A Counseling(502) 783-7573

  6. #6 Don Sizemore & Associates

    Based in Lexington, 19 mi away

    55/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 10 Google reviews.

    • 5.0★ from 10 Google reviews
    Hours
    Mon 2:15 PM–7 PM · Tue 1 PM–7 PM · Wed 8:30 AM–7 PM · Thu 1 PM–7 PM · Fri–Sun closed
    Address
    698 Perimeter Dr #103, Lexington, KY 40517
    View profile for Don Sizemore & Associates(859) 224-0265

  7. #7 Discover You Counseling, LLC

    Based in Lexington, 20 mi away

    46/100RP Score

    Ranked #7 because of its Google rating and specialty focus: 5.0★ from 22 Google reviews, listed on Google as “Counselor”.

    • 5.0★ from 22 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed closed · Thu–Fri 9 AM–5 PM · Sat 9 AM–2 PM · Sun closed
    Address
    501 Darby Creek Rd Unit 40, Lexington, KY 40509
    View profile for Discover You Counseling, LLC(859) 433-0762

  17. #17 Susan Holthaus, Counselor

    Based in Lexington, 19 mi away

    43/100RP Score

    Ranked #17 because of its Google rating and specialty focus: 4.8★ from 23 Google reviews, listed on Google as “Counselor”.

    • 4.8★ from 23 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    120 Prosperous Pl Suite 201, Lexington, KY 40509
    View profile for Susan Holthaus, Counselor(859) 368-0609

  18. #18 Lexington Therapy

    Based in Lexington, 20 mi away

    43/100RP Score

    Ranked #18 because of its Google rating and specialty focus: 4.4★ from 35 Google reviews, listed on Google as “Counselor”.

    • 4.4★ from 35 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat–Sun closed
    Address
    501 Darby Creek Rd Unit 50, Lexington, KY 40509
    View profile for Lexington Therapy(859) 379-6168

  20. #20 Marsha Ritchey, Counselor

    Based in Lexington, 19 mi away

    43/100RP Score

    Ranked #20 because of its Google rating and specialty focus: 4.9★ from 14 Google reviews, listed on Google as “Counselor”.

    • 4.9★ from 14 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    120 Prosperous Pl Suite 201, Lexington, KY 40509
    View profile for Marsha Ritchey, Counselor(859) 368-0609

  21. #21 Sean Blackburn, Counselor

    Based in Lexington, 19 mi away

    43/100RP Score

    Ranked #21 because of its Google rating and specialty focus: 4.9★ from 11 Google reviews, listed on Google as “Psychologist”.

    • 4.9★ from 11 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    120 Prosperous Pl Suite 201, Lexington, KY 40509
    View profile for Sean Blackburn, Counselor(859) 368-0609

  22. #22 Mia Perry, Counselor

    Based in Lexington, 19 mi away

    42/100RP Score

    Ranked #22 because of its Google rating and specialty focus: 4.9★ from 8 Google reviews, listed on Google as “Counselor”.

    • 4.9★ from 8 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    120 Prosperous Pl Suite 201, Lexington, KY 40509
    View profile for Mia Perry, Counselor(859) 368-0609

  23. #23 Charles Shivley, Counselor

    Based in Lexington, 19 mi away

    42/100RP Score

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    120 Prosperous Pl Suite 201, Lexington, KY 40509
    View profile for Charles Shivley, Counselor(859) 368-0609

  24. #24 Kara Hardesty, Counselor

    Based in Lexington, 19 mi away

    42/100RP Score

    Ranked #24 because of its Google rating and specialty focus: 5.0★ from 6 Google reviews, listed on Google as “Psychotherapist”.

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    120 Prosperous Pl Ste 150, Lexington, KY 40509
    View profile for Kara Hardesty, Counselor(859) 214-7440

  25. #25 Jordan Johnson, Counselor

    Based in Lexington, 19 mi away

    42/100RP Score

    Ranked #25 because of its Google rating and specialty focus: 5.0★ from 5 Google reviews, listed on Google as “Psychotherapist”.

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    120 Prosperous Pl Ste 150, Lexington, KY 40509
    View profile for Jordan Johnson, Counselor(859) 214-7440

All 30 couples therapists

#1 to #25 are shown in full above. Here are #26 to #30, in RP Score order; each links to its profile.

couples therapists in Richmond, ranks 26 to 30
RankBusinessRP ScoreGoogle ratingDistance
26Crystal Blackburn, Psychiatric Nurse Practitioner425.0★ (4)19 mi
27Robin Showalter, Counselor425.0★ (4)19 mi
28Latoya Lee, Psychiatric Nurse Practitioner424.3★ (6)19 mi
29Mikka Mcgee, Counselor425.0★ (3)19 mi
30Compass Christian Counseling424.4★ (7)19 mi

Also serving Richmond

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 Richmond
BusinessGoogle ratingDistance
Abigail Nemec, Counselor5.0★ (2)19 mi
Advanced Solutions Counseling And ConsultingIn Richmond
Amanda Crabtree, Psychologist19 mi
Ashley McGar, Counselor3.0★ (2)19 mi
Bethany Christian, Psychologist19 mi
Bluegrass Counseling and Psychotherapy, LLC5.0★ (6)In Richmond
Glencairn Marriage & Family Therapy Center Inc.5.0★ (1)19 mi
Grief Recovery Care, LLC5.0★ (2)20 mi
Hannah Kelley, Counselor19 mi
Jennifer Waugh, Counselor5.0★ (1)19 mi
Jessica Caniff, Psychologist19 mi
Laura Cooper, Counselor5.0★ (1)19 mi
Meera Patel, Psychologist19 mi
Misti Lynn Hall18 mi
Newleaf Counseling Services LLCIn Richmond
Peace of Mind Counseling5.0★ (6)In Richmond
PsychMind Counseling and Psychiatry4.5★ (15)In Richmond
Restoration Christian Counseling5.0★ (1)18 mi
Seeds of Change Counseling Center, PLLC4.8★ (16)In Richmond
Tyler Choate, Counselor19 mi

How we ranked Richmond couples therapists

We scored 30 Richmond 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 Richmond 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 Richmond: frequently asked questions

Who is the best couples therapist in Richmond?

By RP Score, the highest-ranked couples therapist in Richmond, KY is Richmond Counseling Office - The Offices of Paul Dalton Lexington Counseling and Psychiatry with an RP Score of 62/100. It has 4.9★ from 44 Google reviews. It is open Saturdays until 12 PM. Advanced Solutions Counseling and Play Therapy Center (#2) and G&A Counseling (#3) follow. We ranked 30 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Richmond?

RankedPsychologists ranks 30 couples therapists serving Richmond, KY. 5 of them are based in Richmond; 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 Richmond work on weekends?

2 of 30 ranked couples therapists post Saturday hours. The highest-ranked open Saturdays are Richmond Counseling Office - The Offices of Paul Dalton Lexington Counseling and Psychiatry (#1) and Discover You Counseling, LLC (#7). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Richmond couples therapists have?

The median Google rating among 30 rated couples therapists in Richmond is 5.0★, with a median of 14 reviews. LifeStance Therapists & Psychiatrists Lexington has the most, 783 reviews, and ranks #9. 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 Richmond count in this ranking?

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

  1. November 2026: RP Scores recalculated for 30 couples therapists serving Richmond.

More couples therapists and Richmond pages