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Best Couples Therapists in Sacramento, CA (2026)

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

The short answer

  1. 1

    Best overall in Sacramento: Embrace Therapy, RP Score 77/100; 4.7★ from 27 Google reviews; open 7 days a week.

  2. 22

    Most-reviewed: Love Heal Grow: Relationship-Focused Therapy Center, 87 Google reviews at 4.8★, the most of 125 ranked; ranked #22.

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

125 Sacramento couples therapists are ranked here by RP Score, from eight published factors. 40 open Saturdays and 28 open Sundays, based on posted hours. The median Google rating is 4.7★ across 125 rated practices.

Top 10 couples therapists in Sacramento 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 Sacramento at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Embrace Therapy774.7★ (27)SacramentoSat · Sun · EveningsOverall
2Kathleen Oravec LMFT764.8★ (11)SacramentoSat · Sun · Evenings—
3Couples Resource Collective754.4★ (7)SacramentoSat · Sun · Evenings—
4Life Practice Counseling Group754.6★ (5)SacramentoSat · Sun · Evenings—
5Penelope L. Chui, LMFT754.0★ (5)Sacramento——
6Malaika Hill-Jones, LMFT755.0★ (3)Sacramento——
7Down Barbara754.0★ (4)Sacramento——
8Love Jack D744.0★ (3)Sacramento——
9Rebecca Mankowski743.7★ (3)Sacramento——
10HOPE Counseling Center742.8★ (11)SacramentoSat · Sun · Evenings—

The 125 best couples therapists in Sacramento, 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 Sacramento

    Based in Sacramento

    77/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.7★ from 27 Google reviews.

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

    • 4.7★ from 27 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat–Sun 10 AM–5 PM
    Address
    2220 J St Ste 8, Sacramento, CA 95816
  2. Based in Sacramento

    76/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.8★ from 11 Google reviews.

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

    • 4.8★ from 11 Google reviews
    Hours
    Mon–Sun 12 PM–8 PM
    Address
    2118 P St, Sacramento, CA 95816
  3. Based in Sacramento

    75/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 7 Google reviews.

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

    • 4.4★ from 7 Google reviews
    Hours
    Mon–Sun 8 AM–8 PM
    Address
    900 Fulton Ave Unit 160, Sacramento, CA 95825
  4. Based in Sacramento

    75/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.0★ from 5 Google reviews.

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

    • 4.0★ from 5 Google reviews
    Address
    6130 Freeport Blvd Ste 200B, Sacramento, CA 95822
  5. Based in Sacramento

    75/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 3 Google reviews.

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

    • 5.0★ from 3 Google reviews
    Address
    418 B, 418 Alhambra Blvd, Sacramento, CA 95816
  6. Based in Sacramento

    75/100RP Score

    Ranked #7 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
    9521 Folsom Blvd # R, Sacramento, CA 95827
  7. Based in Sacramento

    74/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.0★ from 3 Google reviews.

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

    • 4.0★ from 3 Google reviews
    Address
    1828 Tribute Rd Ste l, Sacramento, CA 95815
  8. Based in Sacramento

    74/100RP Score

    Ranked #9 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
    650 Howe Ave Bldg 1000 Ste 1030, Sacramento, CA 95825
  9. Based in Sacramento

    74/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 2.8★ from 11 Google reviews.

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

    • 2.8★ from 11 Google reviews
    Hours
    Mon–Sun 8 AM–9 PM
    Address
    1430 Alhambra Blvd, Sacramento, CA 95816
  10. Based in Sacramento

    74/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 2.0★ from 8 Google reviews.

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

    • 2.0★ from 8 Google reviews
    Address
    5777 Madison Ave, Sacramento, CA 95841
  11. Based in Sacramento

    72/100RP 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–Fri 9 AM–8 PM · Sat 8 AM–4 PM · Sun closed
    Address
    718 Alhambra Blvd, Sacramento, CA 95816
  12. 69/100RP Score

    Ranked #15 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–6 PM · Fri 9 AM–1 PM · Sat–Sun closed
    Address
    2503 K St 2nd Floor, Sacramento, CA 95816
  13. Based in Sacramento

    69/100RP Score

    Ranked #16 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–Tue 9 AM–7:30 PM · Wed 7:30 AM–4:30 PM · Thu 9 AM–5 PM · Fri–Sun closed
    Address
    2830 I St #304, Sacramento, CA 95816
  14. Based in Sacramento

    69/100RP Score

    Ranked #18 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 9 AM–5 PM · Tue–Wed 9 AM–7 PM · Thu 9 AM–5 PM · Fri 10 AM–7 PM · Sat–Sun closed
    Address
    25 Cadillac Dr Ste 106, Sacramento, CA 95825
  15. Based in Sacramento

    69/100RP Score

    Ranked #19 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–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    2617 K St, Sacramento, CA 95816
  16. Based in Sacramento

    68/100RP Score

    Ranked #20 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 9 AM–3 PM · Fri–Sun closed
    Address
    2618 J St #2, Sacramento, CA 95816
  17. Based in Sacramento

    68/100RP Score

    Ranked #21 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.0★ from 4 Google reviews.

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

    • 3.0★ from 4 Google reviews
    Hours
    Mon–Thu 9 AM–4 PM · Fri 9 AM–1 PM · Sat–Sun closed
    Address
    3838 Watt Ave C-300, Sacramento, CA 95821
  18. Based in Fair Oaks, 13 mi away

    65/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.6★ from 11 Google reviews.

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

    • 4.6★ from 11 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat–Sun 9 AM–5 PM
    Address
    10940 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628
  19. Based in Carmichael, 10 mi away

    65/100RP Score

    Ranked #24 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
    8037 Fair Oaks Blvd #110, Carmichael, CA 95608

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

couples therapists in Sacramento, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Jennifer L. Flood Marriage and Family Counseling Group, Inc.654.7★ (49)In Sacramento
27TurnerWood Marriage and Family Therapy, Inc.645.0★ (4)14 mi
28Life Compass Coaching & Counseling644.1★ (9)14 mi
29Timothy B. Rood, LMFT642.2★ (6)13 mi
30Relationship Therapy Center634.4★ (36)17 mi
31Amy L. Witte, MFT633.0★ (4)12 mi
32Roseville Couples Counseling634.6★ (21)17 mi
33Attune Counseling Center634.3★ (21)In Sacramento
34Thrive Therapy & Counseling634.2★ (24)In Sacramento
35James E. Brentt, PhD632.0★ (4)12 mi
36Three Figs Counseling Center634.0★ (4)14 mi
37Clinic for Healing and Change, Sacramento624.9★ (49)In Sacramento
38Burg Bill624.0★ (4)14 mi
39Life Practice Counseling Group623.6★ (20)In Sacramento
40Christian Hope Counseling624.8★ (38)13 mi
41Deborah Barnes, LMFT622.2★ (10)14 mi
42Heart Wide Open Wellness615.0★ (8)18 mi
43Chad Fraga Therapy614.0★ (4)8 mi
44Windows of Hope Counseling Center613.7★ (3)15 mi
45HOPE Counseling Center613.7★ (9)18 mi
46Second Wind Counseling615.0★ (6)In Sacramento
47Pachamama Therapy Collective | Sacramento Counseling & Brainspotting Practice615.0★ (5)In Sacramento
48Magnolia Therapy & Wellness615.0★ (3)18 mi
49Seeley Victoria603.7★ (3)In Sacramento
50The Anxiety Treatment Center603.2★ (22)In Sacramento

Also serving Sacramento

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 Sacramento
BusinessGoogle ratingDistance
Advanced Psychiatry Associates4.5★ (1,673)In Sacramento
Bridges DUI Program4.5★ (104)In Sacramento
Bridges of the Mind Psychological Services4.4★ (46)In Sacramento
Children's Receiving Home of Sacramento3.3★ (43)In Sacramento
Eating Recovery Center Sacramento3.3★ (40)In Sacramento
Healing Pathways Psychological Services3.2★ (12)In Sacramento
Kaiser Adult Psychiatry2.0★ (34)In Sacramento
La Familia Counseling Center, Inc.4.3★ (28)In Sacramento
Lauren Lowe Therapy4.8★ (90)In Sacramento
New Dawn Treatment Centers - Sacramento Addiction Treatment4.6★ (69)In Sacramento
Nor Cal Trauma Healing Center4.9★ (27)In Sacramento
Sacramento Autistic Spectrum and Special Needs Alliance4.7★ (23)In Sacramento
SAP Solutions5.0★ (184)In Sacramento
ShaMynds Healing Center4.9★ (88)In Sacramento
Sierra Health + Wellness: Sacramento - Outpatient Mental Health and Addiction Treatment3.7★ (12)In Sacramento
Spark Center for Self Development4.1★ (14)In Sacramento
Stanford Sierra Youth & Families - Sacramento Office3.6★ (15)In Sacramento
Stilley Stephanie H2.0★ (35)In Sacramento
Terra Nova DDP3.0★ (16)In Sacramento
Truist psychMD4.9★ (34)In Sacramento

How we ranked Sacramento couples therapists

We scored 125 Sacramento 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 Sacramento 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 Sacramento: frequently asked questions

Who is the best couples therapist in Sacramento?

By RP Score, the highest-ranked couples therapist in Sacramento, CA is Embrace Therapy with an RP Score of 77/100. It has 4.7★ from 27 Google reviews. It is open 7 days a week. Kathleen Oravec LMFT (#2) and Couples Resource Collective (#3) follow. We ranked 125 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Sacramento?

RankedPsychologists ranks 125 couples therapists serving Sacramento, CA. 31 of them are based in Sacramento; 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 Sacramento work on weekends?

40 of 125 ranked couples therapists post Saturday hours and 28 post Sunday hours. The highest-ranked open Saturdays are Embrace Therapy (#1), Kathleen Oravec LMFT (#2) and Couples Resource Collective (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Sacramento couples therapists have?

The median Google rating among 125 rated couples therapists in Sacramento is 4.7★, with a median of 5 reviews. Love Heal Grow: Relationship-Focused Therapy Center has the most, 87 reviews, and ranks #22. 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 Sacramento count in this ranking?

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

  1. November 2026: RP Scores recalculated for 125 couples therapists serving Sacramento.