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Best Couples Therapists in Saint Helens, OR (2026)

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

The short answer

  1. 1

    Best overall in Saint Helens: Refresh Therapy, Inc. - Salmon Creek N. Vancouver Office, RP Score 65/100; 4.4★ from 54 Google reviews; open Saturdays until 4 PM.

  2. 19

    Most-reviewed: LifeStance Therapists & Psychiatrists Vancouver, 399 Google reviews at 4.7★, the most of 58 ranked; ranked #19.

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

58 Saint Helens couples therapists are ranked here by RP Score, from eight published factors. 6 open Saturdays and 2 open Sundays, based on posted hours. The median Google rating is 4.8★ across 58 rated practices.

Top 10 couples therapists in Saint Helens 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 Saint Helens at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Refresh Therapy, Inc. - Salmon Creek N. Vancouver Office654.4★ (54)Vancouver, 12 mi awaySat · EveningsOverall
2Pax Family Counseling625.0★ (13)Vancouver, 18 mi away——
3Caroline B Gearing604.3★ (6)Vancouver, 18 mi away——
4Bright Future Counseling LLC- Couples Counseling PNW-Vancouver, Washington605.0★ (12)Vancouver, 14 mi away——
5Mike Myers - Couples Counseling594.0★ (4)Vancouver, 16 mi awaySat—
6Steven Shaps Counseling, Marriage & Family Therapy591.0★ (4)Vancouver, 18 mi away——
7Aspire Behavioral Health Counseling Services -Michelle Newton, MA, MFT, LMHC, CMHS, MHP555.0★ (4)Vancouver, 18 mi awayEvenings—
8Refuge Counseling & Wellness515.0★ (9)Vancouver, 12 mi awaySat · Evenings—
9LifeStance Therapists & Psychiatrists Vancouver514.8★ (304)Vancouver, 13 mi away——
10Thriveworks Counseling & Psychiatry Vancouver504.6★ (23)Vancouver, 18 mi awaySat · Sun · Evenings—

The 58 best couples therapists in Saint Helens, 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 Saint Helens

    Based in Vancouver, 12 mi away

    65/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 54 Google reviews.

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

    • 4.4★ from 54 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 8 AM–4 PM · Sun closed
    Address
    13505 NE 10th Ave, Vancouver, WA 98685
  2. Based in Vancouver, 18 mi away

    62/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 13 Google reviews.

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

    • 5.0★ from 13 Google reviews
    Address
    601 Main St #301, Vancouver, WA 98660
  3. Based in Vancouver, 18 mi away

    60/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 6 Google reviews.

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

    • 4.3★ from 6 Google reviews
    Address
    400 E Evergreen Blvd Ste 322D, Vancouver, WA 98660
  4. 60/100RP Score

    Ranked #4 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–4 PM · Sat–Sun closed
    Address
    10000 NE 7th Ave Suite 400D, Vancouver, WA 98685
  5. Based in Vancouver, 16 mi away

    59/100RP Score

    Ranked #5 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 closed · Tue–Fri 12 PM–5:30 PM · Sat 8:30 AM–5:30 PM · Sun closed
    Address
    3204 NE 58th St, Vancouver, WA 98663
  6. 55/100RP Score

    Ranked #7 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 9 AM–5 PM · Tue 10 AM–7 PM · Wed closed · Thu 10 AM–7 PM · Fri 9 AM–3 PM · Sat–Sun closed
    Address
    4400 NE 77th Ave #275, Vancouver, WA 98662
  7. Based in Vancouver, 12 mi away

    51/100RP Score

    Ranked #8 because of its Google rating and specialty focus: 5.0★ from 9 Google reviews, listed on Google as “Counselor”.

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

    • 5.0★ from 9 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 9 AM–5 PM · Sun closed
    Address
    13912 NE 20th Ave #204, Vancouver, WA 98686
  8. Based in Vancouver, 13 mi away

    51/100RP Score

    Ranked #9 because of its Google rating and specialty focus: 4.8★ from 304 Google reviews, listed on Google as “Mental health clinic”.

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

    • 4.8★ from 304 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  9. 48/100RP Score

    Ranked #11 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 closed · Tue 9 AM–8 PM · Wed–Thu 9 AM–9 PM · Fri 9 AM–8 PM · Sat–Sun closed
    Address
    Kinship Therapies, 1755 N Tomahawk Island Dr #1058, Portland, OR 97217
  10. Based in Vancouver, 14 mi away

    48/100RP Score

    Ranked #12 because of its Google rating and specialty focus: 4.0★ from 4 Google reviews, listed on Google as “Counselor”.

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

    • 4.0★ from 4 Google reviews
    Hours
    Mon–Tue 8:30 AM–8:30 PM · Wed 8:30 AM–5:30 PM · Thu–Sat closed · Sun 8:30 AM–6 PM
    Address
    9901 NE 7th Ave, Vancouver, WA 98685
  11. Based in Vancouver, 13 mi away

    48/100RP Score

    Ranked #13 because of its Google rating and specialty focus: 4.9★ from 18 Google reviews, listed on Google as “Psychotherapist”.

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

    • 4.9★ from 18 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  12. Based in Vancouver, 13 mi away

    48/100RP Score

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

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

    • 4.9★ from 14 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  13. Based in Vancouver, 13 mi away

    48/100RP Score

    Ranked #15 because of its Google rating and specialty focus: 5.0★ from 11 Google reviews, listed on Google as “Mental health clinic”.

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

    • 5.0★ from 11 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  14. 47/100RP Score

    Ranked #16 because of its Google rating and specialty focus: 4.8★ from 20 Google reviews, listed on Google as “Counselor”.

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

    • 4.8★ from 20 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 8 AM–6 PM · Sun closed
    Address
    655 W W Columbia Way Ste 400, Vancouver, WA 98660
  15. Based in Vancouver, 13 mi away

    47/100RP Score

    Ranked #18 because of its Google rating and specialty focus: 4.5★ from 11 Google reviews, listed on Google as “Psychotherapist”.

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

    • 4.5★ from 11 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  16. Based in Vancouver, 18 mi away

    47/100RP Score

    Ranked #19 because of its Google rating and specialty focus: 4.7★ from 399 Google reviews, listed on Google as “Mental health clinic”.

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

    • 4.7★ from 399 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
    7507 NE 51st St, Vancouver, WA 98662
  17. Based in Vancouver, 13 mi away

    47/100RP Score

    Ranked #20 because of its Google rating and specialty focus: 4.9★ from 7 Google reviews, listed on Google as “Psychotherapist”.

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

    • 4.9★ from 7 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  18. Based in Vancouver, 13 mi away

    47/100RP Score

    Ranked #21 because of its Google rating and specialty focus: 4.7★ from 6 Google reviews, listed on Google as “Psychotherapist”.

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

    • 4.7★ from 6 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  19. Based in Vancouver, 13 mi away

    47/100RP Score

    Ranked #22 because of its Google rating and specialty focus: 5.0★ from 4 Google reviews, listed on Google as “Psychiatrist”.

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

    • 5.0★ from 4 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
    2103 NE 129th St #101, Vancouver, WA 98686
  20. Based in Vancouver, 13 mi away

    47/100RP Score

    Ranked #23 because of its Google rating and specialty focus: 5.0★ from 4 Google reviews, listed on Google as “Psychotherapist”.

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

    • 5.0★ from 4 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  21. Based in Vancouver, 13 mi away

    47/100RP Score

    Ranked #24 because of its Google rating and specialty focus: 5.0★ from 4 Google reviews, listed on Google as “Psychotherapist”.

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

    • 5.0★ from 4 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  22. Based in Vancouver, 13 mi away

    47/100RP Score

    Ranked #25 because of its Google rating and specialty focus: 5.0★ from 4 Google reviews, listed on Google as “Psychotherapist”.

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

    • 5.0★ from 4 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
    2103 NE 129th St Suite 101, Vancouver, WA 98686

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

couples therapists in Saint Helens, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Compass Whole Health474.5★ (42)14 mi
27Restored Life Counseling474.9★ (16)18 mi
28Blue Leaf Mental Wellness Center464.1★ (18)18 mi
29Bradley Strong, Psychiatrist465.0★ (3)13 mi
30Justin Cox, Counselor464.5★ (4)13 mi
31Mareth Chromey, Counselor465.0★ (3)13 mi
32Mary Guild, Counselor465.0★ (3)13 mi
33Bryan Ledbury, Counselor464.3★ (3)13 mi
34Hall Mediation Services, Inc.464.7★ (35)16 mi
35Heaven Sent Counseling LLC452.3★ (3)14 mi
36Rocky Mountain Therapy P.L.L.C455.0★ (5)14 mi
37LifeStance Health453.3★ (26)18 mi
38Headlight Therapists & Psychiatric Services Vancouver444.3★ (25)18 mi
39Ed Worsman, Psychiatric Nurse Practitioner444.8★ (17)18 mi
40Kimberly Cantonwine, Counselor444.9★ (12)17 mi
41Maraiah Esslinger, Counselor444.9★ (12)18 mi
42Mercy Itesa, Psychiatric Nurse Practitioner444.3★ (45)18 mi
43Charis Counseling Associates444.2★ (6)16 mi
44Shawn Wolf, Counselor444.8★ (10)18 mi
45Amanda Joyce, Counselor435.0★ (8)18 mi
46David Grushkin, Counselor434.9★ (9)18 mi
47Mary Hauswirth, Counselor435.0★ (8)18 mi
48Adam Hall, Counselor434.6★ (5)17 mi
49Albert Matthew, Counselor435.0★ (4)18 mi
50Mackenzie Gottfried, Counselor434.3★ (6)18 mi

Also serving Saint Helens

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 Saint Helens
BusinessGoogle ratingDistance
Allison Chambers-Dixon, Psychologist5.0★ (1)18 mi
Anastasia Kihwaga, Therapy Clinician5.0★ (2)18 mi
Barbara E. Felix, LCSW; Terra Firma Counseling5.0★ (1)18 mi
Chelsea Kerr5.0★ (1)18 mi
Chelsea S. Bates, PhD, LMFT5.0★ (1)18 mi
Counseling and Wellness4.0★ (4)In Saint Helens
Fortlander Karen J5.0★ (2)In Saint Helens
Jennifer Burkett, Psychiatrist5.0★ (1)18 mi
Jerrica Ching, Counselor4.5★ (2)18 mi
Jessica Bettendorf, Counselor5.0★ (2)17 mi
Jessica Piziali, Counselor5.0★ (2)13 mi
Kimberlin Santos, Counselor5.0★ (1)13 mi
Lydia Hinman, Counselor5.0★ (1)18 mi
Macdonald Dunbar, Counselor5.0★ (2)13 mi
Megan Rabon, Psychologist5.0★ (1)13 mi
Northwest Marriage Institute5.0★ (1)14 mi
Options Counseling and Family ServicesIn Saint Helens
Positive Permutations, PLLC5.0★ (2)15 mi
The Marriage Restoration Project: Couples Counseling with Rabbi Shlomo5.0★ (1)16 mi
Vegvari KrisIn Saint Helens

How we ranked Saint Helens couples therapists

We scored 58 Saint Helens 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 Saint Helens 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 Saint Helens: frequently asked questions

Who is the best couples therapist in Saint Helens?

By RP Score, the highest-ranked couples therapist in Saint Helens, OR is Refresh Therapy, Inc. - Salmon Creek N. Vancouver Office with an RP Score of 65/100. It has 4.4★ from 54 Google reviews. It is open Saturdays until 4 PM. Pax Family Counseling (#2) and Caroline B Gearing (#3) follow. We ranked 58 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Saint Helens?

RankedPsychologists ranks 58 couples therapists serving Saint Helens, OR. 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 Saint Helens work on weekends?

6 of 58 ranked couples therapists post Saturday hours and 2 post Sunday hours. The highest-ranked open Saturdays are Refresh Therapy, Inc. - Salmon Creek N. Vancouver Office (#1), Mike Myers - Couples Counseling (#5) and Refuge Counseling & Wellness (#8). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Saint Helens couples therapists have?

The median Google rating among 58 rated couples therapists in Saint Helens is 4.8★, with a median of 8 reviews. LifeStance Therapists & Psychiatrists Vancouver has the most, 399 reviews, and ranks #19. 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 Saint Helens count in this ranking?

Yes, if they are within 20 mi of the Saint Helens 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 Saint Helens 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 Saint Helens

  1. November 2026: RP Scores recalculated for 58 couples therapists serving Saint Helens.