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Best Couples Therapists in Seattle, WA (2026)

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

The short answer

  1. 1

    Best overall in Seattle: Family Thresholds, LLC, RP Score 78/100; 5.0★ from 58 Google reviews; open Saturdays until 12 AM.

  2. 2

    Most-reviewed: Kairos Couples, 160 Google reviews at 5.0★, the most of 216 ranked; ranked #2.

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

216 Seattle couples therapists are ranked here by RP Score, from eight published factors. 52 open Saturdays and 24 open Sundays, based on posted hours. The median Google rating is 4.9★ across 216 rated practices.

Top 10 couples therapists in Seattle 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 Seattle at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Family Thresholds, LLC785.0★ (58)SeattleSat · EveningsOverall
2Kairos Couples775.0★ (160)SeattleSatMost reviews
3Gina Guddat Counseling774.8★ (26)Seattle——
4Anchor Light Couples Therapy764.6★ (28)SeattleSat · Sun · Evenings—
5Clarity Counseling Seattle755.0★ (52)SeattleSat · Evenings—
6Seattle Christian Counseling755.0★ (7)Seattle——
7Marriage Counseling Of Seattle755.0★ (6)SeattleSat · Sun · Evenings—
8Lasting Love Connection - Couples Counseling755.0★ (35)SeattleSat · Evenings—
9Modern Therapy Seattle755.0★ (4)Seattle——
10Zach Brittle, LMHC744.2★ (5)Seattle——

The 216 best couples therapists in Seattle, 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 Seattle

    Based in Seattle

    78/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 58 Google reviews.

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

    • 5.0★ from 58 Google reviews
    Hours
    Mon–Thu 12 AM–12 AM · Fri closed · Sat 12 AM–12 AM · Sun closed
    Address
    2120 1st Ave N B-1, Seattle, WA 98109
  2. Based in Seattle

    77/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 160 Google reviews.

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

    • 5.0★ from 160 Google reviews
    Hours
    Mon–Sat 9 AM–6 PM · Sun closed
    Address
    4511 Densmore Ave N, Seattle, WA 98103
  3. Based in Seattle

    77/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.8★ from 26 Google reviews.

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

    • 4.8★ from 26 Google reviews
    Address
    200 1st Ave W Ste 400, Seattle, WA 98119
  4. Based in Seattle

    76/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.6★ from 28 Google reviews.

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

    • 4.6★ from 28 Google reviews
    Hours
    Mon–Thu 8 AM–8 PM · Fri 9 AM–6 PM · Sat–Sun 8 AM–5 PM
    Address
    200 W Mercer St Ste e-304, Seattle, WA 98119
  5. Based in Seattle

    75/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 52 Google reviews.

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

    • 5.0★ from 52 Google reviews
    Hours
    Mon–Fri 9 AM–7 PM · Sat 9 AM–5 PM · Sun closed
    Address
    1836 Westlake Ave N #303, Seattle, WA 98109
  6. Based in Seattle

    75/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 4 Google reviews.

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

    • 5.0★ from 4 Google reviews
    Address
    2366 Eastlake Ave E #402, Seattle, WA 98102
  7. Based in Seattle

    74/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.2★ from 5 Google reviews.

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

    • 4.2★ from 5 Google reviews
    Address
    6869 Woodlawn Ave NE Unit 203, Seattle, WA 98115
  8. Based in Seattle

    73/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.5★ from 15 Google reviews.

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

    • 4.5★ from 15 Google reviews
    Hours
    Mon–Fri 7 AM–7 PM · Sat closed · Sun 8 AM–3 PM
    Address
    1200 Westlake Ave N #407, Seattle, WA 98109
  9. Based in Seattle

    72/100RP Score

    Ranked #12 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 closed · Tue–Wed 9 AM–7 PM · Thu 10 AM–8 PM · Fri 9 AM–7 PM · Sat 9 AM–3 PM · Sun closed
    Address
    5609 34th Ave SW, Seattle, WA 98126
  10. Based in Seattle

    72/100RP Score

    Ranked #13 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–Tue closed · Wed–Sat 8 AM–8 PM · Sun closed
    Address
    4219 SW Juneau St, Seattle, WA 98136
  11. Based in Seattle

    72/100RP Score

    Ranked #14 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 12 AM–12 AM · Sat–Sun closed
    Address
    1037 NE 65th St #82208, Seattle, WA 98115
  12. Based in Mercer Island, 5 mi away

    71/100RP Score

    Ranked #17 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 9 AM–5 PM
    Address
    2448 76th Ave SE Unit 210, Mercer Island, WA 98040
  13. Based in Seattle

    70/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 31 Google reviews.

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

    • 4.3★ from 31 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat–Sun closed
    Address
    4520 44th Ave SW, Seattle, WA 98116
  14. Based in Seattle

    70/100RP Score

    Ranked #19 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.7★ from 10 Google reviews.

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

    • 4.7★ from 10 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat–Sun closed
    Address
    7900 East Green Lake Dr N Ste 202, Seattle, WA 98103
  15. 70/100RP Score

    Ranked #20 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–Fri 8 AM–6 PM · Sat–Sun closed
    Address
    600 1st Ave Ste 601, Seattle, WA 98104
  16. Based in Seattle

    69/100RP Score

    Ranked #21 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–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    3280 California Ave SW Ste B-7 Suite B-7, Seattle, WA 98116
  17. Based in Seattle

    69/100RP Score

    Ranked #22 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–6 PM · Sat–Sun closed
    Address
    5608 17th Ave NW Ste 1903, Seattle, WA 98107
  18. 69/100RP Score

    Ranked #23 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 closed · Tue–Fri 9 AM–2 PM · Sat–Sun closed
    Address
    108 S Jackson St #301, Seattle, WA 98104

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

couples therapists in Seattle, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Radiant Health Center695.0★ (5)In Seattle
27Adam Myers694.5★ (8)In Seattle
28Kendall Matthews Therapy695.0★ (7)In Seattle
29Allyson Henry MA, LMFT683.7★ (6)In Seattle
30Angela Grace684.2★ (5)In Seattle
31Meaningful Journey Counseling685.0★ (3)In Seattle
32Center For Couples & Family674.6★ (13)10 mi
33Seattle Institute for Sex Therapy, Education & Research675.0★ (3)In Seattle
34MindSpot: Anxiety, Trauma, & Couple's Therapy665.0★ (5)In Seattle
35This LoveWorks663.4★ (5)7 mi
36Anuluna Therapy665.0★ (5)6 mi
37Common Sense Nutrition665.0★ (24)7 mi
38Pacific Behavioral Healthcare, PC (Couples Counseling and Sex Therapy)654.8★ (28)8 mi
39Adam Piddington Psychotherapy PLLC645.0★ (5)In Seattle
40A Purpose Driven Marriage645.0★ (45)11 mi
41Family Pathways Counseling Services635.0★ (7)15 mi
42Seattle Christian Counseling634.6★ (30)In Seattle
43Steffen Counseling Services635.0★ (13)In Seattle
44Shane Elsdon LMHC634.6★ (10)7 mi
45Thriveworks Counseling & Psychiatry Seattle634.1★ (58)In Seattle
46Sarah Kuhle Counseling, PLLC635.0★ (5)8 mi
47Self Space (Downtown)634.9★ (68)In Seattle
48Spark Relational Counseling- Individual and Marriage Counseling in OR, WA and IL625.0★ (3)7 mi
49Counseling Services for Wellbeing624.9★ (53)In Seattle
50Northwest Biblical Counseling Center625.0★ (3)14 mi

Also serving Seattle

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 Seattle
BusinessGoogle ratingDistance
Counseling West Seattle3.5★ (17)In Seattle
Five Oaks Counseling and Coaching5.0★ (18)In Seattle
Joseph Losi Therapist4.4★ (25)In Seattle
Joshua Neal, LMHC Capitol Hill Therapy5.0★ (4)In Seattle
Ludmilia Vitovitz, Counselor5.0★ (5)In Seattle
MEND Seattle3.6★ (12)In Seattle
Mindful Therapy Group - Seattle - Elliott Bay4.2★ (226)In Seattle
Mindful Therapy Group - Seattle - Northgate4.0★ (178)In Seattle
Mindful Therapy Group - Seattle - Southcenter4.0★ (292)In Seattle
Olive Branch Therapy Services4.5★ (17)In Seattle
Puget Sound Psychotherapy & Psychiatry (PSP)4.3★ (23)In Seattle
Robyn E. Bennetts, ARNP4.2★ (5)In Seattle
Sandra Nunez Therapy5.0★ (4)In Seattle
Sarah Swenson, MA, LMHC4.3★ (6)In Seattle
Seattle Counseling and Wellness3.8★ (13)In Seattle
Seattle Family Therapy PLLC5.0★ (22)In Seattle
Seattle Grief Counseling5.0★ (9)In Seattle
Soul Psychology, PLLC5.0★ (15)In Seattle
South Lake Union Therapy, Julie Wilson MA LMHC5.0★ (16)In Seattle
The Seattle Clinic3.7★ (6)In Seattle

How we ranked Seattle couples therapists

We scored 216 Seattle 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 Seattle 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 Seattle: frequently asked questions

Who is the best couples therapist in Seattle?

By RP Score, the highest-ranked couples therapist in Seattle, WA is Family Thresholds, LLC with an RP Score of 78/100. It has 5.0★ from 58 Google reviews. It is open Saturdays until 12 AM. Kairos Couples (#2) and Gina Guddat Counseling (#3) follow. We ranked 216 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Seattle?

RankedPsychologists ranks 216 couples therapists serving Seattle, WA. 37 of them are based in Seattle; 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 Seattle work on weekends?

52 of 216 ranked couples therapists post Saturday hours and 24 post Sunday hours. The highest-ranked open Saturdays are Family Thresholds, LLC (#1), Kairos Couples (#2) and Anchor Light Couples Therapy (#4). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Seattle couples therapists have?

The median Google rating among 216 rated couples therapists in Seattle is 4.9★, with a median of 8 reviews. Kairos Couples has the most, 160 reviews, and ranks #2. 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 Seattle count in this ranking?

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

  1. November 2026: RP Scores recalculated for 216 couples therapists serving Seattle.
  2. November 2026: 1 duplicate listing merged.