73/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 4.6★ from 29 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Best Family Therapists in Spanish Lake, MO (2026)
96 family therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Spanish Lake: First Step DUI Evaluation, RP Score 73/100; 4.6★ from 29 Google reviews; open 7 days a week.
- 5
Most-reviewed: SIHF Healthcare - Granite City, 1,683 Google reviews at 4.7★, the most of 96 ranked; ranked #5.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
96 Spanish Lake family therapists are ranked here by RP Score, from eight published factors. 31 open Saturdays and 15 open Sundays, based on posted hours. The median Google rating is 4.6★ across 96 rated practices.
Top 10 family therapists in Spanish Lake 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.
| Rank | Business | RP Score | Google rating | Based in | Hours | Best for |
|---|---|---|---|---|---|---|
| 1 | First Step DUI Evaluation | 73 | 4.6★ (29) | Alton, 7 mi away | Sat · Sun · Evenings | Overall |
| 2 | Southern IL Institute of Behavioral Health, PC | 64 | 3.6★ (21) | Glen Carbon, 14 mi away | Sat · Sun · Evenings | — |
| 3 | Carol Love, Counseling and Coparenting, LLC | 63 | 2.3★ (3) | St. Louis, 13 mi away | — | — |
| 4 | Personal Potentials Inc | 57 | 5.0★ (3) | St. Louis, 19 mi away | Sat · Evenings | — |
| 5 | SIHF Healthcare - Granite City | 56 | 4.7★ (1,683) | Granite City, 7 mi away | — | Most reviews |
| 6 | Thriveworks Counseling & Therapy St. Louis | 55 | 4.6★ (50) | St. Louis, 11 mi away | Sat · Sun · Evenings | — |
| 7 | Greenway Therapy | 55 | 4.9★ (54) | Clayton, 12 mi away | Sat · Sun | — |
| 8 | Healing Spaces Psychological Services LLC | 55 | 4.9★ (33) | Clayton, 12 mi away | Sat · Sun · Evenings | — |
| 9 | Thriveworks Counseling & Therapy St Louis | 54 | 4.7★ (66) | St. Louis, 13 mi away | Sat · Sun · Evenings | — |
| 10 | Penalba Valentina PHD. St. Louis Couple and Family Therapy LLC | 54 | 5.0★ (8) | St. Louis, 12 mi away | Sat · Evenings | — |
The 96 best family therapists in Spanish Lake, 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.
Based in Glen Carbon, 14 mi away
64/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 3.6★ from 21 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 13 mi away
63/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 2.3★ from 3 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in St. Louis, 19 mi away
57/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 5.0★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Granite City, 7 mi away
56/100RP ScoreRanked #5 because of its Google rating and specialty focus: 4.7★ from 1,683 Google reviews, listed on Google as “Medical Center”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 11 mi away
55/100RP ScoreRanked #6 because of its Google rating and specialty focus: 4.6★ from 50 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Clayton, 12 mi away
55/100RP ScoreRanked #7 because of its Google rating and specialty focus: 4.9★ from 54 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in Clayton, 12 mi away
55/100RP ScoreRanked #8 because of its Google rating and specialty focus: 4.9★ from 33 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 13 mi away
54/100RP ScoreRanked #9 because of its Google rating and specialty focus: 4.7★ from 66 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 12 mi away
54/100RP ScoreRanked #10 because of its Google rating and specialty focus: 5.0★ from 8 Google reviews, listed on Google as “Marriage or relationship counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 12 mi away
52/100RP ScoreRanked #11 because of its Google rating and specialty focus: 4.0★ from 4 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 13 mi away
52/100RP ScoreRanked #12 because of its Google rating and specialty focus: 4.9★ from 9 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 11 mi away
52/100RP ScoreRanked #13 because of its Google rating and specialty focus: 5.0★ from 8 Google reviews, listed on Google as “Mental health service”.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in St. Louis, 12 mi away
52/100RP ScoreRanked #14 because of its Google rating and specialty focus: 3.3★ from 3 Google reviews, listed on Google as “Marriage or relationship counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Creve Coeur, 15 mi away
52/100RP ScoreRanked #15 because of its Google rating and specialty focus: 5.0★ from 19 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Edwardsville, 12 mi away
52/100RP ScoreRanked #16 because of its Google rating and specialty focus: 3.5★ from 29 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 10 mi away
51/100RP ScoreRanked #17 because of its Google rating and specialty focus: 3.5★ from 11 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in Kirkwood, 17 mi away
51/100RP ScoreRanked #18 because of its Google rating and specialty focus: 4.7★ from 49 Google reviews, listed on Google as “Mental health clinic”.
Based on 7 of 8 factors; recency not yet collected.
Based in Granite City, 7 mi away
50/100RP ScoreRanked #19 because of its Google rating and specialty focus: 2.2★ from 92 Google reviews, listed on Google as “Medical clinic”.
Based on 7 of 8 factors; recency not yet collected.
#20 Build Parenting
Based in University City, 15 mi away
50/100RP ScoreRanked #20 because of its Google rating and specialty focus: 5.0★ from 6 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Clayton, 12 mi away
50/100RP ScoreRanked #21 because of its Google rating and specialty focus: 4.4★ from 7 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 13 mi away
50/100RP ScoreRanked #22 because of its Google rating and specialty focus: 4.2★ from 24 Google reviews, listed on Google as “Counselor”.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Clayton, 13 mi away
50/100RP ScoreRanked #23 because of its Google rating and specialty focus: 4.4★ from 7 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 15 mi away
49/100RP ScoreRanked #24 because of its Google rating and specialty focus: 4.6★ from 68 Google reviews, listed on Google as “Counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Clayton, 13 mi away
49/100RP ScoreRanked #25 because of its Google rating and specialty focus: 5.0★ from 3 Google reviews, listed on Google as “Mental health clinic”.
Based on 7 of 8 factors; recency not yet collected.
Family 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 96 ranked family therapists here; the rest are on their profiles.
Also serving Spanish Lake
20 more family therapists within 20 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.
| Business | Google rating | Distance |
|---|---|---|
| Atlas Counseling Group, LLC | 5.0★ (2) | 14 mi |
| Baetz-Davis Cherie PHD, LLC | 4.0★ (2) | 15 mi |
| Clayton Family Therapy | 3.0★ (2) | 12 mi |
| Counseling-Hypnotherapy.com, HypnosisStLouis.com | 5.0★ (2) | 16 mi |
| Elisa Jellen Counseling | 5.0★ (2) | 19 mi |
| Gateway Biblical Counseling & Training Center | 5.0★ (2) | 19 mi |
| Leah Dents, Counselor | 5.0★ (2) | 13 mi |
| Mc Manus Alynn S | 5.0★ (2) | 15 mi |
| Nick Platipodis, Counselor | 5.0★ (2) | 18 mi |
| Raznick Heather K | 5.0★ (2) | 12 mi |
| Ruth Dorhauer, Counselor | 5.0★ (2) | 13 mi |
| Saint Louis Family Counseling | 5.0★ (2) | 18 mi |
| Shannon Washington, Counselor | 5.0★ (2) | 19 mi |
| Shauna Aningo, NCC, LPC | 5.0★ (2) | 6 mi |
| St. Louis Counselor | 5.0★ (2) | 17 mi |
| Stoney Withers, Counselor | 5.0★ (2) | 13 mi |
| Tamara Blum, MSW, LCSW | 3.0★ (2) | 12 mi |
| The Center for Hope and Healing Counseling | 5.0★ (2) | 15 mi |
| The Clements Counseling Group | 3.0★ (2) | 16 mi |
| Thriveworks Counseling & Therapy St Charles | 5.0★ (2) | 15 mi |
How we ranked Spanish Lake family therapists
We scored 96 Spanish Lake family 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.
| Factor | Weight | Computed from | In Spanish Lake data |
|---|---|---|---|
| Reputation | 25% | Google star rating, adjusted for how many reviews back it | Measured |
| Review volume | 5% | Number of Google reviews, compared with the most-reviewed practice on the list | Measured |
| Recency | 5% | Share of Google reviews from the last 12 months | Not yet collected |
| Availability | 10% | Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availability | Measured |
| Specialty focus | 25% | How clearly the practice does this specialty (its Google category and name) | Measured |
| Proximity | 15% | Based in the city scores highest, less the farther away it is | Measured |
| Claimed profile | 10% | The practice has claimed its Ranked Psychologists profile (free or paid earn the same) | Measured |
| Partnered | 5% | The practice links to Ranked Psychologists from its own website with our badge, checked periodically | Measured |
How to choose a family therapist
- Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
- Make sure family therapy is a regular part of their work, and ask what approach they use and why.
- Marriage and family therapists (LMFT) are trained to work with families as a whole; psychologists and counselors may also offer family sessions, so ask about their training.
- 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.
- Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
- After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.
Questions to ask a family 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 family therapy?
- Who would you want to attend the first session?
- 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.
Family therapists in Spanish Lake: frequently asked questions
Who is the best family therapist in Spanish Lake?
By RP Score, the highest-ranked family therapist in Spanish Lake, MO is First Step DUI Evaluation with an RP Score of 73/100. It has 4.6★ from 29 Google reviews. It is open 7 days a week. Southern IL Institute of Behavioral Health, PC (#2) and Carol Love, Counseling and Coparenting, LLC (#3) follow. We ranked 96 family therapists on eight factors, last updated November 9, 2026.
How many family therapists are there in Spanish Lake?
RankedPsychologists ranks 96 family therapists serving Spanish Lake, MO. 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 family therapists in Spanish Lake work on weekends?
31 of 96 ranked family therapists post Saturday hours and 15 post Sunday hours. The highest-ranked open Saturdays are First Step DUI Evaluation (#1), Southern IL Institute of Behavioral Health, PC (#2) and Personal Potentials Inc (#4). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Spanish Lake family therapists have?
The median Google rating among 96 rated family therapists in Spanish Lake is 4.6★, with a median of 11 reviews. SIHF Healthcare - Granite City has the most, 1,683 reviews, and ranks #5. We adjust ratings for review count, so a few five-star reviews cannot top the list.
How does RankedPsychologists rank family therapists?
Each family 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 family therapists outside Spanish Lake count in this ranking?
Yes, if they are within 20 mi of the Spanish Lake city center, our service radius for family 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 family 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 family therapists in Spanish Lake ranked?
Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on family therapy and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.
Who attends family therapy?
It depends on the concern. Sessions may include the whole household, a parent and one child, or adult family members. Ask the practice how it decides who comes and whether it also sees people individually.
Can I see a family 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 Spanish Lake
- November 2026: RP Scores recalculated for 96 family therapists serving Spanish Lake.
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Other specialties in Spanish Lake
- Psychologists in Spanish Lake104 ranked
- Therapists and counselors in Spanish Lake292 ranked
- Child and teen therapists in Spanish Lake56 ranked
- Couples therapists in Spanish Lake92 ranked
- Trauma and PTSD therapists in Spanish Lake23 ranked
- Eating disorder therapists in Spanish Lake10 ranked
- Psychiatrists in Spanish Lake180 ranked
- Clinical social workers in Spanish Lake56 ranked
- Addiction counselors in Spanish Lake61 ranked
- ABA therapy providers in Spanish Lake41 ranked
- All psychologists in Spanish Lake