66/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 3.7★ from 3 Google reviews.
Best Family Therapists in Union, MO (2026)
6 family therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Union: Saint Louis Counseling, RP Score 66/100; 3.7★ from 3 Google reviews.
- 2
Most-reviewed: LifeStance Therapists & Psychiatrists Washington, 160 Google reviews at 4.5★, the most of 6 ranked; ranked #2.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
6 Union family therapists are ranked here by RP Score, from eight published factors. The median Google rating is 4.8★ across 6 rated practices.
Top 6 family therapists in Union 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 | Best for |
|---|---|---|---|---|---|
| 1 | Saint Louis Counseling | 66 | 3.7★ (3) | Union | Overall |
| 2 | LifeStance Therapists & Psychiatrists Washington | 54 | 4.5★ (160) | Washington, 7 mi away | Most reviews |
| 3 | Jennifer McMahan, Psychiatric Nurse Practitioner | 49 | 3.7★ (38) | Washington, 7 mi away | — |
| 4 | Melissa Carmean, Counselor | 49 | 5.0★ (6) | Washington, 7 mi away | — |
| 5 | Ms. Ashley Wisdom, Counselor | 49 | 5.0★ (6) | Washington, 7 mi away | — |
| 6 | William McKenzie, Counselor | 49 | 5.0★ (6) | Washington, 7 mi away | — |
The 6 best family therapists in Union, 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.
Based in Washington, 7 mi away
54/100RP ScoreRanked #2 because of its Google rating and specialty focus: 4.5★ from 160 Google reviews, listed on Google as “Psychotherapist”.
Based in Washington, 7 mi away
49/100RP ScoreRanked #3 because of its Google rating and specialty focus: 3.7★ from 38 Google reviews, listed on Google as “Psychotherapist”.
Based in Washington, 7 mi away
49/100RP ScoreRanked #4 because of its Google rating and specialty focus: 5.0★ from 6 Google reviews, listed on Google as “Psychotherapist”.
Based in Washington, 7 mi away
49/100RP ScoreRanked #5 because of its Google rating and specialty focus: 5.0★ from 6 Google reviews, listed on Google as “Psychotherapist”.
Based in Washington, 7 mi away
49/100RP ScoreRanked #6 because of its Google rating and specialty focus: 5.0★ from 6 Google reviews, listed on Google as “Psychotherapist”.
How we ranked Union family therapists
We scored 6 Union 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 Union 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 Union: frequently asked questions
Who is the best family therapist in Union?
By RP Score, the highest-ranked family therapist in Union, MO is Saint Louis Counseling with an RP Score of 66/100. It has 3.7★ from 3 Google reviews. LifeStance Therapists & Psychiatrists Washington (#2) and Jennifer McMahan, Psychiatric Nurse Practitioner (#3) follow. We ranked 6 family therapists on eight factors, last updated November 9, 2026.
How many family therapists are there in Union?
RankedPsychologists ranks 6 family therapists serving Union, MO. 1 of them is based in Union; the rest serve it from nearby towns. 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.
What Google rating do Union family therapists have?
The median Google rating among 6 rated family therapists in Union is 4.8★, with a median of 6 reviews. LifeStance Therapists & Psychiatrists Washington 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 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 Union count in this ranking?
Yes, if they are within 20 mi of the Union 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 Union 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 Union
- November 2026: RP Scores recalculated for 6 family therapists serving Union.
More family therapists and Union pages
Family therapists near Union
- Family therapists in Washington, MO8 ranked
- Family therapists in Wildwood, MO130 ranked
- Family therapists in Eureka, MO110 ranked
- Family therapists in Wentzville, MO55 ranked
- Family therapists in Dardenne Prairie, MO83 ranked
- Family therapists in Lake Saint Louis, MO69 ranked
- Family therapists in Ballwin, MO133 ranked
- Family therapists in Chesterfield, MO133 ranked
- Family therapists in Manchester, MO129 ranked
- Family therapists in O'Fallon, MO83 ranked
Other specialties in Union
- Psychologists in Union6 ranked
- Therapists and counselors in Union19 ranked
- Couples therapists in Union8 ranked
- Eating disorder therapists in Union8 ranked
- Psychiatrists in Union150 ranked
- Clinical social workers in Union53 ranked
- Addiction counselors in Union46 ranked
- ABA therapy providers in Union27 ranked
- All psychologists in Union