Couples Therapy in San Antonio, TX

Rebuild Trust. Deepen Connection. Create a Stronger Future Together.

Relationships require ongoing care and attention, but even the strongest couples can face challenges that feel overwhelming. Whether you’re navigating conflict, recovering from betrayal, or simply struggling to feel heard, couples counseling offers a safe space to address issues, improve communication, and rebuild intimacy.

Couple enjoying walk on marshes
Two people tending indoor plants and talking together.

When Your Relationship Feels Stuck or Strained

It’s not uncommon for couples to get caught in patterns of misunderstanding, resentment, or disconnection. Without the right tools, these issues can grow into bigger divides over time.

You may be dealing with:

Left unaddressed, these challenges can erode the bond that brought you together. But with support, you can rediscover the connection you once had.

Our Approach to Couples Counseling

At Monarch Behavioral Health, we believe strong relationships are built on trust, empathy, and intentional communication. Our couples therapists provide a neutral, supportive environment where both partners feel heard and understood.

Using evidence-based methods—including Emotionally Focused Therapy (EFT), the Gottman Method, and communication skill-building—we help you:

Monarch butterfly flying among blossoms against a blue sky.

What to Expect in Sessions:

Every couple’s journey is unique. Your therapist will tailor the process to your goals, history, and relationship dynamics.

The Benefits of Couples Therapy

With the right guidance, couples counseling can help you:

These changes don’t happen overnight, but many couples begin to see improvement after just a few sessions.

Two people holding hands in a comforting, supportive gesture.

Real Support, Specialized Experience

The therapists below are experienced in this specialty. Compare approaches and book your first session.

Amanda Hood, M.A., LPC-Supervisor

Licensed Professional Counselor Supervisor

Bonnie Valles LMSW

Bonnie Valles, MSW, LMSW, LCDC

Licensed Master Social Worker, Licensed Chemical Dependency Counselor

Dr Joanna McBride-Fleming psychologist in San Antonio at Monarch Behavioral Health

Dr. JoAnna mcBride-Fleming, Psy.D., PLP

Provisionally Licensed Psychologist

Aaron Rodriguez, M.A., LMFT-A

Licensed Marriage and Family Counselor Associate

Hope Risher, M.A., LPC

Licensed Professional Counselor

2-10

Ryan Ybarra, M.A., LPC

Licensed Professional Counselor

Start Rebuilding Your Connection Today

You don’t have to navigate your relationship challenges alone. Couples counseling can help you find common ground, restore intimacy, and move forward together with renewed trust and understanding.

Frequently Asked Questions

It’s common for one partner to feel more ready than the other. Sometimes starting individually can be a first step, and often one partner’s willingness creates momentum for change.

No. Our therapists remain neutral, ensuring both partners feel validated. The focus is on the health of the relationship.

Not at all. Many couples seek counseling proactively—to strengthen communication, prepare for marriage, or navigate life transitions before small issues grow.

No. The goal is to strengthen your relationship. For some couples, that means deepening their bond; for others, it may mean parting ways amicably.

Yes. Premarital sessions help couples build a strong foundation by exploring communication, conflict resolution, finances, family planning, and shared goals.

Every couple is different, but many experience improvement within the first few sessions. Evidence-based methods like EFT and the Gottman Method are designed to create meaningful change early in the process.