Counseling Service for Couples
Counseling Service for Couples
Couples Therapy in San Antonio, TX
Relationships can be rewarding, but they can also be hard. Maybe you and your partner feel like you’re having the same arguments over and over, drifting apart, or struggling to understand each other. You might feel lonely in your relationship, hurt by something that happened, or unsure what to do next.
At Aligned Mind Counseling in San Antonio, TX, we offer couples counseling that gives both partners a safe place to talk, listen, and work through challenges together. Our warm, licensed therapists help couples slow down, really hear each other, and find practical ways to repair and strengthen their relationship.
Lack of emotional safety
Frequent conflicts
Loss of intimacy
Emotional tension
Feeling emotionally unsafe
Loss of trust
What Is Couples Counseling?
Couples counseling is a space where you and your partner can talk openly about what’s going on in your relationship with the support of a neutral, caring professional.
It’s not about taking sides or deciding who’s “right” or “wrong.” Instead, it’s about understanding each other’s needs and feelings, learning new ways to communicate, working through conflicts more calmly, and rebuilding trust and connection.
Many couples come to counseling not because their relationship is “failing,” but because they want help getting unstuck and moving forward in a healthier way.
What Is Couples Counseling?
Anxiety is more than just feeling nervous before a big event. It’s a persistent state of worry, fear, or tension that can affect your mind, body, and everyday functioning. Many people describe anxiety as a constant “buzz” in the background, a sense that something bad is about to happen, or a feeling of never being able to fully relax.
Anxiety can develop for many reasons. It may be triggered by stress, trauma, health issues, life changes, or ongoing pressure at work, school, or home. Sometimes it’s related to brain chemistry or family history. Whatever the cause, anxiety is real, common, and treatable. It is not a personal failure or something you just have to “push through.”
At Aligned Mind Counseling, we help kids, teens, and adults in San Antonio understand what’s happening beneath the surface of their anxiety and work toward meaningful, long-term relief.
Reasons Couples Seek Counseling
Every relationship is different, but many couples come in for similar reasons. You and your partner may benefit from couples counseling if you’re dealing with:
Frequent arguments or tension that never seems fully resolved
Feeling disconnected, distant, or “like roommates”
Trouble communicating without things turning into a fight
Jealousy or insecurity
Dealing with trust issues
Recovering from a breach of trust (such as lying, emotional or
physical affairs, or secrets)
Changes after big life events (having kids, job changes,
moves, illness, loss)
Differences in parenting styles, money habits, or future goals
Struggles with intimacy, affection, or feeling close
Wondering whether to stay together or separate
Physical symptoms such as rapid heartbeat, shortness of breath, sweating, shaking, nausea, or dizziness
You don’t have to wait until things feel like they’re falling apart. Counseling can also be a proactive step to protect and strengthen your relationship.
How Couples Counseling Can Help
Couples counseling can bring real benefits, such as:
Better
Communication
Helps both partners share feelings more clearly and listen without interrupting or shutting down. Builds healthier conversations instead of repeating the same arguments.
Stronger Emotional Connection
Supports you in feeling closer, more understood, and more supported by each other. Encourages small moments of affection, appreciation, and warmth in everyday life.
Healthier Conflict
Resolution
Teaches you how to handle disagreements without yelling, stonewalling, or giving up—focusing on staying calm, finding compromise, and restoring respect after tough moments.
Rebuilding Trust
After Hurt
Provides a safe place to talk about broken trust, secrets, or betrayals. Helps you understand what happened, repair emotional wounds, and decide how to move forward together.
Improved Teamwork
in Daily Life
Helps you work as a team around parenting, finances, chores, and big decisions. Reduces resentment by creating clearer expectations and shared responsibilities.
More Clarity About
the Relationship
Supports you in figuring out what you both want for the future. Whether you choose to stay together or separate, counseling helps you make decisions with more honesty and care.
Our Approach to Couples Counseling
We keep couples counseling straightforward, down-to-earth, and focused on real life, creating a personalized treatment plan for your relationship. Our goal is to help you feel safe enough to be honest, while also making room for hope, respect, and small changes that add up over time. Our approach often includes:
1
Creating a Safe Space for Both Partners
2
Improving Communication
3
Understanding the Patterns
4
Working as a Team
5
Practical Tools You Can Use at Home
6
Our Goal
Creating a Safe Space for Both Partners
We make sure each person feels heard and respected. You both get time to share your side without interruptions, name-calling, or blame.
Improving Communication
We help you shift from arguing and defending to listening and understanding. This often includes simple tools for speaking more clearly and listening more fully.
Understanding the Patterns
Instead of only looking at the last fight, we help you see the bigger patterns underneath — the fears, needs, and triggers that keep showing up.
Working as a Team
We focus on “us versus the problem,” not “me versus you.” Couples learn to approach challenges together, rather than fighting each other.
Practical Tools You Can Use at Home
You’ll learn simple tools for handling conflict, staying calmer in tough moments, and reconnecting even on busy days.
Creating a Safe Space for Both Partners
We make sure each person feels heard and respected. You both get time to share your side without interruptions, name-calling, or blame.
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Exposure-Based Techniques
2
Cognitive Behavioral Therapy (CBT)
3
Solution-Focused and Strengths-Based Counseling
4
Emotion Regulation and Coping Skills
5
Mindfulness and Relaxation Skills
6
Our Goal
Exposure-Based Techniques (When Appropriate)
Gently and gradually helps you face feared situations in a safe, controlled way so they feel less overwhelming over time.
Cognitive Behavioral Therapy (CBT)
Helps you identify and shift unhelpful thoughts and beliefs that fuel anxiety, and develop healthier patterns of thinking and behavior.
Solution-Focused and Strengths-Based Counseling
Focuses on what’s working, builds on your strengths, and supports small, realistic steps toward change.
Emotion Regulation and Coping Skills
Helps you understand your emotions, respond rather than react, and build practical strategies to handle triggers and stress.
Mindfulness and Relaxation Skills
Teaches tools like deep breathing, grounding exercises, and mindfulness to calm your nervous system and manage stress in the moment.
Exposure-Based Techniques (When Appropriate)
Gently and gradually helps you face feared situations in a safe, controlled way so they feel less overwhelming over time.
1
Narrative Therapy
Narrative Therapy
Helps you re-author your depression story by separating yourself from the problem and uncovering your strengths, values, and your preferred narrative.
5
Acceptance and Commitment Therapy (ACT)
Acceptance and Commitment Therapy (ACT)
Supports you in making space for difficult emotions while taking meaningful actions aligned with your values.
3
Mindfulness-Based Therapy
Mindfulness-Based Therapy
Builds awareness and self-compassion to reduce stress and emotional overwhelm.
2
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT)
Helps you identify and challenge negative thought patterns that contribute to depression.
1
Narrative Therapy
Narrative Therapy
Helps you re-author your depression story by separating yourself from the problem and uncovering your strengths, values, and your preferred narrative.
4
Solution-Focused Therapy
Solution-Focused Therapy
Encourages small, achievable steps toward positive change.
Couples Counseling for All Stages of a Relationship
We support couples at many different stages, including:
Dating couples wanting to build a strong foundation
Engaged couples preparing for marriage
Married couples facing stress, conflict, or feeling disconnected
Parents adjusting to life with kids and changing roles
Long-term partners navigating life transitions or caring for aging family members
Whether you’ve been together for six months or twenty years, it’s never too early or too late to ask for help.
In-Person and Online Sessions Available
To make counseling more accessible and convenient, we offer:
In-Person Sessions:
Meet together with your therapist at our warm, calm office in San Antonio, TX.
Online Sessions:
Join from your home or separate locations anywhere in Texas. Online sessions can be especially helpful for couples with busy schedules, kids at home, or long commutes.
You and your partner can decide what format feels most comfortable and realistic for your lives.
Insurance and Discount Program
We accept most major insurance plans and also offer a discount program for those paying out of pocket. Our team will help you understand your benefits and find the most affordable way to get the care you need. We accept Blue Cross Blue Shield, Cigna, Aetna, United Healthcare, Superbill, and Optum:
Why Choose Aligned Mind Counseling?
When you search “couples counseling in San Antonio” or “marriage counseling near me,” you want more than just advice — you want a place where both of you feel safe and respected. At Aligned Mind Counseling, we offer:
Accessible, Affordable Support
Insurance accepted, sliding scale options, and discount program
Therapy Made for You
Personalized treatment plans based on your unique relationship
Experienced, Caring Professionals
Licensed therapists experienced in working with couples
Flexible Sessions
In-person, online, and phone session options for flexibility
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All Stages Support
Therapy for all stages of a relationship
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Your San Antonio Therapy Home
Services based in San Antonio, TX, with online support across Texas
What Clients Say
Local couples Therapists
Serving San Antonio and Nearby Areas
Aligned Mind Counseling proudly offers couples counseling to partners and families across San Antonio, TX and surrounding communities, including but not limited to Alamo Heights, Stone Oak, Helotes, Leon Valley, and nearby areas. Through online sessions, we also support couples throughout the state of Texas.
San Antonio
Downtown
Alamo Heights
Terrell Hills
Shavano Park
Hollywood Park
Castle Hills
Selma
Live Oak
Schertz
Universal City
Converse
Kirby
Windcrest
Stone Oak
Timberwood Park
Cross Mountain
Grey Forest
Helotes
Leon Valley
Balcones Heights
Fair Oaks Ranch
Highlands
Harlandale
South San Antonio
Inner West Side
United Southwest
Meadow Village
Adams Hill
Rainbow Hills
Big Country
Solana Ridge
Pearsall
South Side
Mission Del Lago
Bookside
South Central
Lower Southeast Side
Pecan Valley
Lakeside
Losoya
Von Ormy
Macdona
Mission San Jose
Brooks City Base
East Side
Woodbridge At Montr Viejo
San Antonio
Downtown
Alamo Heights
Terrell Hills
Shavano Park
Hollywood Park
Castle Hills
Selma
Live Oak
Schertz
Universal City
Converse
Kirby
Windcrest
Stone Oak
Timberwood Park
Cross Mountain
Grey Forest
Helotes
Leon Valley
Balcones Heights
Fair Oaks Ranch
Highlands
Harlandale
South San Antonio
Inner West Side
United Southwest
Meadow Village
Adams Hill
Rainbow Hills
Big Country
Solana Ridge
Pearsall
South Side
Mission Del Lago
Bookside
South Central
East Side
Lower Southeast Side
Pecan Valley
Lakeside
Losoya
Von Ormy
Macdona
Mission San Jose
Brooks City Base
Woodbridge At Montr Viejo
FAQ
No. Our role is to support the relationship and help both of you feel heard. We don’t “pick a winner” in arguments. Instead, we focus on understanding, respect, and change that benefits both partners.
Not at all. Many couples come in early to work on communication or reconnect before things feel unmanageable. Counseling can be both preventative and healing.
This is very common. Sometimes one partner is more ready than the other. You can share that counseling is a space to talk and be heard, not a place for blame. A free consultation can also help answer questions and ease concerns.
It varies. Some couples come for a few months to work on a specific issue. Others choose longer-term support. Your therapist will talk with you about your goals and check in as you go.
Most of the work happens with both of you present, but your therapist may occasionally suggest individual check-ins if helpful. The goal is to keep things open and transparent while also respecting sensitive topics.
Yes. Rebuilding trust takes time and effort, but many couples do it successfully with support. Counseling can help you understand what happened, decide what you both want, and take steps toward healing — or, if needed, toward a respectful separation.
Yes. What you share in counseling is kept private, with a few legal and safety-related exceptions your therapist will explain. We also talk openly about how information is handled when one partner shares something individually, so both of you understand and feel comfortable with the boundaries around confidentiality.
You can begin by scheduling a free consultation. You’ll briefly share what’s going on, ask questions, and learn how couples counseling at Aligned Mind Counseling can help.
Contact Us
Contact us to schedule a free consultation, ask questions, or learn how our caring therapists can support your journey.
