Couples Counseling in San Antonio
Relationships can be one of life’s greatest joys—and one of its greatest challenges. Couples counseling helps partners improve communication, rebuild trust, strengthen emotional connection, and navigate life’s stresses together.
Is Couples Counseling Right for Us?
Couples counseling may help if you are experiencing:
- Frequent arguments or unresolved conflict
- Communication difficulties
- Emotional distance or disconnection
- Trust concerns or infidelity
- Stress from work, parenting, or finances
- Challenges in blended families
- Intimacy concerns
- Major life transitions
- Premarital concerns or relationship uncertainty
How Counseling Works

Initial Assessment
You’ll meet with your counselor to discuss your relationship, concerns, and goals. We want to understand your story and what you hope will change.

Create a Plan Together
Your counselor will help identify patterns that keep you stuck and develop concrete goals for improving communication, connection, and problem-solving.

Strengthen Your Relationship
Together, you’ll learn practical skills and healthier ways to navigate challenges. Our goal isn’t simply to resolve today’s problems but to help you build a stronger relationship for the future.
Frequently Asked Questions
Do we have to be married?
No. Couples counseling is for married, engaged, dating, or long-term partners.
How often do couples come?
Most couples start with weekly 50-minute sessions. We often recommend planning for about 6–12 sessions initially, though some couples benefit from additional support.
Does insurance cover couples counseling?
Coverage depends on your insurance plan and the focus of treatment. Our team can review your benefits and discuss available options before your first appointment.
What if my partner is hesitant?
That’s very common. Sometimes one partner is ready before the other. In some situations, starting counseling individually can help get the process moving and provide clarity before transitioning to couples work.
Will counseling save our relationship?
Counseling can’t guarantee a specific outcome. What it can do is help couples communicate more effectively, better understand one another, and make thoughtful decisions about their future together.
How will we know if counseling is working?
You may notice fewer arguments, better communication, increased understanding, improved connection, and a greater ability to handle challenges as a team.
Ready to Get Started?
Pricing, Insurance, Scheduling, and More!
How We Get Things Done
CBT/DBT
CBT (cognitive behavioral therapy) and DBT (dialectical behavior therapy) are two forms of psychotherapy
It is structured, goal-oriented, and focused on the present
Starting with education, skill-building, and attention to emotional and social patterns, CBT and DBT help people manage intense emotions and unhelpful behaviors
Effective for anxiety, self-esteem, and depression
Narrative Therapy
Helps separate a person from their problem
Encourages people to rely on their own strengths and skills
Personal experiences are explored as stories that shape identity and meaning
Helps individuals step into the role of the narrator in their own life
Solution Focused
A short-term, goal-oriented, evidence-based approach
Incorporates positive psychology principles and practical strategies
Focuses on identifying what is already working
Helps clients move forward by building solutions instead of staying stuck in problems
Meditation and Arts
A multimodal approach that may include writing, movement, music, or creative expression
Incorporates mindfulness and meditation to support emotional awareness and regulation
Encourages exploration of thoughts, reactions, and insights through creative processes
No artistic experience needed, just a willingness to engage
ADHD Testing and Assessments
Evaluates functioning across focus, effort, memory, emotion, activation, and regulation
Uses the Brown Executive Functioning Scale along with a comprehensive clinical and behavioral assessment
Completed over two sessions, totaling approximately three hours
Includes a detailed review of history, symptoms, and results
Provides a clear plan that may include behavioral strategies, coaching, or medication referrals
This is your invitation
Whether you are a first-generation professional carrying the weight of expectation, a parent trying to show up fully for your family, a couple fighting to find your way back to each other, or simply someone who has finally decided that you deserve the same care you give everyone else — you belong here.
Free Consultation
Call 210-523-4200 for New Client Consultation
Send Us a Note
admin[at]neelycounseling.com
