San Diego relationship counseling includes local office care and therapists who now see clients online throughout California. The distinctions below help you compare the actual appointment format, rather than assuming every listing has an office you can visit.
1. Love Therapy Center — Yaji Tramontini
- Location
- Online for San Diego and California
- Format
- Virtual individual and couples counseling
- Focus
- Relationship patterns and trauma
Love Therapy Center, founded by Yaji Tramontini, LMFT, provides virtual counseling to California residents. Its relationship work incorporates mindfulness and body-focused approaches alongside psychotherapy. The center lists virtual offices serving San Diego, San Francisco, and San Jose; these are online services rather than three walk-in locations. It is an out-of-network practice and does not bill insurers directly.

2. Mark Spurlock
- Location
- Online throughout California
- Format
- Couples and individual video therapy
- Focus
- Marriage and family relationships
Mark Spurlock, LMFT, previously ran an office practice in San Diego and now sees couples and individuals across California by secure video. His current site directs couples to MarriageAndFamily.com and explains the booking routes for different services. This is an online option for San Diego residents; plan for video appointments rather than relying on an old local office address.
3. Barbara Cunningham
- Location
- Mission Valley, San Diego
- Format
- Individual and couples counseling
- Focus
- Relationship conflict, life transitions, and grief
Barbara Cunningham, PsyD, LMFT, practices on Camino del Rio South in Mission Valley. Her services include relationship counseling for straight and LGBTQ couples, family issues, grief, and life transitions. She also works with concerns about health, aging, and recovery. A free consultation is offered to discuss whether her services fit the problem you want to address.
4. Derek Schwartz
- Location
- San Diego area; California telehealth listing
- Format
- Clinical psychology
- Focus
- Relationship concerns and individual mental health
Derek Schwartz is a clinical psychologist whose provider profile describes an approach combining psychotherapy, biofeedback, and hypnotherapy. The profile lists Rula Health and telehealth care, but currently does not offer direct booking through Zocdoc. Use the current practice contact route to confirm availability and whether he is offering the joint couples service you need, rather than using his old website.
Frequently asked questions
Which of these are office visits and which are online?
Barbara Cunningham lists a Mission Valley office. In contrast, Mark Spurlock now sees California clients by video. Love Therapy Center also describes virtual offices. This distinction changes the practical choice: check the appointment format before arranging transport, and confirm that a video clinician can see both partners from the locations where they will attend.
Can counseling cover grief or health-related stress as well as arguments?
Barbara Cunningham’s service list includes grief, health concerns, aging, and relationship counseling. Those concerns can be part of the reason a couple seeks help, rather than separate from it. Explain whether the main difficulty is communication, caregiving, a loss, or a major transition; ask how the therapist would balance individual distress with the needs of the relationship.
What does out-of-network mean at Love Therapy Center?
Love Therapy Center says clients pay the practice and can request a superbill to seek reimbursement themselves. It does not bill insurance directly. Ask your insurer about the planned couples service, deductible, and eligible reimbursement before assuming a percentage will be covered. A superbill is documentation for a claim, not a promise that the insurer will pay.
How can we compare therapists beyond the price?
AAMFT emphasizes specific, attainable goals in marriage and family therapy. Ask each prospective therapist what you will work on, how they involve both partners, and when you will review progress. For this shortlist, also establish office versus video care and joint versus individual sessions. Those distinctions make a bigger difference than comparing titles or reading a list of general specialties.
