Verified · San Diego
Trusted Therapists & Counselors in San Diego, CA
Trust matters when you're inviting a pro into your home or business. These therapists & counselors in San Diego have earned it through hundreds of verified reviews.
As of July 2026, RatingsNearMe ranks 20 therapists & counselors in San Diego, CA by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Perlman Wellness with a 4.9-star rating from 994 Google reviews and an RNM Score of 98/100. Also in the top tier: The Green Room Psychological Services and Clear Mind Counseling San Diego. The average rating across all listed therapists & counselors in San Diego is 4.9 stars from 85 reviews per business on average.
Therapy in San Diego: $100–$250/session without insurance; $20–$60 copay in-network. Many offer sliding scale.
Rankings updated July 4, 2026 · RNM Score = ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Best Overall
Karen Kerschmann
Karen Kerschmann is consistently highlighted as a top-rated therapist in San Diego due to her extensive experience and specialized focus on individual and couples therapy.
Most Reviewed
San Diego Institute for Couples and Families
A high review count indicates broad client experience and trust, making the practice a reliable choice for couples and family therapy.
When choosing a therapist in San Diego, consider your specific needs (e.g., depression, couples counseling) and check each provider's specialty and availability. Reading recent reviews and scheduling a brief consultation can help ensure a good fit.
Local Market Snapshot
20
Businesses listed
4.9★
Avg rating
85
Avg reviews
Jul 4, 2026
Last updated
Top Rated Therapists & Counselors
Rated 4.9 stars from nearly 1,000 Google reviews in San Diego.
3900 Fifth Ave #340, San Diego, CA 92103, USAAccredited San Diego therapist with a 4.9-star rating from 161 reviews.
5252 Balboa Ave #502, San Diego, CA 92117, USARated 4.9 stars from 92 Google reviews, this San Diego therapist is highly recommended.
3655 Nobel Dr # 400, San Diego, CA 92122, USATherapists & Counselors Rankings in San Diego, CA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Perlman Wellness3900 Fifth Ave #340, San Diego, CA 92103, USA | 4.9★ | 994 |
| #2 | The Green Room Psychological Services5252 Balboa Ave #502, San Diego, CA 92117, USA | 4.9★ | 161 |
| #3 | Clear Mind Counseling San Diego3655 Nobel Dr # 400, San Diego, CA 92122, USA | 4.9★ | 92 |
| #4 | The Heart of the Matter Relationship Counseling2251 San Diego Ave Suite B - 150, San Diego, CA 92110, USA | 4.8★ | 25 |
| #5 | Good Talk Therapy - Lauren Spinelli, LCSWCrown Point Dr Park, San Diego, CA 92109, USA | 5.0★ | 20 |
| #6 | Sarah Lewis, LCSW — Depression & Anxiety Therapist2525 Camino del Rio S Suite 310, San Diego, CA 92108, USA | 4.7★ | 15 |
| #7 | Allison Barton Therapy1455 Frazee Rd Suite 500, San Diego, CA 92108, USA | 5.0★ | 14 |
| #8 | Karen Kerschmann1620 Fifth Ave #800, San Diego, CA 92101, USA | 4.9★ | 13 |
| #9 | San Diego Institute for Couples and Families2831 Camino del Rio S #201, San Diego, CA 92108, USA | 5.0★ | 5 |
| #10 | Thrive Therapy Studio - Therapist & Psychologist San Diego5230 Carroll Canyon Rd #110, San Diego, CA 92121, USA | 5.0★ | 5 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated July 2026
All Therapists & Counselors in San Diego
Offering compassionate therapy with a stellar 4.8-star rating from 25 local reviews.
2251 San Diego Ave Suite B - 150, San Diego, CA 92110, USA
Rated 5.0 stars from over 20 reviews in San Diego.
Crown Point Dr Park, San Diego, CA 92109, USA
4.7 stars from 15 reviews, showing strong client satisfaction for this San Diego therapist.
2525 Camino del Rio S Suite 310, San Diego, CA 92108, USA
Rated 5.0 stars from 14 Google reviews by clients in San Diego.
1455 Frazee Rd Suite 500, San Diego, CA 92108, USA
Rated 4.9 stars from 13 reviews, this San Diego therapist earns exceptional client trust.
1620 Fifth Ave #800, San Diego, CA 92101, USA
Rated 5.0 stars from 5 Google reviews, this San Diego therapist offers exceptional care.
2831 Camino del Rio S #201, San Diego, CA 92108, USA
Rated 5.0 stars from 5 Google reviews, this San Diego therapist earns high client praise.
5230 Carroll Canyon Rd #110, San Diego, CA 92121, USA
5.0★ rating from 3 Google reviews for a San Diego therapist.
2496 E St, San Diego, CA 92102, USA
Rated 5.0 stars from 65 Google reviews, this San Diego therapist is highly praised by clients.
5052 Paramount Dr, San Diego, CA 92123, USA
Rated 4.9 stars from 77 Google reviews, highly trusted by clients.
5465 Morehouse Dr #160, San Diego, CA 92121, USA
Rated 4.9 stars from 43 glowing Google reviews by San Diego clients.
5755 Oberlin Dr #106, San Diego, CA 92121, USA
Exceptional 5.0-star rating from 30 Google reviews in San Diego.
2525 Camino del Rio S Suite #313, San Diego, CA 92108, USA
Rated 5.0 stars from 14 Google reviews for exceptional therapy in San Diego.
4036 Third Ave, San Diego, CA 92103, USA
5.0 stars from 18 Google reviews, reflecting consistently exceptional client feedback.
5920 Friars Rd Ste 208, San Diego, CA 92108, USA
Top-rated San Diego therapist with 4.9 stars from 57 Google reviews.
591 Camino De La Reina Suite 210, San Diego, CA 92108, USA
Rated 5.0 stars from 11 Google reviews, offering exceptional care in San Diego.
5755 Oberlin Dr #108, San Diego, CA 92121, USA
Rated 4.8 stars from 42 Google reviews, this San Diego therapist earns exceptional client trust.
2254 San Diego Ave, San Diego, CA 92110, USA
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Therapists & Counselors in San Diego, CA — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Perlman Wellness | 98/100 | 4.9 ★ | 994 |
| 2 | The Green Room Psychological Services | 96/100 | 4.9 ★ | 161 |
| 3 | Clear Mind Counseling San Diego | 93/100 | 4.9 ★ | 92 |
| 4 | The Heart of the Matter Relationship Counseling | 76/100 | 4.8 ★ | 25 |
| 5 | Good Talk Therapy - Lauren Spinelli, LCSW | 87/100 | 5.0 ★ | 20 |
| 6 | Sarah Lewis, LCSW — Depression & Anxiety Therapist | 72/100 | 4.7 ★ | 15 |
| 7 | Allison Barton Therapy | 76/100 | 5.0 ★ | 14 |
| 8 | Karen Kerschmann | 83/100 | 4.9 ★ | 13 |
| 9 | San Diego Institute for Couples and Families | 80/100 | 5.0 ★ | 5 |
| 10 | Thrive Therapy Studio - Therapist & Psychologist San Diego | 80/100 | 5.0 ★ | 5 |
Ranked by RatingsNearMe Score · ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · July 2026
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Frequently Asked Questions — Therapists & Counselors in San Diego
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in San Diego?
Psychiatrists (MD) can prescribe medication and diagnose. PhD/PsyD Psychologists provide therapy and can do psychological testing. LCSWs (Licensed Clinical Social Workers) focus on life circumstances and behavioral patterns. LPCs (Licensed Professional Counselors) specialize in talk therapy and mental health counseling. All four can provide effective therapy — the right choice depends on your needs and whether medication may be relevant.
How do I find a therapist in San Diego who takes my insurance?
Call your insurance company's member services line or search their online provider directory. When you reach a therapist's office, ask specifically: "Do you accept [insurance name] for in-network benefits?" In-network therapy typically costs $20–$60 per session (copay) instead of $100–$250 out of pocket. Psychology Today's directory at psychologytoday.com lets you filter by insurance.
How much does therapy cost in San Diego without insurance?
Private pay rates typically run $100–$200/session for LPCs and LCSWs, and $150–$300 for psychologists. Many therapists offer sliding-scale fees based on income — it's worth asking directly. Open Path Collective (openpathcollective.org) lists therapists offering $30–$80 sessions for qualifying clients.
How long does it typically take to see results from therapy?
Research shows meaningful improvement in 8–16 sessions for most anxiety and depression cases. CBT (Cognitive Behavioral Therapy) tends to show results fastest. Complex trauma or personality-related concerns may take longer. A good therapist will set measurable goals with you in the first 1–3 sessions and reassess regularly.
How are the therapists & counselors on this page ranked?
Rankings use a transparent algorithm: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Featured Partner listings have paid for enhanced visibility but must still earn their position through real customer reviews — sponsored listings are clearly labeled.
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How Rankings Work on This Page
Every therapists & counselors on RatingsNearMe is scored transparently: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Businesses labeled exclusive or premium are Featured Partners — they have paid for enhanced visibility but must still rank through real customer reviews. We cap sponsored boosts so bad businesses can never buy the top spot.
Editorial notice: Ratings are based on publicly available data from Google Business listings. Consumers should independently verify licensing, insurance, and credentials before hiring any service provider. Last updated: July 4, 2026.
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