Spanish-speaking couples therapy in Los Angeles.
Pasadena Clinical Group provides Spanish-language couples therapy across the LA region — in person at our Pasadena office and via secure telehealth across California. Our Spanish-speaking clinicians (not interpreters) are licensed in California and trained in the same evidence-based couples therapies we use in English: Gottman Method, EFT, IBCT, Discernment Counseling, and PACT. Sessions in Mexican-American Spanish register; bilingual sessions for mixed-language couples are also welcome.
Why this matters
LA is one of the largest Spanish-speaking cities in the world. About a third of LA County speaks Spanish at home. And yet finding a couples therapy practice with multiple licensed clinicians who genuinely work in Spanish — not "we have a bilingual front desk" or "we can use an interpreter" — is harder than it should be.
Couples therapy specifically depends on subtle language work: tone, emotional nuance, the way a partner's word choice signals what they're actually feeling. Translation introduces lag and loss exactly where the work needs precision. A clinician who works in your first language can hear what's actually being said.
For Latinx couples in particular, Spanish-language therapy lets the work include cultural reality that doesn't translate easily — the role of mi familia, the cultural script around respeto, the pull between individual American framing and collective familismo. None of this disappears when you switch to English; it just goes unnamed.
Who we work with
Our Spanish-speaking practice serves a wide range of couples:
- Mexican-American couples across LA County — first generation, second generation, mixed-status
- Bilingual couples where one partner is more comfortable in Spanish, one in English — sessions in either language or mixed
- Couples from across Latin America — Central American, South American, Caribbean — register adapts to the couple
- Spanish-speaking immigrants navigating the relationship pressures of moving, family separation, status, and re-rooting
- Mixed-Latinx queer couples wanting culturally-informed and LGBTQ-affirmative care
Conditions we treat in Spanish
Every condition we treat in English is treated in Spanish — same clinical protocols, same evidence base, same quality of care. The most common reasons couples come to our Spanish-speaking practice:
- Comunicación rota — la misma pelea, repetida
- Recuperación de una infidelidad — protocolo Gottman Trust Revival en español
- Intimidad y deseos desiguales
- Asesoría prematrimonial — antes de la boda
- Conflictos con suegros y familia extendida — los temas culturales pesan aquí
- Familias ensambladas — los hijastros, los ex, las cargas culturales
- Peleas sobre el dinero — significados, no solo presupuestos
Languages we serve beyond Spanish
The practice provides care in eight languages: English, Spanish, Mandarin, Vietnamese, Hindi, Italian, Arabic, and Armenian. Each language has at least one licensed clinician on the team — confirm specific availability when you call. The breadth reflects the LA reality: couples in this city often bring multiple cultural and linguistic threads into the relationship, and good couples therapy honors that rather than smoothing it over.
How sessions work
Sessions are 50 minutes, weekly or every other week. We use Spanish-language versions of the same assessment tools (Gottman Connect supports Spanish), Spanish-language psychoeducational handouts, and Spanish-language between-session exercises. The treatment plan is delivered in Spanish (or in your preferred language if you're a bilingual couple working in either).
Most sessions are via telehealth — you join from home with secure video — though our Pasadena office is open for in-person sessions if you prefer. The practical reality of weekly couples sessions in LA traffic means most of our work happens by video.
Insurance, costs, and access
We accept Anthem Blue Cross, Blue Shield of California, Aetna, Cigna, L.A. Care, Magellan, MHN, and other major plans. Our insurance page has the full list. Self-pay rates and a small number of sliding-scale slots are also detailed there. We work with couples who have HMO, PPO, EPO, and Medi-Cal plans — call to confirm your specific coverage.
Si el costo es una barrera, lo decimos honestamente y los referimos a clínicas comunitarias o programas de pre-licencia en quienes confiamos. Que la terapia sea en español no debe significar que sea inaccesible.
How to start
Call (626) 354-6440 and ask to schedule with a Spanish-speaking clinician — pueden hablar en español con la persona que contesta el teléfono. Or fill out the contact form in either English or Spanish; mention your language preference and we'll match you to a Spanish-speaking clinician.
The first session is a fit conversation, no pressure, no commitment. If we're not the right clinic for you — for any reason — we'll refer you to colleagues across LA who do this work well.
Reservar primera sesión en español →
More in Spanish
El sitio completo está disponible en español: Pasadena Clinical Group · Terapia de pareja en Los Ángeles — incluyendo nuestro enfoque, por qué solo parejas, las 10 áreas de trabajo más comunes, las 5 modalidades terapéuticas que usamos, y nuestra sección de 60 preguntas frecuentes traducida.