Couples Therapy

Hello and welcome to my website! I am so glad you found me, and if you are reading this you are probably seeking help. 

I have over 20 years experience as a  Marriage and Family Therapist, and Couples psychotherapist.  

At this time, I am only offering telehealth visits. 

My training and education includes learning and applying methods from Gottman to Sue Johnson to Terry Real's Relational Life Therapy.

Every couple have unique needs, and I apply what will work best for that couple. My approach is relational in nature. I work with each individual to help heal childhood wounds, which most of us carry into adulthood. These wounds are what stands between healthy relating and the endless loop of repeated and failed attempts at repairing the dysfunctional patterns that wreak havoc in any relationship. 

I am very approachable, down to earth, and intuitive, and I am flexible enough to know that if one method isn't working, there are other ways to deal with issues. 

Whether you are in a newer relationship, or have been with your partner for many, many years, taking the first step to get help can be scary. If you've had past failures with couples therapy, it is understandable you may be hesitant to seek help again. Taking the first step and make the call to start therapy can be intimidating. I assure you won't be sorry doing can reach me at 210-542-6162. 

Anne Manske, LPC - Alma

Contact Me




9:00 am-5:00 pm


9:00 am-5:00 pm


9:00 am-5:00 pm


9:00 am-5:00 pm


9:00 am-5:00 pm