Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
or
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST (he, him)

Verified by Psychology Today Verified by Psychology Today
6 Endorsed
Atherton, CA 94027
Let's Connect (916) 469-0790
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Currently accepting new clients! If you're feeling disconnected,from your partner, your sexuality, or even yourself, you're not alone. So many people I work with come to therapy feeling stuck in patterns they can't quite name, carrying quiet shame or frustration around intimacy, communication, or desire. I truly get it. I'm here to help you reconnect. Whether you're navigating sexual concerns, relationship struggles, or simply want to build deeper, more authentic connections, I offer a safe, non-judgmental space where all parts of you are welcome. Nothing is too complicated, too personal, or too "much" to explore here.
This isn't surface-level work. I specialize in helping individuals and couples who are ready to go deeper,to understand their stories, heal what's been hurt, and create relationships (with themselves and others) that feel nourishing and alive. My approach blends evidence-based techniques with depth psychology, somatic awareness, and human connection
Together, we'll create a space where you feel safe, truly understood, and free to be curious about yourself. My hope is to help you reconnect with your own inner wisdom, discover what you're truly capable of, and build a life that feels authentically yours. Specialized therapy for intimacy, sexuality & authentic connection
Call or Dr. Adrian Scharfetter now for a free 15 minute consultation - (916) 469-0790

My Practice at a Glance

Available online only

Atherton, CA 94027

(916) 469-0790

Sacramento, CA 95819

My website
I see clients via telehealth statewide. Offering individual, couples & intensive sessions with flexible weekday and evening hours.
I specialize in Sex Therapy, Sexual Addiction and Relationship Issues 
$220 Per Session  
I see individuals and couples  
Let's Connect (916) 469-0790
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST

My Practice at a Glance

Available online only

Atherton, CA 94027

(916) 469-0790

Sacramento, CA 95819

My website
I see clients via telehealth statewide. Offering individual, couples & intensive sessions with flexible weekday and evening hours.
I specialize in Sex Therapy, Sexual Addiction and Relationship Issues 
$220 Per Session  
I see individuals and couples  

Finances

Fees

  • Individual Sessions $220
  • Couple Sessions $250
  • Sliding scale: apply if you may be eligible

Payment Methods

Cash, Check, Health Savings Account, Mastercard, Venmo, Visa

Insurance

  • Out of Network
"
I am not in-network for any insurance panels. However, I can provide you with a statement of services which you can submit to insurance. You might be able to get reimbursed for out-of-network therapy as well. Check here: mentaya.co/b/KBLMsZTZ73c7RPKHdt13
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call or for a free 15 minute consultation now - (916) 469-0790
"
I am not in-network for any insurance panels. However, I can provide you with a statement of services which you can submit to insurance. You might be able to get reimbursed for out-of-network therapy as well. Check here: mentaya.co/b/KBLMsZTZ73c7RPKHdt13
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call or for a free 15 minute consultation now - (916) 469-0790

Qualifications

  • Verified by Psychology Today Licensed by State of California / 113824 Adrian Scharfetter
  • Education and Years In Practice

  • In Practice for 12 years
  • Attended California Institute of Integral Studies, Graduated 2012
  • Additional Credentials

  • Certificate from California Institute of Integral Studies Psychedelic Therapies/Research / 2016
  • Certificate from AASECT Certified Sex Therapist / 2019
"
AASECT-Certified Sex Therapist & LMFT specializing in intimacy, sexuality & couples work for over 10 years. Advanced training in sexual trauma, IFS, attachment theory, somatic therapy & LGBTQ/kink/ENM-affirmative care. Ketamine-Assisted Therapy provider. Where depth meets compassion.
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call or for a free 15 minute consultation now - (916) 469-0790
"
AASECT-Certified Sex Therapist & LMFT specializing in intimacy, sexuality & couples work for over 10 years. Advanced training in sexual trauma, IFS, attachment theory, somatic therapy & LGBTQ/kink/ENM-affirmative care. Ketamine-Assisted Therapy provider. Where depth meets compassion.
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call or for a free 15 minute consultation now - (916) 469-0790

Specialties and Expertise

Top Specialties

  • Sex Therapy
  • Sexual Addiction
  • Relationship Issues

Expertise

  • ADHD
  • Anxiety
  • Bisexual
  • Codependency
  • Depression
  • First Responders
  • Impulse Control Disorders
  • Infidelity
  • Kink & BDSM Aware
  • Lesbian
  • LGBTQ+
  • Marital and Premarital
  • Men's Issues
  • Mood Disorders
  • Obsessive-Compulsive (OCD)
  • Open Relationships Non-Monogamy
  • Polyamorous, CNM, and Open Relationships
  • Self Esteem
  • Sex-Positive, Kink Allied
  • Stress
  • Trauma and PTSD
  • Veterans
"
I work with sexual concerns (ED, desire, performance anxiety), relationship struggles, intimacy issues, heartbreak, and trauma. We'll explore your story, build trust, and use psychoeducation and practical tools at your pace. You can expect deeper self-awareness, better communication, more confidence and pleasure, and a healthier relationship with yourself and sex, all without judgment.
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call or for a free 15 minute consultation now - (916) 469-0790
"
I work with sexual concerns (ED, desire, performance anxiety), relationship struggles, intimacy issues, heartbreak, and trauma. We'll explore your story, build trust, and use psychoeducation and practical tools at your pace. You can expect deeper self-awareness, better communication, more confidence and pleasure, and a healthier relationship with yourself and sex, all without judgment.
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call or for a free 15 minute consultation now - (916) 469-0790

6 Endorsements

Judy Huang
Judy Huang
Marriage & Family TherapistMALMFTLPCC
Dr. Scharfetter is knowledgeable and kind. He has many years of experience as a sex therapist. You will benefit from working with him.
Dr. Jenna Brownfield LGBTQ Therapist
Dr. Jenna Brownfield LGBTQ Therapist
PsychologistPhDLP
Adrian has such a calming presence. He's great for anyone looking for a kink aware or poly aware therapist!
First-Gen Challenges Monica Polanco
First-Gen Challenges Monica Polanco
Clinical Social Work/TherapistLCSW
Adrian isn't afraid to name the elephant in the room, especially when it comes to sexual health, sexual dysfunction and communication skills for couples. He helps you understand and heal what's really underneath, with curiosity, acceptance and support.

Client Focus

Age

Adults

Participants

Individuals
Couples

Communities

Bisexual Allied
Gay Allied
HIV / AIDS Allied
Intersex Allied
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Transgender Allied

Religion

Other Spiritual or Religious Affiliations

Age

Adults

Participants

Individuals
Couples

Communities

Bisexual Allied
Gay Allied
HIV / AIDS Allied
Intersex Allied
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Transgender Allied

Religion

Other Spiritual or Religious Affiliations

Treatment Approach

Types of Therapy

  • Attachment-based
  • Emotionally Focused
  • Family / Marital
  • Internal Family Systems (IFS)
  • Jungian
  • Ketamine-assisted psychotherapy (KAP)
  • Mindfulness-Based (MBCT)
  • PACT Couples Therapy
  • Psychobiological Approach Couple Therapy
  • Relational
  • Solution Focused Brief (SFBT)
  • Transpersonal
"
My approach to therapy is typically tailored to what you need direct support around. Throughout our work together I trying to utilize the best orientations to allow you room to explore your needs, or the relationship needs, without getting in your way. This makes room for everyone, and my approach is progressive and a process-focused one overall.
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call or for a free 15 minute consultation now - (916) 469-0790
"
My approach to therapy is typically tailored to what you need direct support around. Throughout our work together I trying to utilize the best orientations to allow you room to explore your needs, or the relationship needs, without getting in your way. This makes room for everyone, and my approach is progressive and a process-focused one overall.
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call or for a free 15 minute consultation now - (916) 469-0790

Location

Primary Location

Atherton, CA 94027

(916) 469-0790

Additional Location

Sacramento, CA 95819

(916) 469-0790
"
I see clients via telehealth statewide. Offering individual, couples & intensive sessions with flexible weekday and evening hours.
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call for a free consultation now - (916) 469-0790
"
I see clients via telehealth statewide. Offering individual, couples & intensive sessions with flexible weekday and evening hours.
Photo of Dr. Adrian Scharfetter, Marriage & Family Therapist, PhD, LMFT, CST
Dr. Adrian Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Call for a free consultation now - (916) 469-0790