Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Email Me

(916) 469-0790 Call Me

Email Me

Dr. Adrian Scharfetter

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

Verified by Psychology Today Verified by Psychology Today

6 Endorsed

San Francisco, CA 94105

Call Me

Available online only

San Francisco, CA 94105

My website

Let's Connect (916) 469-0790

I have immediate availability for new clients seeking expert support for sexual concerns, intimacy challenges, and relationship issues throughout California via telehealth. If you're feeling disconnected, from your partner, your sexuality, or even yourself, you're not alone. Many people I work with come to therapy feeling stuck in patterns they can't quite name, carrying shame or frustration around intimacy, communication, or desire. 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.

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 Email Dr. Adrian Scharfetter now for a free 15 minute consultation - (916) 469-0790

My Practice at a Glance

Available online only

San Francisco, CA 94105

(916) 469-0790

Sausalito, CA 94965

My website

I see clients via telehealth statewide. Offering individual, couples & intensive sessions with flexible weekday and evening hours.

I specialize in Sex Therapy, Relationship Issues and Open Relationships Non-Monogamy

$200 Per Session

I see individuals and couples

Let's Connect (916) 469-0790

My Practice at a Glance

Available online only

San Francisco, CA 94105

(916) 469-0790

Sausalito, CA 94965

My website

I see clients via telehealth statewide. Offering individual, couples & intensive sessions with flexible weekday and evening hours.

I specialize in Sex Therapy, Relationship Issues and Open Relationships Non-Monogamy

$200 Per Session

I see individuals and couples

Finances

Fees

Individual Sessions $200
Couple Sessions $230
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

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call or Email me for a free 15 minute consultation now - (916) 469-0790

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call or Email me 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 14 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 14 years. Advanced training in sexual trauma, IFS, attachment theory, somatic therapy & LGBTQ/kink/ENM-affirmative care. Ketamine-Assisted Therapy provider. Where depth meets compassion.

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call or Email me for a free 15 minute consultation now - (916) 469-0790

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call or Email me for a free 15 minute consultation now - (916) 469-0790

Specialties and Expertise

Top Specialties

Sex Therapy
Relationship Issues
Open Relationships Non-Monogamy

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)
Polyamorous, CNM, and Open Relationships
Self Esteem
Sex-Positive, Kink Allied
Sexual Addiction
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.

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call or Email me for a free 15 minute consultation now - (916) 469-0790

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call or Email me for a free 15 minute consultation now - (916) 469-0790

6 Endorsements

Judy Huang

Marriage & Family Therapist, MA, LMFT, LPCC

Dr. Scharfetter is knowledgeable and kind. He has many years of experience as a sex therapist. You will benefit from working with him.

Angella Okawa (She-Her)

Marriage & Family Therapist, MA, LMFT

Dr. Denise Renye

Psychologist, MEd, MA, PsyD, C-IAYT, CST

Alicia A Parker

Marriage & Family Therapist, MA, LMFT

Dr. Jenna Brownfield LGBTQ Therapist

Psychologist, PhD, LP

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

Clinical Social Work/Therapist, LCSW

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.

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call or Email me for a free 15 minute consultation now - (916) 469-0790

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call or Email me for a free 15 minute consultation now - (916) 469-0790

Location

Primary Location

San Francisco, CA 94105

(916) 469-0790

Email Me

My website

Additional Location

Sausalito, CA 94965

(916) 469-0790

Nearby Areas

Cities

Counties

Zips

Neighborhoods

I see clients via telehealth statewide. Offering individual, couples & intensive sessions with flexible weekday and evening hours.

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.

Dr. Adrian Scharfetter

Marriage & Family Therapist, PhD, LMFT, CST

Call for a free consultation now - (916) 469-0790

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