Therapists in San Francisco, CA
Starting or considering therapy is a big first step, and holding a safe space for you is an honor. As a seasoned therapist, I help young adults and professionals find more meaning and fulfillment by overcoming stress, conflict, burnout, trauma, and substance. In addition, with nearly a decade of experience in tech/startup and related industries, I understand the unique pressures of fast-paced, high-demand environments and finding balance to thrive.
Starting or considering therapy is a big first step, and holding a safe space for you is an honor. As a seasoned therapist, I help young adults and professionals find more meaning and fulfillment by overcoming stress, conflict, burnout, trauma, and substance. In addition, with nearly a decade of experience in tech/startup and related industries, I understand the unique pressures of fast-paced, high-demand environments and finding balance to thrive.
I most enjoy working with people who are highly motivated to work on themselves, and who are psychologically-minded enough to look at themselves. I am best suited for people who wish to do deep character change work. (I tend to work long-term rather than short-term.) I do also offer supervision and consultation to younger clinicians who wish to deepen their experience and competence in working with eating disorders, trauma, and areas of personal growth.
I most enjoy working with people who are highly motivated to work on themselves, and who are psychologically-minded enough to look at themselves. I am best suited for people who wish to do deep character change work. (I tend to work long-term rather than short-term.) I do also offer supervision and consultation to younger clinicians who wish to deepen their experience and competence in working with eating disorders, trauma, and areas of personal growth.
There comes a point for many of us when we realize that we don’t want to face our problems alone. We are human after all, and a part of what defines that humanity is our need for each other. Maybe it’s difficult for you to acknowledge this desire. You may be afraid to let people in and get close. You might tend to give more than you get back. Sometimes you might not even know what is that you're needing. Maybe you find yourself stuck in the same patterns you thought you had broken. You might feel self-critical. You may be marginalized and feel unseen and unheard. Feelings of hopelessness, grief, and anxiety might overwhelm you.
There comes a point for many of us when we realize that we don’t want to face our problems alone. We are human after all, and a part of what defines that humanity is our need for each other. Maybe it’s difficult for you to acknowledge this desire. You may be afraid to let people in and get close. You might tend to give more than you get back. Sometimes you might not even know what is that you're needing. Maybe you find yourself stuck in the same patterns you thought you had broken. You might feel self-critical. You may be marginalized and feel unseen and unheard. Feelings of hopelessness, grief, and anxiety might overwhelm you.
Everyone deserves support– life can be overwhelming. Our sessions provide a safe, encouraging space for you to slow down and focus on what’s important. As an advocate for you, your family, or your child, we create solutions that help you find healing.
Everyone deserves support– life can be overwhelming. Our sessions provide a safe, encouraging space for you to slow down and focus on what’s important. As an advocate for you, your family, or your child, we create solutions that help you find healing.
I began my master's training in 2014, and I have worked with individuals and their families struggling with depression, anxiety, PTSD, ADHD, cancer, Alzheimer's disease, dementia, and seizure disorders.
I began my master's training in 2014, and I have worked with individuals and their families struggling with depression, anxiety, PTSD, ADHD, cancer, Alzheimer's disease, dementia, and seizure disorders.
I work with teens and adults, including first responders, who sense that something in their lives or relationships needs to shift. You may be looking for a space to talk without judgment, or seeking support to set boundaries, improve communication, and rebuild confidence.
I take a holistic, body-based approach—drawing on Somatic Experiencing and the wisdom of your emotions and physical responses—to help you reconnect with your true self and what you need to feel more grounded and connected. As a sex therapist, I also support clients in navigating issues around sexuality, desire, and emotional intimacy.
I work with teens and adults, including first responders, who sense that something in their lives or relationships needs to shift. You may be looking for a space to talk without judgment, or seeking support to set boundaries, improve communication, and rebuild confidence.
I take a holistic, body-based approach—drawing on Somatic Experiencing and the wisdom of your emotions and physical responses—to help you reconnect with your true self and what you need to feel more grounded and connected. As a sex therapist, I also support clients in navigating issues around sexuality, desire, and emotional intimacy.
David Oretsky Integrative Couples Counseling
Marriage & Family Therapist, MA, MFT, PhD
San Francisco, CA 94115
I work with couples who feel stuck, disconnected, or caught in the same painful patterns. You may be struggling with communication, trust, sex and intimacy, finances, parenting, codependency, jealousy, resentment, or a major life transition. My approach is to meet both partners where they are and to respect the experiences each person brings into the relationship. Together, we look at what is happening between you and work toward greater understanding, honesty, and connection.
I work with couples who feel stuck, disconnected, or caught in the same painful patterns. You may be struggling with communication, trust, sex and intimacy, finances, parenting, codependency, jealousy, resentment, or a major life transition. My approach is to meet both partners where they are and to respect the experiences each person brings into the relationship. Together, we look at what is happening between you and work toward greater understanding, honesty, and connection.
Taking the step to begin therapy can feel vulnerable, but it’s also a powerful investment in yourself and your well-being. Therapy offers a space to better understand your experiences, work through what may be keeping you stuck, and create meaningful change in your life. Whether you’re navigating anxiety, relationship challenges, life transitions, burnout, or a desire for deeper self-understanding, I strive to provide a space where you feel supported, understood, and genuinely seen.
Together, we’ll explore patterns that no longer serve you while creating space for growth, healing, and lasting change.
Taking the step to begin therapy can feel vulnerable, but it’s also a powerful investment in yourself and your well-being. Therapy offers a space to better understand your experiences, work through what may be keeping you stuck, and create meaningful change in your life. Whether you’re navigating anxiety, relationship challenges, life transitions, burnout, or a desire for deeper self-understanding, I strive to provide a space where you feel supported, understood, and genuinely seen.
Together, we’ll explore patterns that no longer serve you while creating space for growth, healing, and lasting change.
Most people who come to me have already tried to fix what's wrong — through willpower, self-help, or therapy that helped up to a point but didn't quite reach what's underneath. They're dealing with anxiety, depression, chronic pain, or relationship patterns that keep repeating, and they're looking for something different.
Most people who come to me have already tried to fix what's wrong — through willpower, self-help, or therapy that helped up to a point but didn't quite reach what's underneath. They're dealing with anxiety, depression, chronic pain, or relationship patterns that keep repeating, and they're looking for something different.
Valeriya Pestrikova - Stress, Couples,
Marriage & Family Therapist Associate, MA, AMFT
14 Endorsed
Online Only
I work with high-achieving adults and couples navigating high-pressure lives who look composed on the outside but feel disconnected, anxious, or shut down on the inside. The same emotional distance that drives professional success often shows up as isolation, conflict, or shutdown in close relationships and intimacy. I specialize in chronic stress, anxiety, emotional exhaustion, relationship patterns, intimacy and desire issues, and sexuality. Together we look at where those patterns are stuck and build a way of relating that feels more honest, alive, and sustainable.
I work with high-achieving adults and couples navigating high-pressure lives who look composed on the outside but feel disconnected, anxious, or shut down on the inside. The same emotional distance that drives professional success often shows up as isolation, conflict, or shutdown in close relationships and intimacy. I specialize in chronic stress, anxiety, emotional exhaustion, relationship patterns, intimacy and desire issues, and sexuality. Together we look at where those patterns are stuck and build a way of relating that feels more honest, alive, and sustainable.
There are times in our lives when situations overcome our ability to cope. It can be frightening, and it takes a lot of courage to try something different like therapy. I specialize in working with individuals who have anxiety, depression, and trauma due to cultural and life circumstances. I take a structured, strength-based approach to help navigate the challenges that are present. When you’re ready, I look forward to speaking with you to continue your mental health journey.
There are times in our lives when situations overcome our ability to cope. It can be frightening, and it takes a lot of courage to try something different like therapy. I specialize in working with individuals who have anxiety, depression, and trauma due to cultural and life circumstances. I take a structured, strength-based approach to help navigate the challenges that are present. When you’re ready, I look forward to speaking with you to continue your mental health journey.
Chances are you feel some dissatisfaction with the things or people in your life. Maybe you feel overwhelmed and stuck, frustrated in your relationships or worried about the future. Maybe you already have some ideas about what things you'd like to be different. I will support you to make changes by helping you make the necessary contact with parts of yourself that influence the way you think, feel and act. In our sessions I will help you discover in a more full way what might be holding you back from having the life you want. We will explore your thoughts and feelings in the moment, which can lead to profound healing and change.
Chances are you feel some dissatisfaction with the things or people in your life. Maybe you feel overwhelmed and stuck, frustrated in your relationships or worried about the future. Maybe you already have some ideas about what things you'd like to be different. I will support you to make changes by helping you make the necessary contact with parts of yourself that influence the way you think, feel and act. In our sessions I will help you discover in a more full way what might be holding you back from having the life you want. We will explore your thoughts and feelings in the moment, which can lead to profound healing and change.
I am a Noe Valley therapist who has navigated through many challenges in life. My experience allows me to offer compassion, empathy and a unique perspective for individuals struggling with depression, anxiety, loneliness, abuse recovery, grief and loss, challenging relationships and divorce. I have extensive experience and compassion with working with individuals who struggle with toxic relationships. My focus is to help individuals and couples cope with life's challenges, and I firmly believe that everyone has the ability to develop a life path that works best for them.
I am a Noe Valley therapist who has navigated through many challenges in life. My experience allows me to offer compassion, empathy and a unique perspective for individuals struggling with depression, anxiety, loneliness, abuse recovery, grief and loss, challenging relationships and divorce. I have extensive experience and compassion with working with individuals who struggle with toxic relationships. My focus is to help individuals and couples cope with life's challenges, and I firmly believe that everyone has the ability to develop a life path that works best for them.
I’m Dr. Frank A. Tyler, a licensed clinical psychologist with over 15 years of experience providing culturally responsive, evidence-based care. My work centers on emotional wellness and whole-person mental health support for people navigating the quiet strain of keeping it all together.
Our humanity is complex, and you don’t need to have it all figured out to begin therapy. Together, we’ll explore what’s beneath the surface in a safe and supportive space, building a deeper understanding of yourself and the patterns that shape your life, moving toward a path of growth and self-discovery.
I’m Dr. Frank A. Tyler, a licensed clinical psychologist with over 15 years of experience providing culturally responsive, evidence-based care. My work centers on emotional wellness and whole-person mental health support for people navigating the quiet strain of keeping it all together.
Our humanity is complex, and you don’t need to have it all figured out to begin therapy. Together, we’ll explore what’s beneath the surface in a safe and supportive space, building a deeper understanding of yourself and the patterns that shape your life, moving toward a path of growth and self-discovery.
When something isn't working, that feeling itself can be the beginning of change. I work with adults of diverse identities navigating:
Anxiety and depression
Relationship struggles
Grief
Family dynamics
Trauma
Professional transitions
In our work I help you discover what's beneath the surface and move toward what you want to be true.
When something isn't working, that feeling itself can be the beginning of change. I work with adults of diverse identities navigating:
Anxiety and depression
Relationship struggles
Grief
Family dynamics
Trauma
Professional transitions
In our work I help you discover what's beneath the surface and move toward what you want to be true.
You may appear successful and put together on the outside while feeling disconnected, stuck, or unfulfilled within. I work with individuals from diverse backgrounds, including artists facing creative blocks and those seeking greater self-understanding. Whether you're struggling with anxiety, depression, relationship difficulties, or a sense that something isn't quite right, therapy offers space to explore underlying patterns. Together, we'll build insight, emotional resilience, authentic connection, and lasting growth.
You may appear successful and put together on the outside while feeling disconnected, stuck, or unfulfilled within. I work with individuals from diverse backgrounds, including artists facing creative blocks and those seeking greater self-understanding. Whether you're struggling with anxiety, depression, relationship difficulties, or a sense that something isn't quite right, therapy offers space to explore underlying patterns. Together, we'll build insight, emotional resilience, authentic connection, and lasting growth.
Imagine what it would be like to have enough space inside to feel anything and be OK with it. To not get thrown around, to not feel like you are sinking or drowning, and to maintain your balance when things get tough. To be calm when you normally would get angry. To find moments of joy when it seems like everything is negative. While it may not feel like it right now, change is possible. You can do something about your feelings of anxiety or depression, drug or alcohol use, OCD, eating disorders, etc.
Imagine what it would be like to have enough space inside to feel anything and be OK with it. To not get thrown around, to not feel like you are sinking or drowning, and to maintain your balance when things get tough. To be calm when you normally would get angry. To find moments of joy when it seems like everything is negative. While it may not feel like it right now, change is possible. You can do something about your feelings of anxiety or depression, drug or alcohol use, OCD, eating disorders, etc.
We believe that the value of your health goes beyond just your physical health. Emotional, psychological and social health are important in creating overall health and well being. It is our goal at Honeycomb Group to help you become the person, couple or family you want to be, and uncover your full potential.
We believe that the value of your health goes beyond just your physical health. Emotional, psychological and social health are important in creating overall health and well being. It is our goal at Honeycomb Group to help you become the person, couple or family you want to be, and uncover your full potential.
My work is alchemy for the mind, body, and spirit. I support individuals who feel lost, emotionally numb, or overwhelmed, as well as those navigating trauma, substance use recovery, or the lasting impact of growing up in an alcoholic or dysfunctional family, Maybe you’re feeling unsure of your path, struggling to stay grounded, and questioning your worth along the way. You might even feel like you don’t fit in, a “black sheep” who has a hard time fully expressing your true self. If this resonates, you’re not alone and there is a way back to yourself. My work is centered around helping you come home to who you truly are.
My work is alchemy for the mind, body, and spirit. I support individuals who feel lost, emotionally numb, or overwhelmed, as well as those navigating trauma, substance use recovery, or the lasting impact of growing up in an alcoholic or dysfunctional family, Maybe you’re feeling unsure of your path, struggling to stay grounded, and questioning your worth along the way. You might even feel like you don’t fit in, a “black sheep” who has a hard time fully expressing your true self. If this resonates, you’re not alone and there is a way back to yourself. My work is centered around helping you come home to who you truly are.
My clients seek self-knowledge, firm identity, clear purpose, and meaning in life. They avoid cookie-cutter formulas and truisms. They seek authenticity, freedom from self-blame, doubt, anxiety, and depression, confidence during life changes, clarity of purpose, and dignity in a confused and often shallow culture. They are willing to invest in themselves to find themselves. They seek understanding of their attachment style, repressed emotions, unconscious patterns, fixations, blind spots, and defenses.
My clients seek self-knowledge, firm identity, clear purpose, and meaning in life. They avoid cookie-cutter formulas and truisms. They seek authenticity, freedom from self-blame, doubt, anxiety, and depression, confidence during life changes, clarity of purpose, and dignity in a confused and often shallow culture. They are willing to invest in themselves to find themselves. They seek understanding of their attachment style, repressed emotions, unconscious patterns, fixations, blind spots, and defenses.
See more therapy options for San Francisco
Nearby Searches for San Francisco
- Alameda
- Belvedere
- Belvedere Tiburon
- Brisbane
- Colma
- Daly City
- Emeryville
- Muir Beach
- San Bruno
- Sausalito
- South San Francisco
- Tiburon
How does your Therapist compare?
Number of Therapists in San Francisco, CA
3,000+
Average cost per session
$200
Therapists in San Francisco, CA who prioritize treating:
| 92% | Anxiety |
| 92% | Social Anxiety |
| 92% | Health Anxiety |
| 92% | Driving Anxiety |
| 85% | Depression |
| 80% | Relationship Issues |
| 76% | Relationship Anxiety |
Average years in practice
11 Years
Top 3 insurances accepted
| 84% | Aetna |
| 59% | Cigna and Evernorth |
| 51% | Anthem |
How Therapists in San Francisco, CA see their clients
| 51% | Online Only | |
| 49% | In Person and Online |
Gender breakdown
| 75% | Female | |
| 22% | Male | |
| 3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in San Francisco?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.


