Therapists in San Francisco, CA
I have been licensed as a Marriage Family Therapist and life coach for over 28 years. I see a client's issues in the context of the unfolding of the whole person. Making life changes can be a powerfully transformative experience. I offer a highly personalized approach tailored to my clients needs and interests, depending on whether you are more interested counseling or coaching, individual or couple's work. I offer a complimentary phone con to determine whether we may be a good fit. I offer a nonjudgmental and safe space to explore your concerns while also wanting to get you results. My style is supportive, and direct.
I have been licensed as a Marriage Family Therapist and life coach for over 28 years. I see a client's issues in the context of the unfolding of the whole person. Making life changes can be a powerfully transformative experience. I offer a highly personalized approach tailored to my clients needs and interests, depending on whether you are more interested counseling or coaching, individual or couple's work. I offer a complimentary phone con to determine whether we may be a good fit. I offer a nonjudgmental and safe space to explore your concerns while also wanting to get you results. My style is supportive, and direct.
I work with thoughtful, high-achieving individuals and couples who struggle with high-functioning anxiety, overthinking, and self-defeating patterns. On the outside, things may look "put together," but inside you feel stuck in your head, exhausted or disconnected from yourself.
My approach is collaborative, warm, and gently challenging. Together, we'll slow things down, build awareness, and explore the patterns that keep you looping - all while developing practical tools to help you respond differently, not just think differently.
Therapy with me is a space to get out of your own head and your own way.
I work with thoughtful, high-achieving individuals and couples who struggle with high-functioning anxiety, overthinking, and self-defeating patterns. On the outside, things may look "put together," but inside you feel stuck in your head, exhausted or disconnected from yourself.
My approach is collaborative, warm, and gently challenging. Together, we'll slow things down, build awareness, and explore the patterns that keep you looping - all while developing practical tools to help you respond differently, not just think differently.
Therapy with me is a space to get out of your own head and your own way.
I am a licensed Marriage and Family Therapist certified to provide mental health services in the state of California. I have been providing mental health services for the past 6 years working with non-profit community mental health clinics, probation offices & court systems, middle school, high schools and now as a private practice clinician. Within these settings, I have had the privilege of working with individuals, couples, parents, teenagers, children and families at many different phases of life and personal development.
I am a licensed Marriage and Family Therapist certified to provide mental health services in the state of California. I have been providing mental health services for the past 6 years working with non-profit community mental health clinics, probation offices & court systems, middle school, high schools and now as a private practice clinician. Within these settings, I have had the privilege of working with individuals, couples, parents, teenagers, children and families at many different phases of life and personal development.
“You have cancer.” A phrase that no one wants to hear but over 20 million people worldwide do. No matter your age, race, religion, sex, gender identity, or ethnicity, cancer completely uproots the life you once knew, and your expectations for the future. It affects not only your body but your relationships, career, family, self-identity, and so much more.
This is where I step in: to help you, your children, and your family cope with the life-altering, overwhelming changes that come with diagnosis, treatment, recovery, and grief of physical illness such as cancer, chronic illness, and other medical challenges. You are not alone.
“You have cancer.” A phrase that no one wants to hear but over 20 million people worldwide do. No matter your age, race, religion, sex, gender identity, or ethnicity, cancer completely uproots the life you once knew, and your expectations for the future. It affects not only your body but your relationships, career, family, self-identity, and so much more.
This is where I step in: to help you, your children, and your family cope with the life-altering, overwhelming changes that come with diagnosis, treatment, recovery, and grief of physical illness such as cancer, chronic illness, and other medical challenges. You are not alone.
Anxiety, burnout, stress: whatever you call it, you feel stuck. You've been trying to fix it but have hit a wall. Maybe you wake up feeling unmotivated, struggle to focus, or get caught in a loop of “what ifs.” You might feel exhausted, overwhelmed, and indecisive. You don't feel like yourself anymore, and maybe haven't for a long time.
Anxiety, burnout, stress: whatever you call it, you feel stuck. You've been trying to fix it but have hit a wall. Maybe you wake up feeling unmotivated, struggle to focus, or get caught in a loop of “what ifs.” You might feel exhausted, overwhelmed, and indecisive. You don't feel like yourself anymore, and maybe haven't for a long time.
Alexandra C Smith
Marriage & Family Therapist Associate, MA, AMFT, APCC
1 Endorsed
San Francisco, CA 94133
You can't go back and change the beginning, but you can start where you are and change the ending - CS Lewis
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I work with a variety of clients who are experiencing anxiety, life transitions, grief, burnout and overwhelm amongst our chaotic and busy lives. Whether you are a young adult, parent, career professional, or elsewhere in your life journey, I look forward to hearing your story.
Wherever you and your family may be on your path, I offer a collaborative space to slow down, notice patterns, and reflect on who you want to be while we work toward a life that feels more grounded, intentional, and aligned with your values.
You can't go back and change the beginning, but you can start where you are and change the ending - CS Lewis
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I work with a variety of clients who are experiencing anxiety, life transitions, grief, burnout and overwhelm amongst our chaotic and busy lives. Whether you are a young adult, parent, career professional, or elsewhere in your life journey, I look forward to hearing your story.
Wherever you and your family may be on your path, I offer a collaborative space to slow down, notice patterns, and reflect on who you want to be while we work toward a life that feels more grounded, intentional, and aligned with your values.
As a Licensed Clinical Social Worker, I provide a compassionate, collaborative, and evidence-based approach to therapy for individuals and couples. My goal is to create a safe space where clients can explore their emotions, strengthen relationships, and develop the tools to navigate life’s challenges with greater clarity and confidence.
As a Licensed Clinical Social Worker, I provide a compassionate, collaborative, and evidence-based approach to therapy for individuals and couples. My goal is to create a safe space where clients can explore their emotions, strengthen relationships, and develop the tools to navigate life’s challenges with greater clarity and confidence.
Claire Palmquist
Marriage & Family Therapist Associate, MA, AMFT, APCC
3 Endorsed
San Francisco, CA 94109
I believe that we all have deep sources of wisdom and healing within ourselves; my goal as your therapist is to help you access those resources within yourself in order to build the life that feels most true for you. I know how difficult it can be to locate barriers to growth- or even to know what kind of growth we're looking for. I feel passionate about meeting you right where you are on your healing journey. I am trained in somatic therapy, expressive art therapy, and drama therapy and believe these are powerful avenues to both locate what change we want to see in our lives and to begin cultivating that change.
I believe that we all have deep sources of wisdom and healing within ourselves; my goal as your therapist is to help you access those resources within yourself in order to build the life that feels most true for you. I know how difficult it can be to locate barriers to growth- or even to know what kind of growth we're looking for. I feel passionate about meeting you right where you are on your healing journey. I am trained in somatic therapy, expressive art therapy, and drama therapy and believe these are powerful avenues to both locate what change we want to see in our lives and to begin cultivating that change.
Are you finding it hard to express your needs in relationships or set boundaries with others? Do you often feel unworthy, putting others’ needs ahead of your own—or turning to substances to cope with painful emotions? You deserve to feel seen, heard, and understood, and that’s the core of our work together. I provide a collaborative approach tailored to your unique needs and goals, ensuring you receive the personalized support you deserve. Together, we’ll explore your past and create a roadmap for meaningful change, empowering you to embrace your worth, reduce unhealthy coping patterns, and build healthier connections.
Are you finding it hard to express your needs in relationships or set boundaries with others? Do you often feel unworthy, putting others’ needs ahead of your own—or turning to substances to cope with painful emotions? You deserve to feel seen, heard, and understood, and that’s the core of our work together. I provide a collaborative approach tailored to your unique needs and goals, ensuring you receive the personalized support you deserve. Together, we’ll explore your past and create a roadmap for meaningful change, empowering you to embrace your worth, reduce unhealthy coping patterns, and build healthier connections.
Welcome! Searching for a therapist can feel overwhelming, and I'm happy you are taking the first steps. Whether you are healing trauma, navigating strong emotions and difficult relationships, or learning how to better manage stress and anxiety, I am passionate about helping others create meaningful, lasting, positive change in their lives.
Welcome! Searching for a therapist can feel overwhelming, and I'm happy you are taking the first steps. Whether you are healing trauma, navigating strong emotions and difficult relationships, or learning how to better manage stress and anxiety, I am passionate about helping others create meaningful, lasting, positive change in their lives.
I help high-functioning individuals and couples who look capable on the outside but feel stuck, anxious, disconnected, or caught in painful patterns underneath. You may be dealing with overthinking, harsh self-criticism, relationship conflict, or a persistent sense that something deeper isn't working despite your efforts. Therapy becomes a place to slow down, understand what is driving these patterns, and build the capacity for more grounded, lasting change.
I help high-functioning individuals and couples who look capable on the outside but feel stuck, anxious, disconnected, or caught in painful patterns underneath. You may be dealing with overthinking, harsh self-criticism, relationship conflict, or a persistent sense that something deeper isn't working despite your efforts. Therapy becomes a place to slow down, understand what is driving these patterns, and build the capacity for more grounded, lasting change.
My approach to therapy and healing is rooted in the understanding that our experiences with systems of power and oppression, as well as the space we have to hold our pain, can deeply impact our connection to ourselves, our bodies, and our communities.
While I welcome anyone who feels called to sit together, my approach resonates most with individuals who identify as BIPOC, LGBTQIA+, survivors with C-PTSD, neurodivergent, highly sensitive and/or emotionally intense, artists, activists, immigrants, and/or children of immigrants, people who struggle with substance use and people who navigate non-ordinary states of consciousness.
My approach to therapy and healing is rooted in the understanding that our experiences with systems of power and oppression, as well as the space we have to hold our pain, can deeply impact our connection to ourselves, our bodies, and our communities.
While I welcome anyone who feels called to sit together, my approach resonates most with individuals who identify as BIPOC, LGBTQIA+, survivors with C-PTSD, neurodivergent, highly sensitive and/or emotionally intense, artists, activists, immigrants, and/or children of immigrants, people who struggle with substance use and people who navigate non-ordinary states of consciousness.
I work with a myriad of trauma-informed approaches such as LENS neurofeedback, EMDR, and Somatic Experiencing to recover your true resilience. LENS neurofeedback assists in restoring optimal brain health, while EMDR can aid in processing distressing memories. Somatic psychotherapy can help you become aware of how your body holds trauma, and assist you in releasing it. You can feel clear, free, and deeply connected to the world and others around you again. Whether you are struggling with depression, anxiety, ADHD, CPTSD or other traumas, I can help free you from old blockages and help to restore your original, true nature.
I work with a myriad of trauma-informed approaches such as LENS neurofeedback, EMDR, and Somatic Experiencing to recover your true resilience. LENS neurofeedback assists in restoring optimal brain health, while EMDR can aid in processing distressing memories. Somatic psychotherapy can help you become aware of how your body holds trauma, and assist you in releasing it. You can feel clear, free, and deeply connected to the world and others around you again. Whether you are struggling with depression, anxiety, ADHD, CPTSD or other traumas, I can help free you from old blockages and help to restore your original, true nature.
Do you feel stuck—in patterns, relationships, or difficult emotions? Many of my clients come to me feeling weighed down by life transitions, grief, burnout, cultural or communication challenges, or a sense that old coping strategies no longer serve them. Sometimes it shows up as disconnection, exhaustion or simply a lack of vibrancy in life.
In our work together, nothing is “too much.” I offer a compassionate, curious space where we gently unravel what feels heavy or stuck and open up space for new possibilities. My goal is to help you reconnect—with yourself, with others, and with the parts of life that feel meaningful and alive.
Do you feel stuck—in patterns, relationships, or difficult emotions? Many of my clients come to me feeling weighed down by life transitions, grief, burnout, cultural or communication challenges, or a sense that old coping strategies no longer serve them. Sometimes it shows up as disconnection, exhaustion or simply a lack of vibrancy in life.
In our work together, nothing is “too much.” I offer a compassionate, curious space where we gently unravel what feels heavy or stuck and open up space for new possibilities. My goal is to help you reconnect—with yourself, with others, and with the parts of life that feel meaningful and alive.
Lisa Padilla is a Licensed Clinical Social Worker in Michigan who has been practicing since 2015. She has a Master’s of Clinical Social Work focusing on Psychotherapy and Clinical Social Work from Florida State University. Lisa has a demonstrated history of working in the mental health care industry. She is skilled in Addiction Counseling, Military Mental Health, Treatment Planning, Co-Occuring Disorders, Psychological Assessment, Interpersonal Relationship Issues (Intimacy, Codependency, Trust Rebuilding and more), LGBTQ+ Counseling, and Severe Mental Health Care. Lisa provides in-person services and telehealth treatment.Lisa Padil
Lisa Padilla is a Licensed Clinical Social Worker in Michigan who has been practicing since 2015. She has a Master’s of Clinical Social Work focusing on Psychotherapy and Clinical Social Work from Florida State University. Lisa has a demonstrated history of working in the mental health care industry. She is skilled in Addiction Counseling, Military Mental Health, Treatment Planning, Co-Occuring Disorders, Psychological Assessment, Interpersonal Relationship Issues (Intimacy, Codependency, Trust Rebuilding and more), LGBTQ+ Counseling, and Severe Mental Health Care. Lisa provides in-person services and telehealth treatment.Lisa Padil
I have extensive experience providing individual therapy. My clients are often struggling with unhealthy or unsatisfying relationships. They may be having difficulty setting boundaries or are limited due to fear of closeness. I also work with students and professionals who are experiencing dissatisfaction, burnout, or imposter syndrome. Together, we work to identify and remove barriers that are getting in the way. I work best with clients who are interested in understanding themselves, their histories, and patterns of thought and feeling. Through therapy, people are able to make lasting, meaningful changes in their lives.
I have extensive experience providing individual therapy. My clients are often struggling with unhealthy or unsatisfying relationships. They may be having difficulty setting boundaries or are limited due to fear of closeness. I also work with students and professionals who are experiencing dissatisfaction, burnout, or imposter syndrome. Together, we work to identify and remove barriers that are getting in the way. I work best with clients who are interested in understanding themselves, their histories, and patterns of thought and feeling. Through therapy, people are able to make lasting, meaningful changes in their lives.
I work with individuals looking to benefit from brief, problem-focused treatments that work. I provide treatment for individuals coping with a wide range of concerns including trouble sleeping, anxiety, depression, couples conflict and concerns with sexual health. I am passionate about helping my patients optimize their physical, mental and emotional health and take a collaborative and practical approach. I am committed to making sure we are a good fit, so please feel free to call me for a complimentary phone consultation.
I work with individuals looking to benefit from brief, problem-focused treatments that work. I provide treatment for individuals coping with a wide range of concerns including trouble sleeping, anxiety, depression, couples conflict and concerns with sexual health. I am passionate about helping my patients optimize their physical, mental and emotional health and take a collaborative and practical approach. I am committed to making sure we are a good fit, so please feel free to call me for a complimentary phone consultation.
Do you feel anxious, depressed, or overwhelmed as a young adult or adult? Are you looking for more purpose in your daily life? Please consider reaching out to me. As a licensed clinical psychologist in California with eight years of experience, I am currently accepting new clients and specialize in helping adults as they navigate life’s ups and downs. My goal is to support you in building self-awareness, developing effective coping skills, and gaining confidence. Together, we’ll identify your unique strengths, create practical strategies tailored to your needs, and set meaningful goals for personal growth.
Do you feel anxious, depressed, or overwhelmed as a young adult or adult? Are you looking for more purpose in your daily life? Please consider reaching out to me. As a licensed clinical psychologist in California with eight years of experience, I am currently accepting new clients and specialize in helping adults as they navigate life’s ups and downs. My goal is to support you in building self-awareness, developing effective coping skills, and gaining confidence. Together, we’ll identify your unique strengths, create practical strategies tailored to your needs, and set meaningful goals for personal growth.
Many therapists spend their days holding space for the pain, trauma, and struggles of others. Over time that emotional labor can become heavy. You may feel burned out, carry the weight of clients’ stories, struggle to turn off “therapist mode,” or feel isolated in private practice. Even skilled clinicians need a place where they don’t have to be the one holding everything together. Therapy can offer a space to reconnect with yourself, process what you carry, and continue growing both personally and professionally.
Many therapists spend their days holding space for the pain, trauma, and struggles of others. Over time that emotional labor can become heavy. You may feel burned out, carry the weight of clients’ stories, struggle to turn off “therapist mode,” or feel isolated in private practice. Even skilled clinicians need a place where they don’t have to be the one holding everything together. Therapy can offer a space to reconnect with yourself, process what you carry, and continue growing both personally and professionally.
You may look like you’re managing just fine—successful, capable, high-functioning—but inside, you often feel overwhelmed, emotionally stuck, or disconnected from yourself. Maybe you struggle to slow down or make sense of your feelings, and emotions like anxiety, irritability, or burnout keep surfacing. I work with professionals who want to better understand and regulate their emotions. My approach is warm, collaborative, and insight-oriented. Together, we’ll explore what’s beneath the surface so you can move through life with more clarity, confidence, and ease.
You may look like you’re managing just fine—successful, capable, high-functioning—but inside, you often feel overwhelmed, emotionally stuck, or disconnected from yourself. Maybe you struggle to slow down or make sense of your feelings, and emotions like anxiety, irritability, or burnout keep surfacing. I work with professionals who want to better understand and regulate their emotions. My approach is warm, collaborative, and insight-oriented. Together, we’ll explore what’s beneath the surface so you can move through life with more clarity, confidence, and ease.
See more therapy options for San Francisco
Nearby Searches for San Francisco
- Alameda
- Belvedere
- Belvedere Tiburon
- Brisbane
- Colma
- Daly City
- Emeryville
- Oakland
- 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
$196
Therapists in San Francisco, CA who prioritize treating:
| 92% | Anxiety |
| 84% | Depression |
| 79% | Relationship Issues |
| 73% | Self Esteem |
| 71% | Trauma and PTSD |
| 65% | Stress |
| 63% | Grief |
Average years in practice
12 Years
Top 3 insurances accepted
| 85% | Aetna |
| 60% | Cigna and Evernorth |
| 49% | Anthem |
How Therapists in San Francisco, CA see their clients
| 53% | Online Only | |
| 47% | 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.


