Therapists in San Francisco, CA
You’re a smart, insightful, and highly self-aware woman. You pride yourself on being confident and capable in many areas of your life, but lately you may be feeling more anxious, on edge, and burned out than you’d like to admit. Relationships have been feeling harder than usual. You don’t feel as much joy in your day-to-day life. You find yourself looping in anxious thoughts and carrying this low-grade sense of frustration and exhaustion. You may even feel like you’ve lost touch with the grounded, intuitive version of yourself you know is still in there. If this sounds like you, I’d love to hear from you and see how I can help.
You’re a smart, insightful, and highly self-aware woman. You pride yourself on being confident and capable in many areas of your life, but lately you may be feeling more anxious, on edge, and burned out than you’d like to admit. Relationships have been feeling harder than usual. You don’t feel as much joy in your day-to-day life. You find yourself looping in anxious thoughts and carrying this low-grade sense of frustration and exhaustion. You may even feel like you’ve lost touch with the grounded, intuitive version of yourself you know is still in there. If this sounds like you, I’d love to hear from you and see how I can help.
Caitlin Bruffey - Adults - Couples
Marriage & Family Therapist, LMFT
2 Endorsed
San Francisco, CA 94114
Do you feel overwhelmed by a racing mind that doesn't stop? Have you found yourself feeling irritated, discouraged, angry, or sad & have no idea why? Do you experience low confidence? Are you struggling in a relationship with a family member or friend, & feel stuck? Perhaps you & your romantic partner are exploring next steps in your relationship, but are struggling with how to navigate these conversations so that your emotions & needs are expressed effectively. Or maybe a chapter in your life just ended & you feel confused about what's next. These are the types of experiences that clients who decide to work with me struggle with.
Do you feel overwhelmed by a racing mind that doesn't stop? Have you found yourself feeling irritated, discouraged, angry, or sad & have no idea why? Do you experience low confidence? Are you struggling in a relationship with a family member or friend, & feel stuck? Perhaps you & your romantic partner are exploring next steps in your relationship, but are struggling with how to navigate these conversations so that your emotions & needs are expressed effectively. Or maybe a chapter in your life just ended & you feel confused about what's next. These are the types of experiences that clients who decide to work with me struggle with.
I became a therapist because I enjoy connecting with people and honoring their story. My goal is to create a safe and non-judgmental space to provide support as we explore better ways of coping, strategies to manage stress, and improve communication. Through reflection we are able to set goals and problem solve together as we increase insight and awareness of your experience. Together we can work to find an improved life balance, satisfaction and greater sense of well-being.
I became a therapist because I enjoy connecting with people and honoring their story. My goal is to create a safe and non-judgmental space to provide support as we explore better ways of coping, strategies to manage stress, and improve communication. Through reflection we are able to set goals and problem solve together as we increase insight and awareness of your experience. Together we can work to find an improved life balance, satisfaction and greater sense of well-being.
I work with teens and adults (14+) who are ready for change but feel weighed down or stuck. My clients are often women, people of color, and LGBTQ individuals who are high-achieving but put immense pressure on themselves, whether at work, in relationships, or both, and are struggling with anxiety or depression. I especially love working with those seeking greater confidence, or are learning how to set boundaries and prioritize themselves. My specialty is people struggling with ADD/ADHD. At the heart of my work is helping people find their voice; and learning how to use it in ways that feel authentic, powerful, and heard.
I work with teens and adults (14+) who are ready for change but feel weighed down or stuck. My clients are often women, people of color, and LGBTQ individuals who are high-achieving but put immense pressure on themselves, whether at work, in relationships, or both, and are struggling with anxiety or depression. I especially love working with those seeking greater confidence, or are learning how to set boundaries and prioritize themselves. My specialty is people struggling with ADD/ADHD. At the heart of my work is helping people find their voice; and learning how to use it in ways that feel authentic, powerful, and heard.
I help people who, by all appearances, seem to be thriving — but are battling excessive anxiety, a harsh inner critic telling them they're "not good enough" or an "imposter," or the exhausting loop of perfectionism, people-pleasing, or procrastination. These habits often feel more like compulsions than choice. People tend to blame themselves, unaware biology plays a key role — often rooted in childhood patterns formed to feel more connected, valued, or safe. What helped then can now be limiting. I guide clients to engage their own inner healing intelligence — freeing them from patterns that resist willpower alone. There's hope!
I help people who, by all appearances, seem to be thriving — but are battling excessive anxiety, a harsh inner critic telling them they're "not good enough" or an "imposter," or the exhausting loop of perfectionism, people-pleasing, or procrastination. These habits often feel more like compulsions than choice. People tend to blame themselves, unaware biology plays a key role — often rooted in childhood patterns formed to feel more connected, valued, or safe. What helped then can now be limiting. I guide clients to engage their own inner healing intelligence — freeing them from patterns that resist willpower alone. There's hope!
I help adults and teens looking to become more aware, learn and better themselves. Maybe there is something that needs to shift/change or maybe it is just a growth-oriented process. I have done a lot of my work with people who identify as Trans/Gender Non-Conforming/Nonbinary. Other queer populations who I have a lot of experience helping include couples, polyamorous relationships, the Latinx community, long-term HIV survivors, and gay/Queer men. My work celebrates diverse genders, sexualities and kink identities. My ideal client is open to work in a way that combines talk therapy, yoga/somatic approaches and art-based therapies.
I help adults and teens looking to become more aware, learn and better themselves. Maybe there is something that needs to shift/change or maybe it is just a growth-oriented process. I have done a lot of my work with people who identify as Trans/Gender Non-Conforming/Nonbinary. Other queer populations who I have a lot of experience helping include couples, polyamorous relationships, the Latinx community, long-term HIV survivors, and gay/Queer men. My work celebrates diverse genders, sexualities and kink identities. My ideal client is open to work in a way that combines talk therapy, yoga/somatic approaches and art-based therapies.
Together, we will try to help you know yourself. Maybe your emotions feel confusing or overwhelming - too big or nonexistent. Our work will connect you with them through regulation and somatic processing, giving you access to a more vibrant and empowered life. Your inner world should feel exciting and enticing, not chaotic or bland. You deserve to trust yourself.
I support couples, LGBTQIA+ individuals, neurodivergent folks, and those with complex trauma, accompanying them in feeling secure as they go deeper into themselves. Our therapy is not about me having the answers; it’s about walking alongside you as you encounter your own.
Together, we will try to help you know yourself. Maybe your emotions feel confusing or overwhelming - too big or nonexistent. Our work will connect you with them through regulation and somatic processing, giving you access to a more vibrant and empowered life. Your inner world should feel exciting and enticing, not chaotic or bland. You deserve to trust yourself.
I support couples, LGBTQIA+ individuals, neurodivergent folks, and those with complex trauma, accompanying them in feeling secure as they go deeper into themselves. Our therapy is not about me having the answers; it’s about walking alongside you as you encounter your own.
I specialize in working with individuals facing anxiety, trauma, depression, and life transitions. My goal is to help you not only find relief from your symptoms, but to gently challenge and support you as you reconnect with your strengths, build resilience, and move toward the positive outcomes you desire. Healing starts in the relationship created between us—client and therapist. I believe that a safe, trusting connection is the foundation for growth, and I strive to create a space where you feel seen, heard, and supported. You’ll be met with empathy and acceptance, at your own pace.
I specialize in working with individuals facing anxiety, trauma, depression, and life transitions. My goal is to help you not only find relief from your symptoms, but to gently challenge and support you as you reconnect with your strengths, build resilience, and move toward the positive outcomes you desire. Healing starts in the relationship created between us—client and therapist. I believe that a safe, trusting connection is the foundation for growth, and I strive to create a space where you feel seen, heard, and supported. You’ll be met with empathy and acceptance, at your own pace.
Many clients I work with are struggling with grief, family changes, a relationship that needs clearer boundaries, or a stressful job. They are capable and self-aware, yet feel stuck—unsure what’s happening inside or how to move forward. If you'd like steady, objective support in a comfortable, non-judgmental space where someone helps you make sense of your experience, we will work well together.
Many clients I work with are struggling with grief, family changes, a relationship that needs clearer boundaries, or a stressful job. They are capable and self-aware, yet feel stuck—unsure what’s happening inside or how to move forward. If you'd like steady, objective support in a comfortable, non-judgmental space where someone helps you make sense of your experience, we will work well together.
Is it time to hit the refresh button on your life? I understand and I'm here to help. As a California board-certified clinical psychologist, I have over twenty years experience working with adolescents, adults, and couples. My modern and approachable style combines extensive training in psychodynamic and relational theories, Cognitive-behavioral treatment, mindfulness, and strengths-based treatment, with a passion for helping clients gain insight into their struggles and obstacles, to live more authentically.
Is it time to hit the refresh button on your life? I understand and I'm here to help. As a California board-certified clinical psychologist, I have over twenty years experience working with adolescents, adults, and couples. My modern and approachable style combines extensive training in psychodynamic and relational theories, Cognitive-behavioral treatment, mindfulness, and strengths-based treatment, with a passion for helping clients gain insight into their struggles and obstacles, to live more authentically.
Deep connection is possible—and therapy can help you get there.
Disconnection from yourself or others often underlies emotional and mental struggles. Whether you're facing life transitions, difficult emotions, or relationship challenges, I offer a collaborative, active approach that goes beyond surface-level issues to support lasting change.
We'll explore the deeper patterns shaping your experience so you can move forward with more clarity, confidence, and connection. I specialize in couples counseling and working with adults navigating transitions—like relationship shifts, career changes, or new life stages.
Deep connection is possible—and therapy can help you get there.
Disconnection from yourself or others often underlies emotional and mental struggles. Whether you're facing life transitions, difficult emotions, or relationship challenges, I offer a collaborative, active approach that goes beyond surface-level issues to support lasting change.
We'll explore the deeper patterns shaping your experience so you can move forward with more clarity, confidence, and connection. I specialize in couples counseling and working with adults navigating transitions—like relationship shifts, career changes, or new life stages.
Are you feeling stuck — overwhelmed by anger, stress, or a life that's not going the way you hoped? You don't have to navigate that on your own.
I have nearly 20 years of experience helping individuals, teenagers, and families find their footing again. My office is in Noe Valley, San Francisco, and I also work with clients virtually throughout California.
Are you feeling stuck — overwhelmed by anger, stress, or a life that's not going the way you hoped? You don't have to navigate that on your own.
I have nearly 20 years of experience helping individuals, teenagers, and families find their footing again. My office is in Noe Valley, San Francisco, and I also work with clients virtually throughout California.
Healer by many names and expressions, Grief Therapist, Thanatologist: The Study of Death, Dying and Psychotherapist, Mixed Media Artist, ,Intuitive , generational and historical trauma healing to Increase well being and healing utilizing many approaches such as talking, creativity, tasks of grief, Triple P Parenting Program, Highly Sensitive Person, spirituality, intentional choices , dreams, and many other modalities that will be responsive to where you are at and what is needed to seek support, explore, expand, change, and/or reclaim.
Healer by many names and expressions, Grief Therapist, Thanatologist: The Study of Death, Dying and Psychotherapist, Mixed Media Artist, ,Intuitive , generational and historical trauma healing to Increase well being and healing utilizing many approaches such as talking, creativity, tasks of grief, Triple P Parenting Program, Highly Sensitive Person, spirituality, intentional choices , dreams, and many other modalities that will be responsive to where you are at and what is needed to seek support, explore, expand, change, and/or reclaim.
The relationship you build will shape the life you live. Whether you are preparing for marriage, navigating challenges in an established partnership, or adjusting to pregnancy or early parenthood, these moments carry lasting impact. Many thoughtful, accomplished couples seek support not because something is “wrong,” but because they want clarity, alignment, and a strong foundation for the future they are building. At the Center for Healthy Marriage, we help couples slow down, gain perspective, and address what truly matters during pivotal seasons of life.
The relationship you build will shape the life you live. Whether you are preparing for marriage, navigating challenges in an established partnership, or adjusting to pregnancy or early parenthood, these moments carry lasting impact. Many thoughtful, accomplished couples seek support not because something is “wrong,” but because they want clarity, alignment, and a strong foundation for the future they are building. At the Center for Healthy Marriage, we help couples slow down, gain perspective, and address what truly matters during pivotal seasons of life.
I work primarily with Queer, Trans, BIPOC, Latinx, and immigrant people who are seeking to live lives that feel authentic, emergent, and truly their own.
I work with adults, teens, and with polycules, couples, and families.
Many of the people I work with are navigating questions of identity, belonging, self-worth, and liberation — often in the context of sociocultural oppression and systemic marginalization.
I work primarily with Queer, Trans, BIPOC, Latinx, and immigrant people who are seeking to live lives that feel authentic, emergent, and truly their own.
I work with adults, teens, and with polycules, couples, and families.
Many of the people I work with are navigating questions of identity, belonging, self-worth, and liberation — often in the context of sociocultural oppression and systemic marginalization.
Are you ready to invite ease, joy and connection into your life? To let go of old pain and live more fully in the present? I have 30 years experience integrating numerous approaches, including Imago, Hoffman Process, Depth Hypnosis, IFS, visualizations and communication techniques, as well as drawing on decades of yoga and mindfulness practice. By developing more balance in your emotional, physical and spiritual aspects of self, this holistic approach can help you find greater peace and fulfillment in your life.
Are you ready to invite ease, joy and connection into your life? To let go of old pain and live more fully in the present? I have 30 years experience integrating numerous approaches, including Imago, Hoffman Process, Depth Hypnosis, IFS, visualizations and communication techniques, as well as drawing on decades of yoga and mindfulness practice. By developing more balance in your emotional, physical and spiritual aspects of self, this holistic approach can help you find greater peace and fulfillment in your life.
I believe that healing and growth are inherent functions of the psyche. Within the containment of a warm, compassionate and collaborative therapeutic relationship, I encourage and cultivate the emergence of these functions in my clients that can lead to positive change or even profound personal transformation. It is crucial to explore difficult feelings and thoughts in this process. In my experience, while these thoughts and feelings can lead to psychological symptoms when avoided and pushed into the unconscious, they hold great potential for change when experienced, confronted and reflected upon in a safe setting.
I believe that healing and growth are inherent functions of the psyche. Within the containment of a warm, compassionate and collaborative therapeutic relationship, I encourage and cultivate the emergence of these functions in my clients that can lead to positive change or even profound personal transformation. It is crucial to explore difficult feelings and thoughts in this process. In my experience, while these thoughts and feelings can lead to psychological symptoms when avoided and pushed into the unconscious, they hold great potential for change when experienced, confronted and reflected upon in a safe setting.
I initially specialized in treating PTSD, and trauma therapy continues to be one of my main passions. I have a diverse experience with a wide range of mental health/neurological disorders but more importantly, an ideal patient would be one who is open and willing to process difficult topics and memories as opposed to continuing to engage in avoidance (a short term bandage for a long term injury). I describe my style as collaborative, directive, and solution oriented, but also find power in allowing clients to process deep rooted issues in a non-judgmental way. **Please note I do not accept insurance***
I initially specialized in treating PTSD, and trauma therapy continues to be one of my main passions. I have a diverse experience with a wide range of mental health/neurological disorders but more importantly, an ideal patient would be one who is open and willing to process difficult topics and memories as opposed to continuing to engage in avoidance (a short term bandage for a long term injury). I describe my style as collaborative, directive, and solution oriented, but also find power in allowing clients to process deep rooted issues in a non-judgmental way. **Please note I do not accept insurance***
Do you find yourself stuck in familiar patterns, overwhelmed by your emotions, or constantly putting others' needs before your own? Perhaps you're navigating a life transition, struggling in your relationships, questioning your sense of identity, or feeling disconnected from yourself. Whatever has brought you here, I'm glad you're reaching out. I work with young adults in their twenties and thirties facing anxiety, depression, people-pleasing, attachment wounds, difficult family dynamics, and questions of meaning and purpose.
Do you find yourself stuck in familiar patterns, overwhelmed by your emotions, or constantly putting others' needs before your own? Perhaps you're navigating a life transition, struggling in your relationships, questioning your sense of identity, or feeling disconnected from yourself. Whatever has brought you here, I'm glad you're reaching out. I work with young adults in their twenties and thirties facing anxiety, depression, people-pleasing, attachment wounds, difficult family dynamics, and questions of meaning and purpose.
I'm here to encourage, support, and gently challenge you to clear out the things that are robbing you of your daily joy. You already have unique strengths, and you are the ultimate expert on yourself—my job is to help you unlock the right tools and strategies that fit your life.
I'm here to encourage, support, and gently challenge you to clear out the things that are robbing you of your daily joy. You already have unique strengths, and you are the ultimate expert on yourself—my job is to help you unlock the right tools and strategies that fit your life.
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
$196
Therapists in San Francisco, CA who prioritize treating:
| 92% | Anxiety |
| 92% | Social Anxiety |
| 92% | Health Anxiety |
| 92% | Driving Anxiety |
| 84% | Depression |
| 80% | Relationship Issues |
| 76% | Relationship Anxiety |
Average years in practice
11 Years
Top 3 insurances accepted
| 83% | Aetna |
| 59% | Cigna and Evernorth |
| 51% | Anthem |
How Therapists in San Francisco, CA see their clients
| 52% | Online Only | |
| 48% | 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.


