Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
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Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT

Rachael Silard

Associate Professional Clincal Counselor, APCC, AMFT (she, her)

Verified by Psychology Today Verified by Psychology Today
10 Endorsed
Call Me
Let's Connect (415) 942-9145
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Available both in-person and online
126 Church Street San Francisco, CA 94114
Perhaps you’re struggling with infertility, feeling trapped in a relentless cycle of hope and heartbreak. Maybe you’re a new mom drowning in the hormone changes and sleep deprivation that come with a new baby. Or you might be grappling with depression, shame, and isolation as you try to start a family, feeling left behind as others move on into motherhood. You might be using every ounce of energy you have just to get through the day, when in reality you’re crumbling under the crushing weight of depression, anxiety, trauma or addiction. Or perhaps you’re at a crossroads with your career and are feeling lost about what’s next.
I view psychotherapy as a safe space to deepen your understanding of yourself through the brave and honest exploration of your emotions, relationships, and life experiences. I help clients navigate the path to wholeness, clarity and healing by providing therapy rooted in empathy, non-judgement and deep respect for your individual identity and history.
Please reach out to schedule a free consultation and learn more about my practice and how I can support you. I look forward to hearing from you.
Call or Rachael Silard now for a free 15 minute consultation - (415) 942-9145

My Practice at a Glance

Available both in-person and online

126 Church Street

San Francisco, CA 94114 map

(415) 942-9145

Big Life Change Therapy

822 D Street

Suite 4

San Rafael, CA 94901 map

My website
Offering telehealth and in-person therapy in San Francisco and Marin.
I specialize in Pregnancy, Prenatal, Postpartum, Parenting and Depression 
$160 Per Session, I accept insurance 
I see individuals, couples and families  
Hello! I invite you watch my video to learn more about me and my practice.
Rachael Silard
Let's Connect (415) 942-9145
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT

My Practice at a Glance

Available both in-person and online

126 Church Street

San Francisco, CA 94114 map

(415) 942-9145

Big Life Change Therapy

822 D Street

Suite 4

San Rafael, CA 94901 map

My website
Offering telehealth and in-person therapy in San Francisco and Marin.
I specialize in Pregnancy, Prenatal, Postpartum, Parenting and Depression 
$160 Per Session, I accept insurance 
I see individuals, couples and families  
Hello! I invite you watch my video to learn more about me and my practice.
Rachael Silard

Finances

Fees

  • Individual Sessions $160
  • Couple Sessions $180
  • Sliding scale: apply if you may be eligible

Payment Methods

ACH Bank transfer, American Express, Discover, Health Savings Account, Mastercard, Visa

Insurance

  • Medi-Cal
  • Partnership Health Plan
"
I accept Medi-Cal through Partnership Health Plan with no co-pay. I can provide a superbill if you wish to seek reimbursement through other insurance carriers.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call or for a free 15 minute consultation now - (415) 942-9145
"
I accept Medi-Cal through Partnership Health Plan with no co-pay. I can provide a superbill if you wish to seek reimbursement through other insurance carriers.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call or for a free 15 minute consultation now - (415) 942-9145

Qualifications

  • Verified by Psychology Today Prelicense by State of California / 21338 Supervised by Ali Vogt (California / 47693) Rachael Silard
  • Education and Years In Practice

  • Attended California Institute of Integral Studies, M.A. in Counseling Psychology
  • Additional Credentials

  • License: BBS AMFT 160063 / 2025
  • Degree/Diploma from The George Washington University B.A. Psychology
"
I am a Registered Associate Marriage and Family Therapist (AMFT) and Registered Associate Professional Clinical Counselor (APCC) in California.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call or for a free 15 minute consultation now - (415) 942-9145
"
I am a Registered Associate Marriage and Family Therapist (AMFT) and Registered Associate Professional Clinical Counselor (APCC) in California.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call or for a free 15 minute consultation now - (415) 942-9145

Specialties and Expertise

Top Specialties

  • Pregnancy, Prenatal, Postpartum
  • Parenting
  • Depression

Expertise

  • Addiction
  • ADHD
  • Alcohol Use
  • Anxiety
  • Bipolar Disorder
  • Career Counseling
  • Caregivers
  • Chronic Illness
  • Codependency
  • Drug Abuse
  • Dual Diagnosis
  • Family Conflict
  • Grief
  • Infertility
  • Life Transitions
  • Personality Disorders
  • Relationship Issues
  • Self Esteem
  • Stress
  • Substance Use
  • Trauma and PTSD
  • Women's Issues
"
My areas of expertise include life transitions, infertility, pregnancy, postpartum, parenting, depression, trauma, and substance use.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call or for a free 15 minute consultation now - (415) 942-9145
"
My areas of expertise include life transitions, infertility, pregnancy, postpartum, parenting, depression, trauma, and substance use.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call or for a free 15 minute consultation now - (415) 942-9145

10 Endorsements

Messy Parenting Therapy - Katelyn Vandever
Messy Parenting Therapy - Katelyn Vandever
Pre-Licensed ProfessionalASW
Rachael is deeply dedicated to supporting new parents. She creates a safe, compassionate space and guides families through IVF, infertility, and pregnancy loss with care and expertise. I highly recommend her.
Patrizia Nader
Patrizia Nader
Pre-Licensed ProfessionalAMFT
As a friend and colleague I whole heartedly endorse Rachael. She is professional, ethical, caring and brings a wide range of professional and lived experience.
Ashley Travis
Ashley Travis
Marriage & Family Therapist AssociateAMFT
Rachael is solid ground for those going through perinatal mental health issues. She has a steady attention that is soothing to the nervous system in addition to a deep knowing of what people need to feel seen and heal. Pick her!
Ashlyn Acikalin
Ashlyn Acikalin
Marriage & Family TherapistMALMFTAPCC
Rachael thoughtfully balances holding space for what's emergent with gentle guidance tailored to each client. Her psychodynamic, relational, and attachment-based approach feels attuned and responsive, and she's someone I would confidently recommend!
Erin McQueen
Erin McQueen
Marriage & Family Therapist AssociateMAAMFT
Rachael has a warm, thoughtful, and grounded presence. A skilled clinician, her ability to meet clients right where they are, build rapport with lightness, and the occasional but necessary humor is a gift to any client who walks through her door.
Frances Cameron
Frances Cameron
Marriage & Family Therapist AssociateMAMBAAMFT
Rachael is deeply compassionate, curious, and non-judgmental. Her expertise in perinatal and reproductive mental health allows her to offer heartfelt care and strong support for clients through perinatal journeys and vulnerable transitions.
Shavika Singha- Teens, Adults & Couples
Shavika Singha- Teens, Adults & Couples
Marriage & Family Therapist AssociateAMFT
Rachael is kind, grounded, and deeply empathetic, especially with clients navigating the emotional complexity of fertility, pregnancy, and early motherhood. She is the kind of therapist you feel comfortable with from the start. I highly recommend Rachael!
Kerynne O'Malley
Kerynne O'Malley
Marriage & Family Therapist AssociateAMFTRN
Rachael is a great collaborator. She shows up with thoughtfulness, compassion, and fosters a sense of clarity in connection. Her personal and professional experience bolster her natural empathy and care.
Malu Beltran
Malu Beltran
Marriage & Family Therapist AssociateMAAMFTEMDR
Rachael is an empathic clinician skilled in supporting individuals and couples navigating life transitions, addiction, and trauma. She brings warmth, relational depth, and a grounded presence that helps clients feel safe, supported, and understood.

Client Focus

Age

Preteen
Teen
Adults
Elders (65+)

Participants

Individuals
Couples
Family

Communities

Bisexual Allied
Gay Allied
Immuno-disorders
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Transgender Allied

Age

Preteen
Teen
Adults
Elders (65+)

Participants

Individuals
Couples
Family

Communities

Bisexual Allied
Gay Allied
Immuno-disorders
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Transgender Allied

Treatment Approach

Types of Therapy

  • Acceptance and Commitment (ACT)
  • Attachment-based
  • Cognitive Behavioral (CBT)
  • Culturally Sensitive
  • Dialectical Behavior (DBT)
  • Emotionally Focused
  • Feminist
  • Gestalt
  • Humanistic
  • Integrative
  • Motivational Interviewing
  • Multicultural
  • Psychodynamic
  • Relational
  • Strength-Based
"
My therapeutic approach is trauma-informed, collaborative, direct, and grounded in curiosity and compassion. I often blend insights from relational psychodynamics, attachment theory, parts work, mindfulness, and CBT.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call or for a free 15 minute consultation now - (415) 942-9145
"
My therapeutic approach is trauma-informed, collaborative, direct, and grounded in curiosity and compassion. I often blend insights from relational psychodynamics, attachment theory, parts work, mindfulness, and CBT.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call or for a free 15 minute consultation now - (415) 942-9145

Groups


Location

Primary Location

126 Church Street

San Francisco, CA 94114

(415) 942-9145

Additional Location

Big Life Change Therapy

822 D Street

Suite 4

San Rafael, CA 94901

(415) 942-9145
"
Offering telehealth and in-person therapy in San Francisco and Marin.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call for a free consultation now - (415) 942-9145
"
Offering telehealth and in-person therapy in San Francisco and Marin.
Photo of Rachael Silard, Associate Professional Clincal Counselor, APCC, AMFT
Rachael Silard
Associate Professional Clincal Counselor, APCC, AMFT
Call for a free consultation now - (415) 942-9145