
Scott D. Altamirano - Bay Area
Marriage & Family Therapist, MA, LMFT
Verified by Psychology Today Verified by Psychology Today
San Francisco, CA 94103
Let's Connect (707) 505-8736

You’re stuck in the same destructive cycles-whether it’s toxic relationships, addiction, or emotional numbness-and no matter what you do, nothing seems to change. Maybe you keep attracting narcissistic or borderline partners, or you’re battling sex or porn addiction in secret. You might be carrying the weight of sexual trauma, struggling with self-worth, or using alcohol to cope. You’ve tried to “just move on,” but the past keeps pulling you back. You need real solutions, not just another therapist nodding along. I specialize in helping people break free from self-sabotaging patterns tied to addiction, relationships, and trauma.
As an attachment-focused therapist, I work with those struggling with compulsive sexual behaviors, the fallout of abusive or manipulative relationships, and deep-rooted emotional pain that’s been ignored for too long. My approach is direct, unfiltered, and often infused with dark humor, because therapy should be real-not just polite conversation.
We meet via audio and start by mapping out your full life narrative, meeting weekly to get to the root of what’s keeping you stuck. I work with LGBTQ, those in polyamorous relationships, and anyone navigating identity, intimacy, and shame. If you’re ready to confront the patterns that keep you trapped, let’s talk.
Call or Email Scott D. Altamirano - Bay Area now for a free 15 minute consultation - (707) 505-8736
Let's Connect (707) 505-8736

Finances
Fees
- Individual Sessions $180
- Couple Sessions $250
- Sliding scale: apply if you may be eligible
Payment Methods
American Express, Discover, Mastercard, VisaInsurance
- Aetna

Scott D. Altamirano - Bay Area
Marriage & Family Therapist, MA, LMFT
Check fees and, if listed, ask to verify your insurance coverage. Email or (707) 505-8736
Qualifications
- Verified by Psychology Today Licensed by State of California / 104368 Scott D. Altamirano
- In Practice for 10 years
- Attended Antioch University, Los Angeles, Graduated 2015
- Licensed by State of California / 104368
- License: Tx, Marriage and Family Therapist 204481
Education and Years In Practice
Additional Credentials
Specialties and Expertise
Top Specialties
- Sex Therapy
- Anxiety
- Narcissistic Personality (NPD)
Expertise
- Addiction
- Borderline Personality (BPD)
- Domestic Abuse
- Domestic Violence
- Infidelity
- LGBTQ+
- Open Relationships Non-Monogamy
- Relationship Issues
- Sex-Positive, Kink Allied
- Sexual Addiction
- Substance Use
- Trauma and PTSD
Client Focus
Age
Preteen ,
Teen ,
Adults
Participants
Individuals ,
Couples ,
Family
Communities
Gay Allied ,
Queer Allied
Ethnicity
Hispanic and Latino
Age
Preteen ,
Teen ,
Adults
Participants
Individuals ,
Couples ,
Family
Communities
Gay Allied ,
Queer Allied
Ethnicity
Hispanic and Latino
Treatment Approach
Types of Therapy
- Attachment-based
- Forensic Psychology
Location
Additional Location
San Francisco, CA 94107
(707) 505-8736Nearby Areas
Cities
Counties

Scott D. Altamirano - Bay Area
Marriage & Family Therapist, MA, LMFT
Call for a free consultation now - (707) 505-8736