Therapists in San Francisco, CA
I am a psychoanalytic psychotherapist working with individuals spanning in age from late adolescence to older adulthood who present with a range of social, emotional, and behavioral concerns. While I am trained to address all the major diagnoses, I tend to privilege exploration of one’s internal life and relationships as well as the influence of sociocultural systems on one’s typical ways of being in the world. Above all, I value the uniqueness and specificity of individual experience and find that engagement with and curiosity about anything arising in therapy is almost always more helpful than evaluative criteria.
I am a psychoanalytic psychotherapist working with individuals spanning in age from late adolescence to older adulthood who present with a range of social, emotional, and behavioral concerns. While I am trained to address all the major diagnoses, I tend to privilege exploration of one’s internal life and relationships as well as the influence of sociocultural systems on one’s typical ways of being in the world. Above all, I value the uniqueness and specificity of individual experience and find that engagement with and curiosity about anything arising in therapy is almost always more helpful than evaluative criteria.
My name is Michael Carnevale, and I am a Licensed Clinical Social Worker based in San Francisco, California who works with clients statewide via Telehealth. I have experience serving a diverse client population of all ages using primarily Dialectical Behavioral Therapy and Cognitive Behavioral Therapy/Trauma Focused Cognitive Behavioral Therapy. I operate from a person-in-environment lens that acknowledges the many factors and variables in our lives beyond the individual.
My name is Michael Carnevale, and I am a Licensed Clinical Social Worker based in San Francisco, California who works with clients statewide via Telehealth. I have experience serving a diverse client population of all ages using primarily Dialectical Behavioral Therapy and Cognitive Behavioral Therapy/Trauma Focused Cognitive Behavioral Therapy. I operate from a person-in-environment lens that acknowledges the many factors and variables in our lives beyond the individual.
Life brings waves— some we can ride, others knock us off balance. If you're navigating a health diagnosis, a major transition, anxiety that won't quiet down, or the complicated feelings that come with navigating parenthood or grief, I'm here to help you find steadier ground. My approach is rooted in empowerment, curiosity, and the belief that therapy should build greater balance and connection. I take a trauma-informed, culturally humble approach shaped by a decade of work in global mental health. That background gave me a close-up view of how culture, identity, relationships, and health intersect, and how much context matters.
Life brings waves— some we can ride, others knock us off balance. If you're navigating a health diagnosis, a major transition, anxiety that won't quiet down, or the complicated feelings that come with navigating parenthood or grief, I'm here to help you find steadier ground. My approach is rooted in empowerment, curiosity, and the belief that therapy should build greater balance and connection. I take a trauma-informed, culturally humble approach shaped by a decade of work in global mental health. That background gave me a close-up view of how culture, identity, relationships, and health intersect, and how much context matters.
I believe in using your strengths to motivate you and intern assist you in obtaining the positive outcomes you desire. My counseling style is warm and interactive, and can also include a holistic and mindfulness approach. I believe in treating everyone with respect, sensitivity, and compassion, while decreasing the negative stigma associated with mental illness. My approach combines cognitive-behavioral, solution focus, and client-centered counseling. I will tailor our dialogue and treatment plan to meet your unique and specific needs while working collaboratively with you it takes courage to seek a more fulfilling life and to take
I believe in using your strengths to motivate you and intern assist you in obtaining the positive outcomes you desire. My counseling style is warm and interactive, and can also include a holistic and mindfulness approach. I believe in treating everyone with respect, sensitivity, and compassion, while decreasing the negative stigma associated with mental illness. My approach combines cognitive-behavioral, solution focus, and client-centered counseling. I will tailor our dialogue and treatment plan to meet your unique and specific needs while working collaboratively with you it takes courage to seek a more fulfilling life and to take
Even the most successful people could benefit from support sometimes. Are you getting sick of what's bothering you? Feeling unlike yourself, beating yourself up, disappointed in your relationships, or frustrated with your family? Learn how to redirect unproductive thoughts. What if therapy could help you unwind and have fun — even when you're stressed? It's okay to set boundaries, prioritize your values, and make space to clarify what you want and need to be happy. Together, we can problem-solve what doesn't seem right in your job, life, or business, and develop personalized tools and strategies to help you reach your goals.
Even the most successful people could benefit from support sometimes. Are you getting sick of what's bothering you? Feeling unlike yourself, beating yourself up, disappointed in your relationships, or frustrated with your family? Learn how to redirect unproductive thoughts. What if therapy could help you unwind and have fun — even when you're stressed? It's okay to set boundaries, prioritize your values, and make space to clarify what you want and need to be happy. Together, we can problem-solve what doesn't seem right in your job, life, or business, and develop personalized tools and strategies to help you reach your goals.
I work with individuals and couples who feel stuck in recurring emotional or relational patterns—struggling with anxiety, self-doubt, perfectionism, or disconnection. Therapy can be a place to pause, reflect, and understand how past experiences may still shape your present relationships and sense of self. Together, we’ll explore these patterns with curiosity and compassion, creating room for new ways of being that feel more genuine and free.
I work with individuals and couples who feel stuck in recurring emotional or relational patterns—struggling with anxiety, self-doubt, perfectionism, or disconnection. Therapy can be a place to pause, reflect, and understand how past experiences may still shape your present relationships and sense of self. Together, we’ll explore these patterns with curiosity and compassion, creating room for new ways of being that feel more genuine and free.
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.
I believe meaningful change happens when you feel truly seen, heard, and understood. My goal is to create a warm, collaborative space where you can show up as your full self. I draw on effective practices, blending unconditional positive regard with evidence-based techniques to help you relieve distress and build resilience. In the safe and supportive space of therapy, you can learn to calm anxiety, mobilize depression, and strengthen your relationships - and often start to feel some relief within the first few sessions. Most importantly, therapy is a partnership, and I'll meet you where you are every step of the way.
I believe meaningful change happens when you feel truly seen, heard, and understood. My goal is to create a warm, collaborative space where you can show up as your full self. I draw on effective practices, blending unconditional positive regard with evidence-based techniques to help you relieve distress and build resilience. In the safe and supportive space of therapy, you can learn to calm anxiety, mobilize depression, and strengthen your relationships - and often start to feel some relief within the first few sessions. Most importantly, therapy is a partnership, and I'll meet you where you are every step of the way.
I'm a Licensed Marriage and Family Therapist based in California specializing in trauma, LGBTQ+ identity, addiction, and men's issues. I work with adults who are exhausted from just surviving and are ready to experience something that actually feels like living. My approach is relational, direct, and grounded in genuine compassion.
I'm a Licensed Marriage and Family Therapist based in California specializing in trauma, LGBTQ+ identity, addiction, and men's issues. I work with adults who are exhausted from just surviving and are ready to experience something that actually feels like living. My approach is relational, direct, and grounded in genuine compassion.
Welcome! I provide therapy to adults from a wide range of back grounds and a variety of clinical presentations, including anxiety, depression, adjustment disorders, PTSD, trauma, grief and loss, end-of-life concerns, and other family, relationship, or marital challenges. Through my work with diverse populations, I have an awareness of the intersections of identity and other cultural concerns, as well as in the complexities surrounding attachment and relationship dynamics.
I enjoy working with people across the lifespan throughout California, with a particular interest in working with adults in hospice.
Welcome! I provide therapy to adults from a wide range of back grounds and a variety of clinical presentations, including anxiety, depression, adjustment disorders, PTSD, trauma, grief and loss, end-of-life concerns, and other family, relationship, or marital challenges. Through my work with diverse populations, I have an awareness of the intersections of identity and other cultural concerns, as well as in the complexities surrounding attachment and relationship dynamics.
I enjoy working with people across the lifespan throughout California, with a particular interest in working with adults in hospice.
I want my clients to know that I'm here to create a space where they feel seen and heard. I walk alongside the client as they uncover their strengths, understand their behavioral patterns, and move towards healing. I believe in meeting people where they are, with compassion, curiosity, and respect. Therapy is a collaborative journey, and I feel privileged to be part of that process with each client.
I want my clients to know that I'm here to create a space where they feel seen and heard. I walk alongside the client as they uncover their strengths, understand their behavioral patterns, and move towards healing. I believe in meeting people where they are, with compassion, curiosity, and respect. Therapy is a collaborative journey, and I feel privileged to be part of that process with each client.
Vesna L. Westbrook. CPTSD, autism, HSP,
Marriage & Family Therapist, MA, LMFT
18 Endorsed
San Francisco, CA 94114
I work with clients who are (highly) sensitive and/or gifted, who struggle with anxiety or complex trauma, and/or who are curious about their neurodivergence. I also work with therapists.
Sensitive people have a finely attuned nervous system, they experience life deeply, yet don't always feel easily understood by others. Growing up, they may have experienced not fitting in, and have adapted to a largely non-sensitive world in various ways that didn't always serve their best interest. I support my clients on their path to finding their voice, experiencing genuine relationship, purposeful work, and reclaiming their space in the world.
I work with clients who are (highly) sensitive and/or gifted, who struggle with anxiety or complex trauma, and/or who are curious about their neurodivergence. I also work with therapists.
Sensitive people have a finely attuned nervous system, they experience life deeply, yet don't always feel easily understood by others. Growing up, they may have experienced not fitting in, and have adapted to a largely non-sensitive world in various ways that didn't always serve their best interest. I support my clients on their path to finding their voice, experiencing genuine relationship, purposeful work, and reclaiming their space in the world.
Flexible evening, weekend, or early morning appointments available!
If you're struggling with stress, anxiety, chronic pain/symptoms, perinatal/postpartum challenges or relationship issues, give me a call. Together we will get clear on what results you want to see, and create a focused plan for initiating positive change. Whether you’re wanting a fresh perspective on patterns that are not working for you in your relationships, need support for navigating an overwhelming life transition, or are ready to try a new approach to addressing chronic symptoms, insomnia, or past traumas, together we will find a way forward.
Flexible evening, weekend, or early morning appointments available!
If you're struggling with stress, anxiety, chronic pain/symptoms, perinatal/postpartum challenges or relationship issues, give me a call. Together we will get clear on what results you want to see, and create a focused plan for initiating positive change. Whether you’re wanting a fresh perspective on patterns that are not working for you in your relationships, need support for navigating an overwhelming life transition, or are ready to try a new approach to addressing chronic symptoms, insomnia, or past traumas, together we will find a way forward.
Hi, I'm Claire, a Licensed Marriage and Family Therapist with a passion for connecting with humans like you. I view therapy as an intricate piece of your wellness routine, kind of like skincare for your mind. As your therapist I will be real, direct and provide you with a safe space to feel understood (I'll use a lot of humor too). I believe in the power of validation and the need to release our most inner thoughts to maintain our mental health and a positive outlook on life; together we can fuel yours.
Hi, I'm Claire, a Licensed Marriage and Family Therapist with a passion for connecting with humans like you. I view therapy as an intricate piece of your wellness routine, kind of like skincare for your mind. As your therapist I will be real, direct and provide you with a safe space to feel understood (I'll use a lot of humor too). I believe in the power of validation and the need to release our most inner thoughts to maintain our mental health and a positive outlook on life; together we can fuel yours.
Does your life today reflect your hopes and desired choices -- and satisfy your own needs? Or is the life you live defined by others' needs and expectations -- or by outdated expectations for yourself? To face life's challenges today and tomorrow requires greater self-awareness. If you wish to learn more about yourself, to not only come up with solutions to the problems you face today, but to have tools with which to meet the future, we can work together well. I can be of special help in working through relationship concerns, whether seen as a couple or as an individual.
Does your life today reflect your hopes and desired choices -- and satisfy your own needs? Or is the life you live defined by others' needs and expectations -- or by outdated expectations for yourself? To face life's challenges today and tomorrow requires greater self-awareness. If you wish to learn more about yourself, to not only come up with solutions to the problems you face today, but to have tools with which to meet the future, we can work together well. I can be of special help in working through relationship concerns, whether seen as a couple or as an individual.
You deserve to be heard. My specialties include connecting with strong willed teens, healing family conflicts and helping adults translate pain and difficulty into opportunities for transformation. I have a particular interest in the enhanced opportunity for change and growth that come from big developmental transitions such as adolescence, becoming an adult and becoming a parent. My style is warm, active and solution oriented.
You deserve to be heard. My specialties include connecting with strong willed teens, healing family conflicts and helping adults translate pain and difficulty into opportunities for transformation. I have a particular interest in the enhanced opportunity for change and growth that come from big developmental transitions such as adolescence, becoming an adult and becoming a parent. My style is warm, active and solution oriented.
Every day I get to witness people's remarkable resilience in the midst of the most difficult challenges. Starting therapy is, in itself, an act of resilience. I approach this work with curiosity, authenticity, and reverence (and, of course, some humor!). I offer a supportive space where you can slow down and make sense of the patterns and beliefs that are keeping you stuck. Together, we'll build practical tools for navigating challenges while also deepening self-understanding and self-trust. My goal is to help you feel more connected with what matters most to you so that change feels meaningful and sustainable.
Every day I get to witness people's remarkable resilience in the midst of the most difficult challenges. Starting therapy is, in itself, an act of resilience. I approach this work with curiosity, authenticity, and reverence (and, of course, some humor!). I offer a supportive space where you can slow down and make sense of the patterns and beliefs that are keeping you stuck. Together, we'll build practical tools for navigating challenges while also deepening self-understanding and self-trust. My goal is to help you feel more connected with what matters most to you so that change feels meaningful and sustainable.
I’m Rachel Ganz and I am a Licensed Clinical Social Worker with nearly a decade of experience working with youth, young adults, and families in the San Francisco Bay Area. I view the therapeutic process as grounded in a relationship between equals: you bring the expertise on yourself and your life experiences, while I bring expertise on how to create a safe space for you to be vulnerable, open, and able to learn concrete skills and strategies to move forward in ways that better serve you.
I’m Rachel Ganz and I am a Licensed Clinical Social Worker with nearly a decade of experience working with youth, young adults, and families in the San Francisco Bay Area. I view the therapeutic process as grounded in a relationship between equals: you bring the expertise on yourself and your life experiences, while I bring expertise on how to create a safe space for you to be vulnerable, open, and able to learn concrete skills and strategies to move forward in ways that better serve you.
I work with adolescents, teens, young adults, athletes, and high performers ready to get out of their own way. As a therapist and lifelong competitive athlete, I understand the pressure to perform — and what it takes to push through when things get hard, in sport and in life.
My integrative approach draws from CBT, Mindfulness, Motivational Interviewing, and Sports Psychology — helping you retrain unhelpful thinking, quiet the inner critic, and overcome performance anxiety and imposter syndrome.
You don't have to white-knuckle it alone. Let's build the resilience to thrive.
I work with adolescents, teens, young adults, athletes, and high performers ready to get out of their own way. As a therapist and lifelong competitive athlete, I understand the pressure to perform — and what it takes to push through when things get hard, in sport and in life.
My integrative approach draws from CBT, Mindfulness, Motivational Interviewing, and Sports Psychology — helping you retrain unhelpful thinking, quiet the inner critic, and overcome performance anxiety and imposter syndrome.
You don't have to white-knuckle it alone. Let's build the resilience to thrive.
Healing from trauma can feel complex, isolating, and deeply personal. You may be questioning your identity, beliefs, relationships, or sense of self in ways that feel overwhelming. If you’re navigating religious trauma or deconstruction, you might also carry guilt, fear, or loss that’s hard to name.
I work with individuals—especially women and LGBTQIA+ clients—processing trauma, reexamining beliefs, and reconnecting with their authentic selves. Together, we gently untangle harmful narratives, make sense of your experiences, and build clarity, self-trust, and a renewed sense of identity.
Healing from trauma can feel complex, isolating, and deeply personal. You may be questioning your identity, beliefs, relationships, or sense of self in ways that feel overwhelming. If you’re navigating religious trauma or deconstruction, you might also carry guilt, fear, or loss that’s hard to name.
I work with individuals—especially women and LGBTQIA+ clients—processing trauma, reexamining beliefs, and reconnecting with their authentic selves. Together, we gently untangle harmful narratives, make sense of your experiences, and build clarity, self-trust, and a renewed sense of identity.
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 |
| 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
| 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.


