Who we work with

Find the right kind of support.

What we have found

Understanding arrives long before change does.

Many people arrive already knowing a great deal about themselves. You can name your attachment style, you have read the books, and still you find yourself in the same argument, the same job, the same silence at the dinner table.

This is true at every age. A young child often knows she gets angry when she feels left out and still cannot do anything differently. An adult can describe a marriage in fine detail. Understanding alone rarely moves any of us very far.

In a session the old feeling arrives in real time, with someone right there paying attention. Something you have only ever gone through alone is now happening in company, and that is what starts to loosen it.

That only works if you trust the person you are working with. The relationship you build is often the first one in which an old pattern gets a different ending. That is as true in the playroom as it is in later life, which is why we work with children and teenagers, adults and couples, and families.

A worn wooden stairway climbing through ferns and redwoods in dappled light

Our approach

Psychodynamic depth, gestalt presence.

Psychodynamic therapy takes seriously that the past is still operating in the present. We look at what formed you, what you learned to do to survive it, and how those adaptations became the thing now getting in your way.

In gestalt therapy, the work is what is happening in the room, right now. Not just the story of the argument you had last week, but what your body does as you tell it, and what happens between us as you do.

A fuller account of the problems we treat, from anxiety and depression to trauma and grief, is set out on its own page.

Cultural frame

Your background is not a footnote to the work.

Culture, race, immigration, class, faith, language, gender, and sexuality are not topics we get to at the end if there is time. We treat your culture as central to understanding what you bring to therapy.

Open white roses on the branch, backlit by soft afternoon light

Getting started

Starting is simpler than it may feel.

  1. One

    Call us

    Reaching out for yourself or your child is a big step, and the first conversation is a small one. Fifteen minutes on the phone, in which you tell us what has been going on and what you are hoping for. There is no paperwork at this stage.

  2. Two

    We find the right fit

    We talk together as a team about who here is best suited to what you have described, considering each clinician's specialty, their availability, and who we think you are most likely to feel understood by.

  3. Three

    You begin

    A first session with that therapist. The early weeks are mostly about getting to know one another and finding a pace that suits you. You decide how quickly things open up, and nothing has to be said before you are ready to say it.

What guides us

How we work as a practice.

We think together

You are not choosing a therapist who works alone. Our clinicians meet regularly to support each others’ work, so the person you sit down with has a whole practice behind them.

We follow you

We do not work from a protocol or a set sequence of skills. Sessions follow where you take them, and whatever turns up on the way is material: play, memory, or what is happening in the room in the present.

Access matters

We hold a number of reduced-fee spots across the practice. If cost is a concern, please ask on the first call and we will tell you plainly what is open.

Where we are

Therapy in San Francisco and across California.

Our office is at 1934 Divisadero Street in Lower Pacific Heights, San Francisco. We welcome clients from Pacific Heights, Japantown, the Fillmore, Laurel Heights, Presidio Heights, Cow Hollow, and the Marina, and we are within easy reach of the Divisadero, Fillmore, and California Street corridors.

If you live further afield, or would simply rather not travel across the city, we offer secure video therapy to anyone located in California.

We offer individual therapy, therapy for children and adolescents, couples counseling, and ongoing therapy groups, so there is somewhere to begin at whatever stage you or your family are in.

Take the next step

A first conversation costs nothing but a phone call.

Call us and we will talk through what you are looking for, answer your questions about how we work, and help you find the therapist on our team who fits. If we are not the right place for you, we will tell you that too, and point you somewhere better.

(510) 423-3205

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