real talk:

With over 26 years of experience providing therapy and teaching internationally, I offer warm, expert care to help individuals and couples feel better, heal, and thrive. Sessions are available in person from my beautiful Castro office in San Francisco or virtually from the comfort of your home.

Couples Therapy and Individual Therapy in San Francisco

Whether you're seeking individual therapy or couples counseling, I offer warm, experienced support to help you navigate life’s challenges with clarity, care, and deep compassion.

I provide in-person therapy in San Francisco and secure virtual therapy for clients in California, New York, Massachusetts, and Pennsylvania, with an attentive, personalized approach designed to feel both grounding and genuinely supportive.
Same-day appointments may be available.

Specialties include:

Anxiety, stress, and burnout
Relationship and couples therapy
Trauma-informed healing
Life transitions and personal growth

Ready to begin?
Call or text 415-497-4931 or schedule your session online.

Confidential, personalized care with depth, warmth, and discretion.

Whether you’re seeking virtual or in-person therapy, I offer personalized care with warmth, depth, and discretion.

We’ll begin with a free 15-minute consultation to see whether it feels like a fit. If so, we can schedule your first session — a gentle step toward feeling more grounded, connected, and supported.

Book an online appointment

Bliss Counseling, Individual Counseling in San Francisco

One-On-One sessions

Anxiety and depression are the most common reasons people come to therapy. If you deal with either, your world can feel myopic. You may not have the energy to find your way out. I can help. You can feel better.

Couples sessions

Stop your relationship struggles. You can have a more rewarding relationship that fulfills your deepest needs. Find out how individual or couples therapy can help get you there.

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Testimonials

Rachel is a highly-skilled behavioral therapist who saw me through an episode of major depression with professionalism and compassion. Over the course of 18 months in therapy, she helped me to move from a depressive episode to a new pattern of thinking. Her approach to therapy changed my pattern of thinking for the better, and those changes have seemed to stick. And for that I cannot thank her enough."

I have never felt so supported, nurtured, and loved as I did in Rachel’s workshop. I don’t say this lightly. In the short time we had together, she built a magical community and an incredibly safe and healing place. In addition to full scale catharsis, I had an absolute blast! The skill, love, and thought she brought to the workshop was obvious in all the sweet details.

JILL JACOBSEN

Workshop attendee