My Story: 26 Years of Helping Clients Thrive


For 26 years, I’ve had the privilege of helping individuals and couples in San Francisco and beyond transform their lives, one session at a time. My journey has been shaped by training with renowned leaders in the field, and I bring that expertise and compassion to every client I work with.

I believe in the power of therapy to create meaningful, lasting change—whether it’s building stronger relationships, navigating anxiety, or finding clarity during life’s challenges. As a therapist based in San Francisco’s Castro District, I provide in-person therapy in SF as well as virtual therapy for clients across California, New York, Pennsylvania, and Massachusetts.

My clients mean the world to me, and I am deeply committed to providing compassionate, results-driven care tailored to each individual’s unique needs.

 
 
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Rachel Fleischman, Bliss Counseling, San Francisco
 

About Rachel Fleischman, LCSW

A Lifelong Passion for Understanding & Healing

From a young age, I was the person people turned to when they needed to feel understood. This early empathy led me to a lifelong study of relationships, neuropsychology, resilience, and the ways identity shapes our experiences.

My work blends cutting-edge brain science with compassion, helping individuals and couples move from stuckness into clarity, connection, and well-being. I’m committed to continuous learning, ensuring I bring effective, research-backed tools to every session.

Who I Work With

Couples Counseling – Helping partners rebuild trust, improve communication, and rediscover connection.

Individual Therapy– Supporting people navigating anxiety, depression, grief, and major life transitions.

Specialties & Approach

Couples Therapy & Relationship Healing – Build trust, resolve conflict, and cultivate deeper intimacy.

Premarital & Marital Counseling – Strengthen your foundation and navigate life’s challenges together.

Anxiety, Depression & Life Transitions – Move through difficult times with clarity and resilience.

My approach is warm, direct, and tailored to your needs. Whether you’re seeking healing or practical tools, we’ll work together to help you feel more grounded, connected, and alive.

Session Rates & Insurance Information

Individual Therapy: $295+ (50-minute session)
Couples Therapy: $380+ (60-minute session)

I am out of network with insurance providers, and provide superbills for reimbursement.

Let’s talk. Call or text: 415-497-4931