Clarity. Connection. Confidence.
Thoughtful, personalized therapy for individuals and couples in San Francisco and virtually for clients in California, New York, Massachusetts, and Pennsylvania.
Whether you’re feeling anxious, burned out, disconnected, or ready for meaningful change, therapy can help you cultivate stronger relationships, greater well-being, and a more grounded life.
“My clients have shown me that therapy—when done well—has the power to transform lives.”
— Rachel Fleischman
I provide individual therapy and couples counseling in San Francisco for adults and couples who want support with anxiety, stress, burnout, relationship issues, grief, trauma, and life transitions.
My approach is warm, personalized, and grounded in helping you create meaningful change in your emotional well-being, relationships, and daily life. I offer in-person counseling in San Francisco and online therapy for clients in California, New York, Massachusetts, and Pennsylvania.
When you work with me, you can expect:
personalized support tailored to your needs and goals
insight and practical tools for anxiety, stress, burnout, and relationship challenges
compassionate, nonjudgmental therapy for individuals and couples
a thoughtful path toward greater clarity, resilience, and connection
Whether you are searching for a San Francisco therapist, couples counselor, or online therapy for anxiety and burnout, I’m here to support your growth and healing.
Feeling Anxious, Overwhelmed, or Stuck?
Life’s challenges — work stress, relationship struggles, anxiety, grief, and major transitions — can feel exhausting. Some days, simply getting through the day can feel like a lot. You do not have to navigate it alone.
I offer individual therapy and couples counseling in San Francisco, as well as virtual therapy for clients in California, New York, Massachusetts, and Pennsylvania. My approach is warm, engaging, practical, and deeply personalized. Therapy is never one-size-fits-all. Together, we’ll work to understand what’s holding you back, strengthen your coping tools, and create meaningful, lasting change.
And yes — I believe humor can be healing, too.
If for any reason I’m not the right fit, I’ll do my best to help you find someone who is.
How I can help:
Relationship challenges
Support for couples and individuals dealing with conflict, disconnection, communication struggles, and intimacy concerns.
Anxiety, stress, and burnout
Practical tools and compassionate support to help you feel more grounded, clear, and resilient.
Depression and overwhelm
Thoughtful therapy to help you move through sadness, frustration, exhaustion, and emotional heaviness.
Sex and intimacy
Support in building deeper connection, confidence, and emotional closeness.
Men’s issues
A space to work with the unique pressures men often carry in relationships, work, and emotional life.
Panic attacks
Strategies to help you understand, manage, and reduce intense moments of fear and overwhelm.
You do not have to face this alone.
Let’s take the next step together.
Whether you come on your own or with your partner, couples therapy offers a space to better understand the patterns shaping your relationship. Together, we’ll uncover the roots of conflict, disconnection, or misunderstanding and begin creating a more honest, connected, and supportive bond.
In our work, you can expect to strengthen communication, rebuild trust, deepen closeness, and shift the habits that no longer serve your relationship. With insight, warmth, and practical tools, we’ll help you move toward lasting change.
If you’re tired of feeling misunderstood, reactive, distant, or stuck in the same painful cycle, couples counseling can help. I offer couples therapy and premarital counseling in San Francisco, as well as virtual therapy for clients in California, New York, Massachusetts, and Pennsylvania.
Together, we may explore questions like:
Do you and your partner feel heard, respected, and emotionally safe during conflict?
Are you able to share your truth while staying open to your partner’s experience?
Have trust, closeness, intimacy, or friendship begun to erode?
Are stress, resentment, defensiveness, or shutdown getting in the way of connection?
Do old wounds or attachment patterns keep resurfacing in your relationship?
Many couples struggle with patterns such as:
blaming, criticizing, or controlling
withdrawing, shutting down, or avoiding
resentment, gridlock, or repeated arguments
confusion, disconnection, or loss of intimacy
If this sounds familiar, you are not alone. Couples therapy can help you break these cycles, communicate more effectively, and build a more secure, loving relationship.
Take the first step today and schedule your first session.
Over 26 years of experience helping couples navigate conflict, disconnection, and change
Training in PACT (Psychobiological Approach to Couple Therapy), EFT (Emotionally Focused Therapy), attachment theory, and neuroscience
Special experience supporting couples with high conflict, communication breakdowns, intimacy concerns, and trust issues
A warm, engaged style that blends practical tools, deep insight, and real-world strategies
In-person couples therapy in San Francisco for local clients seeking personalized, high-touch care
