Couples therapists in San Francisco, CA

Hey there—I'm Mika, a Licensed Marriage and Family Therapist (LMFT) who's here for real talk and real support for adults and teens right here in Southern California. I've spent years helping people work through tough life events like trauma, addictions, ADHD, burnout from high-pressure jobs, anxiety, depression, and rocky relationships. What I love most is seeing folks step into their strength and build the life they want—I'm here to walk that path with you, no judgment, just genuine care.

I’m April Madden, a Licensed Marriage and Family Therapist and the owner of Twisted Oaks Family Therapy.

If you are interested in services, please reach out to clerical at (805)721-6112 or visit our website at twisitedoakstherapy.com

As the owner of Twisted Oaks Family Therapy, I’ve also built a team of clinicians with diverse specialties so that clients can be matched with a therapist who best fits their individual needs. Our goal is to provide a welcoming, nonjudgmental environment where clients can feel comfortable doing difficult work while knowing they do not have to navigate it alone.

I hold a master’s degree in clinical psychology and have more than 20 years of experience in the helping profession, working with individuals and families facing a wide range of emotional, behavioral, relational, and life challenges.

My approach to therapy is compassionate, trauma-informed, and direct. I believe therapy should be a space where you feel heard and supported, but also a place where meaningful growth happens. I work collaboratively with my clients to identify patterns, build healthier coping skills, strengthen relationships, and create lasting change.

I have experience working with adolescents, adults, couples, and families, with particular focus on trauma and PTSD, anxiety, depression, relationship and family concerns, life transitions, addiction and recovery, communication difficulties, self-esteem, and rebuilding trust and connection. I am also a Certified Substance Use Disorder Counselor IV (SUDCC-IV), which provides me with specialized experience in substance use, addiction, and recovery.

Whether you are seeking support for yourself, your relationship, or your family, our goal is to meet you where you are and help you move toward greater understanding, healing, and meaningful change.

I'm Mary, and I want you to know that whatever's bringing you here — anxiety that won't quiet down, a relationship that's fraying, grief you can't shake, or patterns you keep repeating despite your best efforts — you don't have to figure it out alone. I've worked with individuals, couples, families, and teens facing some of life's hardest chapters, and I genuinely believe that the right support at the right time changes everything.

I'm California-licensed and offer telehealth sessions statewide, which means flexible, private care from wherever you're most comfortable. I accept Aetna, Blue Shield of California, Cigna, and Carelon Behavioral Health, and I'm happy to help you understand your benefits before your first session.

As a board certified psychotherapist, I believe prioritizing mental health is key to happiness and stability in life. Seeking help can be one of the hardest parts, so congratulations on taking that step! I’ve been practicing for 10 years, I work with a plethora of inter-generational clients aged 21-90 who are struggling with anxiety and depression and trauma.

As a chaplain, I take a psycho-spiritual approach and work with clients assisting with intercultural issues, blended family dynamics, religiosity challenges and grief & loss.

avigating emotional distress or long-standing conflict can feel like being fractured, but healing often begins with finding a reliable and experienced partner. I am Dr. Julie Cohen, a Clinical Psychologist with over 45 years of experience. I have spent my career helping individuals, couples, and families resolve conflict—whether it’s occurring in the living room or the workplace. I specialize in treating depression, anxiety, and stress, particularly for those who are ready to dive into their inner experience to improve how they feel about themselves and their relationships. I feel privileged to help my clients achieve their goals and improve their lives by providing the expert, seasoned care necessary to handle even the most complex challenges with precision and kindness.

I believe that the foundation of our work is a relationship of absolute trust and safety. My extensive training allows me to look at your life through a wide lens, understanding how your past experiences and upbringing shape your current personality and challenges. I encourage an honest and direct dialogue, as that is where true mutual understanding begins. When I am not working with clients, I value the perspective that comes from a long career dedicated to human behavior, often finding restoration in the very principles of balance and growth that I share in my sessions. I want my clients to feel safe and empowered during their time with me, knowing they have a safety net of four decades of clinical expertise behind them.

Hi, I’m Julie. I have been a therapist for almost 20 years. I have experience with individuals and families who are living with mental health issues, and I also have extensive experience helping those with substance use problems. If you’re feeling anxious, overwhelmed, or unsure how to move forward, therapy can offer a supportive place to feel understood, begin to recover, and reconnect with yourself.

Hi, I’m Dr. Lizeth Moreno. I am a first-generation Salvadoran Latina who provides therapy for individuals seeking personal growth, healing, and a deeper understanding of themselves across various stages of life. My work focuses on creating a supportive and collaborative therapeutic environment where clients feel heard, respected, and emotionally safe. I understand that reaching out for support can feel difficult, and I strive to provide a space where you can explore your experiences, develop insight, and work toward meaningful change. My goal is to help clients build greater self-awareness and strengthen coping strategies.

Before earning my Masters in Counseling, I earned a PhD in social and personality psychology. This background deeply informs how I show up as a therapist. I help clients address unresolved trauma and grief, anxiety and OCD, address relationship issues, as well as "problems of everyday living." My style is active, engaged, and practical.

My name is Jeffrey W. Danese, MS, MA, LMHC, LPCC, and I am a licensed mental health counselor in Washington State and California, currently based in Sacramento. I bring over 15 years of clinical experience across private practice, inpatient and outpatient mental health settings, and college counseling, along with a an academic background teaching psychology, religious studies, and the history of science in higher education from UCSB, FSU, and 10 years at SJSU to various community colleges in the Puget Sound region and in North Florida and cross-cultural experiences such as living in Taiwan, Zambia, Germany and traveling around the world; I studied Spanish, German, and Chinese language, world history and religions, psychology, evolutionary psychology and the cognitive science of religion; was raised Catholic but ordained as a Buddhist monk in Thailand; and continue to meditate, explore and read broadly. One of my favorite quotes is by the Roman writer, Terence: "I am human and there is nothing human foreign to me." (or, Homo sum, humani nihil a me alienum puto. -- Publius Terentius Afer, 165 BCE)

Hi, I'm Aviva, a Licensed Clinical Social Worker. Life can become difficult when stress, burnout, relationship problems, body image concerns, or past experiences begin to affect your daily life. Sometimes people seek therapy because they are exhausted from trying to manage everything on their own. I believe in working together to create solutions that will give a different perspective or a way to break patterns that no longer work for them. I have experience with patterns that no longer suit you and have learned methods to work through them.

I'm Josiah — a licensed marriage and family therapist (LMFT) practicing via telehealth across California. My work centers on three communities I care deeply about: veterans navigating the often-invisible work of coming home, LGBTQ+ individuals and couples looking for a therapist who genuinely gets it, and parents who are doing their best while carrying more than they show. I'm Transgender Allied, trained in trauma-informed and multicultural frameworks, and I work with individuals, couples, and families. Before anything else, I work hard to make sure you feel like yourself in the session — not a diagnosis, not a file.

Welcome. I'm Roxy, dedicated to helping you find what you are looking for in therapy. My goal is to offer a safe, compassionate space where you can heal and grow.