Book family therapy, covered by insurance
Family therapy and counseling in San Francisco, CA


Top family therapists in San Francisco, CA
San Francisco families benefit from culturally-informed therapists trained in family systems, communication skills, and trauma-informed care. Headway offers flexible scheduling with availability within days, ensuring your family gets support when you need it most.
I’m a licensed therapist trained in somatic psychology at the California Institute of Integral Studies. I work with individuals, couples, and men, supporting clients with anxiety (including social anxiety), depression, ADHD, relationship challenges, trauma, and life transitions. I also help people navigating loneliness, work-related stress, and cultural or identity-related experiences, including multiracial relationships. My goal is to help people better understand themselves, their patterns, and how they relate to others. I tend to be warm, down-to-earth, and collaborative, while also being direct when it’s helpful.
As a mature therapist with more than 35 years of experience, I bring both professional expertise and the wisdom that comes from a lifetime of helping people navigate life's challenges. I have extensive experience working with anxiety, trauma, grief, relationship difficulties, and life transitions.
I believe that every person has the capacity to heal and grow. I work comfortably with people from diverse cultural, spiritual, and socioeconomic backgrounds and strive to create a warm, respectful environment where clients feel safe, heard, and genuinely understood. I love my work and consider it a privilege to walk alongside people as they create healthier, more meaningful lives.
I am a Licensed Marriage and Family Therapist based in Sonoma County with six years of clinical experience working with young people and families. I've worked across a range of settings including intensive residential treatment, county behavioral health, and outpatient care, and I bring that breadth of experience into my private practice. I specialize in working with preteens, teens, young adults, and families navigating anxiety, trauma, identity, family conflict, and life transitions. I also work with couples on a private pay basis.
Please note that although I enjoy working with couples, I will no longer be able to offer couples therapy due to insurance reimbursement issues.
I am a Licensed Clinical Social Worker (LCSW) and Certified Alcohol and Drug Counselor (CADC II) with over 25 years of experience supporting individuals, couples, and families as they navigate life and the concerns that arise. I specialize in addiction, trauma, and co-occurring mental health challenges. I bring a deep commitment to meeting people where they are in their process. In my practice, I offer a warm, collaborative, and trauma-informed space where clients feel seen, heard, and supported. I believe meaningful change happens when we honor each person’s lived experience and work together toward self-identified goals at a pace that feels safe and manageable. I meet clients where they are, whether they are just beginning to explore change or looking to deepen their healing and personal growth.
I'm an open minded individual and welcome any topics in treatment
I am a bilingual (Spanish & English) marriage and family therapist licensed in California with over 14 years of experience working in clinical practice. I am born and raised in San Francisco's Mission District. I am Salvarodan and Nicaraguan; and a native Spanish speaker. I have served clients experiencing multiple occurring conditions requiring some form of crisis stabilization service or intervention. I have counseled individuals and families dealing with an array of issues such as immigration/deportation, domestic and community violence, teen pregnancy, work – readiness, homelessness, substance abuse, and more. I use a client-centered and strengths-based approach when I work with clients. I believe that it is critical to collaborate with cleints in identifying and attaining what they are seeking. I believe that clients are experts in their lives and I am an expert my field.
Ready to feel more connected, confident, and in control of your life? Whether you’re facing relationship struggles, overwhelming emotions, or challenges around identity, you deserve a space where you feel truly seen and supported.
I’m Rocio Vaca, a Licensed Clinical Social Worker with 17+ years of experience helping couples, individuals, children, and teens create meaningful, lasting change.
For couples, I help turn conflict and disconnection into stronger communication, deeper friendship, and emotional intimacy.
I provide an affirming, judgment-free space for those exploring identity, preparing to come out, building self-acceptance, or navigating gender-affirming care. Together, we can strengthen resilience and address anxiety, depression, and stress.
You've done meaningful therapeutic work and you're ready to go deeper. You're successful in the external markers of your life, but you know there's more—greater depth, connection, and purpose waiting for you. You've addressed foundational trauma, and now you want to explore subtler patterns: how you hold back in intimacy, the meanings you're searching for, the fuller expression of yourself you sense is possible. You may be curious about psychedelic-assisted therapy as a tool for profound insight. You're not dealing with crisis, but are looking for a guide who can support you in moving from survival to fully living in your wholeness.
My name is Gerardo Salinas. I have been a Licensed Clinical Social worker and therapist for more than 13 years. I have worked with adults, youth, and families from varied life experiences. I enjoy working with clients from diverse backgrounds.
My goal is to provide a space that feels warm, non-judgmental and more importantly helpful. I work with adults, adolescents and adults who are experiencing trauma, depression, anxiety, grief and many of the other effects and challenges.
About our family therapists in San Francisco, CA



- 98%Anxiety
- 94%Depression
- 90%Stress management
- 87%Relationship issues
- 85%Family issues

- 98%Aetna
- 85%Carelon Behavioral Health
- 82%Cigna
- 78%Anthem Blue Cross California
- 73%Blue Shield of California

- 97%English
- 19%Spanish
- 2%Farsi
- 1%Mandarin
- 1%Russian

- 89%Online only
- 11%In-person or online

- 79%Woman
- 20%Man
- 1%Non-binary

- 55%Licensed Marriage/Family Therapist
- 27%Licensed Clinical Social Worker
- 6%Clinical Psychologist
- 6%Licensed Professional Clinical Counselor
- 5%Nurse Practitioner

- 100%Family therapy
- 100%Individual therapy
- 42%Couples therapy
- 28%Child or adolescent therapy
Frequently asked questions


Find the right counselor for your family
Headway makes it easier to find family-focused support — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing a Family Therapist in San Francisco
Finding family therapists in San Francisco starts with the type of support your family is looking for. Family therapy may help with parenting conflict, adolescent struggles, blended family dynamics, communication patterns, and major life changes. A marriage and family therapist in San Francisco is trained to work with the relational system, not only one person. As you compare therapists, look for specialties and approaches that match your needs, such as family systems therapy, trauma-informed care, or experience with couples and family counseling.
In a large market like San Francisco and the wider Bay Area, having many options can make it harder to narrow your search. Location may matter if you prefer in-person sessions near your home, work, school, or transit route. Virtual appointments can make scheduling easier when multiple family members need to attend from different places. Family therapy sessions may include the full family, caregivers and children, partners, or individual family members, so review therapist bios to understand their structure, communication style, availability, and whether they offer a free phone consultation.
Therapy in San Francisco can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs. Headway helps you search for therapists who accept a wide range of insurance plans, confirm your benefits, and see your estimated out-of-pocket cost before booking. You can compare profiles, choose between in-person and virtual care, and book directly when you find a therapist who fits your family’s needs.
If anyone in your family is experiencing or worried about abuse, threats, or coercion, joint family or couples therapy usually isn't the right starting point — individual support is safer. The Childhelp National Child Abuse Hotline (1-800-422-4453) and National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
Use left and right arrow keys to switch tabs. Press Shift+Tab to return to the tab list from links in the selected tab.







































