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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 am dedicated to helping teens struggling with trauma and self-harm behavior. My experience working with Orange Unified School District, running groups from grade 6-12 for students struggling with emotional and behavioral problems has given me unique insight into not only helping teens, but also working with the families, schools, and community to provide more effective treatment. I have partnered with Western Youth Services in helping at risk teens and low income families in helping adolescents to overcome academic barriers and families cope with serious defiance and drug use.
I’m a bilingual Licensed Marriage and Family Therapist who provides therapy in both Spanish and English, from colloquial to professional levels. My work has included supporting individuals facing HIV/AIDS-related challenges, domestic violence, substance use, loneliness, suicidal thoughts, dual diagnosis, sexuality-related concerns, aging-related issues, and the broader impact these experiences can have on families and support systems. Across community, academic, and clinical settings in Mexico and the U.S., I’ve built a strong foundation in helping people navigate both personal suffering and societal distress.
I have a Masters Degree in Clinical Social Work, and a Licensed Clinical Social Worker (LCSW), working in private practice as a Psychotherapist. I live in Los Angeles, and work in-person or hybrid, with adults, teens, couples and the aging population. I specialize in anxiety, life transitions, relationship issues, work stress/dissatisfaction, career goals, sleep disorders, substance use, trauma (ptsd/complex/acute), obsessive compulsive disorders (OCD/OCPD), attention deficit disorders (ADD/ADHD). In addition I deal with grief, isolation, and breaking creative blocks.
Hi! My name is Terri Carsley and I have been practicing as a Marriage and Family therapist for the last 16 years. I am a transplant from the East Coast, but have lived in Los Angeles for over 30 years. I have a background in treating addiction and trauma. I am an advanced level somatic practitioner, using both my talk therapy and trauma therapy to help individuals, couples and families achieve healthy communication and heal emotional wounds.
Hi, I am a Licensed Marriage and Family Therapist who believes meaningful change begins with a genuine therapeutic relationship. I value authenticity, curiosity, and creating a space where clients feel respected and accepted for who they are. I consider it a privilege to walk alongside people as they navigate life's challenges and discover their own resilience.
I have over 30 years of clinical, counseling and administrative experience working with individuals and couples, addressing the unique issues related to their unique life experiences. I have extensive professional and personal experience with military families and veterans. I understand first-hand the struggles of grief and medical conditions that impact all aspects of life. I have supported chronically and terminally ill patients, individuals living with cancer or chronic medical diagnoses, as well as parents experiencing infertility, peripartum, and postpartum depression. Whether dealing with life transitions, parenting, depression, anxiety, or divorce, or simply seeking to express yourself and feel more confident, I am here to walk with you, provide insights, and support you toward lasting change.
Hello, my name is Tamra Smith. I am a licensed clinical social worker (LCSW) in Sacramento, CA. I have over 20 years of experience in the field of Mental Health Services, especially providing therapy and consultation. My practice name is Path to Wellbeing Therapy Services, and I truly lead each person on a path to their own emotional health and wellbeing.
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.
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