How to find a therapist in San Francisco
Types of therapy, costs, insurance and what to look for when choosing a therapist in San Francisco.
Earl Johns, MSN, PMHNP-BC
Board-certified psychiatric nurse practitioner and founder of Wellthy Psychiatry & Wellness
✓ Medically reviewed by Earl Johns, MSN, PMHNP-BC
San Francisco has no shortage of therapists, but finding the right one can still feel hard. A little clarity about what you want makes the search much easier.
Know what you’re looking for
Think about your goals. Do you want practical skills for anxiety, support through a life change, help with relationships or a space to process trauma? Your goals can guide the type of therapy you choose.
Common approaches
CBT focuses on thoughts and behaviors. DBT builds skills for emotions and relationships. Solution-focused therapy builds on what’s already working. Many therapists blend approaches to fit you.
Cost and insurance
Therapy in San Francisco ranges widely in cost. Check your in-network benefits, ask about superbills for out-of-network reimbursement, and see if you can use an HSA or FSA.
Fit matters most
Research shows the relationship with your therapist is one of the strongest predictors of progress. It’s okay to try a first session and decide it isn’t the right match.
Care at Wellthy Psychiatry
Earl Johns offers solution-focused, DBT-informed therapy, with medication management when helpful, near Union Square in San Francisco and by telehealth across California. A free 15-minute consult can help you decide if it’s a fit.
A gentle next step
A free 15-minute phone consult is an easy way to see if Wellthy Psychiatry feels like the right fit for you.
This article is for general education and isn’t medical advice. If you’re in crisis, call or text 988, the Suicide & Crisis Lifeline, or call 911.
About the author
Earl Johns, MSN, PMHNP-BC
Board-certified psychiatric nurse practitioner · UCSF-trained · Founder of Wellthy Psychiatry & Wellness
Earl provides LGBTQ+ and neurodivergent-affirming psychiatric care, blending medication management, therapy and whole-person approaches. He sees clients in San Francisco and by telehealth across California.
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