Therapy

Therapy in San Francisco and across California.

Solution-focused, DBT-informed therapy with Earl Johns, drawing on CBT and existential approaches when they fit. Therapy can stand on its own or be built into your medication visits.

a living room with two chairs and a plant

How it works

Your walk to wellness.

  1. 01

    Reach out

    Every journey begins with a single step. Book a free 15-minute phone call where we’ll explore your goals.

  2. 02

    Getting to know you

    We take time to truly understand you: your story, your strengths, and the challenges you’re facing.

  3. 03

    Grow together

    Through ongoing visits, typically every 2 to 8 weeks, we work toward goals tailored to your needs.

  4. 04

    Find peace and wellness

    Feel grounded, balanced, and at peace, with a plan that supports your wellness.

What to expect

Care that fits your life.

Here’s what working together looks like, from your first visit on.

Your first visit

45 to 90 minutes. We listen to your story, your challenges, and your goals, then build an individualized plan that may include therapy, lifestyle strategies, nutrition, and medication when appropriate.

Follow-up visits

25 min

Focused medication visits, best if you already see a therapist

45 min

Medication management plus brief therapy (DBT, CBT, ACT)

60 min

Deeper therapy and mind-body work

Visits range from weekly to every 2 to 3 months, depending on your goals.

Between visits

Questions don’t always wait for your next session. Reach us by phone or email and we’ll respond within 3 business days.

Visit location: Secure HIPAA-compliant Zoom, or in person in San Francisco by request. You’ll need to be in California at the time of each visit. ADHD evaluations, including QbCheck computerized testing, are also available.

Who we see

  • Children and teens (ages 6 to 17)

  • Adults (ages 18 to 64; not currently accepting Medicare)

  • LGBTQIA+ people, including gay, lesbian, bisexual, trans, nonbinary and questioning folks

  • Neurodivergent people, including ADHD and autism

  • Trauma survivors and people working through grief or big life transitions

  • Professionals facing burnout and stress

  • Allies and families of LGBTQIA+ and neurodivergent people

Insurance

We’re in network with these plans:

  • Aetna

  • Anthem Blue Cross California

  • Carelon Behavioral Health

  • Cigna

  • Oxford / Optum

  • Quest Behavioral Health

  • United Healthcare / Optum

Paying out of network? We provide superbills for PPO reimbursement. Copays vary by plan, so check your benefits with your insurer.

Not sure where to start?

Book a free 15-minute phone consult. We’ll talk through what’s going on and help you decide on next steps, with no pressure.

Book a free consult

How we help

Practical skills, deeper meaning.

Sessions are collaborative and goal-focused, with room to explore what matters most to you.

Book a free consult

1

Solution-focused therapy that builds on your strengths and what’s already working.

2

DBT skills for managing big emotions, distress and relationships.

3

CBT tools for anxiety, depression and unhelpful thought patterns.

4

Existential approaches for questions of meaning, identity and purpose.

5

Mindfulness and mind-body practices woven in when they help.

6

45 and 60-minute visits that combine therapy with medication management.

7

Affirming care for LGBTQIA+ people, in person in San Francisco or by telehealth across California.

A golden ocean wave at sunrise

Just like the way waves break.

You’re not broken. You’re not alone.

And this isn’t the end of your story, just a new chapter. Our care is rooted in science, shaped by lived experience, and delivered with humanity.

Book a free consult