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San Francisco County · Telehealth across California

Anxiety therapist for San Francisco professionals

You are a senior anything in a company where the seniority came fast and the vocabulary for what you're actually feeling never quite arrived. On paper, this is what you moved here for. Inside, you have been running on caffeine, adrenaline, and the quiet fear that someone in the next all-hands is finally going to say the thing you already secretly believe about yourself.

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The specifics

What lives in a San Francisco week

The people I see from San Francisco rarely arrive saying they have anxiety. They arrive saying they're behind — even when the calendar, the comp letter, and the last review say the opposite. The anxiety is the fuel that got them here, and now the fuel is eating them.

Startup culture rewards a very specific nervous system: someone who can absorb a re-org on Slack at 9pm, treat a founder's mood swing as a leadership event, and internalize a missed quarter as a personal failing. That nervous system does not turn off when the laptop closes. It runs errands. It has a face for the partner. It wakes up at 3am.

The most honest conversations happen around the edges — the return-to-office memo that reshuffled a life, the equity that vested into a company that changed underneath you, the identity collapse when 'I'm at [company]' stops meaning what it used to mean. This is the layer we work on. Not the productivity system. The person underneath it.

Sound familiar?

You might recognize —

You perform in meetings and dissociate immediately after
Sunday-night dread that starts on Saturday morning
Every review — even good ones — leaves you convinced you're one quarter from being managed out
Your identity and your employer's name have quietly fused, and you're afraid of what's left if the company goes away
You've optimized sleep, meditation, and cold plunges and you still can't feel your own life

How telehealth actually works

No commute. No waiting room. No one sees you walk in.

You will not sit in a waiting room in SoMa where three coworkers might see you walk in. Sessions happen from your apartment, a booked focus room, a car parked near Crissy Field — anywhere in California with a door that closes and a decent signal. I keep evening availability that respects the fact your Wednesday calendar is not yours.

I am a Licensed Clinical Social Worker in California (LCSW #121584). I do not have a physical office. Sessions run by secure video and are confidential under California law and HIPAA. You can be anywhere in the state.

Where San Francisco clients usually start

Services that fit this work.

Specialization

Burnout & high-achiever therapy

For people who look fine on paper and are quietly running on empty.

Flagship focus

Anxiety & chronic stress

The one where you look fine and feel wrecked.

Modality

EMDR therapy

Evidence-based reprocessing for what your body still holds.

FAQ

Questions people in San Francisco actually ask.

Do you have an office in San Francisco?

No. My practice is telehealth-only, statewide across California. We meet by secure video from wherever you are.

Can we do sessions during the workday between meetings?

Yes. Many of my SF clients book at the edges of the workday, over a long lunch, or after 5. I try to hold evening slots because the reality of a tech calendar is not a mystery to me.

I've done therapy through my employer's EAP and it felt shallow. How is this different?

EAP is short-term by design. This is depth work — meant to touch the pattern under the symptom, not manage the crisis of the week. It's a different kind of container.

What if I'm in crisis outside a session?

Call or text 988, or SF Suicide Prevention at 415-781-0500. Between-session emergencies are not a burden — they're a signal, and we build a plan for them.

If it's an emergency