Best Therapists in San Francisco for Real Results (2025)
Finding the right therapist in San Francisco can be overwhelming. With so many options, how do you know which approach will actually work for you?
Some therapy practices focus on long-term weekly sessions, while others offer short-term, results-driven methods. Some therapists specialize in deep emotional processing, while others provide structured tools to help you take action right away.
The truth is, effective therapy isn’t one-size-fits-all. The best therapist for you depends on your goals, needs, and how you want to engage in the process.
That’s why we’ve curated this list of five highly effective therapy practices in San Francisco, each offering a unique approach. Whether you’re looking for a traditional talk therapist, a structured mentorship model, or an innovative, research-backed method, this guide will help you find the right fit.
1. Guided Self Mentorship
Guided Self Mentorship, led by Adam Holman, LCSW, is redefining what mental health support can look like. Instead of the traditional model of passive weekly sessions that can stretch on for years, Guided Self Mentorship delivers a structured, high-impact approach. Clients engage in an intensive two-hour session focused on gaining practical, actionable skills that they can immediately implement to navigate life with clarity and confidence.
Unlike therapy that often emphasizes ongoing symptom management, Guided Self Mentorship is designed for true recovery. Clients measure their progress, ensuring that their experience is not just insightful but effective. The goal isn’t to keep you in therapy indefinitely—it’s to empower you to graduate, fully equipped to mentor yourself through any challenge that life presents.
And the results speak for themselves. In the Graduation Stories section of the website, clients describe walking away from the process with a completely different perspective—some reporting immediate relief, others sharing that they now trust themselves in ways they never have before.
However, this process requires commitment. Sessions are self-pay, and success hinges on a client’s willingness to actively engage and complete structured work outside of sessions. If you’re looking for a therapist to listen and process passively for months or years, this approach may not be for you. But if you’re ready for real, measurable change, this model could be exactly what you’re looking for.
Learn more about Guided Self Mentorship
2. Therapy Now SF
Therapy Now SF provides individual and couples therapy, addressing issues such as anxiety, PTSD, relationship challenges, depression, and sexual concerns. Their team of experienced therapists offers both in-person and online sessions, ensuring accessibility and flexibility. Appointments are available from 8 am to 8 pm, Monday through Saturday, accommodating various schedules. While they do not accept insurance, they provide a superbill for potential reimbursement. The downtown location is convenient for many but may be less accessible for those residing in outer neighborhoods.
Learn more about Therapy Now SF
3. Practice San Francisco
Practice San Francisco is a family-focused mental health and wellness practice supporting children, teens, and parents through psychological assessments, individual and group therapy, and educational workshops. Their holistic approach aims to transform the experience of parenthood and family life. Services are split between San Francisco and Mill Valley, potentially requiring travel between sites. Additionally, the practice primarily centers on children, teens, and parents, which may not suit individuals seeking therapy outside of this scope.
Learn more about Practice San Francisco
4. Golden Gate Integral Counseling Center
Affiliated with the California Institute of Integral Studies, the Golden Gate Integral Counseling Center offers affordable, sliding-scale fee therapy to individuals, couples, and families. Their inclusive environment is designed to facilitate healing during times of emotional stress and confusion. Services are provided by trainees and interns under supervision, which may be a consideration for those seeking highly experienced therapists. Weekend appointments are occasional and may require advance planning.
Learn more about Golden Gate Integral Counseling Center
5. Andrew Kushnick Psychotherapy
Andrew Kushnick offers practical online therapy for individuals and couples, specializing in navigating challenging times with a focus on actionable strategies. As a Certified Telebehavioral Health Practitioner, he ensures that virtual sessions are both effective and convenient. However, those preferring face-to-face sessions may find virtual therapy less satisfying, and a stable internet connection is required for online sessions.
Learn more about Andrew Kushnick Psychotherapy
Selecting the right therapist is a deeply personal decision. It's advisable to contact these practices directly to discuss your specific needs, inquire about availability, and determine the best fit for your therapeutic journey.
