Couples Counseling in San Francisco
When Insight Isn’t Enough—And Patterns Persist
You may be thoughtful, self-aware, and deeply committed to your relationship.
And still, something repeats.
A familiar tension.
A conversation that turns.
A distance that returns, despite your best efforts.
This is where we begin—not with blame, but with precision.
A Different Kind of Couples Therapy
This work is designed for couples who are not looking for quick fixes.
It is for those who:
Have already done personal growth work
Value depth, nuance, and emotional intelligence
Want meaningful, lasting change—not surface solutions
We focus on the underlying structure of your relationship—where patterns are formed and sustained.
Areas of Focus
Recurrent conflict that does not resolve
Pursue–withdraw dynamics
Emotional reactivity or shutdown
Loss of intimacy or relational ease
ADHD and neurodivergent relationship patterns
Subtle but persistent disconnection
Specialized Work with ADHD & Neurodivergent Couples
In high-functioning couples, differences in attention, regulation, and processing are often misunderstood.
Rather than pathologizing, we work with:
Nervous system differences
Timing and processing mismatches
Emotional intensity and regulation patterns
These are not obstacles—they are part of the system we learn to work with skillfully.
Clinical Approach
My work integrates:
Somatic Psychology
Attachment-based therapy
Developmental Model Couples Therapy
Systems-Centered Therapy (SCT)
ADHD-informed relational frameworks
How We Work
Sessions are active, focused, and precise.
We:
Identify the relational pattern as it unfolds
Work directly within moments of tension
Slow down reactions enough to create choice
Develop new responses that feel natural—not forced
Change happens in the room—then extends into your life.
What Evolves Over Time
Couples often notice:
A reduction in repetitive conflict
Greater clarity under pressure
Increased emotional range and flexibility
A sense of partnership rather than opposition
Renewed intimacy and connection
Who This Is For
This work tends to be a strong fit if:
You are capable, thoughtful, and psychologically minded
You are willing to examine your role in the dynamic
You prefer depth over formula
You are ready for a more rigorous, honest process
Let’s Begin
If you are ready to approach your relationship with greater depth and precision:
I invite you to schedule a consultation.
