Local Pros · San Francisco
Local Therapists & Counselors in San Francisco, CA
Locally owned and operated therapists & counselors serving San Francisco and the surrounding area. Supporting local businesses means faster response and accountability.
As of June 2026, RatingsNearMe ranks 20 therapists & counselors in San Francisco, CA by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Psychiatric Alternatives & Wellness Center with a 4.9-star rating from 1,572 Google reviews and an RNM Score of 98/100. Also in the top tier: Brendan Hall and The Connective - San Francisco. The average rating across all listed therapists & counselors in San Francisco is 4.9 stars from 94 reviews per business on average.
Therapy in San Francisco: $100–$250/session without insurance; $20–$60 copay in-network. Many offer sliding scale.
Rankings updated June 10, 2026 · RNM Score = ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Best Overall
Fiachra Figs O'Sullivan LMFT - Couples Therapy
This practice is top-ranked for its specialized focus on couples therapy and strong reputation in San Francisco.
Most Reviewed
Bliss Counseling
A high review count indicates broad client experience and reliability, helping you gauge consistent service quality.
When choosing a therapist in San Francisco, consider your specific needs (e.g., couples vs. individual therapy) and check if the therapist offers virtual sessions to fit your schedule.
How to Choose a Therapists & Counselor in San Francisco
What to look for
- • Therapists licensed in California, such as Licensed Marriage and Family Therapists (LMFTs), Licensed Clinical Social Workers (LCSWs), or Licensed Professional Clinical Counselors (LPCCs)
- • Therapists who specialize in the issues you're seeking help with, such as anxiety, depression, relationships, etc.
- • Therapists who use evidence-based therapy approaches like cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), or mindfulness-based therapies
- • Therapists who offer a free initial consultation to ensure a good fit
Questions to ask
- • What is your educational and professional background?
- • What therapy approaches do you use, and how do they align with my needs?
- • Do you accept my health insurance, and what are the out-of-pocket costs?
Red flags
- ⚠ Therapist who seems disengaged or distracted during the session
- ⚠ Therapist who makes inappropriate self-disclosures or crosses professional boundaries
- ⚠ Therapist who pressures you to commit to a long-term treatment plan without first establishing a rapport
In California, therapists must be licensed by the Board of Behavioral Sciences. It's important to verify a therapist's license and ensure they are in good standing with the state regulatory board.
Local Market Snapshot
20
Businesses listed
4.9★
Avg rating
94
Avg reviews
Jun 10, 2026
Last updated
Top Rated Therapists & Counselors
Rated 4.9 stars from over 1,500 Google reviews by San Francisco clients.
3609 Sacramento St, San Francisco, CA 94118, USARated 5.0 stars from 44 Google reviews, this San Francisco therapist is highly recommended.
3095 21st St, San Francisco, CA 94110, USARated 5.0 stars from 27 Google reviews, this San Francisco therapist is highly recommended.
870 Market St Suite 340, San Francisco, CA 94102, USATherapists & Counselors Rankings in San Francisco, CA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Psychiatric Alternatives & Wellness Center3609 Sacramento St, San Francisco, CA 94118, USA | 4.9★ | 1,572 |
| #2 | Brendan Hall3095 21st St, San Francisco, CA 94110, USA | 5.0★ | 44 |
| #3 | The Connective - San Francisco870 Market St Suite 340, San Francisco, CA 94102, USA | 5.0★ | 27 |
| #4 | Andrew Kushnick Psychotherapy870 Market St #980, San Francisco, CA 94102, USA | 4.8★ | 18 |
| #5 | Therapy Now SF582 Market St Suite 1203, San Francisco, CA 94104, USA | 4.8★ | 5 |
| #6 | Dr. Cammy Froude | Licensed Couples Trauma Therapist350 Townsend St, San Francisco, CA 94107, USA | 4.8★ | 24 |
| #7 | SF Therapy Group3368 Sacramento St, San Francisco, CA 94118, USA | 5.0★ | 21 |
| #8 | San Francisco Stress and Anxiety Center999 Sutter St #304, San Francisco, CA 94109, USA | 4.6★ | 18 |
| #9 | Janet Lee Therapy1726 Fillmore St, San Francisco, CA 94115, USA | 5.0★ | 11 |
| #10 | Calm Again Counseling in San Francisco, CA4155 24th St, San Francisco, CA 94114, USA | 5.0★ | 16 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated June 2026
All Therapists & Counselors in San Francisco
Rated 4.8 stars from 18 reviews, this San Francisco therapist is highly recommended.
870 Market St #980, San Francisco, CA 94102, USA
Rated 4.8 stars from 5 Google reviews, this San Francisco therapist is highly regarded.
582 Market St Suite 1203, San Francisco, CA 94104, USA
Rated 4.8 stars from 24 Google reviews, this San Francisco therapist is highly praised.
350 Townsend St, San Francisco, CA 94107, USA
Consistently rated 5.0 stars from over 20 Google reviews in San Francisco.
3368 Sacramento St, San Francisco, CA 94118, USA
4.6 stars from 18 reviews, reflecting consistently strong client satisfaction.
999 Sutter St #304, San Francisco, CA 94109, USA
Rated 5.0 stars from 11 reviews, this San Francisco therapist is highly recommended.
1726 Fillmore St, San Francisco, CA 94115, USA
Rated 5.0 stars from 16 Google reviews, this San Francisco therapist is highly recommended.
4155 24th St, San Francisco, CA 94114, USA
Rated 5.0 stars from 11 Google reviews for therapy in San Francisco.
3896 24th St, San Francisco, CA 94114, USA
Rated 5.0 stars from 14 Google reviews in San Francisco.
80 Alta St, San Francisco, CA 94133, USA
Rated 5.0 stars from 4 Google reviews, this San Francisco therapist earns exceptional client feedback.
870 Market St Suite 617, San Francisco, CA 94102, USA
Rated 5.0 stars from 14 reviews, this San Francisco therapist is highly recommended.
4B Godeus St, San Francisco, CA 94110, USA
Rated 5.0 stars from 13 Google reviews, this San Francisco therapist is highly regarded.
4200 18th St #204, San Francisco, CA 94114, USA
Rated 5.0 stars from 2 reviews, this San Francisco therapist offers exceptional care.
Hobart Building, 582 Market St #1110, San Francisco, CA 94104, USA
Exceptional 5.0-star rating from over 20 glowing Google reviews in San Francisco.
999 Sutter St Suite 207, San Francisco, CA 94109, USA
Rated 5.0 stars from 24 Google reviews, this therapist is highly recommended.
4111 18th St #7, San Francisco, CA 94114, USA
5.0-star rated therapist in San Francisco with glowing feedback from 10 reviews.
1734 Fillmore St, San Francisco, CA 94115, USA
Rated 5.0 stars from 19 Google reviews, this San Francisco therapist is highly recommended.
2354 Post St, San Francisco, CA 94115, USA
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Therapists & Counselors in San Francisco, CA — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Psychiatric Alternatives & Wellness Center | 98/100 | 4.9 ★ | 1,572 |
| 2 | Brendan Hall | 91/100 | 5.0 ★ | 44 |
| 3 | The Connective - San Francisco | 88/100 | 5.0 ★ | 27 |
| 4 | Andrew Kushnick Psychotherapy | 83/100 | 4.8 ★ | 18 |
| 5 | Therapy Now SF | 76/100 | 4.8 ★ | 5 |
| 6 | Dr. Cammy Froude | Licensed Couples Trauma Therapist | 84/100 | 4.8 ★ | 24 |
| 7 | SF Therapy Group | 87/100 | 5.0 ★ | 21 |
| 8 | San Francisco Stress and Anxiety Center | 71/100 | 4.6 ★ | 18 |
| 9 | Janet Lee Therapy | 83/100 | 5.0 ★ | 11 |
| 10 | Calm Again Counseling in San Francisco, CA | 85/100 | 5.0 ★ | 16 |
Ranked by RatingsNearMe Score · ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · June 2026
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Frequently Asked Questions — Therapists & Counselors in San Francisco
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in San Francisco?
Psychiatrists (MD) can prescribe medication and diagnose. PhD/PsyD Psychologists provide therapy and can do psychological testing. LCSWs (Licensed Clinical Social Workers) focus on life circumstances and behavioral patterns. LPCs (Licensed Professional Counselors) specialize in talk therapy and mental health counseling. All four can provide effective therapy — the right choice depends on your needs and whether medication may be relevant.
How do I find a therapist in San Francisco who takes my insurance?
Call your insurance company's member services line or search their online provider directory. When you reach a therapist's office, ask specifically: "Do you accept [insurance name] for in-network benefits?" In-network therapy typically costs $20–$60 per session (copay) instead of $100–$250 out of pocket. Psychology Today's directory at psychologytoday.com lets you filter by insurance.
How much does therapy cost in San Francisco without insurance?
Private pay rates typically run $100–$200/session for LPCs and LCSWs, and $150–$300 for psychologists. Many therapists offer sliding-scale fees based on income — it's worth asking directly. Open Path Collective (openpathcollective.org) lists therapists offering $30–$80 sessions for qualifying clients.
How long does it typically take to see results from therapy?
Research shows meaningful improvement in 8–16 sessions for most anxiety and depression cases. CBT (Cognitive Behavioral Therapy) tends to show results fastest. Complex trauma or personality-related concerns may take longer. A good therapist will set measurable goals with you in the first 1–3 sessions and reassess regularly.
How are the therapists & counselors on this page ranked?
Rankings use a transparent algorithm: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Featured Partner listings have paid for enhanced visibility but must still earn their position through real customer reviews — sponsored listings are clearly labeled.
Therapists in Nearby Cities
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How Rankings Work on This Page
Every therapists & counselors on RatingsNearMe is scored transparently: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Businesses labeled exclusive or premium are Featured Partners — they have paid for enhanced visibility but must still rank through real customer reviews. We cap sponsored boosts so bad businesses can never buy the top spot.
Editorial notice: Ratings are based on publicly available data from Google Business listings. Consumers should independently verify licensing, insurance, and credentials before hiring any service provider. Last updated: June 10, 2026.
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