I'm a Licensed Marriage and Family Therapist offering evidence-based therapy for individuals and couples, in person in downtown San Francisco and by video throughout California. My areas of focus are Gottman Method couples therapy, adult ADHD, and anxiety — particularly the kind that gets tangled up with ambition, high standards, and demanding careers. My foundation for individual work is Acceptance and Commitment Therapy (ACT), a practical, well-researched approach rooted in mindfulness and values: we identify ways to put therapy into practice in everyday life, while making room for deeper questions about identity, meaning, and how you want to live.

I have particular depth in the lives of gay men, including loneliness and building community, anxiety and depression, substance use, navigating a community where open relationships are often the norm, chosen family, coming out, and sexuality — identity, desire, communication, and sexual health. My approach is respectful, candid, and values-based.

With couples, I use the Gottman Method, grounded in more than fifty years of research. The work begins with a structured assessment of your relationship's strengths and stress points, followed by focused work on communication, trust, friendship, and intimacy. Whether you're navigating differences in libido, conversations about if or how to open your relationship, or the aftermath of an affair, there are trusted frameworks that can help. My aim is for you to internalize them, so the skills are yours to keep long after therapy ends.

Sessions are $250 for individuals and $300 for couples, with longer couples sessions available. I'm an out-of-network provider and can provide superbills; you'll find a guide to checking your out-of-network benefits, along with more about how I work with the Gottman Method, at tophermcmullin.com.