Our Mission
SF Therapy Collective (SFTC) exists to provide thoughtful, affirming, and clinically grounded therapy for LGBTQIA+ people, queer communities, and the people who love them.
Our work began with a shared commitment among four founding clinicians who first became friends and colleagues while working together at New Leaf Services, a long-standing LGBTQIA+ mental health organization in San Francisco. When New Leaf closed its doors in 2010 after more than 35 years of service, our founders moved quickly to help preserve a vital source of care for the Bay Area queer community.
In October 2010, we opened in the Castro neighborhood of San Francisco. From the beginning, our goal was clear: create a warm, professional, and community-rooted mental health space where LGBTQIA+ clients could receive high-quality therapy from clinicians who understand queer lives with depth, respect, and care.
Queer-Affirming Therapy Rooted in San Francisco
Our core mission is to make therapy more accessible, affirming, and responsive to the needs of LGBTQIA+ people across San Francisco and California. We support clients navigating anxiety, depression, trauma, relationships, identity, grief, life transitions, family dynamics, and the everyday stress of living in a world that does not always make room for queer and trans people to thrive.
We believe therapy works best when clients feel seen, respected, and safe enough to be honest. That belief shapes how we practice, how we train, and how we grow.
As we look ahead, SF Therapy Collective continues to expand access to queer-affirming therapy through in-person care in San Francisco and telehealth services across California. Our goal is to grow carefully, ethically, and sustainably while staying connected to the community history that made SFTC necessary in the first place.
What Guides Our Work
Affirming care for LGBTQIA+ communities
We center queer and trans experience without reducing clients to identity categories. We recognize the impact of stigma, family rejection, discrimination, HIV/AIDS history, political stress, racism, sexism, ableism, and economic pressure on mental health.
A community-rooted home for therapy
Our name reflects our purpose: a collective, a mental health space, and a form of chosen family. We are not only a therapy office based in the Castro. We are part of a much longer history of LGBTQIA+ mental healthcare in San Francisco.
Queer clinicians serving queer clients
Our clinicians bring professional training, clinical skill, and lived proximity to the communities we serve. For many clients, working with a queer-affirming therapist can reduce the need to explain basic parts of identity, relationships, family structure, gender, sexuality, or community experience. That shared understanding helps therapy move quickly toward deeper work.
Access and sustainability
We aim to balance high-quality clinical care with practical access. Our current client fee schedule uses household income ranges and lists individual and couples therapy fees across a sliding fee structure.
Our office is located in San Francisco’s Castro District, the heart of the city’s vibrant LGBTQIA+ community.
