San Francisco couples have both neighborhood office practices and online options across California. These four providers differ in session length, therapy style, and payment arrangements. The facts below make those choices easier to compare before a consultation. Use these marriage counseling questions to identify the issues you want help with.
1. Love Therapy Center — Yaji Tramontini
- Location
- Online for San Francisco and California
- Format
- Virtual couples counseling
- Focus
- Relationship patterns and emotional connection
Yaji Tramontini’s Love Therapy Center offers California-wide virtual counseling, including service to San Francisco. Couples work sits alongside individual and family services. The practice combines psychotherapy with mindfulness and body-focused approaches. Its San Francisco listing is a virtual office; readers seeking an in-person appointment should choose an office-based option instead.
2. Bear Korngold
- Location
- Noe Valley, San Francisco
- Format
- In-person and California video sessions
- Focus
- Communication, conflict, and intimacy
Bear Korngold, PsyD, is a clinical psychologist with an office on Noe Street. He offers couples counseling and individual psychotherapy, using a collaborative approach that draws on several therapy models. Couples can choose an office appointment or secure video sessions within California. His fee schedule distinguishes 50-minute and 100-minute couples appointments, which makes appointment length worth discussing at intake.
3. New Start Therapy — Julia Flood
- Location
- San Francisco Bay Area; online in California
- Format
- Couples and individual video therapy
- Focus
- Trust, intimacy, and recurring conflict
Julia Flood, LCSW, offers remote sessions throughout California from her Bay Area practice. Her couples intake is longer than an ordinary follow-up: the published schedule lists a 90-minute first meeting and 60-minute subsequent couples sessions. A free 20-minute phone consultation is available before treatment. The practice is out of network, so prospective clients should establish the current fee and any reimbursement arrangements in advance.
4. Empathi — Figs O’Sullivan
- Location
- San Francisco; online in California
- Format
- Weekly couples therapy and intensives
- Focus
- Emotionally Focused Couples Therapy
Figs O’Sullivan’s practice now uses the Empathi name. The team describes an approach based on Emotionally Focused Couples Therapy and offers weekly 60-minute sessions. Longer or more frequent sessions and an intensive format are also listed. Couples can discuss whether regular appointments or a concentrated schedule fit their needs, without treating an intensive as a guaranteed substitute for ongoing care.
Frequently asked questions
What do San Francisco couples sessions cost?
Bear Korngold publishes $350 for a 50-minute couples session and $700 for 100 minutes. Four 50-minute appointments would therefore total $1,400 before any reimbursement. That is one provider’s fee, not a citywide average. Check the session duration and cancellation terms as well as the price when comparing options.
How long is the first couples appointment?
Julia Flood lists a 90-minute first couples session and 60-minute follow-ups, with a free 20-minute introductory phone call. Empathi describes weekly 60-minute sessions. Set aside enough time for both partners to attend the whole appointment, and ask what paperwork or relationship history the clinician wants beforehand.
Can we use insurance with these private practices?
Bear Korngold does not take payment directly from insurers, and Julia Flood is also an out-of-network provider. Both describe providing documentation for a possible reimbursement claim. Confirm coverage for the specific service before starting; the bill remains your responsibility if a claim is not reimbursed.
Where can we go in person rather than online?
Bear Korngold offers appointments in Noe Valley. New Start Therapy currently describes remote video sessions throughout California. Love Therapy Center is also virtual. If meeting in the same room is a priority, establish the exact office and recurring time during the initial inquiry rather than assuming a Bay Area listing means office appointments are available.