San Francisco Center for Integrative Anxiety Solutions

Improving Mental Health, Inspiring Hope, and Empowering Change

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Office: Suite 958, James Flood Building, 870 Market Street, San Francisco, CA 94102

The office is conveniently located in the historic James Flood Building on Market Street in downtown San Francisco.  This historic landmark is outfitted in beautiful gray marble interiors, as seen in the pictures above.  This twelve-story, 293,837 square foot building cost $1,500,000 and was completed in 1904.  At the time, it was the largest building in San Francisco.  The steel frame structure and brick curtain walls covered in sandstone provided a solid foundation for this building to survive 1906 San Frandisco earthquake and subsequent great fire, and it still stands today having withstood several natural disasters and commerical attempts at demolition.
Clinical Services

General Information

I generally see clients once weekly for a 45 minute therapy session.  These sessions are usually one-on-one with me, but it may be appropriate to bring spouses, relationship partners, or family members to sessions under certain circumstances.
All therapy sessions take place in my office space, currently only on Saturdays (9:00 a.m. to 5:00 p.m. Pacific).  I am available by phone or e-mail as needed for scheduling other days of the week.
If you are currently experiencing a life-threatening emergency, psychiatric emergency, or crisis, please contact 911 or other local emergency services as quickly as possible.  Do not wait for me to respond to your contact before seeking help.

Initial Sessions: Evaluation

I always begin a new therapeutic relationship with a client by performing a thorough evaluation.  This typically involves an informal discussion in which I will ask a series of questions to get to know you, your life situation, and the types of goals you would like to address together.  This assessment can last anywhere from 2 - 4 sessions, on average.

Early Sessions: Beginning Psychotherapy

After establishing goals for treatment, we will discuss potential types of therapies that may be suitable.  I specialize in a type of treatment known as cognitive-behavioral therapy (CBT), which is one of the most widely utilized and effective forms of psychotherapy.  I am happy to discuss the relative advantages and disadvantages of different approaches for your particular situation, and to answer any questions you might have about the treatment process. 

Regardless of the particular type of treatment you decide on, in order to be effective they all require a commitment from you to engage in the process, to be willing to step outside your comfort zone (all growth requires change, which is often uncomfortable), and to be willing to engage in homework assignments outside of sessions.

Later Sessions: Mastering New Skills

As you develop and master new skills to manage symptoms and difficulties through therapy, you may begin to notice an improvement in your symptoms.  You may also begin to notice that you feel more confident in your ability to manage negative emotions and stressful life situations.  This is often a beneficial time in the therapeutic process, and we will spend some time discussing the things that are working, the things that aren't working for you, and the positive changes you are beginning to notice.
Every client is unique, and there is no set period of time within which you can fully expect to feel better.  It may be as short as five or six sessions, or as long as twenty to twenty-five sessions.  The important thing is to accept that you will change at the rate at which you can change, and to not judge yourself or your improvement. 

If you feel that you are not making progress quickly enough, or that you are not improving to the degree that you would like, please feel free to bring this up in session so we can discuss.  It may be helpful to try a different treatment approach, or to supplement the current approach with other treatments (e.g., referral to a psychiatrist for medication evaluation, community support groups, etc.). 

Final Sessions: Ending the Therapeutic Relationship and Planning for Continued Growth

Once we have accomplished the goals we set together at the beginning of therapy, it is useful to discuss ending the therapeutic relationship.  It can often feel difficult for clients to think about ending regular therapeutic contact.  In order to best prepare you for this, we will often review the goals set at the beginning of treatment, your progress towards these goals, the skills and techniques learned throughout therapy, and the particular factors that you found most helpful.  We will then discuss ways to continue making therapeutic progress on your own outside of session, such as a plan for regular skills practice, self-assessment, and anticipating and planning for stressors, life events, and other factors that may serve to challenge your state of psychological health.



Please see my Stanford Webpage for further details.