If you are in immediate danger or thinking about harming yourself, get help now. Visit a nearby emergency service, hospital, or mental health clinic. If you are in crisis, these helplines answer now:
Crisis numbers in the United States of America
- 988 Suicide & Crisis Lifeline, call or text 988: Tel: 988 | Text: 988 | Tel, for a Spanish-speaking counsellor: 988, then press 2 | Text, for a Spanish-speaking counsellor: AYUDA to 988
- Veterans Crisis Line, 988 then press 1: Tel: 988, then press 1 | Text: 838255
- Crisis Text Line, text HOME to 741741: Text: HOME to 741741 | Text, in Spanish: HOLA to 741741
- Boys Town National Hotline: Tel: 800-448-3000 | Text: VOICE to 20121
- All crisis lines in the United States of America
This page lists Counsellors in San Francisco. 3 in all.
What a counsellor does, and how counselling differs from psychotherapy
Everyone on this page describes their work as counselling. A counsellor listens and helps you find your own solutions to problems 1.
The training emphasises the conversation itself. Sessions usually stay close to something happening now: a loss, a relationship, work, a decision. That focus is what most often separates counselling from longer psychotherapy.
A counsellor is not a medical doctor and does not prescribe or diagnose. Ask a counsellor what they work with, and for how long.
What this page filters on
These are the only filters: the professional title counsellor.
Paying for therapy in San Francisco
Do affordable options exist in San Francisco?
Mission Mental Health Services (SFDPH Behavioral Health Services). Phone +1 628 754 8800. The current 2026 Behavioral Health Services handbook says most Medi-Cal members pay nothing. Members above the income limits may owe a monthly share of the cost, and some treatment can require a copayment. The service is accepting new beneficiaries through Behavioral Health Access. It gives priority to certain populations, and you must meet the Medi-Cal eligibility and service area criteria.
The San Francisco page answers more questions about therapy there.
Who registers therapists in the United States?
Titles you will see include Licensed Professional Counselor, Licensed Mental Health Counselor and Licensed Professional Clinical Counselor.
A practitioner must hold a current licence from the state board where they practise. See the United States page.
Nearby places and related listings
- Male Psychologists in San Francisco, one filter on the full San Francisco psychologists list
- Female Family Therapists in San Francisco, one filter on the full San Francisco family therapists list
- Male Family Therapists in San Francisco, one filter on the full San Francisco family therapists list
- Female Psychologists in San Francisco, one filter on the full San Francisco psychologists list
- Psychologists in San Francisco
- Family Therapists in San Francisco
- Every therapist listed in San Francisco (59)
- Couples therapy in San Francisco
References
Real choice. Authentic, independent, clinician-led care.
TherapyRoute is a clinician-led directory that champions independent practitioners who answer to you and their professional ethics. We don't take commissions, sell your data, or assign therapists by algorithm. You browse, compare, and choose.
Vincenzo (Enzo) Sinisi, Clinical Psychologist (HPCSA), Psychoanalyst (IPA/SAPA), Group Analyst (IGA)
