Andrew works with individuals and couples in his San Francisco office, throughout the Bay Area, and via telehealth across California. Relationships are where our deepest patterns surface — attachment wounds, communication failures, the gap between how we want to show up and how we actually do. Andrew works with individuals navigating relationship challenges and with couples seeking a clinical space to do real work together. He brings both the psychological depth to understand what's underneath the conflict and the clinical breadth to address what's feeding it.
Request a ConsultationThe same arguments cycling without resolution
Emotional distance or disconnection from your partner
Difficulty communicating needs without escalation or shutdown
Patterns in relationships that keep repeating across partners
A growing sense of loneliness within the relationship
Differing needs around intimacy, sex, or closeness
Grief or anxiety after a breakup or separation
Attachment anxiety — fear of abandonment or suffocation
Feeling fundamentally unseen or misunderstood by the people closest to you
"Better communication" is the most common goal people name when they come to couples therapy. It's rarely the right diagnosis. Most relationship conflicts are driven by attachment needs that aren't being met — the deeper questions of safety, worth, and belonging that get expressed through argument, withdrawal, or pursuit. Improving communication technique without addressing those underlying dynamics produces surface change at best.
Andrew works with individuals processing relationship experiences — navigating a difficult dynamic, understanding patterns that repeat across partners, recovering from a breakup or betrayal — and with couples who want to work directly on the relationship together. Both have significant value; the right format depends on what you're working on and what you're ready for.
A significant number of relationship difficulties are shaped by clinical conditions that rarely get addressed in couples therapy: untreated ADHD creating patterns of inattention and inconsistency; anxiety producing hypervigilance and need for reassurance; depression causing withdrawal that a partner experiences as rejection; trauma responses activated in moments of conflict. When these are driving the relational patterns, therapy alone can only go so far. Andrew addresses both. This intersection is more common than most couples realize — anxiety disorders alone affect nearly one in five adults, and conditions like ADHD and depression frequently go unrecognized as drivers of relational patterns (National Institute of Mental Health).
Andrew sees patients for relationships and couples therapy in person at his Pacific Heights office — conveniently located for those coming from Presidio Heights, Cow Hollow, the Marina, and Nob Hill — and via telehealth throughout California.
Andrew is accepting new patients in San Francisco. The first call is complimentary — no paperwork, no commitment.
Request a ConsultationAnything else — the complimentary phone call is the right place to ask.