Sex Therapy in San Francisco
Honest, grounded conversations about sex, intimacy, and desire.
Weekly 50, 75, or 90-minute sessions · Secure video sessions · Serving San Francisco residents and clients across California
Honest, grounded sex therapy for San Francisco residents.
San Francisco is a city of acceleration — career-driven, intellectually demanding, romantically complicated, and culturally shifting. Whether you're a tech worker burning out, a couple navigating the city's dating and partnership dynamics, or a partnership working through identity, intimacy, and connection, the city has a way of compressing everything at once. The pressure is real, and the relationships and inner lives held inside it deserve real care.
Online therapy was made for San Francisco's pace. Sessions between meetings, before the commute home, or from your apartment when the city finally gets quiet. No Muni transfers, no parking in the Mission, no rushing across town. Whether you're in the Castro, Pacific Heights, SOMA, Noe Valley, or anywhere else — your home is the office.
About Sex Therapy
Sex therapy for individuals and couples navigating desire, intimacy, sexual identity, and the topics that are often hardest to talk about. My approach is non-judgmental, sex-positive, and inclusive of all relationship structures, identities, and orientations. We talk about what's actually going on — and we work toward what you actually want.
What to expect
- An initial intake session to understand your goals and history
- Weekly sessions of your chosen length — 50, 75, or 90 minutes
- Open, honest conversation in a non-judgmental space
- Inclusive of all identities, orientations, and relationship structures (kink, poly, mono, queer, trans, all welcome)
- A pace that follows your comfort — there's no rush
Common reasons people come in
- —Differences in desire between partners
- —Sexual disconnection or loss of intimacy
- —Pain, dysfunction, or physical concerns affecting sex
- —Sexual identity, orientation, or coming-out work
- —Kink, ENM, and non-traditional relationship structures
- —Recovering from sexual trauma or shame
Weekly 50, 75, or 90-minute sessions
- All sessions held online via secure HIPAA-compliant video
- Cancellation policy: 24 hours
- Currently accepting new San Francisco clients
Why online sessions are a good fit for San Francisco
Online therapy was made for San Francisco's pace. Sessions between meetings, before the commute home, or from your apartment when the city finally gets quiet. No Muni transfers, no parking in the Mission, no rushing across town. Whether you're in the Castro, Pacific Heights, SOMA, Noe Valley, or anywhere else — your home is the office.
- No travel time across Mission, Castro, Pacific Heights
- Sessions fit into work-from-home schedules
- Privacy and discretion — sessions from your own home
- Available evenings and select weekend hours
A relational, depth-oriented therapist serving California.
I'm Fanshen Thompson, a Licensed Clinical Social Worker (LCSW) based in California. I work with couples, individuals, and partnerships navigating intimacy, identity, and the slower work of becoming.
I am a certified Gottman trained couples therapist and draw from Emotionally Focused Therapy, Internal Family Systems, attachment theory, and somatic practices. But more than any single modality, I bring myself: a real human who has done — and continues to do — this work.
My practice is online and serves clients across California. The work is honest, grounded, and paced to what you can actually carry.
Frequently asked questions
How do online sessions work?
We meet over a secure, HIPAA-compliant video platform. You'll receive a link before each session and join from a private space at home — no app downloads or special equipment beyond a device with a camera and a stable internet connection.
Do I need a special app or platform?
No. The video platform runs in your browser. I'll send a link a few minutes before our session — you click, and we begin.
Is this covered by insurance?
I'm an out-of-network provider. I can provide a superbill you can submit to your insurance for potential out-of-network reimbursement. I'd encourage you to call your insurance and ask about your out-of-network mental health benefits.
How long does it take to see results?
Most people begin to feel something shift within the first several weeks — a little more clarity, a little less alone in it. Real, lasting change is a longer arc, often months of consistent weekly work. I'll be honest with you about what I see along the way.
What is your cancellation policy?
My cancellation policy is 24 hours. Sessions cancelled with less than 24 hours' notice are charged in full.
Can you see clients in San Francisco?
Yes. I see clients in San Francisco and across California via secure video sessions. There's no need to come to an office — sessions happen from wherever you're comfortable in San Francisco.
Ready to start? Let's talk.
Book a free 20-minute consultation. We'll talk about what's going on and whether working together feels right. No pressure, no commitment.