--- title: "Sex Therapy in San Francisco, CA | Online Sessions with Fanshen" description: "Online sex therapy for San Francisco residents. Weekly 50, 75, or 90-minute sessions. Cancellation policy 24 hours. 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I'd encourage you to call your insurance and ask about your out-of-network mental health benefits." } }, { "@type": "Question", "name": "How long does it take to see results?", "acceptedAnswer": { "@type": "Answer", "text": "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." } }, { "@type": "Question", "name": "What is your cancellation policy?", "acceptedAnswer": { "@type": "Answer", "text": "My cancellation policy is 24 hours. Sessions canceled with less than 24 hours' notice are charged in full." } }, { "@type": "Question", "name": "Can you see clients in San Francisco?", "acceptedAnswer": { "@type": "Answer", "text": "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." } } ] } ] --- [![Fanshen Thompson, LCSW](/assets/logo-mark-DCWEUPFA.png)Fanshen Thompson LCSW ](/) [Home](/)[About](/about) Services Specialties [Approach](/approach/gottman-method)[Notes](/blog)[FAQ](/faq)[Resources](/resources) [Book a Free 20-Minute Consultation](/contact) 1. [Home](/)› 2. [Services](/services)› 3. [Sex Therapy](/services/sex-therapy/berkeley)› 4. San Francisco ONLINE THERAPY · SERVING SAN FRANCISCO, CA # 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 [Book a Free 20-Minute Consultation](/contact)[Learn more about my approach →](/about) THERAPY FOR SAN FRANCISCO PARTNERS ## 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. San Francisco has a long history of talking openly about sexuality — and yet privacy still matters, especially when your professional and social circles overlap the way they do here. Online sex therapy offers frank, judgment-free conversations from a space you control, with no waiting room and no chance of running into a coworker. ### 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, LGBTQ, 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 SESSIONS 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 [Book a Free 20-Minute Consultation →](/contact) ### Why online sessions are a good fit for San Francisco San Francisco is only seven miles across, but anyone who has ridden the N Judah from the Outer Sunset at rush hour knows that getting anywhere can swallow an evening. If you're keeping a hybrid schedule — in the office in SoMa or Mission Bay some days, home in the Richmond or Bernal Heights the others — adding a cross-town trip for a weekly appointment is often the thing that quietly doesn't happen. Online therapy removes that trade-off. You meet from your apartment, your parked car, or a private room at work, over secure, HIPAA-compliant video, and the session actually fits inside a San Francisco week. It also fits the city's realities: apartments shared with roommates, demanding tech and healthcare jobs, and the particular loneliness that can live alongside a dense, busy city. I'm based across the Bay in the East Bay and licensed throughout California — so wherever in the city you are, fog or sun, we can begin. - 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 ABOUT FANSHEN ## 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. [Read more about Fanshen →](/about) ## 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 canceled 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. OTHER SERVICES FOR SAN FRANCISCO RESIDENTS [ Couples Therapy in San Francisco Online sessions for San Francisco residents. ](/services/couples-therapy/san-francisco)[ Individual Therapy in San Francisco Online sessions for San Francisco residents. ](/services/individual-therapy/san-francisco) SEX THERAPY IN NEARBY CITIES [ Sex Therapy in Oakland Online sessions for Oakland residents. ](/services/sex-therapy/oakland)[ Sex Therapy in Alameda Online sessions for Alameda residents. ](/services/sex-therapy/alameda)[ Sex Therapy in Emeryville Online sessions for Emeryville residents. ](/services/sex-therapy/emeryville) Begin ## 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. [Book a Free Consultation →](/contact) ![Fanshen Thompson, LCSW logo](/assets/logo-mark-DCWEUPFA.png) Relationship therapy for people who are ready for real change. Licensed Clinical Social Worker · LCSW #25004 [](https://www.psychologytoday.com/profile/971893) Affiliations ![Gesher Community Care affiliate provider](/__l5e/assets-v1/7e4684e6-648d-48d4-892e-5c8678e89c88/gesher-community-care.png) Online Therapy Sessions held via secure video for clients across California. Hours Tue–Fri, 9am–6pm PT Contact [fanshen@fanshenthompson.com](mailto:fanshen@fanshenthompson.com)[Book a Free 20-Minute Consultation](/contact) [](https://www.linkedin.com/in/fanshen-thompson-lcsw-672425216/)[](https://www.facebook.com/profile.php?id=100086164215212)[](https://pin.it/5enxDfD) Explore - [About](/about) - [Therapy](/therapy) - [Therapy for Couples](/therapy/couples) - [Therapy for Individuals](/therapy/individuals) - [Sex Therapy](/therapy/sex-therapy) - [Coaching](/coaching) - [Notes](/blog) - [FAQ](/faq) - [Resources](/resources) - [Relationship Therapy in Berkeley](/relationship-therapy-berkeley) - [Find an Online Sex Therapist](/how-to-find-an-online-sex-therapist) - [Contact](/contact) Specialties - [Infidelity & Affair Recovery](/specialties/infidelity-affair-recovery) - [Desire Discrepancy](/specialties/desire-discrepancy) - [Sexual Shame](/specialties/sexual-shame) - [Communication Breakdown](/specialties/communication-breakdown) - [Anxious Attachment](/specialties/anxious-attachment-couples) - [Parenting Conflict](/specialties/parenting-conflict) In crisis? If you or someone you know is in immediate danger, call or text [988](tel:988) (Suicide & Crisis Lifeline) or call [911](tel:911). This site is not a substitute for emergency care. [Privacy](/privacy.html)[Terms](/terms.html)[Cookies](/cookie.html)[Disclosures](/disclaimers.html)[Good Faith Estimate](/good-faith-estimate.html)[Accessibility](/accessibility)[Cookie Settings](/cookie.html) Contacting this practice does not establish a therapist–client relationship. Individual outcomes vary. Nothing on this site guarantees a specific clinical result. © 2026 Fanshen Thompson, LCSW. All rights reserved. Photography by Allison Busch Website by [Automaus.ai](https://automaus.ai) Your privacy matters Functional cookies are required. Analytics and marketing cookies are off by default — you choose. 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