Therapy in San Francisco for Anxiety, Trauma & Relationship Issues

Where Lasting Change Begins

I provide therapy in San Francisco for adults navigating anxiety, trauma, and relationship issues. Through Brainspotting, Internal Family Systems (IFS), somatic therapy, and other holistic approaches, we'll identify and heal the patterns keeping you stuck so you can create meaningful, lasting change.

therapy in the Bay Area

San Francisco rewards productivity. The culture here runs on output, optimization, and the quiet assumption that you should always be performing at a high level. Many of the people I work with in the city are high-functioning — successful by every external measure — and exhausted underneath it.

The anxiety often doesn’t look like anxiety. It looks like constant planning, difficulty delegating, a mind that won’t stop running scenarios. It can look like relationships where you’re the steady one, the capable one, the one who holds everything together — while your own needs go unspoken. These patterns often have roots in early attachment dynamics, not in work culture alone.

Therapy that addresses anxiety at the nervous system level — rather than just the cognitive level — can reach the patterns that coping strategies and productivity hacks can’t, including the deeper wounds that often drive them. I offer individual and group therapy in-person and online for adults throughout California.

Esma Verma, licensed clinical social worker, smiling in her therapy office
meet your therapist

I help clients break the patterns that keep them stuck

Hi, I’m Esma, a holistic therapist. My clients are thoughtful, capable people who are tired of surface-level solutions. They don't want someone to simply listen and nod. They want a therapist who can help them understand what's driving their patterns, and more importantly, help them create lasting change.

My approach is both direct, and nurturing. I won’t shy away from difficult conversations. I’ll help you get beneath the surface and start making real changes. You’ll feel supported and challenged with care and compassion. I believe both are necessary for growth.

Sunlight through a moss-covered oak representative of steady growth and healing
who i work with

We might be a good fit if :

  • You know something in your life needs to change, and you're ready to actively participate in that process.

  • You're willing to practice what we work on between sessions because you want more than temporary relief—you want lasting change.

  • You're looking for more than a place to vent—you want practical tools, deeper insight, and an approach that gets to the root of what's keeping you stuck.

  • You're looking for a down-to-earth therapy experience where you feel comfortable being yourself and we work together to support your goals.

  • You’re open to receiving both nurturing support and honest, compassionate feedback.

  • You're open to visualization, experiential exercises, and other creative approaches that help uncover and heal the root of what's keeping you stuck.

What I Offer

Therapy Services in San Francisco


Services

Adult Individual Therapy · Couples Therapy · Brainspotting Group Therapy· Intensive Therapy


Specialties

Anxiety · Trauma · Relationships


modalities

Brainspotting, IFS, somatic work, holistic, nervous-system-informed


flexible approach

Weekly, Bi-weekly, or As-Needed Sessions


“My therapeutic approach is one of wholeness. Rather than finding temporary relief of symptoms, I help clients find lasting growth and healing.”

Relationship and Trauma Therapy in San Francisco

Boutique online and in-person therapy for individuals and couples in San Francisco including:

Pacific Heights • Sea Cliff • Presidio Heights • Nob Hill • Russian Hill • Noe Valley • Marina District • Mission District • South of Market/Mission Bay • Cow Hollow • Dolores Heights • The Arena • Mid-Market

220 Montgomery Street, Suite 600
San Francisco, CA 94104

Young fern fronds unfurling representative of new growth and healing
Take the First Step

Imagine what becomes possible when old patterns no longer define you.

Your next chapter starts with a conversation