TherapywithRio

Services

How I can help.

Individual and couples therapy, online across California and Massachusetts, with limited in-person availability in San Francisco. Sesiones en español. I work relationally, at a pace that respects your nervous system and what feels manageable right now.

Steady, grounded support for anxiety and depression
01

Anxiety & Depression

When your mind won't quiet down — or won't switch on — daily life gets heavy. Together we'll untangle the loops of worry, self-criticism, and low mood, and build practical tools that actually hold up under pressure.

  • Calm the spiral of anxious thinking
  • Rebuild energy, focus, and motivation
  • Sustainable relief from stress and burnout
02

LGBTQ+ Affirming Therapy

A space where every part of you is welcome — no explaining, no translating. As a queer clinician, I work with identity, coming out, family dynamics, and community stress with an affirming, culturally responsive lens.

  • Identity exploration at your pace
  • Affirming of all orientations, genders & relationship structures
  • Navigating family, work, and community contexts
Compassionate, judgment-free support for changing substance use
03

Substance Use

Change starts where you are — not where anyone thinks you should be. Using motivational interviewing, we'll strengthen your own reasons for change and move at a pace that respects your life and your autonomy.

  • Judgment-free, collaborative approach
  • Strengthen motivation that comes from you
  • Practical strategies for lasting change
04

Identity & Life Transitions

Career shifts, relocations, relationship changes, becoming someone new — transitions shake the ground under us. We'll make sense of who you're becoming and build steadiness while everything moves.

  • Career, relocation & relationship transitions
  • Clarity on values and direction
  • Processing trauma and past experiences
Many people come to therapy feeling high-functioning on the outside — while feeling stuck, overwhelmed, or disconnected on the inside.

Who I work best with

Many of my clients are professionals, students, and parents who value insight, honesty, and a collaborative approach. Therapy becomes a space to slow down, make sense of patterns, and build change that lasts.

How it unfolds.

Free 15-minute consult

A short, no-pressure call to see whether we're a good fit. I reply within two business days.

Your first session

We explore what's bringing you in and what you hope will feel different. No pressure to share everything at once — we move at a pace that feels manageable.

Weekly work, real change

Weekly sessions build consistency, momentum, and the depth needed for meaningful, lasting change.

Three lenses, one focus: you.

CBT

Cognitive Behavioral Therapy

Identify and change the unhelpful thought patterns driving anxiety and low mood.

MI

Motivational Interviewing

Guide you toward your own motivation for change — powerful for substance use and stuck habits.

Psychodynamic

Insight-Oriented Work

Explore how past experience shapes current emotions and behaviors — for deeper, lasting change.

Plus DBT and ACT skills where they serve you best.