My Story: 26 Years of Helping Clients Thrive


For 26 years, I’ve had the privilege of helping individuals and couples in San Francisco and beyond transform their lives, one session at a time. My journey has been shaped by training with renowned leaders in the field, and I bring that expertise and compassion to every client I work with.

I believe in the power of therapy to create meaningful, lasting change—whether it’s building stronger relationships, navigating anxiety, or finding clarity during life’s challenges. As a therapist based in San Francisco’s Castro District, I provide in-person therapy in SF as well as virtual therapy for clients across California, New York, Pennsylvania, and Massachusetts.

My clients mean the world to me, and I am deeply committed to providing compassionate, results-driven care tailored to each individual’s unique needs.

 
 
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Rachel Fleischman, Bliss Counseling, San Francisco
 

About Rachel Fleischman, LCSW

A Lifelong Passion for Understanding & Healing

From a young age, I was the person friends and family turned to when they needed someone to truly get them. This early spark of empathy and curiosity led me to a lifelong study of relationships, neuropsychology, resilience, and the ways identity shapes our experiences.

My work blends cutting-edge brain science with deep compassion, helping individuals and couples move from stuck patterns into greater clarity, connection, and well-being. I’m committed to continuous learning, ensuring I bring the most effective and research-backed tools to every session.

Who I Work With

🔹 Couples Counseling (50% of my practice) – Helping partners rebuild trust, improve communication, and rediscover connection.
🔹 Individual Therapy (50% of my practice) – Supporting people navigating anxiety, depression, grief, and major life transitions.

Beyond therapy, I lead transformative workshops and retreats on emotional well-being, secure relationships, and joyful movement through dance and somatic healing.

Learn more about upcoming workshops here.

Specialties & Approach

Couples Therapy & Relationship Healing – Build trust, resolve conflict, and cultivate deeper intimacy.
Premarital & Marital Counseling – Strengthen your foundation and navigate life’s challenges together.
Anxiety, Depression & Life Transitions – Move through difficult times with clarity and resilience.
Somatic & Mindfulness-Based Therapy – Engage the body’s wisdom to heal stress and trauma.

My therapeutic approach is warm, direct, often humor-filled and tailored to your unique needs. Whether you’re seeking deep healing or practical tools, we’ll work together to help you feel more grounded, connected, and alive.

Session Rates & Insurance Information

Individual Therapy: $295+ (50-minute session)
Couples Therapy: $380+ (60-minute session)

I am not in-network with insurance providers but can provide a superbill for potential reimbursement.

📞 Questions? Let’s talk. Call or text: 415-497-4931