Marla Cass, LMFT

Marla Cass, LMFT

Professions: Counseling Psychology, Marriage & Family Therapy, Psychotherapy
License Status: I'm a licensed professional.
Primary Credential: MFT - CA MFC 45402
Secondary Credential: MFT - CO MFT 836
Verified Credentials
1-800-651-8085 ext. 19053
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Office 1
870 Market Street
Suite 1123
San Francisco, California 94102 - United States
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Billing and Insurance

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: I offer an initial phone consultation at no charge.

Contact me

See other therapists in San Francisco, CA.

Psychotherapy offers a unique opportunity to look at ourselves, our relationships, and our lives in ways that can help create meaning, facilitate healing, and open up new possibilities. My approach to this work is warm, collaborative, and interactive, while also being honest and direct. I don't sit back silently and nod, but am active and engaged, helping you to feel safe enough to look at yourself in ways that may have previously seemed impossible. I include humor in my work, as appropriate, and I try to leave psychobabble at the door.

Email or Call Marla Cass, LMFT at 1-800-651-8085 ext. 19053

More Info About My Practice

While many people come to therapy to know themselves in a deeper way, I know that you are probably reading this page because something is troubling you. You have probably tried a lot of things to make the problem go away, but it persists. You might be wondering how therapy can help, when nothing else has, and whether it might be worth the significant investment of time and money. I am happy to talk about this with you in a complementary phone consultation, but, for now, I encourage you to consider what it would be like to not be alone with whatever you are dealing with. While you are the ultimate decider of how you want to proceed, therapy offers a safe, supportive, and confidential space to explore and find new answers to old--and not so old--questions.

Specific Issue(s) I'm Skilled at Helping With

Many of the people I work with have a lifetime of experience dealing with not feeling understood. They may come from families where they felt different or they may view the world from their own unique perspective. They may be lesbian, or gay, or bisexual, or they may feel different because they do not fit into either of the two options we are given for gender identity. Regardless of what makes you feel different, therapy can be a place where you can have the transforming experience of feeling understood.

My practice includes people of all sexual orientations (LGBTQ) and gender identities. I love working with people who think that therapy can't be helpful to them. I offer support for women in midlife and caregivers (often, one and the same). Before becoming a therapist, I had a number of careers and I appreciate the challenges of being in a difficult workplace or trying to decide on a new career path. Here in San Francisco, many of us have relocated from other places and therapy can be a place to recharge from the difficulties of navigating new terrain. In general, however, my "specialization" is understanding the people I work with and helping them to feel seen and heard so that they can see the possibilities of their lives.

On the Fence About Going to Therapy?

Many people are ambivalent about therapy or don't think it can be helpful to them. I try to make therapy as "user-friendly" as possible and I welcome questions and concerns about therapy, how therapy works, and about my approach. I don't think that therapy should be mysterious, nor do I believe that it should be hierarchical. There are many, many different kinds of therapists and just as many unique approaches to therapy. Read what various therapists have written about themselves and their work and see what resonates with you.

If you are someone who has previously seen a therapist and did not find the experience helpful, or if you are someone who does not think therapy can be helpful to you, I want to especially encourage you to not give up your search. I recognize that it can be challenging to find the right therapist, and discouraging when you meet with someone who does not feel like a good fit, but the effort will be worth it.

To learn more about how therapy works and about my approach to therapy, I invite you to contact me for a complementary introductory phone consultation.

What I Say to People Concerned about the Therapy Process

Thinking about looking for a therapist can feel scary and overwhelming, but it doesn't have to be this way. Unfortunately, it is something we usually do when our lives are already feeling out of our control, which only adds to our discomfort. (Please see my website at for a series of articles I have written on this subject.) In addition to messages we may have received from our families and friends, we live in a culture that values individual effort over working with others. Yet the complex world we live in means that it is impossible to have all of the answers. While our friends and the internet can help with some of life's answers, when it comes to looking at ourselves and seeking understanding about who we are and how we live our lives, therapy offers a unique opportunity to view things through a different lens.

I often view this work in much the same way as I might view solving a puzzle or a mystery: how do we make use of the clues we have? What additional information do we need? Therapy can help make sense of the information you already have, support you in sorting through what you may no longer need, and safely help you put the pieces together to form a new picture of your life.

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Services I Provide

  • Clinical Supervision
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Online Counseling / Phone Therapy

Ages I Work With

  • Adults
  • Elders


  • English

Groups I Work With

    Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning; Women in Mid-Life

Client Concerns Within Your Scope of Practice

  • Abandonment
  • Adjusting to Change / Life Transitions
  • Attachment Issues
  • Caregiver Issues / Stress
  • Depression
  • Emptiness
  • Grief, Loss, and Bereavement
  • Identity Issues
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Life Purpose / Meaning / Inner-Guidance
  • Midlife Crisis / Midlife Transition
  • Relationships and Marriage
  • Self-Esteem
  • Shame
  • Women's Issues

Types of Therapy

  • Depth Therapy
  • Emotion Focused Therapy
  • Existential Psychotherapy
  • Feminist Therapy
  • Humanistic Psychology
  • Integration of different therapy models
  • Interpersonal Neurobiology
  • Psychodynamic
  • Relational Psychotherapy

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