Cary Ann Rosko,MA, MFT

Cary Ann Rosko,MA, MFT

Professions: Marriage & Family Therapist, Psychotherapist
License Status: I'm a licensed professional.
Primary Credential: LMFT - 96606
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: My hourly rate is $200, and I offer sliding scale slots based on availability and need.
Free Initial Consultation


San Francisco, California 94115

My Approach to Helping

It may be hard to believe, but our most troubling habits and patterns began as strategies that once helped us deal with challenging or even dangerous circumstances. The difficulties that feel burdensome to you now—rumination, self-defeating behaviors, problematic relationship dynamics, stubborn emotional cycles—actually helped you survive in the past. And because they helped you survive, it takes more than just understanding and willpower to unravel them—it takes deeper work that engages the body as well as the mind.

I work well with problem-solvers and high performers who are struggling with habits, patterns, or relationship issues that they can’t resolve on their own. I’m skilled at working with anxiety and traumaPTSDCPTSD, as well as life transitions, grief and loss, and LGBTQIA+ issues. I also have experience working with neurodivergent clients, like people with ADHD or who are HSPs, gifted, or autistic with low support needs. I’m an integrative therapist, so I weave together multiple modalities into an approach that can be tailored to your needs and goals. I take a holistic view, which means I attend to all aspects of your well-being, including mental, emotional, physical, and spiritual wellness. I also look at your context, cultural background, and relationship with systemic power, all of which have tremendous bearing on your health. Your struggles may be distressing or exhausting, but they can make sense, and together we can find your way through them.

I've been a trusted listener my entire life. Therapy can be a transformative experience, and helping folks make changes in their lives and tap into their healing potential is incredibly rewarding. My style is warm, conversational, and collaborative, and I’m here to support your growth and healing with active engagement, curiosity, and expertise. I bring a high level of integrity and conscientiousness to my work, as well as a bit of humor. I invite you to get in touch for a 20-minute free consultation to see if we might be a good fit!

More Info About My Practice

My practice is fully virtual. I'm based in San Francisco and serve clients across California.

Important Factors for Choosing a Therapist

There are many factors that play into choosing a therapist, but none are as important as the connection you feel with your therapist. Therapy can sometimes feel challenging or difficult, but feeling respected and empowered by your therapist is absolutely essential for supportive, successful work together.

Services I Provide

Ages I Work With

  • Adults


  • English

Industries & Communities Served

  • LGBTQ+

Client Concerns I Treat

  • Abuse / Abuse Survivor Issues
  • Adjusting to Change / Life Transitions
  • Anxiety
  • Attachment Issues
  • Codependency / Dependency
  • Depression
  • Dissociation
  • Emotional Abuse
  • Emotional Overwhelm
  • Family of Origin Issues
  • Grief, Loss, and Bereavement
  • Identity Issues
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Mood Swings / Mood Disturbance
  • Perfectionism
  • Physical Abuse
  • Posttraumatic Stress / Trauma
  • Self-Actualization
  • Self-Care
  • Self-Compassion
  • Self-Criticism
  • Self-Doubt
  • Self-Esteem
  • Sexual Assault / Abuse
  • Shame
  • Stress
  • Women's Issues
  • Worry

Types of Therapy

See other therapists in San Francisco, CA.

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