Cary Ann Rosko


Cary Ann Rosko


Not Accepting New Clients
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 $170, and I offer sliding scale slots based on availability and need.
Free Initial Consultation


2443 Fillmore St #380-17539
San Francisco, California 94115

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My Approach to Helping

My work is guided by the central philosophy that each of us is naturally inclined towards wholeness and steered by survival. Paradoxically, the habits and patterns we experience as painful obstacles actually began as strategies to help us survive. Once we understand them as such, we can begin to untangle how you arrived at the place you are and work through the difficult experiences and memories that haunt you.

As a holistic, integrative therapist, I take all aspects of your well-being into consideration and draw from multiple approaches to address your needs and concerns in a way that is uniquely responsive to you. Through gentle attention and exploration, we can address worries, overwhelming emotions, numbness, panic, isolation, or any disruption in your life that keeps you from being in harmonious relationship with yourself and others.

My primary goal is to provide a space where you feel seen, validated, respected, and empowered. I welcome people of all identities and expressions in my practice, and I know that how we interact with power and privilege has a direct impact on our mental and emotional health. Know that there are reasons for your suffering, there is relief to be had, and you are strong for having persevered.

My Therapy Focus

My practice focuses on helping people dealing with anxiety and trauma. I also work with issues facing the LGBTQ community, depression, grief and loss, and life transitions.

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

  • Individual Therapy & Counseling

Ages I Work With

  • Adults


  • English

Client Concerns I Treat

  • Abuse / Abuse Survivor Issues
  • Adjusting to Change / Life Transitions
  • Anxiety
  • Attachment Issues
  • Depression
  • Dissociation
  • Emotional Abuse
  • Emotional Overwhelm
  • Gender Dysphoria
  • Identity Issues
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Mood Swings / Mood Disturbance
  • Panic
  • Physical Abuse
  • Posttraumatic Stress / Trauma
  • Self-Actualization
  • Self-Care
  • Self-Compassion
  • Self-Criticism
  • Self-Doubt
  • Self-Esteem
  • Sexual Assault / Abuse
  • Shame
  • Worry

Types of Therapy

  • Eye Movement Desensitization and Reprocessing Therapy (EMDR)
  • Guided Therapeutic Imagery
  • Hakomi
  • Integration of different therapy models
  • Internal Family Systems (IFS)
  • Mindfulness-Based Interventions
  • Psychodynamic
  • Sensorimotor Psychotherapy
  • Somatic Psychotherapy

See other therapists in San Francisco, CA.

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