Liliana Ramos, MA, Licensed Marriage and Family Therapist

I am a bilingual (English and Spanish) therapist providing online therapy for adults and couples in the San Francisco Bay Area and throughout California. My approach is grounded in walking alongside you as you walk toward feeling whole again. I offer client-centered, trauma-informed, evidence-based, and strength-based care. I draw from acceptance and commitment therapy (ACT), internal family systems (IFS), and Brainspotting to support deeper healing and emotional safety. I help clients strengthen connection, improve communication, and create meaningful, lasting change in their personal lives and their relationships. Life feels chaotic. You feel disconnected or off-centered. This has been going on for as long as you can remember. I support individuals seeking therapy for anxiety, trauma, relationship challenges, and major life transitions. If you are going through a time where you feel disconnected from yourself, we will work together to help you reconnect, gain clarity, and build a life that feels more fulfilling. My hope for you is that you will develop a deeper understanding of yourself, improve your overall well-being, and feel whole again. For couples, you might be feeling disconnected. Life is so busy that you don't have time for each other. I provide online couples therapy for partners who want to improve communication, rebuild trust, and deepen emotional connection. In therapy, couples learn effective communication skills, practice active listening, express your needs with clarity, and repair moments of disconnection. My hope is that you will rediscover the spark that brought you together, understand each other better, and strengthen the foundation of your relationship. I also offer premarital counseling for couples who want to intentionally prepare for a lasting, healthy marriage. In my online therapy practice, you will find a safe, supportive, and confidential space where you can focus on what feels most challenging for you in your life. This is a space where you will be heard, supported, and guided as we explore ways to help you grow, heal, move forward with intention, and feel whole again.

I provide a free 20-30 minute consultation because I want to make sure that you are comfortable with me as I am with you. I want to make sure that I can help you with what you need support with. I also want to make sure that we are the right fit for each other. During this time, we will also discuss fees, online therapy, how often we meet, and my approach to therapy in relation to your needs. I will also answer any questions that you might have. Note: Studies show that online therapy can be as effective as in-person therapy.

I am trained in Brainspotting which is a therapeutic approach that utilizes eye positioning and bilateral music to process trauma and anxiety. By maintaining focus on specific eye positions, clients can process unresolved trauma and other emotional pain. Brainspotting can be an addition to talk therapy and other methods of therapy such as ACT and IFS. I can explain more during therapy. If you are an immigrant, who is working with a lawyer, I complete immigration evaluations in coordination with your lawyer.

Starting therapy can feel intimidating, especially if you are unsure where to begin. It does not mean that you are broken or flawed. Therapy offers a calm, safe, and supportive space where you don?t have to have the right words or know exactly what?s wrong. You can move at your own pace, talk things through, and feel heard without judgment. Over time, therapy can support greater self-awareness, emotional relief, and more meaningful connections with yourself and others. It is not about fixing you, but about helping you feel more grounded, empowered, and aligned with the life you want. A therapist brings human presence, emotional attunement, and professional training to help you notice patterns, regulate emotions, and feel safer within yourself and your relationships. It is a real, responsive relationship where your feelings are felt with you, not just understood. Healing often happens through that human connection.

Many people struggle with finding the right therapist. I hope this helps you in your journey. Finding the right therapist is about fit, not perfection. Start by identifying what you would like support with (such as anxiety, relationships, trauma, or life transitions). Look for therapists who specialize in those areas and whose approach and values resonate with you. Use consultations as a chance to ask questions and notice how you feel with the therapist. Do you feel heard, respected, and emotionally safe? Trust your instincts. Therapy can feel challenging at times, but you should feel supported and understood. While money is one of the factors in choosing a therapist, do not let it be the deciding factor. The fit is what is important. If you find the right therapist, but cannot afford it, ask the therapist if there is a sliding scale. The therapeutic relationship is very important for many who are looking for a therapist.