Marla Cass LMFT, Counseling in San Francisco, California, 94102

Marla Cass


Marla Cass


Professions: Counselor, Marriage & Family Therapist, Psychotherapist
License Status: I'm a licensed professional.
Primary Credential: MFT - CA MFC 45402
Secondary Credential: MFT - CO MFT 836
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 fee is $175 per 55 minute session. I offer an initial phone consultation at no charge.
Evening Availability


870 Market Street
Suite 1123
San Francisco, California 94102

My Approach to Helping

You may or may not be able to explain it, but something has been bothering you and getting in the way of your ability to live the life you want. You have thought about it a lot and you have tried a lot of things that haven't worked. Now you are wondering how therapy can help when nothing else has, and whether it might be worth your time and money.

The good news is that, yes, therapy can probably help. But one of the challenges in beginning therapy is finding the right person to work with. Studies show that the relationship between you and your therapist is one of the most important factors to consider. Take the time to look at the profiles on this website and to consider who might be a good fit for you and for the issue(s) you want to talk about in therapy. Spending the time to find the best therapist for you is likely the last thing you want to do right now, but spending a little time to find the best fit is better than spending a lot of time with someone who may not be able to provide you with the help you are seeking.

More Info About My Practice

My approach to this work is warm, collaborative, and interactive, while also being honest and direct. I don't sit back and silently 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. I like to say that I bring my "Midwestern sensibilities" to my work.

I am happy to answer your questions about therapy in a complementary phone consultation. Therapy can offer 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. Maybe this describes you: you may come from a family in which you felt different or you may view the world from your own unique perspective. You may be lesbian, or gay, or bisexual, or you may feel different because you do not fit into either of the two options we are given for gender identity and you see gender as shades of gray and not black and white.

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 (LGBTQQ) 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). Many of the women I work with are successful in their careers, but not in their relationships.

Before becoming a therapist, I had a number of careers and I appreciate the challenges of being in a difficult workplace or taking the risk of embarking 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?

If you are ambivalent about therapy, you are not alone! 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, therapy is something we mostly think about only when our lives are already feeling out of our control, which only adds to our discomfort. (Please see my website 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 see 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.

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 I Treat

  • Adjusting to Change / Life Transitions
  • Attachment Issues
  • Caregiver Issues / Stress
  • Depression
  • 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
  • Existential Psychotherapy
  • Feminist Therapy
  • Humanistic Psychology (humanism)
  • Integration of different therapy models
  • Interpersonal Neurobiology (IPNB)
  • Psychoanalysis / Modern Psychoanalysis
  • Psychodynamic
  • Relational Psychotherapy
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