Natalie Spautz, LMFT, Counseling in San Francisco, California, 94105

Natalie Spautz, LMFT

Natalie Spautz, LMFT
Accepting new clients - Contact me!

Natalie Spautz, LMFT

Professions: Counselor, Marriage & Family Therapist, Psychotherapist
License Status: I'm a licensed professional.
Primary Credential: Marriage and Family Therapist - 86678
Verified Credentials
1-800-651-8085 ext. 18601
Accepting new clients - Contact me!
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Office 1
55 New Montgomery Street
Suite 801
San Francisco, California 94105
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Office 2
5665 College Avenue
Suite 330A
Oakland, California 94618
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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: Free 15 minute initial phone consultation

$150 per 50 minutes, $225 per 75 minutes for individual therapy
$285 per 75 minutes for couples or family therapy

Limited sliding scale appointments, based on financial hardship only
Current availability: 1 sliding scale ongoing weekly therapy opening

Free Initial Consultation

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Are you fighting with your partner and having trouble talking about important matters? Are you feeling stressed out and looking for new ways to manage your stress? Are you drinking too much or too often and ready to make some changes? Are you feeling resentful in a relationship and don't know how to get what you need? Do you feel ready to work on your health and find more peace of mind more often?

Anxiety, depression, stress and anger are experiences many people have at some point in their lives. When you've gotten stuck in one of these experiences, or seem to keep coming back to the same struggle, it's often a sign that healing is needed. Doing healing work in the context of psychotherapy can give you structure, clarity and support to make healing change possible.

It's my goal to help you discover ways to connect to yourself that help you to make consciously empowered choices in your life to create the experiences that you long for. Lending a respectful and inquisitive ear, I listen deeply to what troubles you. I also listen for what inspires you and what has helped you through difficult times. I work to help you uncover how ways you learned to survive previously may be preventing you from getting what you want today. I believe you are your own best expert and want to help you find the best possible solutions from within to put into practice outside in your day to day life.

My approach is supportive of developing a connection to your inner self so that you can communicate from your heart. Practicing an attitude of curiosity and acceptance, my goal is to build trust with you and to understand your unique experience. When working together, I aim to help you feel respected and understood. I truly believe in the healing powers of self-discovery and self-acceptance. I strive to help you cultivate the kind of relationships you long for, with yourself, others and the world around you.

Email or Call Natalie Spautz, LMFT at 1-800-651-8085 ext. 18601

More Info About My Practice

My favorite specialty is working with couples. Supporting couples in repairing and rejuvenating their romantic partnership is truly inspirational! I am trained in Emotionally Focused Couples therapy and truly enjoy the depth of feeling and passion that couples bring into my practice. Couples therapy can be an important opportunity to enter into a conscious process with your partner to heal past hurts, improve the quality of your communication and intimacy, to learn about yourselves and your relationship and to discover new ways of relating that support and nourish in times of need.
Being in romantic relationship can bring up unprocessed needs or "baggage" from the past, just by it's nature of fostering interdependence and closeness. When we let someone into our hearts, our vulnerability, growing edges and sensitivities become very clear. Starting to untangle the complexity of your relationship and spending time to mend and maintain it are very big and important steps that can make all the difference in finding that deep satisfaction you are looking for with your partner.

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

Relationship difficulties
Alcoholism & Recovery
Childhood trauma
Sexual assault

More particularly:
-Couples who want to learn how to better support each other and who want to become the best versions of themselves, together.
-Couples who seek to learn how to consciously repair past hurts and transform their dynamic together.
-Women who seek to improve balance, self-confidence and fulfillment in life.
-Parents to be and new parents who struggle with depression or anxiety.
-Men who struggle with intimacy and talking about feelings.
-Children who struggle with anxiety, anger or shyness. Also, children who have been abused or neglected.

Had a Negative Therapy Experience?

I sometimes hear about negative therapy experiences from people. The more common complaints are that the therapist didn't have much to contribute, and just listened most of the time, or that the therapy just didn't work, or fears came up about the therapist not liking them or caring for them as a person. While therapy is a helpful form of treatment for psychological issues, not all therapists are a good match for every person that walks into their door. Therapy is a dialogue between two (or more) people and in such dialogues, personality does affect the interaction. Therapists also have their own unique styles and backgrounds that influence how they work. One style does not fit all!

I suggest if you have had a negative experience in therapy, that you can use that to inform what you do need from therapy and what kind of therapist might help you best. If you need more or less feedback, reassurance, interaction, help figuring out what you need or something you didn't get previously, it's so helpful for all involved to share that with your therapist.

Most therapists do care and want to help you. Some may be able to help more than others simply because of style or personality differences. You are your own expert, and although therapists may know a lot about psychology and about humans in general, you know yourself best. Therapists are not like medical doctors in that one treatment does not fit all with the same kinds of struggles. They might not know how to help unless you share so they can learn from you as you share about yourself.

My best advice to those looking for a new therapist is to go for a session or a few with the intention of feeling out how work could be together, longer-term. The more direct you can be about what you need and how you need support, the better chance the therapist you choose can meet you there. Sometimes it can take several sessions to really find a groove and get into the rhythm of a structured, regular treatment.

How My Own Struggles Made Me a Better Therapist

I know therapy can help from first-hand experience. I have been through a number of challenges in my life and after receiving support and guidance in my own therapy, I discovered how resilient I am, how my choices in life were affecting how I felt, and how incredibly freeing it was to get out of my own way and choose what was best for me. My gratitude and appreciation for the healing I have found through receiving psychotherapy, inspires me to want to help others discover their own.

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Services I Provide

  • Clinical Supervision
  • Consultation
  • Family Therapy
  • Group Therapy
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Online Counseling / Phone Therapy
  • Other

Ages I Work With

  • Adults


  • English

Groups I Work With

    Multicultural couples, parents, students, artists, twins, survivors of sexual assault, women, men

Client Concerns I Treat

  • Abandonment
  • Abuse / Abuse Survivor Issues
  • Adjusting to Change / Life Transitions
  • Aggression and Violence
  • Anger
  • Anxiety
  • Attachment Issues
  • Breakup
  • Caregiver Issues / Stress
  • Child and/or Adolescent Issues
  • Codependency / Dependency
  • Communication Problems
  • Depression
  • Dissociation
  • Divorce / Divorce Adjustment
  • Drug and Alcohol Addiction
  • Emotional Abuse
  • Emotional Overwhelm
  • Emptiness
  • Family of Origin Issues
  • Family Problems
  • Forgiveness
  • Grief, Loss, and Bereavement
  • Infidelity / Affair Recovery
  • Irritability
  • Isolation
  • Jealousy
  • Men's Issues
  • Money and Financial Issues
  • Mood Swings / Mood Disturbance
  • Multicultural Concerns
  • Parenting
  • Power
  • Relationships and Marriage
  • Self-Actualization
  • Self-Care
  • Self-Compassion
  • Self-Criticism
  • Self-Esteem
  • Self-Love
  • Sensitivity to Criticism
  • Sexuality / Sex Therapy
  • Shame
  • Social Anxiety / Phobia
  • Spirituality
  • Stress
  • Trust Issues
  • Women's Issues
  • Workplace Issues
  • Worry
  • Young Adult Issues

Types of Therapy

  • Anger Management
  • Body-Mind Psychotherapy
  • Depth Therapy
  • Developmental Model of Couples Therapy
  • Emotion Focused Couples Therapy
  • Emotion Focused Therapy
  • Emotionally Focused Couples Therapy
  • Emotionally Focused Therapy
  • Holistic Psychotherapy
  • Humanistic Psychology (humanism)
  • Integration of different therapy models
  • Integrative Body Psychotherapy (IBP)
  • Interpersonal Psychotherapy (IPT)
  • Mindfulness-Based Interventions
  • Nonviolent Communication (NVC)
  • Object Relations
  • Parent Work
  • Person-Centered Therapy (Rogerian Therapy)
  • Psychodynamic
  • Relational Psychotherapy
  • Self Psychology
  • Somatic Psychotherapy

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