Natalie Spautz


Natalie Spautz


Telehealth Available
Professions: Counselor, Marriage & Family Therapist, Psychotherapist
License Status: I'm a licensed professional.
Primary Credential: Marriage and Family Therapist - 86678
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 call

$175 per 50 minutes for individual therapy
$300 per 75 minutes for couples or family therapy

Current availability:
Telehealth only
Reopening when businesses can safely resume without masks
Accepting patients in San Francisco
Evening Availability


220 Montgomery Street
San Francisco, California 94104
5665 College Avenue
Oakland, California 94618

View Accessibility

My Approach to Helping

If you're fighting with your romantic partner and small issues keep repeating and become a big deal... perhaps you're wondering how to stop this difficult dynamic and find new ways to connect, resolve, and repair. Maybe you notice after fighting, that distance between you feels lonely and doubts about the relationship start to increase. It's like the fights just get out of control and one or both of you say things you regret later. Deep down, you know what's been happening isn't healthy, and that you both need help and perspective. It might seem nearly impossible to imagine how, but you know you need to try something radically different if you're going to save the relationship that means so much to you both.
I can help you both develop new tools so you can finally feel reconnected, nourished instead of depleted and happier together. Whether you begin therapy individually or together, know change is possible. As your guide, I commit to supporting you in healing the past and building a strong foundation to endure and support the healthy future you seek.

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, self-acceptance and offering these to others in close relationship. I strive to help you cultivate nourishing relationships with yourself, others and connect more to the world around you.

More Info About My Practice

I have extensive specialized training in empirically based Emotionally Focused Couples Therapy and the Developmental Model for Couples Therapy along with several other modalities including some Gottman Couples Therapy, PACT Couples Therapy and Psychodynamic theory that I draw from to create a personalized way to help you and your partner. I truly enjoy working with the depth of feeling and passion that couples bring into my practice.

Couples therapy can be an important opportunity to enter into a conscious and reflective 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.

When two individuals are growing at their own rate, in their own ways, there are periods of time that naturally occur where the relationship needs extra effort and intention from both to support each other and reconnect by aligning the growth process and helping both get back on the same page.

Being in romantic relationship can also bring up unprocessed needs or "baggage" from the past, just by it's nature of fostering attachment 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

Romantic partnership conflict
Relationship difficulties
Alcoholism & Recovery
Childhood trauma
Stress management

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.

Services I Provide

  • Clinical Supervision
  • Consultation
  • Family Therapy
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Premarital Counseling
  • Telehealth

Ages I Work With

  • Adults


  • English

Groups I Work With

    Multicultural couples
    Couples with a partner or both in recovery from alcohol abuse or addiction
    Couples who struggle with conflict avoidance or high conflict patterns
    Couples with history of trauma, addiction or childhood abuse
    Couples who need support determining next steps, whether healing and reconnecting, separation, divorce or opening up the relationship

    Individuals struggling with stress, anxiety or depression
    Individuals with relational issues with peers, partner or family.
    Individuals seeking to recover from issues with body image, food or alcohol addiction or misuse
    Individuals who are seeking ongoing consistent depth work, self awareness, integration

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
  • 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
  • Sexuality / Sex Therapy
  • Shame
  • Social Anxiety / Phobia
  • Spirituality
  • Stress
  • Trust Issues
  • Women's Issues
  • Workplace Issues
  • Worry
  • Young Adult Issues

Types of Therapy

  • 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
  • Interpersonal Psychotherapy (IPT)
  • Mindfulness-Based Interventions
  • Nonviolent Communication (NVC)
  • Object Relations
  • Parent Work
  • Psychodynamic
  • Relational Psychotherapy
  • Somatic Psychotherapy

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