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

Natalie Spautz


Natalie Spautz


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 consultation

$160 per 50 minutes, $240 per 75 minutes for individual therapy
$285 per 75 minutes for couples or family therapy

Limited sliding scale appointments, based on financial hardship
Current availability: sliding scale full
Free Initial Consultation
Evening Availability


55 New Montgomery Street
Suite 801
San Francisco, California 94105
5665 College Avenue
Suite 330A
Oakland, California 94618

My Approach to Helping

You're fighting a lot with your romantic partner, and the same small issues keep repeating and becoming a big deal. 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 and understood. 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 healthy future you long for together.

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 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 EFT and Developmental Couples therapy along with several other modalities that I draw from to create my own version of couples therapy. 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 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 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

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.

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Services I Provide

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

  • 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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