Roger Lake


Roger Lake


Professions: Marriage & Family Therapist
License Status: I'm a licensed professional.
Primary Credential: MFT - 17914
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 usual fee is $200/ hr for individual, couples, or family sessions, and $65/hr for group therapy
Free Initial Consultation
Evening Availability


1325 Columbus Ave.
Top Floor
San Francisco, California 94133

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My Approach to Helping

I have come to believe that much of family and marital therapy is about understanding how we collaborate with others. From co-dependency to domestic violence, we are shaped by forces both inside and out. Therapy is sometimes a moral conversation about knowing what is the "right thing to do," and sometimes a reflection on the experiences that shape our sense of being the unique person that we are. My work is grounded in over thirty years of clinical practice, and is shaped by many years of working with Men in groups. I try to embody principles of social justice and mindfulness within the frame of family systems theory, and I work in a way that is often described as "emotionally focused."

More Info About My Practice

My usual fee is $200 per hour, and I am always willing to negotiate with those (and there are many) for whom that is unworkable. I am "old school" and do not work with insurance panels. I offer a free "meet and greet" session to new potential clients who need more information about me and my practice.

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

I have a particular interest in understanding gender. As an older man, my practice was shaped by the women's movement, and I have lead men's groups for years. I believe that this history provides me an important perspective on contemporary families, and the kind of empathy and understanding that creates safety for confused, hurt, or angry folks trying to face the difficult transitions of family life. I am also helpful to men struggling to escape the winner/loser culture that has come to shape so many of our paths.

How Psychotherapy Can Help

Psychotherapy introduces us to complexity, simplicity, hope, and change. It is a guided exploration that requires trust, honesty, and empathy. It ought to be a way forward, and should lead to obvious changes.

Services I Provide

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

Ages I Work With

  • Adults
  • Elders


  • English

Client Concerns I Treat

  • Abuse / Abuse Survivor Issues
  • Addictions and Compulsions
  • Adjusting to Change / Life Transitions
  • Aggression and Violence
  • Aging and Geriatric Issues
  • Anger
  • Attachment Issues
  • Blended Family Issues
  • Breakup
  • Codependency / Dependency
  • Control Issues
  • Depression
  • Divorce / Divorce Adjustment
  • Domestic Violence
  • Drug and Alcohol Addiction
  • Dual Diagnosis
  • Family of Origin Issues
  • Family Problems
  • Forgiveness
  • Grief, Loss, and Bereavement
  • Helplessness / Victimhood
  • HIV / AIDS
  • Identity Issues
  • Inadequacy
  • Individuation
  • Infidelity / Affair Recovery
  • Jealousy
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Life Purpose / Meaning / Inner-Guidance
  • Men's Issues
  • Midlife Crisis / Midlife Transition
  • Multicultural Concerns
  • Narcissism
  • Parenting
  • Posttraumatic Stress / Trauma
  • Power
  • Pre-Marital Counseling
  • Relationships and Marriage
  • Sex Addiction
  • Shame
  • Social Anxiety / Phobia
  • Spirituality
  • Suspiciousness / Paranoia
  • Trust Issues
  • Values Clarification
  • Workplace Issues
  • Worry
  • Worthlessness
  • Young Adult Issues

Types of Therapy

  • Collaborative Couple Therapy (CCT)
  • Emotion Focused Therapy
  • Family Systems Therapy
  • Feminist Therapy
  • Integration of different therapy models
  • Internal Family Systems (IFS)
  • Interpersonal Neurobiology (IPNB)
  • Mindfulness-Based Interventions
  • Psychodynamic
  • Systems Theory /Therapy
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