Erik Karff LMFT #134190

(He/Him)

Accepting Clients

I provide warm, engaged, and affirming therapy for individuals and couples, creating space for healing, insight, and meaningful change.

Licensed Marriage & Family Therapist in San Francisco, CA

Free Initial Consultation

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Free 15-minute call, no obligation.

About My Clients

I work with adults and couples navigating anxiety, relationship struggles, identity exploration, & self-criticism. Many of my clients have felt like the “Black Sheep”—those who’ve struggled with belonging or felt misunderstood. My work is LGBTQ+ affirming, trauma-informed, and rooted in understanding how societal forces impact well-being. I provide a safe, open, and sometimes challenging yet playful space to support growth and emotional freedom.

My Background and Approach

I’m a Licensed Marriage and Family Therapist (#134190) with Master’s degrees in Counseling Psychology and History Education. My approach is psychodynamic, somatic, and mindfulness-based, helping clients deepen self-awareness and shift long-standing patterns. I value the here-and-now, integrating mindfulness and body awareness into the work. My background in education, non-profits, and corporate settings informs my understanding of modern life’s complexities.

My Personal Beliefs and Interests

I believe that when given a safe, protected, and non-judgemental space, every person has exactly what they need to feel whole, content, and connected. Therapy isn’t about “fixing” but about uncovering what’s already within you. I approach my work with deep respect, curiosity, and radical acceptance, helping clients reconnect with their inner wisdom. Healing happens in relationship, and I strive to create a space where you feel truly seen, heard, and supported in your growth.

Client Focus

Languages
English

Qualifications

License
LMFT #134190, State of California · #LMFT #134190
Supervision
Provides supervision to apprentice therapists · currently accepting supervisees
Years in practice
8 years

Insurance Plans Accepted

  • Blue Shield of California

I offer online counseling in the following states:

I have experience with the following

  • Buddhism

Hours & Availability

New clients welcome
Currently accepting new clients
In-person & Telehealth
Both available

Location

Primary Location

4053 18th Street
San Francisco, CA 94114
650-762-5164

Access & Transport

  • Gender-neutral bathrooms
Open in Google Maps ↗ · GPS: 37.7608686°, -122.4340402°

At A Glance

  • Experience: 8 years of practice
  • Languages: English
  • Rate: $235 - 300/session
  • Sliding scale: Available on request

Info

Email Erik
4053 18th Street
San Francisco, CA 94114

Reach out to Erik