Thomas Marchevsky

Ph.D., Licensed Clinical Psychologist
Accepting Clients

Welcome! Are you ready for the work necessary to make real, enduring change?

Psychoanalyst in San Francisco, CA

About My Clients

You may be facing something concrete and pressing — anxiety, a relationship in crisis, a loss, a choice you can't resolve. Or you may sense that something isn't right without being able to say what. Either way, if you've approached the problem head-on, at the level of symptoms or strategies, and the core hasn't moved, there's usually a reason: what drives it lives below conscious awareness. My focus is on that deeper level — the elusive essence of the problem — where genuine change becomes possi

My Background and Approach

I am a psychoanalyst with a Lacanian orientation. I am an Editor-in-Chief for the European Journal of Psychoanalysis, Clinical Director at The Clinic Without Walls and adjunct faculty at CIIS. I hold a Ph.D. in clinical psychology from Saybrook University, an M.M. from The New England Conservatory of Music, and a B.A. in philosophy from WCSU.

My Personal Beliefs and Interests

I believe symptoms — anxiety, a pattern that won't release, a persistent unease — are not simply malfunctions to be switched off: they carry meaning, and deserve to be understood rather than silenced. I believe we are, to a large degree, unknown to ourselves: much of what shapes our choices and our suffering lives outside awareness, and coming to know it is both possible and quietly transformative. I believe each person is singular — that there is no formula, and the work has to be tailored to the particular truth a person is living, in the space of being genuinely heard, without judgment. And I believe people are capable of authentic transformation — not as wishful thinking, but as something I have seen happen.

I offer online counseling in the following states:
I have experience with the following
  • Buddhism
  • Christianity
  • Islam
  • Multifaith

At A Glance

  • Experience: 13 years of practice
  • Languages: English, Español

Reach out to Thomas