Pacific Cognitive Behavioral Therapy is a counseling center with a location in the San Francisco Bay Area. Our San Francisco office is centrally located in the Lower Pacific Heights / Japantown area. We work with children, teens, adults, and couples to overcome obstacles that stand in the way of living a satisfying life.


We are highly trained therapists specializing in Cognitive Behavioral Therapy, a form of counselling that has been proven successful for many people dealing with issues. Ongoing training and consultation are key parts of our practice to ensure we are always developing our skills to best help you.


We pride ourselves in providing compassionate and evidence-supported Cognitive Behavioral Therapy, through which we give people the tools and skills they need to deal with any number of issues – from anxiety and depression to work performance or relationship concerns.

Pacific CBT is proud to be the San Francisco regional clinic for the National Social Anxiety Center, which was established to make quality psychotherapy services available to those in need. Through research, collaboration and educating clinicians and the public, NSAC is committed to improving services and care for people seeking help for social anxiety. Visit NSAC here for more information about Social Anxiety.


Anxiety Disorders

Anxiety is a normal human emotion that we all experience at some point.

These feelings of worry or nervousness are often unwelcome and, for some of us, can hamper how we live our lives.

As frustrating as anxiety can be, though, it’s a necessary emotion as it sets off our internal alarm system. For our ancestors, anxiety meant the difference between staying safe or falling victim to the harsh elements of their era. Today, it is still what kicks in our “fight or flight” response when we think we may be in danger. Without anxiety, we would be more vulnerable, so, in some ways it helps protect us.

However, when anxiety warns of us danger when there is no actual threat, it becomes unhelpful. This is especially true when it starts to impede how we want to live our lives. It is at this point – when fear is unfounded and it affects daily life – that anxiety becomes a disorder.


Having the blues or moments of sadness is a normal part of life. All people experience times of feeling down in the dumps. The absence of this experience prevents us from appreciating the good things in life.

Depression may be triggered by difficult life events such as the death of a loved one, relationship ending, being fired from a job, or having children leave for college or moving out on their own. Other times, depression may be the result of having disappointing experiences or things not going our way.

Get a free 15 minute phone consultation today

Life Transition

Developmental psychologists, such as Erik Erikson and Jean Piaget, are interested in understanding how humans change over the course of the life span.

Relationship Difficulties

All relationships experience challenges from time-to-time. In most cases, the individuals involved find a way to resolve their differences. They typically utilize effective strategies such as clear communication, compromise, and increased empathy for each other to move beyond conflict.

Conflict can present opportunities for the individuals to learn more about each other and to develop greater intimacy as they grow in their ability to have empathy through more effective communications. Human beings are social creatures. Having healthy and supportive relationships is an important component for people to thrive and flourish. Studies show that those who have strong social support live healthier lives and have longer life spans.

Don’t see a symptom? Take a look here at our full list of services.


Avoidance: Fuel to the Fire of Anxiety

Avoidance: Fuel to the Fire of Anxiety

As we go about our daily lives, we constantly shift our behaviors according to our surroundings. The way we choose to behave is motivated by the desire to put us in the most comfortable mental space possible.When feelings of anxiety surface, instinctual coping kicks...

How are Red T-shirts and Anxiety Related?

How are Red T-shirts and Anxiety Related?

Imagine yourself walking down an alleyway at night. All of a sudden, a masked person wearing a red t-shirt approaches you with a gun. Thankfully, you’re able to get away safely but at that moment you felt immense fear, discomfort, and anxiety. A month later, you walk...

Changing Behavior Inch by Inch

Changing Behavior Inch by Inch

Our daily lives are a series of behaviors. These behaviors can either aid our experiences or take away from them. At the beginning of the new year, many of us may have chosen intentions to focus on, understanding that changing a behavior is a gradual process. Living...

Forget Resolutions; Focus on Intentions

Forget Resolutions; Focus on Intentions

For many of us the new year is a time to re-adjust. As we embark on the journey into 2021, take a moment to contemplate how 2020 affected you. Living through a pandemic, a heavily polarized presidential election, and coping with the inevitable changes of life is...

Contact us today to take the first step in reaching your therapy goals.

We are happy to offer a complimentary 15-minute phone consultation. From there, we will be able to determine if we can successfully address your needs through our specialized services.

Ready to take the next step?

Schedule an appointment through our highly secure third-party service that meets the Health Insurance Portability and Accountability Act standards for protecting sensitive patient data.