In-Person Therapy in San Francisco & Online Throughout California

Compassionate, Psychodynamic Therapy for Lasting Change

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You can look like you have it together—
and still find yourself in the same painful emotional places, in yourself and in your relationships.

If that feels familiar, you’re not alone.

Does this sound like you?

Many of the people I work with feel caught in patterns that are painful, confusing, and hard to change.

You might find yourself:

  • feeling like you’re “too much” in some moments and “not enough” in others

  • seeming fine on the outside, while internally feeling anxious, sad, or disconnected

  • feeling things deeply, but also feeling ashamed of those feelings or unsure if and how to share them

  • noticing the same relational dynamics show up again and again, even when you try to do things differently

  • struggling to know what you feel or need until things become overwhelming

  • turning inward with self-criticism when you can’t “figure it out” or change it

  • shutting down or pulling away from the people in your life

At times, this can feel confusing because these are not only emotional states, but ways of relating that develop over time and can repeat outside of awareness.

They are not random, and they are not who you are.

Many of these ways of coping and staying connected began in earlier relationships and made sense at the time, but may no longer fit now.

In therapy, we take the time to understand how these patterns show up in your current relationships and inner life.

From there, something new can begin to emerge.

More space. More choice. A way of relating that feels more aligned with who you are.

This is the kind of work I focus on in my practice.

Natalie Yates, LMFT

I’m Natalie, a psychodynamic therapist in San Francisco.

I work with people who often recognize themselves in what you’ve just read. They tend to be thoughtful and self-aware, and yet still find themselves feeling stuck in ways that don’t fully make sense and don’t feel fulfilling.

I welcome people of all identities and backgrounds, and I aim to create a space where you feel seen, respected, and able to show up as you are.

A smiling woman with light skin and long brown hair standing in front of a bush with red and white flowers and green leaves.

My Approach to Therapy

My work is grounded in a psychodynamic and relational approach to therapy.

Rather than focusing only on symptoms or strategies, we pay attention to the deeper patterns shaping your inner world and relationships—and how those patterns continue to show up in real time.

We notice how you relate, how you protect yourself, how you respond to closeness, and what becomes possible when those patterns are understood rather than acted out automatically.

Over time, this process can create more clarity, choice, and emotional freedom in how you relate to yourself and others.

Areas of Focus

  • Self-Esteem & Self-Worth

    Feeling unsure of yourself or overly self-critical

    Difficulty trusting your instincts or feeling grounded in who you are

    Wanting to feel more secure, steady, and at home within yourself

  • Early Relationships & Developmental Trauma

    The lasting impact of early relationships and formative experiences

    Carrying unresolved pain, shame, or unmet emotional needs

    Noticing how the past continues to shape your expectations and relationships

  • Anxiety & Emotional Overwhelm

    A persistent sense of worry, unease, or inner tension

    Feeling emotionally flooded, on edge, or stuck in overthinking

    Difficulty slowing down or accessing a sense of calm

  • Relationship Challenges

    Repeating patterns in romantic or interpersonal relationships

    Struggles with closeness, vulnerability, conflict, or disconnection

    Wanting to understand how you relate to others and why it feels hard at times

  • Depression

    Feelings of emptiness, heaviness, or disconnection

    Low energy, withdrawal, or loss of interest

    Feeling stuck, lost, or unsure how to move forward

  • Life Transitions & Identity Shifts

    Navigating periods of change such as moves, loss, health, relationship shifts, college or career transitions

    Periods that bring up questions about identity, direction, or belonging

    Wanting a greater sense of stability and continuity through change

We are most fully alive when we are in relationship with others and with ourselves.
— Harville Hendrix

Connect

If something here resonates, you don’t have to keep navigating it alone.

I offer a free consultation as a space to connect, ask questions, and get a sense of whether working together feels like the right fit.

Business Hours: Monday–Thursday, 9am–6pm; Fridays, 10am–3pm