Erik Karff (He/Him)

LMFT #134190
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

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.

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

At A Glance

  • Experience: 7 years of practice
  • Languages: English
  • Rate: $200 - 225/session

Info

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

Reach out to Erik