San Francisco · Telehealth across California

Therapy for teens and young adults who are ready to feel like themselves again.

For teens, college students, and young adults facing anxiety, trauma, or a major life transition — with sessions by telehealth across California or walk-and-talk therapy in San Francisco.

Free, no pressure — just a conversation to see if we're a fit.

Erica Spartos, Licensed Marriage and Family Therapist, smiling outdoors in San Francisco
Erica Spartos, MA, LMFT
20 years of practice LGBTQIA+ affirming Walk-and-talk in San Francisco Telehealth across California
You're in the right place

The years that ask the most of us are the ones I work in.

Whether you're a teen finding your footing, a college student whose anxiety finally became impossible to ignore, or a young adult carrying something you haven't been able to put down — this is exactly the space I hold.

01

Teens (16+)

Finding your footing when everything feels like it's happening at once — school, identity, family, and the pressure to have it all figured out.

02

College & young adults

For the anxiety that used to be manageable and isn't anymore, and the questions your 20s keep asking before you're ready to answer them.

03

The LGBTQIA+ community

Affirming care for queer youth, queer adults, queer parents, and families of all kinds — a space where you're welcomed exactly as you are.

04

Families navigating change

When one person's struggle touches everyone, therapy can help the whole system find steadier ground together.

How I can help

Care built around what you're actually carrying.

Specialized support for the things that talking alone hasn't touched.

EMDR Therapy

Some experiences don't respond to words alone. They live in the body, in reactions you can't explain, in memories that still feel like they're happening now. EMDR was designed exactly for this.

Learn about EMDR →

Trauma Therapy

Trauma doesn't always look the way people expect. It can be the childhood you're still making sense of in your 20s, or the experience that keeps showing up in your body and your relationships.

Learn about trauma therapy →

Anxiety Treatment

Anxiety is not simply worry, or a sign you're weak. It's lying awake running through conversations that haven't happened, avoiding what used to feel easy. This is not who you are — it can change.

Learn about anxiety care →

Also offering walk & talk therapy in San Francisco and telehealth across California. See all services →

My approach

Steady, honest, and built to meet you where you are.

I've spent two decades sitting with people in some of the hardest moments of their lives — in schools, in intensive outpatient care, and in private practice. Nothing you bring will be too much.

  • A relationship first — pace and pressure set by you
  • Evidence-based tools — EMDR, CBT, DBT, mindfulness — matched to you
  • Affirming of every identity, background, and family

"This is not who you are. It is something that can change."

Portrait of Erica Spartos, LMFT
Meet your therapist

Hi, I'm Erica.

I'm a Licensed Marriage and Family Therapist with 20 years of experience in San Francisco, working with teens, young adults, and families through trauma, anxiety, and life transitions.

My career began volunteering at the GLBT National Help Center in 2006. Since then I've provided care to youth and families across nine SFUSD schools, supported adults through complex diagnoses in the Tenderloin, and helped individuals and families recover in intensive outpatient care. That range is why the hard things feel workable here.

You deserve to feel understood. Let's start there.

MA, LMFT #81057 Clinical Supervisor, CJCJ EMDR-trained Psychology Today verified
Insurance & fees

Clear, honest, and out-of-network.

Most private practices in San Francisco don't bill insurance directly — and the details are rarely explained well. Here's exactly how it works with me.

Private pay

A straightforward out-of-network practice, so your care stays private and fully your own. Your session fee is shared upfront — no surprises.

Superbills provided

I provide a monthly superbill you can submit to your insurer for out-of-network reimbursement — I'll walk you through exactly what to ask for.

PPO reimbursement

If you have a PPO plan, many clients are reimbursed 50–80% of each session once your out-of-network deductible is met.

Reimbursement amounts vary by plan, so it's always worth a quick call to your insurer first. See full fees & details →

Getting started

The first step is smaller than it feels.

Three simple steps, no obligation at any point.

1

Book a free consultation

Reserve a free 30-minute phone call at a time that works for you — it takes about a minute.

2

We talk it through

No pressure and no obligation — just a conversation about what you're looking for and whether therapy might help.

3

Begin, your way

Start sessions by telehealth anywhere in California, or walk-and-talk therapy in San Francisco.

Ready when you are

Take the first step toward feeling like yourself again.

A free 30-minute phone consultation to see if we're a good fit. There's no obligation and no pressure — just a conversation.

Book your free consultation

Or call (415) 963-9642 · Telehealth across California