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Madelyn Fish

Associate Marriage & Family Therapist #104953

Supervised by Carly Earnshaw, LMFT#49826

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A Little About Me

Now offering newly opened evening availability reserved just for couples. Do you and your partner find yourselves having the same fight over and over? Counseling can help when you feel stuck on the same issue(s), or in a repeating cycle. Relationships are one of the most wonderful parts of being human. When things aren’t going well though, they can also be the source of tremendous pain. Couples counseling offers opportunities to move towards health so there can be more ease and joy in your partnership.

When working with couples I use contemporary approaches to understand what’s really happening for you and your partner. This includes attachment theory, which helps people better know each other, their needs, and themselves. In addition to deeper understanding, I support my clients in developing tools and techniques for more effective communication and more satisfying ways of relating to one another.

I work especially well with critical thinkers and cerebral types and my practice is social justice informed and kink/poly and LGBTQIA+ affirming. My office is centrally located in San Francisco between Hayes Valley and the Mission. If this sounds good, reach out for a free phone consult to explore if we're a good fit.


1829 Market st
San Francisco, California 94103
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  • English
I Work With:
  • Activists
  • Poly and Open Relationships
Types of Therapy I Do
  • Couples Therapy
  • Individual Therapy
My Areas of Focus
  • Anxiety
  • Depression
My Treatment Approaches
  • Attachment
  • Dialectical Behavioral Therapy (DBT)
  • Psychodynamic
  • Transpersonal

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