I am a San Francisco Psychotherapist who focuses on Men's Issues, including relationships, intimacy, and sexuality. Much of that work focuses on sex addiction therapy in San Francisco. I am a sex positive therapist, meaning I believe that sex, whether alone or partnered, can be a healthy expression of your innate desire to connect, enjoy, have fun, and celebrate who you are. I also recognize the worry, consequences, and suffering when your relationship to sex and relationships is no longer in sync with who you want to be or become. 

Want more out of intimate relationships?
"Have everything" but still lonely or isolated?
Feel stuck in sexual behaviors or patterns?

Most likely, you're reading this because there's some part of your life that feels out of balance, isolating, or disconnected and lonely. You might feel isolated, shame, and depressed...often as a result of earlier life experiences that created a sense of being different, on the outside, or broken.

I specialize in issues with intimacy and relationships, sex, desire, and sex addiction--and the anger, depression, anxiety, and isolation that accompany them. All of these can be difficult to talk about.

Therapy can be challenging and profoundly rewarding. Here are some insights you might find along the way!

You are not alone

Sometimes you’re so depressed or sad, it’s hard to share with friends or family. What will they think? All they want to do is “fix it”or cheer you up. You may feel isolated and shut down--maybe numb.

Find out or remember what makes you happy. Connect with those around you, again.

change compulsive behaviors

You might feel like these behaviors are controlling you, or that you want to stop but there's no way it's going to happen.

Do what you see other people doing. Find healthier relationships and intimacy.

connect & have fun!

I will work with you in therapy to find meaning in what feels frightening, overwhelming, or unknowable. With this insight, you can transform your life in lasting ways...and make the changes that feel out of reach today.



Anxiety | Depression | Grief
LGBTQ issues including bullying, coming out, shame
sexual orientation & identity
Drug, alcohol and behavioral addictions
compulsive behaviors
Porn, Internet, problematic sexual behaviors
Corporate stress
12 Step recovery/harm reduction


How will therapy help?

That’s a great question! We probably all know someone who’s been in therapy, and told us their version of it. What will therapy look like for you?

I am a psychodynamic therapist and here’s how I break that down. I work with you to resolve both the symptom and the cause. So it's often called depth therapy for that reason. I want you to find relief from the immediate pain and resolve the deeper, internal conflicts and doubts. In this way, you can become more resilient and the changes more long lasting.

Sessions may feel intense and safe at the same time. I am sometimes feeling things with you--I genuinely want to understand your experience. 

Thom Masat, MFT Intern   |   Hayes Valley office, San Francisco

Thom Masat, MFT Intern   |   Hayes Valley office, San Francisco