Relationship Therapy for Women · San Francisco, CA

You can be successful, self-aware, and still struggle in relationships.

You may look like you have it together on the outside, but behind closed doors, your relationships feel confusing, unfulfilling, lonely, or emotionally exhausting. Whether you're single, dating, questioning your relationship, or healing old patterns, therapy can help you build relationships that feel secure, connected, and true to who you are.

Elisenda Asencio-MacMartin, LCSW, relationship therapist for women in San Francisco, California
Relationship Therapy with me might be a good fit if…

You're tired of repeating the same relationship dynamics.

You're successful in many areas of your life, but relationships feel like the one place where things still don't fully click.

Maybe you:

  • Keep repeating the same painful relationship patterns
  • Feel anxious, emotionally exhausted, or disconnected in love
  • Struggle to trust yourself when it comes to relationships
  • Stay in relationships that are "fine" but don't truly fulfill you
  • Overthink dating, communication, or conflict
  • Feel drawn to emotionally unavailable partners
  • Fear being alone, but also fear choosing the wrong person
  • Know your past experiences or trauma may still be affecting your relationships
  • Want deeper intimacy, but vulnerability feels difficult or unsafe
  • Feel lonely even when you're partnered

You are not broken. Many relationship struggles are rooted in protective patterns developed long ago. Therapy can help you understand those patterns, heal them, and build relationships that feel healthier, safer, and more fulfilling.

California coastline — a calming setting representing virtual relationship therapy for women in San Francisco, California
How I Help

Patterns can change. Love can feel safe again.

I specialize in helping women understand the deeper emotional patterns shaping their romantic relationships. Many of the women I work with are insightful, capable, and deeply self-aware. They've spent years working on themselves, building successful lives, and trying to "figure out" relationships logically — yet still find themselves stuck in painful cycles.

Together, we explore how attachment wounds, past experiences, relationship dynamics, and nervous system patterns may be impacting the way you date, connect, communicate, choose partners, or experience intimacy.

My approach is warm, direct, relational, and insight-oriented. Therapy isn't about blaming yourself or endlessly analyzing the past — it's about helping you develop the emotional clarity, self-trust, and relational security needed to create healthier, more fulfilling relationships.

What It's Like to Work With Me

Real conversations, real change.

Our relationships are essential pieces of our overall well-being. That said, you don't have to navigate the feelings and emotions that come with them, alone. You absolutely deserve to have your wants and needs validated and met.

Through attachment-focused work, you'll develop insight, real-life tools, and helpful self-care practices that lead to healthier and more fulfilling relationships. Sessions are warm and direct — there is space to feel everything, and structure to actually move forward. I see clients fully virtually, anywhere in California.

Joyful couple embracing outdoors — the kind of secure, connected relationship that relationship therapy in San Francisco can help build