About · Elisenda Asencio-MacMartin, LCSW

Meet your relationship therapist in San Francisco, California.

If you've ever thought "I have so much going for me — why is this the part of my life that still feels hard?" — you're in the right place. I'm Elisenda, and I work with women like you across California to make sense of the patterns getting in the way of fulfilling love, and to actually change them.

Elisenda Asencio-MacMartin, LCSW, smiling outdoors in a striped sweater — relationship therapist for women in San Francisco, California

If this sounds like you, you're not alone.

You're capable. You're insightful. You've done the journaling, read the books, listened to the podcasts. And still — the same relationship dynamics keep showing up. The same overthinking. The same anxious pit when a partner pulls away, or the same numb disconnection in a relationship that's "fine."

Most of the women I work with describe feeling stuck between two truths: I've built a life I'm proud of, and love still feels harder than it should. They want to stop repeating the same painful dynamics and start trusting themselves in relationships again.

Whatever your version of that sounds like — therapy can help you understand what's actually driving it, soften the parts that protect you, and learn what secure love can feel like in your nervous system, not just in theory.

How I Help

What our work together looks like

My approach is warm, direct, relational, and insight-oriented. We don't waste time repeating what you already know about yourself. Instead, we use sessions to slow down the moments where you get stuck — in dating, communication, conflict, intimacy, or decision-making — and trace them back to the protective patterns underneath.

From there, we work on changing those patterns at the root, using attachment-focused and relational therapy. You'll leave sessions with insight, real-life tools, and self-care practices that actually carry into your relationships outside of the room.

You can expect therapy with me to help you:

  • Stop repeating relationship dynamics that don't serve you
  • Build self-trust around dating and partnering decisions
  • Calm the anxiety and overthinking that drains your energy
  • Set boundaries without the spiral of guilt afterward
  • Experience intimacy and vulnerability as something that feels safer, not scarier
Soft white flower — a calming visual for relationship therapy with Elisenda Asencio-MacMartin in San Francisco, California
A Little More About Me

How I got here

Before becoming a therapist focused on relationships, I worked in a Psychiatric Emergency Room, where I supported people across the full spectrum of mental health experiences. That work gave me a deep respect for human resilience and the many ways emotional pain can show up in our lives and relationships.

This work is also deeply personal to me. Earlier in adulthood, I struggled in my own relationships and understand firsthand how painful, confusing, and consuming relationship challenges can feel — especially when outwardly, life may look "fine."

Outside the therapy room…

I'm a wife, mom of two, and a native San Franciscan (which feels increasingly rare these days!). I feel most grounded spending time outdoors with my family, love getting lost in fiction novels, and enjoy traveling and dancing whenever I have the chance. I also deeply value connection, laughter, and creating meaningful experiences with the people I love.

I believe women are often the emotional heartbeat of the people and communities around them. When women feel emotionally safe, supported, valued, and loved in their relationships, it impacts every area of their lives — and there is very little they can't accomplish.

Credentials & Professional Foundation

My clinical practice is built upon a commitment to continuous learning. This ensures that the support I provide is not only empathetic but grounded in proven, evidence-based methodologies.

Education & Licensure

  • Licensed Clinical Social Worker (LCSW) #109039 | California Board of Behavioral Sciences
  • Master of Science in Clinical Social Work | New York University (NYU)

Advanced Clinical Training

To better serve the complex needs of individuals and couples, I have pursued specialized certifications in the following areas:

  • The Gottman Method (Level 1) — Focused on research-based interventions to help couples disarm conflicting verbal communication, increase intimacy, and create a heightened sense of empathy and understanding.
  • Motivational Interviewing (100-Hour Intensive) — A collaborative, goal-oriented style of communication designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person's own reasons for change.
  • Tending to Racial Trauma (2021) | Inclusive Therapists — Specialized training dedicated to providing culturally responsive, trauma-informed care and understanding the profound impact of systemic racial stress on mental well-being.

Professional Affiliations

  • Member | National Association of Social Workers (NASW)