Virtual Therapy for Women Across California
Relationship Therapy for Women · San Francisco, CAYou 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.
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:
- Find yourself repeating the same painful relationship patterns - whether that's being drawn to emotionally unavailable partners, staying longer than you should, or ending up in relationships that leave you feeling disconnected and unfulfilled.
- Spend countless hours overthinking your relationships, analyzing conversations, questioning your choices, and feeling emotionally exhausted by uncertainty.
- Struggle to trust your own judgment in love, feeling caught between the fear of being alone and the fear of choosing the wrong person or settling for a relationship that isn't right for you.
- Suspect that past experiences, attachment wounds, or unresolved trauma may still be influencing your relationships, yet you're not always sure how those patterns are showing up or how to change them.
- Deeply desire closeness, connection, and intimacy, but vulnerability can feel difficult or unsafe, leaving you feeling lonely, misunderstood, or emotionally disconnected - even when you're in a relationship.
You are not alone. 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.
Relationship Therapy for Women 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 Asencio-MacMartin, LCSW. Most of the women I work with describe feeling stuck between two truths: they've built lives they're proud of, and love still feels harder than it should. They're tired of overthinking dating and communication, of the anxious pit when a partner pulls away, or of feeling lonely in relationships that look "fine" from the outside.
This work is deeply personal to me. Earlier in my life, I spent years in a relationship that, on some level, I knew wasn't right for me. Yet I cared so much, wanted it to work, and couldn't fully see how much I was compromising my own needs and moving further away from myself in the process. Looking back, I understand how easy it is to lose yourself in the pursuit of love, connection, or the hope that things will eventually feel different. I know how confusing it can be when a relationship isn't quite right, but leaving feels even harder. I know what it's like to question yourself, ignore your intuition, and stay longer than you intended because you genuinely want things to work. Those experiences are a big part of what drew me to this work and why I feel so passionate about helping women reconnect with themselves, trust their inner voice, and ultimately create fulfilling relationships.
Areas of Focus
Individual Relationship Therapy
For women working through dating or relationship stress, communication struggles, and recurring patterns - on their own or alongside couples work.
Read about this specialtyTherapy Intensives
Focused, deeper sessions for clarity, momentum, or working through something that needs more space than weekly therapy can offer.
Read about this specialtyCouples Therapy
For partners caught in painful cycles who want to better understand each other, repair connection, and build a more secure relationship.
Read about this specialtyAttachment Wounds Therapy
When past experiences quietly shape who you choose, how close you get, and how safe love feels. Healing the pattern, not just managing it.
Read about this specialtyReal conversations, real change.
Working with me is a space where all parts of you are welcome - even the parts you've learned to hide, dismiss, or feel ashamed of. I respect that meaningful change takes time, and I never believe in forcing the process. At the same time, I won't simply sit back and nod. I'll challenge the beliefs, behaviors, and relationship dynamics that may be keeping you stuck so you can move toward the life and relationships you truly want. I don't believe therapy is about fixing you; it's about helping you better understand yourself.
Together, we'll make sense of your experiences with curiosity rather than judgment, explore the patterns that have shaped you, and decide whether they're still serving you today. Our work will balance deeper exploration with practical tools that help you navigate relationships, communicate more effectively, and trust yourself more fully.
You'll also find that I bring warmth, humor, and the occasional swear word into the room. I believe therapy works best when we can show up as real people, so I tend to be exactly that - and I invite you to be, too. After all, I'm just a human helping another human navigate life's messier moments.
Send a message
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