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.
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.
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 also personal to me: I've lived through painful relationship dynamics myself, and I know how confusing and consuming they can feel — even when, by every other measure, life is going well. Sessions are warm, direct, and attachment-focused. We don't endlessly analyze the past — we slow down the moments where you get stuck and trace them back to the protective patterns underneath, so we can change them at the root.
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.
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.