Mary Mykhaylova LCSW | Noe Valley Psychotherapy

If we are able to really listen to our clients, our clients start to hear themselves through our hearing them.

Robert Rosenbaum


Mary Mykhaylova LCSW

psychotherapy with individuals and couples


Welcome to my psychotherapy practice. I am a Licensed Clinical Social Worker (LCSW) based in Noe Valley, San Francisco. I studied at Smith College School for Social Work, and subsequently trained at Access Institute for Psychological Services. My work experience has included outpatient, residential, and school-based work with children, adolescents, adults. I currently see individuals and couples in my practice.

I am a member of Bay Area Open Minds, Division 39, and Reflective Spaces | Material Places. You can also find me on Gaylesta and Psychology Today.

Sarah Deragon,  Portraits to the People


The people who come to me are curious to get to know themselves in a deeper away. I work with those who want to reflect on complex trauma histories, relationship patterns, intergenerational family dynamics, and intersecting aspects of their identities. I strive to create a safer space by attending to how systems of power (with respect to race, gender, class, sexuality, ability, among others) shape identities and relationships and how this may emerge between us. In the section below, I describe some examples of what we could work on together.


Areas of Focus

  • Interrupting unhelpful patterns: You get caught in dynamics—with family, friends, and partners, and at work—which feel uncomfortable and frustrating, yet perhaps familiar. You engage in the same patterns for reasons that elude you. Or you have some awareness of what is playing out, but remain stuck in cycles of repetition. Together, we can work toward both short-term and long-term change.

  • Healing your relationships: Whether I see you in individual or couples therapy, I use an attachment-based lens when it comes to thinking about you and your relationship dynamics. Together, we slow things down in order to gain an deeper understanding of what plays out and gets evoked, and what vulnerable feelings are in the mix. With this knowledge and my support, you can explore communicating in new ways both inside and outside the therapy room.

  • Coming home to yourself: Somewhere along the way, you learned to keep your emotional world zipped up. This may have been necessary and beneficial in the past: kept intolerable memories, thoughts, and feelings at bay, and helped you endure and achieve a whole lot. You may call yourself a perfectionist. But this comes at a bitter cost, leaving you exhausted and depleted. You show a false version of yourself to the world, even to those you care about the most. You are ready to live more authentically, but are not sure where to begin.

  • Building self-confidence: You tend to rely on external validation and outside ideas when it comes to what you should do, think, and feel. You struggle with trusting your own thoughts and making your own decisions. This lack of confidence can leave you feeling stuck and unable to make the changes that need, want, and deserve.

  • Setting healthier boundaries: Expressing your needs can feel complicated. On some level, it seems that to be lovable or good enough, you should not have any needs at all. You can make your needs smaller and smaller to accommodate and please others, but this is not sustainable in the long run. You may find yourself lashing out, or turn inward and want to disappear entirely. With me, you can work on putting yourself first, setting boundaries, and saying no.

  • Queer identity development: Even in the Bay Area, finding your place in the heteronormative and cisnormative world as a queer person can be challenging. You long for community, meaningful relationships, and representation, and feel that something is missing. Processing thoughts, feelings, and experiences related to your sexuality and/or gender identity is an important part of figuring out who you are and who you want to become. 

  • Living as an immigrant in the United States: Your immigration story may begin with you, your parents, or grandparents. You may know that your immigration involved multiple traumas and losses that you want to address. Immigration is a life-altering event with numerous subsequent impacts on intergenerational family dynamics, sense of self, ideas of home and belonging, and much more. Together, we can reflect on your unique narrative in a sociopolitical context. 

  • Intersections of queer and immigrant experience: In my view, queer identities are shaped in response (and opposition) to experiences of affirmation and rejection in the family and social context. As a queer person and immigrant (or child of immigrants), you may feel like an outsider on multiple fronts, and wish for a space to make sense of your experiences. 


Clinical Social Work

You may be wondering about my background as a Licensed Clinical Social Worker and how it informs my abilities to help you as your psychotherapist.

I obtained the bulk of my training and work experience alongside mental health professionals from a number of disciplines including social work, psychology, and marriage and family therapy. There is a considerable amount of overlap among these various paths to becoming a therapist. In my experience, what sets apart social work from these other fields is an intrinsic focus on the individual in their environment: a way of thinking not only about someone’s internal world, but also about the external, including the social, cultural, and systemic influences and that shape identity and experience.


My fee for a standard 50 minute session is $175. While I am not currently on any insurance panels, I am happy to generate a monthly statement that you may submit to your provider for reimbursement if your plan has out of network mental health coverage.


Getting Here

I am located at 4093 24th Street in the Noe Valley neighborhood of San Francisco. My office is on the corner of 24th and Castro, and can be reached by public transit via the 24 and 48 bus routes, J muni line, and BART. Street parking is available. Please note that the entrance to the office suite is accessible by stairwell and can not be accessed using a wheelchair.


Contacting me

p: (628) 400-6651


I am in the office on Mondays and Thursdays. Please call me if you want to schedule an initial consultation. I can also be reached by email. Please note that this form of communication may not be secure, and it is best not to include private information in your email to me.

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