About Us

Shame Less, Love More.

At Rouse, we help you improve relationships with yourself and others through

Redefine Yourself

  • Psychotherapy

  • Sex therapy

  • Couples therapy

  • Group therapy

In person, or Online

Work with us in our office or in your home.


Visit us in our beautiful offices in the historic Castro district of San Francisco, or through our secure video conferencing.

Couples Therapy

Relationships include love and brightness, but they also have their moments of struggle. At Rouse, we help partners slow down, understand themselves and each other, use some good old coping skills to stay calm during fights.

Our clinicians are trained in couples therapy modalities ranging from Gottman to Developmental Model to utilizing Dialectical Behavioral Therapy. Staff Therapists are also under the training and supervision of the licensed clinical director. Our staff regularly attends trainings to stay up-to-date on the latest methods of relationship therapy.

Women’s Sexuality

We all have our fair share of obstacles when it comes to sex and relationships, but sometimes that can lead to anxiety, trauma and other issues. The good news is therapy can help. With the support of a trained professional, you can learn new coping skills and tackle tough conversations related to body image, infidelity, fertility, and gender exploration - just to name a few.

Deconstruct Masculinity

Unrealistic expectations without the grace to learn and make mistakes have left men in an impossible position, leading to lasting harm to themselves and those around them.

Through individual or group therapy, identify the parts of masculinity that you want to keep and the other parts you need distance from.

Gender Exploration


At our services, we pride ourselves on being trans-friendly and affirming. We understand that gender can be a complex and personal journey, and we are here to support you every step of the way. Our team includes multiple trans and non-binary providers who know firsthand the challenges and joys of exploring gender identity. Whether you are just starting to question your gender or are well into your transition, you are welcome here. We strive to create a space that is safe, open, and non-judgmental, where you can feel confident in exploring your identity. So come as you are, we're ready to meet you right where you are in your journey.

Retreats

Disconnect from the daily chaos with guided retreats by licensed and trained professionals from Rouse Relational Wellness and their extended healing community.

Held multiple times a year, with different points of focus

    • Settling into a serene and gorgeous venue

    • Like-minded guests seeking greater wellness and compassion

    • Delicious locally-sourced meals

    • Movement including yoga, hiking, and breathwork

    • Educational workshops on topics like attachment styles, trauma responses, mindfulness exercises, etc

    • One-on-one support to tailor the retreat to your goals

Queer Men in the Margins

In addition to comprehensive sexual wellness care for our clients, we are offering specific services for queer men in the margins. Who would fit this?

  • Multiracial or First-Gen queer men

  • Queer men in mixed-identity relationships

  • Queer men in mono/poly relationships

  • Men who are questioning

  • Transmasculine or masculine of center

Fertility Support


Anxiety, shame, and doubt can become overwhelming no matter where you are in your fertility journey. Our providers can offer coping skills to navigate your anxiety and values-based treatment to help support you in your process.

Take a step into our welcoming space and immerse yourself in our unique approach as we guide you to exploring your true identity.