1 HOME ocean clear.jpeg
2 APPROACH1 poppies.jpeg
4 ABOUT pier at sunset.jpeg
5 FAQ water dropcrop4b.png
6 CONTACT1 tree with sky.jpg
1 HOME ocean clear.jpeg

holistic, integrative therapy


for anxiety and trauma

SCROLL DOWN

holistic, integrative therapy


for anxiety and trauma


Out of your vulnerabilities will come your strength.
— Freud


Holistic, integrative therapy for anxiety and trauma

Anxiety and trauma can tangle you up in excessive worry, overwhelming emotions, numbness, painful relationships, and a host of other challenges. I help clients find relief from these struggles, freeing them to create a life that is more easeful, intentional, and joyful.

I work with people who have come to realize that the ways they've been coping aren't serving them anymore. They may notice more disruptions in their life, or patterns that are hard to break out of, or events from the past that they can't seem to let go. Something needs to change, and they're looking for someone to support or guide them through what might be a confusing or scary experience.

My approach emphasizes your innate healing potential and strengths, and my priority is to create a warm and non-judgmental space where we can explore your difficulties. Together, we can uncover how you arrived where you are and discover your path to clarity, self-possession, and wholeness.

Contact me for a free 20-minute phone consultation.


     

Cary Ann Rosko, MFT
415-689-8591
cary [at] caryannroskomft.com

The Mills Building
220 Montgomery Street, Suite 400
San Francisco, CA 94104

Licensed Marriage and Family Therapist
(LMFT #96606)


2 APPROACH1 poppies.jpeg

Approach


Approach



Wholeness is not achieved by cutting off a portion of one’s being, but by integration of the contraries.
— Jung


3 APPROACH2 sunflower.jpg

A holistic approach attends to all aspects of a person’s well-being, including mental, emotional, physical, and spiritual wellness. I help people identify their needs and bring fragmented parts of their lives into more harmony. The result is feeling more grounded in your daily life, your communities, and your larger place in the world.

Working holistically also means understanding each person's context, cultural background, and relationship with systemic power. People of all identities and expressions are welcome and celebrated in my practice.

 

 

holistic:

characterized by the treatment of the entire person

 
 

integrative:

combining and coordinating diverse elements into a whole

 

As an integrative therapist, I draw from multiple disciplines to weave a flexible approach tailored to your needs:

  • Mindfulness - attending to the present moment brings new awareness and usable information

  • Somatic Psychology - observing and engaging with emotions as they occur in the body unlocks healing potential

  • Neuroscience - understanding how the brain and nervous system work sheds new light on old patterns

  • Psychodynamic (Insight) Psychotherapy - our past experiences impact our present situation

  • Attachment Theory - how we connect with others is shaped by our earliest relationships

  • Internal Family Systems (IFS) - each of us has inner “parts” that can be in harmony or conflict

  • Eye Movement Desensitization and Reprocessing (EMDR) - evidence-based treatment of trauma and PTSD

In addition to anxiety and trauma, I also work with:

  • LGBTQ+ issues

  • Depression

  • Grief and loss

  • Life transitions

4 ABOUT pier at sunset.jpeg

About


About



Don’t be satisfied with stories, how things have gone with others. Unfold your own myth.
— Rumi


 Photo courtesy:  Meridian Brady

Photo courtesy: Meridian Brady

I’ve been a trusted listener my entire life. I realized at a young age how powerful it is to listen deeply to others, and I've seen the transformation that occurs when we allow ourselves be vulnerable in the compassionate presence of another.

The central belief that guides my work is that we are all inclined towards wholeness and steered by survival. Paradoxically, our most challenging or painful habits began as strategies that helped us survive in the past. When obstacles are understood in this way and worked through, a natural movement towards growth and integration—previously caught up in old patterns or narratives or wounding—can complete itself.

Research continues to reinforce the understanding that the mind and body are not separate entities but make up one unified system that is complex and multi-channeled. Once we understand the language of the mind/body unique to each person, we can begin to decode its difficulties and interruptions. Through gentle attention and redirection, we can also facilitate its healing.

My main goal is to provide a space where you feel seen, respected, and empowered. I want you to know that there are reasons for your suffering, that there is relief to be had, and that you are stronger than you think.


Clinical work:

  • New Perspectives Center for Counseling

  • Richmond Area Multi-Services

  • Academy of Arts and Sciences

  • Community Institute for Psychotherapy

  • San Rafael High School

  • Senior Access

  • GLBT National Hotline

In-depth trainings:

  • EMDRIA-Trained in Eye Movement Desensitization and Reprocessing (EMDR) and Flash Technique

  • Hakomi: Essential Skills and Healing of Trauma

  • Kathleen Miller: EMDR and Structural Dissociation Theory

  • Janina Fisher: Working with the Neurobiological Legacy of Trauma

  • Deirdre Fay: Becoming Safely Embodied


Education:

  • Master of Arts in Counseling Psychology - California Institute of Integral Studies - 2013 

  • Master of Music in Voice Performance - New England Conservatory, Boston - 1997

  • Bachelor of Music in Voice Performance - University of Illinois, Champaign-Urbana - 1995

Professional affiliations:

  • California Association of Marriage and Family Therapists

  • Gaylesta

  • Psychology Today

  • Good Therapy


5 FAQ water dropcrop4b.png

FAQ


FAQ



The important thing is to not stop questioning. Curiosity has its own reason for existing. One cannot help but be in awe when he contemplates the mysteries of eternity, of life, of the marvelous structure of reality.
— Einstein


Who should consider therapy?

Many people seek therapy during or shortly after a crisis. In these moments, it’s most important to figure out how to stabilize, re-organize, and move forward with the help of a professional. Therapy is also helpful for anyone whose habits or patterns complicate their lives, compromise their relationships, or otherwise leave them feeling confused, lost, or unfulfilled. Self-reflection, a commitment to growth, and a willingness to engage are invaluable in the therapeutic process. The more of yourself you’re able to bring to the work, the more benefit you’ll experience.

water drop on grass2.png

How do I find the right therapist?

There are many qualified therapists with extensive clinical training and expertise, but finding the right personal connection is key. Feeling comfortable, respected, and listened to are essential in a successful therapeutic relationship. The best way to determine how compatible a therapist is with you is to talk with them on the phone or in person. Articulating why you are seeking therapy and what changes you hope to see will also help a therapist to determine whether or not they can be responsive to your needs.


How long does therapy take?

How long therapy lasts is unique to each person. The nature of each client’s experiences and their goals play a major role in shaping the course of therapy. My work with clients is collaborative, including check-ins about how things are going, and I always welcome questions about where we’ve been, where we’re headed, and how we can get there.


Do you take insurance?

I don’t currently take insurance, but if you have an insurance policy that provides out-of-network mental health benefits, I can provide a superbill that you can submit to your insurance company for reimbursement. It’s best to inquire about these benefits before coming to your first session.


What other details should I know?

Sessions last 50 minutes and occur on a weekly basis or more frequently if that better suits your needs. My fee is $170 per session, but I do offer some sliding scale slots based on financial need and availability. Payment can be made in cash, check, or credit/debit/HSA card. I have a 24-hour cancellation policy, which means that if you cancel with less than 24 hours notice and aren’t able to reschedule for that week, you will be charged the full session fee.


If you have any other questions, please feel free to contact me directly.


6 CONTACT1 tree with sky.jpg

Contact


Contact



For small creatures such as we the vastness is bearable only through love.
— Carl Sagan


daisy from underneath.jpeg

Cary Ann Rosko, MFT
415-689-8591
cary [at] caryannroskomft.com


The Mills Building
220 Montgomery Street, Suite 400
San Francisco, CA 94104

Licensed Marriage and Family Therapist
(LMFT #96606)


Contact Me

You're welcome to call or email me directly, or you can use this confidential contact form.

Name *
Name