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Therapist in San Francisco, California Leanne Spagnola, Therapist

Gender Identity: Female (She/Her)

Ages Served: 18-74

Appointments: Telehealth only. In-office visits not available

Manages Medications: No, provides therapy only

Accepts Insurance: Yes - View accepted plans

Leanne Spagnola, Therapist

Leanne Spagnola, MA, LMFT

The therapeutic relationship is the biggest indicator of successful outcomes in therapy. I’m glad you are here in search of the right therapist for you. I work from a trauma-informed psychodynamic perspective. I focus on the nature and quality of the relationships in your life, past and present, to identify strengths, pain points, patterns, and connections. When appropriate, I utilize principles of Cognitive Behavioral Therapy (CBT), Narrative Therapy, and Acceptance and Commitment Therapy (ACT) to assist you in moving toward your goals. We will work together to process what is weighing on you, decipher how to move through it, and lean on your strengths and build new skills along the way. I am a licensed Marriage and Family Therapist. I received my Bachelors Degree in Psychology and my Master’s Degree in Counseling Psychology from the University of San Francisco. I trained at UCSF’s Department of Psychiatry and have experience working with children, adults, and families in the hospital, clinical, home, and school setting. I work with clients experiencing PTSD, anxiety, depression, separation, divorce, and co-parenting. I believe strongly in the healing power of community and belonging, creative expression, and play.

Types of Care & Ages Served

Areas of Focus

Couples Therapy

Helps partners address relationship conflict and improve communication with a clinician's guidance.

  • Anxiety
  • Career & relationships (mid-life)
  • Depression/feeling down
  • Empty nesters
  • Family conflict
  • Fertility
  • Focus, concentration & memory
  • General relationship issues
  • Grief & loss
  • Marital stress or divorce
  • Menopause & perimenopause
  • Other women's health concerns
  • Panic attacks
  • Parenthood
  • PMS & PMDD
  • Post-partum depression & anxiety
  • Pre-conception
  • Pregnancy
  • Pregnancy loss
  • Premarital counseling
  • Self-esteem
  • Sexual trauma
  • Stress management
  • Trauma & PTSD

Individual Therapy

Get help addressing challenges and improve well-being with a clinician's guidance.

  • Aging
  • Anxiety
  • Career & relationships (mid-life)
  • Career & work issues
  • Depression/feeling down
  • Early adulthood: Independent living or relationships
  • Early adulthood: Starting college or career
  • Empty nesters
  • Family conflict
  • Fertility
  • Focus, concentration & memory
  • General relationship issues
  • Grief & loss
  • Marital stress or divorce
  • Menopause & perimenopause
  • Other women's health concerns
  • Panic attacks
  • Parenthood
  • PMS & PMDD
  • Post-partum depression & anxiety
  • Pre-conception
  • Pregnancy
  • Pregnancy loss
  • Premarital counseling
  • Retirement
  • Self-esteem
  • Sexual trauma
  • Stress management
  • Trauma & PTSD

Languages

  • English

Education

  • University of San Francisco

FAQs

Please call us at 415-409-0944 to schedule an appointment with Leanne Spagnola.

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See what our patients are saying about Leanne Spagnola

Sensitive to my needs so I was able to verbalize experiences never shared before. Very helpful.
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Richard B.

Richard B.

May 30, 2026
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She is excellent. Very kind, a great listener and caring.
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Shahla M.

Shahla M.

Feb 26, 2026
Google Google
Excellent experience
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Julie

Julie

Apr 04, 2026
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Patient Review Disclaimer

The testimonials and reviews shared on our platforms reflect the personal experiences and opinions of individuals voluntarily shared on third-party sites (e.g., Google). These reviews are voluntarily provided and are not compensated, solicited, or endorsed by LifeStance Health.

Important Notes:

  • Reviews do not represent the views of LifeStance Health, Inc., its clinicians, or affiliates
  • Individual results may vary – testimonials are not guarantees of similar outcomes
  • We do not independently verify the clinical accuracy or authenticity of statements
  • Clinician qualifications, expertise, and fit for your specific needs should be assessed through direct consultation

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