San Francisco
Depth-oriented therapy for San Francisco professionals and couples.
Private-pay Emotionally Focused Therapy via telehealth for high-functioning people in San Francisco, the Bay Area, and Marin County ready to do serious work on their emotional lives and relationships.
San Francisco draws a particular kind of person. Driven, intelligent, often analytically oriented. People who have built careers by being exceptionally good at figuring things out. The city rewards that orientation, and it shapes how people carry themselves, what they expect of themselves, and what they quietly struggle with.
What I see consistently in my work with San Francisco professionals is a gap between how capable someone is in their professional life and how stuck they feel in their emotional one. The same person who runs a team, manages complexity, and delivers under pressure may find themselves having the same argument with their partner for the fifth year in a row, or feeling a loneliness that does not match the fullness of the life around them. Competence, it turns out, does not transfer directly to intimacy.
Gatewood Therapy exists for people who are ready to bring the same seriousness to their emotional lives as they bring to everything else. This is not surface-level work. It is careful, attachment-informed therapy grounded in Emotionally Focused Therapy, the most rigorously researched model in the field, and it is designed for people who have high expectations of the process.
Who I work with in San Francisco
My practice serves a range of people who share a common quality: they think carefully about their lives and they want their relationships to reflect that thoughtfulness. Many are executives, founders, and tech professionals navigating the particular strains of high-demand careers, the way success can quietly hollow out the relational parts of life, the loneliness of carrying responsibility without anyone to put it down with.
Others are couples who have built a life together and found that something essential has gone quiet between them. Not dramatic conflict, often, but a distance that feels permanent. A relationship that functions but does not feel alive. EFT couples therapy is designed precisely for this pattern, and its outcomes are among the best-documented in psychotherapy research.
I also work with gay men navigating intimacy, identity, and the emotional weight of adaptation. San Francisco has a rich and visible queer community, and yet many gay men I work with still carry patterns shaped by years of managing how they are perceived, what they allow themselves to need, and what they believe is available to them in relationships.
Why telehealth works for this city
Gatewood Therapy is a telehealth practice. All sessions are conducted via secure video, and I serve clients throughout San Francisco, the Peninsula, Marin County, Oakland, Berkeley, and the broader Bay Area. For many professionals in the city, this removes a significant barrier. There is no commute across town, no parking, no rearranging a full calendar around office hours. You log on from wherever you are and the work begins.
In my experience, the quality of depth-oriented therapy does not depend on being in the same room. What it depends on is presence, attunement, and a clinician who can track what is happening in real time. Those translate well to video, particularly for people who are already comfortable working and thinking in that medium.
About this practice
I am Bart Kovacs, a Licensed Marriage and Family Therapist (CA LMFT #123896) and certified Emotionally Focused Therapist. Before becoming a therapist, I trained in geology, chemical engineering, and mathematics. That background shapes how I work: I understand the analytical mind, the drive for frameworks, the discomfort of emotional ambiguity, and the particular challenge of bringing rigor to something as nonlinear as a relationship.
Gatewood Therapy is a private-pay practice. Sessions are 50 minutes, conducted weekly for most clients, and priced to reflect the depth and quality of the work. I do not accept insurance, which means the work is not constrained by diagnosis requirements, session caps, or authorization delays. It is shaped entirely by what you are bringing and what you need.
I am a member of the Northern California Community for Emotionally Focused Therapy (NCCEFT), the Marin County Chapter of CAMFT, and the San Francisco Chapter of CAMFT. I am verified by Psychology Today and certified by the International Centre for Excellence in Emotionally Focused Therapy.
Common questions
Do you offer in-person therapy in San Francisco?
Gatewood Therapy is a telehealth practice. All sessions are conducted via secure video, which means I work with clients throughout San Francisco, the Bay Area, and California without the friction of commute or scheduling around office hours. For many high-functioning professionals in the city, this is a significant advantage.
Do you accept insurance for therapy in San Francisco?
Gatewood Therapy is a private-pay practice. I do not accept insurance. This allows us to work without the constraints of insurance-driven diagnosis requirements, session limits, or authorization processes. The work is shaped by what you need, not by what a plan will cover.
What is Emotionally Focused Therapy and how is it different from other approaches?
Emotionally Focused Therapy (EFT) is one of the most rigorously researched approaches to individual and couples therapy. Where many approaches focus on thoughts or behaviors, EFT works at the level of emotion and attachment, helping people understand the deeper needs driving their patterns and access a different emotional experience of themselves and their relationships. It is depth-oriented, evidence-based, and particularly well-suited to people who have tried insight-based approaches without lasting change.
Do you work with couples in San Francisco?
Yes. Couples therapy is a significant part of my practice. I am a certified Emotionally Focused Therapist, and I work with couples across San Francisco and the Bay Area via telehealth. I welcome couples of all gender identities and sexual orientations.
Begin the conversation.
A free 15-minute consultation for San Francisco and Bay Area clients to talk about what you are looking for and whether this is the right fit. If none of the available times work for you, reach out directly at bart@gatewoodtherapy.com.
Schedule a Consultation