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Your Trusted Mental Health Therapist in San Francisco
Ivy Tiegel Psychotherapy specializes in providing culturally sensitive, inclusive mental health care for artists, healers, and individuals who identify as outliers. With over two decades of experience in San Francisco's arts communities, I offer a collaborative therapeutic process that integrates expressive arts, body awareness, and evidence-based modalities. My practice focuses on addressing complex issues including relationships, neurodivergence, identity exploration, and psychedelic integration. Holding a California Marriage and Family Therapist License (#114700), I combine my background in expressive arts therapy with specialized training in ketamine-assisted psychotherapy and MDMA-assisted therapy preparation.

I maintain a sliding scale fee structure to ensure accessibility and offer sessions through encrypted video platforms or in-person at my Mission District office. My approach emphasizes curiosity, creativity, and the development of self-compassion to help clients navigate life transitions and build authentic connections.
Services
Individual Therapy Relationship Therapy Sex Therapy Creative Blocks Ketamine-Assisted Psychotherapy
Highlights and features
  • Specialized experience with creative professionals and alternative lifestyles
  • Integrates expressive arts with evidence-based therapeutic modalities
  • Maintains sliding scale fees for accessibility
  • Offers encrypted virtual sessions and in-person appointments
  • Trained in psychedelic integration and alternative relationship dynamics
Associations and certifications
  • Licensed Marriage and Family Therapist #114700
  • Ketamine Training Center
  • Multidisciplinary Association for Psychedelic Studies (MAPS)
Services
Individual Therapy
Tailored mental health support for personal growth and healing. Addresses anxiety, depression, identity exploration, and life transitions through collaborative dialogue. Utilizes expressive arts and somatic approaches to enhance self-awareness and emotional regulation. Sessions focus on building self-compassion and developing practical coping strategies for lasting change.
Relationship Therapy
Specialized support for improving intimate connections. Addresses communication patterns, conflict resolution, and emotional intimacy in monogamous and non-monogamous relationships. Helps partners develop deeper understanding through structured dialogue and experiential exercises. Focuses on rebuilding trust and creating sustainable relationship dynamics that honor all partners' needs.
Sex Therapy
Comprehensive approach to sexual health and relationship concerns. Addresses desire discrepancies, sexual identity exploration, and trauma recovery. Provides education on sexual anatomy and response cycles while creating safe space for exploring kink/BDSM dynamics. Combines somatic techniques with cognitive-behavioral approaches to enhance sexual well-being.
Creative Blocks
Specialized support for creative professionals facing artistic stagnation. Utilizes expressive arts therapy techniques to overcome creative obstacles. Explores the intersection of mental health and creative process through embodied practices. Helps artists reconnect with their authentic voice while addressing perfectionism and self-doubt.
Ketamine-Assisted Psychotherapy
Legally compliant ketamine-assisted therapy sessions for mental health treatment. Combines psychedelic experiences with structured psychotherapy to address treatment-resistant depression and PTSD. Includes preparation, integration, and aftercare support. Follows evidence-based protocols for safe and effective psychedelic-assisted healing experiences.
People
Ivy Tiegel
Licensed Marriage and Family Therapist
California-licensed therapist with 20+ years in San Francisco's arts communities. Specializes in working with creative professionals, alternative relationships, and psychedelic integration. Holds MA in Counseling and Expressive Arts Therapy from CIIS and completed MAPS MDMA-assisted therapy training.
Questions
What types of clients do you work with?
I specialize in working with artists, healers, and individuals who identify as outliers. This includes people exploring alternative relationships, neurodivergent individuals, and those in creative fields seeking support for personal growth.
What therapeutic approaches do you use?
My practice integrates expressive arts therapy, somatic approaches, and evidence-based modalities. I incorporate body awareness, creative expression, and structured dialogue tailored to each client's unique needs and preferences.
Do you offer virtual sessions?
Yes, I offer encrypted video sessions for California residents. In-person appointments are available at my Mission District office near 24th Street BART station, with flexible masking options based on current health guidelines.
What are your fees?
Individual sessions are $220 for 50 minutes. Couples sessions typically last 75 minutes at $330. I maintain a sliding scale for select clients and accept cash, checks, Venmo, and Zelle payments.
Do you work with other therapists?
Yes, I welcome opportunities to collaborate with fellow mental health professionals. I provide consultation and support for therapists seeking guidance on complex cases or personal development.
What is your cancellation policy?
I require 48 hours' notice for session cancellations. This policy ensures fair access to therapeutic services while maintaining professional boundaries that support effective treatment outcomes.