Business Details
Your Trusted Psychotherapy Partner in San Francisco
I am a licensed psychotherapist with over 25 years of experience helping individuals navigate life's challenges through a mindfulness-based approach. My practice focuses on anxiety, depression, gender and sexuality-related concerns, relationship difficulties, and trauma recovery. I combine somatic techniques, emotionally-focused therapy, and neuropsychology to help clients develop self-awareness and healthier coping mechanisms.With a diverse professional background spanning eight careers, I bring unique perspective and empathy to my work. I offer both in-person sessions in San Francisco and telehealth services to support clients in achieving greater fulfillment and emotional well-being.
Services
Psychotherapy
Mindfulness Therapy
Gender Counseling
Couples Therapy
Telehealth Services
Highlights and features
- 25+ years of clinical experience with diverse client backgrounds
- Specialized training in mindfulness and somatic therapy techniques
- Deep expertise working with LGBTQ+ and gender-nonconforming individuals
- Offers flexible telehealth and in-person session options
- Integrates neuropsychology and emotionally-focused therapy approaches
Associations and certifications
- California Association for Marriage and Family Therapy (CAMFT)
- International Centre for Excellence in Emotionally Focused Therapy (ICEEFT)
- World Professional Association for Transgender Health (WPATH)
Services
Psychotherapy
Individual psychotherapy addressing anxiety, depression, trauma, and life transitions. Utilizes mindfulness-based approaches to develop self-awareness and emotional regulation. Combines somatic techniques with cognitive strategies to help clients break negative patterns and build healthier coping mechanisms.
Gender Counseling
Specialized therapy for transgender and non-binary individuals navigating gender identity exploration. Focuses on self-acceptance, social transitions, and addressing unique mental health challenges. Provides affirming space to explore gender expression and cope with societal pressures.
Couples Therapy
Emotionally-focused therapy for couples seeking deeper connection. Addresses communication breakdowns and relationship patterns using EFT techniques. Helps partners rebuild trust and develop healthier interaction patterns through guided sessions.
Mindfulness Therapy
Integrates mindfulness practices with traditional therapy to improve emotional regulation. Teaches present-moment awareness techniques to reduce anxiety and stress. Helps clients develop compassionate self-observation to break destructive behavioral cycles.
Telehealth Services
Secure virtual therapy sessions accessible from any location. Maintains same therapeutic quality as in-person visits through encrypted video platforms. Offers flexibility for clients with scheduling challenges or geographic limitations.
People
Myles Downes
LMFT
Licensed psychotherapist with 25+ years experience specializing in mindfulness-based therapy. Trained in EFT and somatic approaches, with expertise working with LGBTQ+ communities. Combines diverse life experience with clinical skills to support client growth.
Questions
What types of therapy do you offer?
I offer mindfulness-based psychotherapy, somatic therapy, emotionally-focused therapy (EFT) for couples, and telehealth sessions. My approach integrates multiple modalities tailored to individual client needs.
Do you specialize in working with LGBTQ+ clients?
Yes, I have extensive experience supporting transgender, non-binary, and queer clients, including those exploring polyamory and alternative relationship structures.
Are telehealth sessions available?
Yes, I offer secure virtual therapy sessions using encrypted video platforms for clients who prefer remote access to services.
What is your therapeutic approach?
My approach combines mindfulness, somatic awareness, and emotionally-focused techniques. I emphasize client-centered care and adapt methods to each individual's unique needs and background.
How can I prepare for our first session?
Complete the biographical information form beforehand to help me understand your background. Be prepared to discuss your goals and any specific challenges you're facing.
What are your office hours?
I offer flexible scheduling with both daytime and evening appointments available. Contact me directly to discuss current availability and session options.
