Therapy for Anxiety and Self-Doubt
Therapy in-person in San Francisco and Online across California
Find relief from overthinking and learn to trust yourself again.
You're used to thinking, "Everyone thinks I have it together, but I'm barely holding on." Maybe you've told yourself you'll figure it out on your own, yet you keep finding yourself caught in the same painful cycle of anxiety, self-doubt, and overthinking. You're exhausted from replaying conversations, questioning your relationships, second-guessing your decisions, or wondering why life still feels so overwhelming.
In therapy, we'll work together to understand what's keeping these patterns in place and develop practical, compassionate strategies to help you move forward. I'll support you in challenging anxious thoughts, caring for yourself with greater kindness, and building lasting self-trust. My goal is to help you feel more grounded, confident, and connected to yourself, so anxiety becomes something you can navigate and not something that defines you.
I'm Ellen Silka, a Licensed Marriage and Family Therapist offering a collaborative, compassionate approach to therapy for anxiety, self-esteem, and relationship issues in San Francisco and online throughout California.
You Don't Have to Keep Figuring Everything Out on Your Own
Maybe you recognize yourself in some of these experiences:
You are feeling the weight of anxiety affecting your daily moods and overall well-being.
You keep repeating relationship patterns that leave you feeling anxious, disconnected, or unsure of yourself.
You are feeling overwhelmed with your mind constantly going and getting stuck in negative thought spirals while second guessing yourself.
You want to untangle the anxiety, perfectionism, or past experiences keeping you from trusting yourself.
You understand your patterns intellectually, but still struggle to change them.
You may be used to pushing through discomfort, telling yourself to try harder, or believing you'll feel better once you finally figure everything out.
In therapy, we'll work together to understand these patterns, develop practical ways to navigate anxiety, and build the self-trust to make choices that feel right for you.
Anxiety
Self-Esteem
Life Transitions
OCD
Burnout
Relationship Issues
Perfectionism
Dating and Relationships
Depression
ADHD
Mindfulness
Mindful Self-Compassion
Cognitive Behavioral Therapy
Acceptance and Commitment Therapy
Relational Therapy
Dialectical Behavior Therapy
I am currently accepting clients for virtual, hybrid, and in person therapy. I have availability on Tuesdays for in person sessions in Pacific Heights, San Francisco. I have availability for virtual sessions Monday-Thursdays for clients throughout California.
How I Can Help
Anxiety Therapy:
When your mind is constantly racing, it can be difficult to feel present or enjoy the life you're working so hard to build. Therapy can help you navigate overthinking, manage anxious thoughts, and become more comfortable with uncertainty.
Relationship Issues:
If you keep finding yourself in the same painful relationship dynamics, therapy can help you understand why these patterns persist. Together, we'll explore people-pleasing, boundaries, relationship anxiety, and ways to build healthier connections without losing yourself in the process.
Self-Esteem and Self-Trust:
When self-doubt becomes second nature, even small decisions can feel overwhelming. We'll work on quieting your inner critic, recognizing your needs, and building confidence in your ability to navigate life's challenges.
ADHD Therapy:
Living with ADHD can feel overwhelming, especially when it comes to time management, procrastination, and meeting your own expectations. Therapy can help you develop practical strategies that work with your brain, manage stress, and build self-trust through greater self-compassion and less self-criticism.
About Ellen Silka, LMFT
I'm Ellen Silka, a Licensed Marriage and Family Therapist. I work with adults who struggle with anxiety, self-doubt, and relationship patterns that leave them feeling stuck.
I understand that reaching out for therapy can feel vulnerable, especially if you're used to figuring things out on your own. My goal is to create a space where you feel comfortable showing up as you are, without pressure to have the right words or know exactly what you need.
I take a collaborative, compassionate approach to helping you understand yourself, work through challenges, and build the confidence to move forward.
I offer a free 15-minute consultation so we can talk about what brings you to therapy, what you're hoping to work on, and whether we'd be a good fit.
You don't have to figure everything out before taking the first step.