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Adrian Scharfetter(He/Him/His)

(He/Him/His)
Licensed Marriage and Family Therapist, LMFT
California
Couples counseling- LGBTQIA, gender, & sexuality topics- Relationship issues-Sex addiction- Sexual health & dysfunction-Nonmonogamy, polyamory, and kink-

See Adrian's Details for:

AboutSpecialtiesLocationsInsurance & Fees

Professional statement

I bring a deeply relational and integrative approach to therapy, grounded in the belief that healing begins when we are truly seen and understood. Each person arrives with a rich, complex inner world shaped by lived experience—family history, cultural narratives, attachment patterns, and the unconscious strategies we develop to survive and belong. In our work together, I strive to honor the full arc of your story, not just the parts that feel “presenting.”

Therapy, to me, is not about fixing what's broken—it's about creating the conditions for deeper self-contact, greater emotional freedom, and more authentic connection. Through a foundation of trust, emotional safety, and attuned presence, I offer both containment and challenge: space to unfold at your own pace, and the gentle structure to guide you into new territory. Psychoeducation, mindfulness, and depth-oriented inquiry all serve as tools to help you make meaning, reclaim your voice, and reconnect to your innate wisdom.

Whether we are meeting in person or virtually, the therapeutic space is designed to hold all of who you are. In the digital room, just as in a physical one, we meet as fellow travelers—curious, imperfect, and capable of profound growth.


Message to clients

As a certified sex therapist, I’m here to offer you a space that is safe, inclusive, and free of judgment—a space where you can explore your sexuality, relationships, and inner world with honesty and care. Whether you're coming in as an individual or with a partner, my intention is to support you in deepening your connection to yourself and others.

My approach is grounded in both psychology and specialized training in sexual health. I integrate evidence-based tools with relational depth, empathy, and clear communication to help you navigate challenges related to intimacy, desire, identity, and connection. Along the way, we’ll work together to build emotional resilience, expand your understanding of sexual well-being, and move toward a more satisfying and authentic intimate life.

I take a strong relational approach to the work we do. That means I pay close attention to your full story—your history, your patterns, your pain, your resilience, and the ways you move through the world. I believe therapy should hold all of who you are, not just what’s on the surface.

Together, we’ll build a foundation of trust, safety, and mutual understanding. I’ll offer gentle guidance, thoughtful questions, and psychoeducation to support you along the way. Most importantly, I’ll meet you where you are—with curiosity, respect, and care.

We're in this together. As fellow travelers navigating the complexity of being human, you don’t have to do this alone.


Work and Education

Years of Experience: 13 years

Private Practice, LMFT/Certified Sex Therapist, 2016 - Present
California Institute of Integral Studies, Certification for Psychedelic Therapies and Research - mentor, 2017 - Present
Multidisciplinary Association for Psychedelic Studies, Adherence Rater, MDMA Assisted Therapy Phase II-III research, 2014 - 2019
CG Jung Institute of San Francisco, Marriage and Family Therapist, Associate, 2014 - 2016
Contra Costa Regional Medical Center, Marriage and Family Therapist, Associate, 2014 - 2016
VA Hospital, San Francisco, Practicum Student, 2011 - 2012

Hakomi Institute of California, Hakomi Training Level 1, 2021
Polaris Insight Center, Ketamine - Assisted Psychotherapy Training, 2021
The PACT Institute, PACT Training Level 1, 2021
California Institute of Integral Studies, PhD Human Consciouness Research/Integral Psychology, 2017
Multidisciplinary Association for Psychedelic Studies, MDMA - Assisted Psychotherapy Training, 2017
California Institute of Integral Studies, Certification for Psychedelic Therapies and Research, 2017
CG Jung Institute of San Francisco, Depth Psychology & Jungian Psychology Training, 2016
California Institute of Integral Studies, Certification in Sex Therapy and Education, 2016
California Institute of Integral Studies, MA Counseling Psychology, 2012

Licensure

California: 113824

Languages

English

Specialties

Couples counseling - Addressing relationship challenges and life transitions; strengthening communication and feelings of security, desire, connection, and love

LGBTQIA, gender, & sexuality topics - Exploring topics of sexuality, gender, and identity; coping with discrimination and oppression; navigating relationship, family, and cultural challenges

Relationship issues - Understanding one’s wants and needs in relationships; exploring patterns of interaction, addressing concerns, and strengthening satisfaction in relationships and dating

Sex addiction - Building strategies to reduce harmful sexual behaviors; coping with difficult emotions, thoughts, and urges; maintaining healthy relationships

Sexual health & dysfunction - Addressing emotional, physical, and biological concerns related to sexual intimacy and functioning; education and skill building around topics such as erectile dysfunction, orgasms, low libido, shame, and history of abuse; improving communication to realize a fulfilling sex life

Nonmonogamy, polyamory, and kink - Exploring one’s values in and beliefs about relationships; practicing boundary-setting, conflict resolution, and romantic or sexual relationship bonding with partners




Clientele

  • Adults (24+)
  • Couples

Locations & Hours


Insurance

Adrian Scharfetter is not in-network with any insurances.

Read about the benefits of seeing an out-of-network provider here.


Out-of-pocket fees

  • Individual sessions:$190 (50min)
  • Couples sessions:$220 (50min)