Andrea Guttman, LMFT(She/Her/Hers)

Andrea Guttman is a Licensed Marriage and Family Therapist based in San Diego, CA, specializing in supporting women who are exhausted by the gap between how capable they appear and how depleted they actually feel.

Her clients are often the ones holding everything together — managing careers, relationships, caregiving, and the invisible weight of always trying to do it well enough. On the outside, they look like they have it handled. On the inside, they’re running on empty, stuck in cycles of anxiety and perfectionism, quietly wondering why nothing they accomplish ever feels like enough. This isn’t a character flaw. It’s a pattern — and it’s one that can shift.

Andrea’s approach integrates ACT, CBT, nervous system regulation, somatic practices, and solution-focused strategies within a strengths-based framework that starts with who you already are. Sessions are built around your specific story, your body, your history, and what actually works for your life. The goal isn’t symptom management. It’s a more grounded, authentic, and sustainable way of living.

With over 15 years of experience across community mental health, juvenile justice, and school-based settings, Andrea brings a deeply real-world clinical perspective. She holds a certification in maternal mental health and has particular expertise in the identity shifts, emotional labor, and intergenerational patterns — overfunctioning, people-pleasing, never-enoughness — that so many women carry, including those navigating the profound changes that come with motherhood.

As both a clinician and a mom, she understands firsthand what it means to hold a lot while still wanting to show up fully for the people and the life that matter most.

Andrea offers virtual therapy for adults across California and in-person walk-and-talk sessions for San Diego clients.