Erik  Karff

Erik Karff


Licensed Marriage and Family Therapist, LMFT Specialties Insurance & Fees Locations
California Accepting Online
Duboce Triangle Not Accepting In-person
Castro District Accepting In-person
Updated December 4, 2023

Specialties & Expertise

  • Anxiety
  • LGBTQIA, gender, & sexuality topics
  • Perfectionism
  • Self-esteem
  • Social anxiety
  • Procrastination

Professional statement

Erik Karff is Licensed Marriage and Family Therapist located in San Francisco, CA. Erik works with adults and children experiencing anxiety, social phobia, perfectionism, self-criticism, procrastination, nervousness, and persistent feelings of fear or doom. Erik’s clients often identify on the LGBTQAI2S+ spectrum and have been impacted by the challenges of immigration. Additionally, Erik provides treatment to children who have trouble handling their emotions and may express them through shutting down or tantrums.

Erik holds the belief that given the right conditions a person’s inherent capacity to heal, self-actualize, and grow will come forward. He approaches psychotherapy with curiosity and radical acceptance. Erik’s work is non-judgemental, trauma-informed, and draws upon rich psychodynamic, somatic, and mindfulness-based theories and techniques. Topics such as sex, spirituality, internet dating, and relationships that are often uncomfortable in our day-to-day lives, become easier to talk about in treatment. Erik gently challenges his clients so that their most feared parts become less threatening.

Erik holds two Master’s degrees in Integral Counseling Psychology from the California Institute of Integral Studies and Education from the City University of NY, Queens. Erik received his initial training at the Pierce Integral Counseling Center and has pursued further training from PESI, the San Francisco Center for Psychoanalysis, and the Trauma Research Foundation. Erik has had a meditation practice since 2012. Before working as a psychotherapist, in addition to his business background, Erik worked in Applied Behavior Analysis, supporting people with autism and their families. As a practice, Erik continues to pursue additional training in psychotherapy and mindfulness.

Erik sees clients in person at his conveniently located office in the heart of San Francisco’s Castro/Duboce district. He also provides virtual telehealth services across the state of CA.

Message to clients

Taking the first step in getting help and support can often feel challenging - even overwhelming. Messages that we may receive from our families and culture can over-emphasize self-reliance making it difficult to reach out and accept help, especially (and paradoxically) in times when we most need it.

Psychotherapy can provide relief. The safe space provided in regular therapy takes root in our hearts and minds and ultimately leads us to more rewarding, deeper, and closer relationships

It is when our most authentic parts are eclipsed that we feel hazy thus making important decisions seem near impossible. Further, for many of us it can feel as if we are the passengers, rather than the drivers, of our own lives. With intention, we each have the capacity to part these clouds and gain vital clarity. I find that although sometimes the process can be challenging, the parts of ourselves that step forward help us to feel empowered, assured, and actualized.

Reach out today.


Anxiety - Coping with excessive worry, nervousness, or stress; intense discomfort in social settings (social anxiety); sudden and intense feelings of panic (panic disorder)

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

Perfectionism - Coping with feelings of anxiety, stress, self-criticism, and procrastination; addressing unrealistic expectations of one’s self and negatively comparing self to others

Self-esteem - Cultivating self-compassion, assertiveness, and confidence; developing ways to reduce suffering, anxiety, social withdrawal, and self-neglect

Social anxiety - Helping clients increase confidence and ability to interact with others amidst fear of being judged, worry about embarrassment, or concern about offending others

Procrastination - Learning how to identify instances of procrastination and what one’s procrastination patterns are; practicing mental health strategies to decrease the occurrence of procrastination


  • Adults (24+)
  • Children (<12)
  • Couples
  • Parents
  • Teenagers (13-18)
  • Young adults (18-24)


  • Kaiser

Out-of-pocket fees

  • Individual sessions: $200 (50min)
  • Sliding scale: $170 - $200
  • Couples sessions: $275 (70min)

Additional session information

Out-of-network billing options

This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide:

  • Super billing
Payment options
  • Cash
  • Check
  • Credit Card
  • Debit Card
Session frequency

Frequency of sessions this provider offers to see clients once you are an established client.

  • Weekly
  • Multiple times a week


Online Sessions (California)
Accepting new clients online
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon 9am to 7pm
  • Tue 9am to 7pm
  • Wed 10am to 7pm
  • Thu 10:00am to 7pm
  • Fri Closed
  • Sat Closed
  • Sun Closed

Duboce Triangle practice
Not accepting new clients in-person
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon 9am to 12pm
  • Tue 9am to 7pm
  • Wed 9am to 12pm
  • Thu 9am to 12pm
  • Fri 4:30pm to 7pm
  • Sat Please inquire about hours
  • Sun Please inquire about hours

Castro District practice
4053 18th Street, San Francisco, California 94114
Accepting new clients in-person
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon Closed
  • Tue 9am to 7pm
  • Wed 2pm to 7pm
  • Thu 4pm to 7:30pm
  • Fri 9am to 3pm
  • Sat Closed
  • Sun Closed

Work and Education

Years of Experience: 6 years

Private Practice, Associate MFT Supervised by Marty Mulkey, LMFT , 2019 - Present
StarVista, Program Coordinator & Psychotherapist, 2019 - Present
Pierce Street Integral Counseling Center, Training Psychotherapist , 2017 - 2019

PESI, Adanced Trauma Treatment for Children & Adolescents , 2020
Dr. Linda Cunningham , Introduction to Sandplay, 2020
Licia Sky and California Institute of Integral Studies, Coming to Your Senses, Somatic Healing of Trauma , 2020
San Francisco Center for Psychoanalysis, Psychoanalytic Psychotherapy with Queer & Gay Men, 2019
California Institute of Integral Studies, Master’s Degree, Counseling Psychology, 2018
California Institute of Integral Studies, Trauma and Somatic Experiencing with Peter Levine, 2018
City University of NY, Queens, Master's Degree, Education, 2007
State University of NY, Purchase College , Bachelor's of Arts in Sociology, Minor in Music, 2001


California: 134190



Client testimonials

"Very nice guy, easy to talk to and had a lot of helpful ideas."
- Zencare client • September 2023


  • Erik
    Therapy with Erik Karff

    We interviewed Erik Karff and asked about their work with clients and guiding philosophies on therapy.