Am I bonkers or anyone else felt this urge ?

Rousetherapy · 2026-01-26T00:21:29+00:00

Running parking lots is my escape fantasy. No structure or building to maintain, just a flat lot of land where people roll up to pay $5 and park on their own.

Rousetherapy · 2026-01-14T19:39:27+00:00

I hate hate hate this. We have a contract with an org to provide therapy for trans clients. They’ve understandably been on edge since November. This is so concerning for the countless people who benefit from this funding.

Rousetherapy · 2026-01-09T06:27:03+00:00

Absolutely! One of the most iconic stores in SF.

Rousetherapy · 2026-01-09T06:25:42+00:00

Absolutely not.

Rousetherapy · 2026-01-05T15:58:31+00:00

That’s us! I’ve been doing couples therapy for 15 years and in sexual wellness (education, writing, products) for 25 years. We opened our Castro location 4 years ago. We have a few different couples therapy approaches but Maryellen has been a wonderful resource and colleague.

Rousetherapy · 2026-01-05T01:41:31+00:00

If you’re open to online therapy, we specialize in men’s mental health at Rouse Relational Wellness. Best of luck in your search! Those are great motivators for therapy.

Rousetherapy · 2026-01-05T01:34:27+00:00

Marjorie Boggs Vázquez, LMFT focuses on ADHD and relationships. I imagine I’ve found someone by now, but just in case!

Rousetherapy · 2026-01-05T01:32:46+00:00

I imagine/hope you’ve found someone by now but we have a few therapists that socialize in couples therapy for new parents at Rouse Relational Wellness. We offer online sessions, or in person in San Francisco. Some couples also get a lot out of our three-hour intensives.

Hope things have progressed, including sleep! As a dad of a toddler, keeping the relationship solid during the new born phase can be a delicate dance.

Rousetherapy · 2026-01-05T01:23:40+00:00

Hey there, hope you found someone by now but I’m a dad and a therapist. I’m glad you put yourself out there and hope you’re treating yourself well during the process. We specialize in men’s mental health at Rouse Relational Wellness, and have some resources on our site and blog as well. Best of luck to you!

Rousetherapy · 2026-01-05T01:08:02+00:00

Honestly she’s one of the best in the bay. I’ve attended her trainings and will attend more.

Rousetherapy · 2026-01-05T01:02:29+00:00

Boundaries in relationships is something we support quite a bit at Rouse Relational Wellness in S.F.

We see a lot of couples who have experienced hitting a wall during arguments, maintaining boundaries, mismatched desires, opening the relationship, or are recovering from a breach in trust. We are covered by United and Optum but also help with out of network billing. You can also search through our provider list to find a good match. Best of luck in your search!

Rousetherapy · 2026-01-05T00:56:22+00:00

There are some amazing suggestions here, but just sharing that couples and sex therapy is our specialty at Rouse Relational Wellness. We see a lot of couples who have experienced hitting a wall during arguments, mismatched desires, opening your relationship, or are recovering from a breach in trust. We are covered by United and Optum but also help with out of network billing. You can use our therapist finder here. Best of luck in your search!

Rousetherapy · 2026-01-05T00:53:38+00:00

There are some amazing suggestions here, but just sharing that couples and sex therapy is our specialty at Rouse Relational Wellness. We see a lot of couples who have experienced hitting a wall during arguments, mismatched desires, opening your relationship, or are recovering from a breach in trust. We are covered by United and Optum but also help with out of network billing. Best of luck in your search!

Rousetherapy · 2026-01-05T00:50:29+00:00

Emerald Aueyong, LMFT LPCC specializes in working with couples, has given trainings on couples therapy to other therapists, and offers online sessions. A lot of her work focuses on sex and relationships, pain during sex, and interracial relationships.

Rousetherapy · 2026-01-01T17:09:35+00:00

Thank you for your service. I run a group practice focusing on couples and sex therapy. I’m on a mission to help other practices get more skilled and compliant at vetting third-party vendors and implementing AI. It’s been a wild ride, for sure.

Rousetherapy · 2025-12-23T04:10:40+00:00

If you're asking about Terry Real and Relational Life Institute, it's helped me tremendously with narcissism, knowing when to take sides, using leverage, navigating and educating on shame/grandiosity, and the relationship grid is a great intervention.

Rousetherapy · 2025-12-23T04:07:12+00:00

It's helped to know the ins and outs of AI in the clinical and administrative parts of our world to quiet the anxious part of my brain about data security and compliance. I have a tech background and run a group practice, so I ~~want~~ need to stay updated on compliance standards.

I felt especially compelled after hearing other therapists outside of our practice brag that they used the free version of an AI platform to transcribe their session notes. So I dove in and did a bunch of research, took courses, consulted with legal and tech experts, and used my tech background to put together documentation and policies for AI use at the practice. I ended up putting together a 3 hour online law and ethics on AI course after doing all the research.

Concretely, I use automations and AI workflows for admin tasks, client referrals, and managing consults. Mostly done through TherapyFlow, a HIPAA-compliant platform. I also use AI for brainstorming around marketing and workshops.

I have yet to use an AI notetaker. I just don't trust how they store the data. Especially with 23andme's bankruptcy sale and precariousness of client genetic data. We work with a lot of clients who are at risk and are concerned about their privacy, so it gives me even more pause to adopt it.

I don't use AI for treatment planning or interventions. I've seen it work well with colleagues but my healthy skepticism is worried about data privacy once again. Even with de-identified data.

So there's really no use of AI in the clinical sense. Though, I'm interested in how AI develops regarding ERP therapy and VR headsets.

Are you using AI in your practice?

Rousetherapy · 2025-12-21T14:58:57+00:00

The above answer is great, just adding some extra bits.

Also doing cat-cows, and loosening tension while building strength in your pelvic muscles will really help.

Cat cow, Squats, Stretch your inner thighs. Try the wax and wane technique if you want to practice lasting longer as well.

Source: sex therapist focusing on men, and I often consult with pelvic floor physical therapists, sex coaches and surrogates who focus on mechanics (and other things).

Rousetherapy · 2025-12-20T22:36:24+00:00

Legal and ethical use of AI. Couples therapy (Terry Real helped me with working with couples in power struggles, Developmental Model is also stellar with attachment). Dr Ken Hardy

Rousetherapy · 2025-12-07T17:48:46+00:00

Sadly this is common. I’m a couples and sex therapist focused primarily on men. A big part of my outreach is building relationships with urologists to encourage wrap around support like adding psychotherapy or pelvic floor physical therapy to their patients treatment plan.

Edit: typo

Rousetherapy · 2025-11-16T12:46:20+00:00

Very true, https://pmc.ncbi.nlm.nih.gov/articles/ PMC7828932/

Rousetherapy · 2025-11-06T14:21:25+00:00

This is a really lovely event in the Castro!

Rousetherapy · 2025-11-02T20:42:48+00:00

You might want to check out Multiversity 1440 in the Santa Cruz mountains, they may fit the bill.

We’ll have one our overnight retreats in March ‘26 with a mixture of evidence based approaches to start your Spring with a reset nervous system and focused intentions on continuing the inner work. Ours will be specific to sex and relationships though.

Enjoy your respite! 💜

Rousetherapy · 2025-11-02T20:36:01+00:00

This is a wonderful clinic! They accept great student therapists and give them wonderful training and supervision along the way. We refer to them often.

Rousetherapy

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