Karen Shay, MFT

Psychotherapy and Counseling for Adults, Adolescents and Couples

1330 Lincoln Avenue, Suite #107c 
San Rafael, CA 94901 map

Telephone: (415) 259-9669
E-mail: karenlshay@gmail.com

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CHANGE is fear transcended and hope put into action.....

It takes courage to take the first step toward true change in your life. My goal as your therapist is to help you take that first step. In a safe, supportive and respectful environment, we will work together to define what issues and difficulties are acting as impediments in your life and then develop strategies and healthy coping responses to address and resolve those issues.

Using relational and cognitive behavioral therapy, I have helped many individuals to heal from depression, anxiety, relationship conflicts and substance abuse.  In my work with troubled families by using family systems therapy, I have aided families in divorce adjustment, blended and step families and custody issues. I also have extensive experience treating developmental and school issues in children and adolescents.

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Treatment Preferences


  • Psychodynamic
  • Relational
  • Psychoeducational
  • Cognitive Behavioral/Mindfulness


  • Individual Treatments
  • Couples Therapy
  • Child and Adolescent Therapy
  • Families Counseling

Clinical Expertise

  • Depression 
  • Anxiety disorders and phobias
  • Relational Issues
  • Substance Abuse and other addictions
  • Divorce Adjustment
  • Chronic Pain or Illness
  • Loss and grief
  • Child/Adolescent developmental, school phobia, behavioral issues


It is important for you to get a sense of the therapist before you commit so I offer  a free initial consultation evaluation to determine if this will be a "good fit" for your needs.


Get In Touch
phone (415) 259-9669