Business Details
Your Trusted Psychotherapy Partner in San Francisco
I am a licensed marriage and family therapist dedicated to providing compassionate, client-centered psychotherapy services in San Francisco. With over two decades of professional experience, I specialize in addressing anxiety, depression, gender and sexuality-related concerns, relationship challenges, and trauma through a mindfulness-based framework. My approach integrates somatic techniques, emotionally-focused therapy for couples, and neuropsychology principles to create personalized treatment plans. As a practitioner with a diverse personal and professional backgroundincluding roles as a professional dancer, veterinary technician, and international human rights activistI bring unique perspective and empathy to my work.I hold advanced certifications in Hakomi therapy and Emotionally Focused Therapy, and maintain active memberships in leading professional organizations like WPATH and CAMFT. My practice combines eclectic therapeutic modalities with a commitment to meeting clients where they are, fostering self-acceptance, and cultivating meaningful personal growth.
Services
Psychotherapy
Mindfulness-Based Therapy
Gender Affirming Therapy
Polyamory Counseling
Telehealth Sessions
Couples Therapy
Trauma Recovery
Anxiety Treatment
Depression Management
Somatic Therapy
Highlights and features
- We offer over 25 years of diverse clinical experience with specialized training in EFT and Hakomi therapy
- Our practice integrates mindfulness and somatic techniques for holistic mental health treatment
- We maintain active leadership roles in LGBTQ+ psychotherapy organizations like GAYLESTA
- Our eclectic approach combines neuropsychology, systems theory, and spirituality frameworks
- We provide both in-person and telehealth sessions for client accessibility
Associations and certifications
- Hakomi Institute of California
- International Centre for Excellence in Emotionally Focused Therapy
- California Association for Marriage and Family Therapy
- World Professional Association for Transgender Health
Services
Psychotherapy
Individual psychotherapy addressing anxiety, depression, trauma recovery, and personal growth challenges. Using mindfulness-based approaches combined with somatic techniques and neuropsychology principles, this service helps clients develop self-awareness and healthier coping strategies. Ideal for those seeking lasting emotional healing and improved mental wellness.
Gender Affirming Therapy
Specialized support for transgender and non-binary individuals navigating gender identity exploration, transition processes, and related mental health concerns. Incorporating WPATH standards of care with personalized approaches to address discrimination stress and foster self-acceptance through evidence-based therapeutic techniques.
Polyamory Counseling
Guidance for individuals and partners exploring ethical non-monogamy frameworks. Focuses on communication skills, boundary setting, and relationship dynamics within polyamorous structures. Addresses common challenges while validating diverse relationship models through an affirming therapeutic lens.
Couples Therapy
Emotionally Focused Therapy (EFT) for couples seeking improved connection and conflict resolution. Combines somatic awareness with attachment theory to address communication breakdowns and foster deeper intimacy. Effective for partners navigating life transitions or recurring relationship patterns.
Telehealth Sessions
Secure virtual therapy sessions accessible from any location. Maintains the same therapeutic quality as in-person visits while offering flexibility for clients with scheduling challenges or mobility limitations. Requires stable internet connection and private environment for sessions.
People
Myles Downes
Licensed Marriage and Family Therapist
With over 25 years of clinical experience, Myles combines mindfulness-based therapy, somatic techniques, and Emotionally Focused Therapy to support clients. Holds advanced certifications from the Hakomi Institute and ICEEFT, with specialized expertise in LGBTQ+ mental health and alternative relationships.
Questions
What types of therapy do you specialize in?
I specialize in mindfulness-based therapy, Emotionally Focused Therapy for couples, somatic approaches, and gender-affirming care. My practice also addresses polyamory, trauma recovery, and anxiety/depression treatment.
Do you offer telehealth sessions?
Yes, I offer both in-person sessions at my San Francisco office and telehealth appointments to accommodate client preferences and accessibility needs.
What mental health concerns do you treat?
I treat anxiety, depression, relationship challenges, gender/sexuality-related concerns, trauma effects, and stress management. I also support clients exploring alternative relationship structures and personal growth.
Are you licensed to practice therapy?
Yes, I am a Licensed Marriage and Family Therapist in California with license #48178, and maintain active professional certifications in multiple therapeutic modalities.
How can I prepare for my first session?
Complete the Biographical Information form beforehand. Be prepared to discuss your concerns openly. The first session focuses on understanding your needs and establishing treatment goals.
Reviews (1)
Carey Cloyd
Nov 20, 2013
Report
Myles is an experienced psychotherapist with a diverse background and range of interests. His work is somatic and experiential, with mindfulness woven in as a facilitation to healing and wholeness. He has significant training in the Hakomi Method -- a particularly powerful and effective way of working, which can bring to light the limited sense of self and efficiently transform it!
