Therapy for individuals, couples, and families in California

Online and in-person sessions.

Located in the Outer Sunset of San Francisco

Schedule Your First Session

Step into a more conscious connected way of living.

Transform how you
relate to others-and yourself.

Does this sound familiar?

Exhausted from the constant worry?
Lying awake at night replaying conversations?
Relationships feel strained, and you barely recognize yourself?

The good news?

You can feel better.

Not overnight, but step by step

With our work together, you don’t just recover—you build lasting skills and resilience for the future. Discover the long-term benefits and see exactly how I can support you on your journey.

Long term benefits

Over time, therapy can help you transform your life.

Get unstuck

Break free from negative patterns and find clarity in your direction.

Connect deeply

Deepen connections and navigate conflict with compassion.

Gain confidence

Break free from negative patterns and find clarity in your direction.

Find peace

Cultivate inner calm and resilience amidst life’s challenges.

How can I support you

Comprehensive care tailored to your unique needs.

Individual
therapy

One-on-one support for anxiety, depression, trauma, and personal growth. We’ll match you with a therapist from our team who’s the best fit for your unique personality and needs.

  • Managing anxiety and panic attacks
  • Establishing healthier boundaries
  • Processing past trauma safely
Learn more

Couples
therapy

When communication breaks down, it feels like speaking different languages. We help couples reconnect, rebuild trust, and create a relationship that feels safe, honest, and fulfilling.

  • Improving communication and reducing conflict
  • Rebuilding trust after betrayal or hurt
  • Navigating life changes together
Learn more

Family
therapy

Family struggles affect everyone. We help improve communication, resolve conflicts, and rebuild trust—so your home becomes a place where everyone feels heard and valued.

  • Parent-child relationship challenges
  • Blended family adjustments
  • Sibling conflicts
Learn more

Hear from clients

Stories of transformation

Josh – manager
Logical, empathetic, and effective. The medication management and therapy combo changed my life trajectory.
Milla – artist
Balancia has been a sanctuary for me. The tools I've learned here have helped me navigate my creative blocks and personal anxiety.
Sophia – teacher
As a teacher, burnout is real. My therapist helped me set boundaries and find joy in my work again. Highly recommended.
Ethan – software engineer
Logical, empathetic, and effective. The medication management and therapy combo changed my life trajectory.
Julia – artist
Balancia has been a sanctuary for me. The tools I've learned here have helped me navigate my creative blocks and personal anxiety.
Alicia – writer
Balancia has been a sanctuary for me. The tools I've learned here have helped me navigate my creative blocks and personal anxiety.
Ben – entroprenour
Balancia has been a sanctuary for me. The tools I've learned here have helped me navigate my creative blocks and personal anxiety.

Ready to take the first step?

Change begins with a single conversation. You don’t need to have all the answers right now.

(415) 644-8114
leslie@leslieelwell.com

Book a session

What to expect?
1

Free initial consultation

Book a free consultation. We’ll talk about what’s bringing you here and whether we’re a good fit. No pressure.

2

First session

In our first full session, we’ll dive deeper into your story. I’ll ask questions, listen, and together we’ll create a plan.

3

Ongoing sessions

We’ll meet regularly—weekly or biweekly. Each session is tailored to where you are in your journey.

4

Real progress

Over time, you’ll start to notice shifts in how you think and feel. Progress isn’t linear, but it’s real.

Frequently
Asked Questions

Stories of transformation

Read our FAQ’s

If you’re feeling stuck, overwhelmed, or like something needs to change—but you’re not sure how to move forward—that’s when therapy can help. You don’t need to have everything figured out. You just need to be open to the process.

Each session is 50-60 minutes. We’ll decide together how often to meet—typically weekly or bi-weekly, depending on your needs and schedule.

Without insurance, therapy sessions typically range from $150 to $275.

Yes! I use a secure, HIPAA-compliant platform for all online sessions. Many clients find online therapy just as effective—and far more convenient.

I use an integrative approach, drawing from Cognitive Behavioral Therapy (CBT), EMDR, and psychodynamic methods. But really, my approach is about meeting you where you are and tailoring our work to what you need most.