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The Psychotherapist Association for
Gender & Sexual Diversity
Photo: Intersectional Pride Flag - Gaylesta Banner

Patrick Fagan

(415) 967-1664
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I work with gay couples, queer couples, and people in non-traditional relationships (triads, open relationships, and structures with kink or power-exchange dynamics) in person in the Castro.

I’m a gay man in recovery, kink-identified, and rooted in the community. I’m Outreach Chair for Gaylesta and staff our booths at Dore, Folsom, Castro Street Fair, Bearrison, and Oakland Pride. Our early sessions will cover your history and what brings you in, but you won't have to explain what Sniffies is, or justify your sex/dating/hookup/relationship desires, or translate any part of your life before we can get to work. A free 20-minute consultation is a good place to start. Call or email to set it up.

For couples, I offer skill-building in communication, conflict, vulnerability, and intimacy, as part of a developmental framework that acknowledges how relationships move through stages over time. For individuals, we'll work on the patterns underneath presenting issues, how they impact you and the people closest to you, and what can be done to shift them.


Main office:

4200 18th Street, Suite 104, San Francisco, CA 94114

Disability access? Yes. Ramp and elevator

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Additional office(s):

4044 18th Street, San Francisco, CA 94114

Disability access? No. Ramp and elevator



Background

Professional Degree:

MA (Counseling/Psychology, Integral Counseling Psych.)

Professional License:

AMFT (# 147923) since 2024

Supervisor: Barton Shulman, LPCC 4199

Specialized Populations:

Gay and queer couples, triads and polyamorous relationship structures, gay men, people in kink and leather communities, gay seniors survivors of the AIDS epidemic, people living with HIV, people in recovery, creative professionals, tech workers


Finances

Insurance plans: None

Additional insurance info: I'm not in-network with any insurance panels, and I'm considered an "out-of-network" provider. I can provide a "superbill" (monthly receipt) for your use in getting insurance reimbursement. Check with your insurance company to determine what coverage you may have for out-of-network services.

Sliding Scale: Yes

Low fee: Yes


Send or share this page for later:

Accepting New Clients: Yes

Gender:

  • Male

Clinical Specializations:

  • Addiction / Substance Use
  • Aging / Geriatrics
  • Artists / Creativity
  • Couples / Relationships
  • Grief / Loss / Dying
  • Coming Out
  • BDSM / Kink Aware
  • Midlife Issues
  • Polyamory / Non-Monogamy
  • HIV and AIDS
  • Sexuality

Modalities:

  • Couples / Relationship / Marriage Therapy or Counseling
  • Individual Therapy

Client ages:

  • Adults
  • Elders

Theoretical Approach:

  • Psychodynamic
  • Client Centered / Person-Centered
  • Relational
  • Developmental
  • Humanistic
  • Transpersonal
  • Jungian
  • Integrative