RYAN PERISHO, MS, LMFT
Thrive Through Therapy
The only way out is through
Deeply Attuned Psychological Support for Bay Area Professionals & Couples.
Individualized Online Therapy Across California.
Welcome! I’m Ryan Perisho, LMFT.
I provide a highly personalized, collaborative space where Bay Area professionals and couples can navigate life’s most complex transitions with clarity. My approach is rooted in deep clinical attunement—leaving judgment at the door to make room for transformational healing.
Whether you are healing from trauma, navigating the unique grief of fertility challenges, or feeling "stuck" in a difficult season, I am here to walk alongside you as a compassionate ally. Together, we will process past pain and resolve the barriers in your relationships, helping you tap into your inner wisdom to foster deeper connections and find greater meaning in your story. You deserve to feel like yourself again. With over a decade of experience in the clinical field, I am dedicated to providing the high-level expertise and strength you need to navigate life with confidence.
PSYCHOTHERAPY
Approach
With over a decade of clinical experience, I have dedicated my career to helping individuals and couples heal from trauma and reclaim their sense of self. My background includes intensive work with diverse populations in high-stakes environments—from domestic violence recovery to crisis intervention—which has deeply informed my resilient and trauma-honoring approach.
My therapeutic approach is deeply person-centered and strengths-based, meaning we work as partners to uncover your inner wisdom and core resilience. I integrate evidence-based treatments, including Cognitive Behavioral (CBT) and Solution-Focused theories, to provide you with practical tools while ensuring the work remains grounded in your unique story.
I believe that feeling truly safe and heard is the essential foundation for healing parts of the self that may feel fractured. Together, we move beyond just managing symptoms toward achieving a sense of wholeness, clarity, and lasting inner peace.
Outside of my practice, I am family focused, love soaking up time with my husband and daughters, and have a heart for the great outdoors. I enjoy hiking, reading, practicing yoga, a good cup of coffee, and exploring all that the Bay Area has to offer.
Services
As your therapist, I empower you to resolve challenges in relationships by developing tools to build confidence, process grief and trauma, and develop healthier communication. I will partner with you in identifying your inner wisdom and core strengths to help you make deeper connections with yourself and others.
One on one sessions for adults and teens are tailored to meet your unique needs. Together, we will explore patterns and their impact on your life, develop a healthier relationship with yourself, and heal areas that are not serving you.
Learn ways to strengthen your relationships, improve communication, and deepen your connection with each other in joint sessions. I utilize the Gottman method, of which I am level 2 trained. Read more about this approach here.
In faith based therapy sessions, I incorportate my Christian faith background to bring your relationship with God to the forefront of healing. See my Christian Counseling profile here.
Attuned Care, From the Comfort of Home
Online Therapy
Now providing secure, HIPAA-compliant virtual therapy for clients throughout California. Telehealth allows us to bridge the gap between your busy life and the dedicated, specialized support you deserve—offering a private, flexible space to do this deep work from the comfort of your own environment.
Thrive Through Infertility:
Your Reproductive Grief Survival Guide
A Specialized Online, Self-Paced Course for those navigating the unique grief of fertility challenges
Contact to schedule a session today!
1510 Fashion Island Blvd #110
San Mateo, CA 94404
(805) 556-7220
