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Forest Road

Thrive Through Therapy

The only way out is through

A licensed psychotherapy practice based in the Bay Area, offering online sessions for clients across the state of California. 

Welcome. I am Ryan Perisho, Licensed Marriage and Family Therapist. My approach to therapy is rooted in compassion and leaves judgement at the door as we move toward positive growth and transformational healing. I practice evidence-based treatments to help adults, teens, couples, and families achieve their goals and ensure clients feel safe and heard, moving towards achieving wholeness and inner peace.


Now offering virtual therapy to meet your unique needs at your convience and comfort


Online Therapy

Welcoming adults, teens, couples, and families to my inclusive, safe space through virtual appointments. 

Telehealth sessions are an option for those living anywhere in California, that are on the go, and preferring a more flexible option from the comfort of their own home. 



With over a decade of experience working in the human services field, I help individuals, families, and couples heal from traumatic experiences and become empowered to navigate life’s challenges. The foundation of my clinical expertise has been built from serving diverse populations through nonprofit work at domestic violence women’s shelters, juvenile halls, public schools, and foster youth and family centers.

My therapeutic orientation is person-centered and strengths-based, meaning I partner with clients in identifying their inner wisdom and core strengths to help them make deeper connections with themselves and others. I practice evidence-based treatments grounded in cognitive behavioral and solution-focused theories to help clients achieve their goals. I strive to ensure that clients feel safe and heard, as this is paramount to healing parts of the self that may feel broken and moving towards achieving wholeness and inner peace.

Outside of my practice, I am family focused, love soaking up time with my husband and daughter, 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.



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.

Orange Chair

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. 

Cozy Living Room

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

Beautiful Landscape

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






"Ryan is an incredibly empathic therapist who is also highly knowledgable about research based practices. Her care for her clients and their needs provides the opportunity for an enriching therapeutic journey! I highly recommend her as a therapist!"

Rachel M.

Contact to schedule a session today!

1510 Fashion Island Blvd #110

San Mateo, CA 94404

(805) 556-7220

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