RYAN PERISHO, MS, LMFT
The only way out is through.
Thrive Through Therapy
Deeply Attuned Psychological Support for Bay Area Professionals & Couples.
Individualized Online Therapy Across California.
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Welcome! I’m Ryan Perisho, MS, Licensed Marriage and Family Therapist.​
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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.
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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.
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 adolescents are tailored to meet your unique needs and goals. Together, we will uncover the patterns impacting your life, helping you develop a more resilient relationship with yourself and move through the barriers that hold you back. My goal is to partner with you in creating a life defined by clarity, self-worth, and purposeful growth.
Build a foundation of lasting connection and resilience through intentional, joint sessions. Utilizing the world-renowned Gottman Method (Level 2 Trained), I provide an evidence-based framework to help you improve communication, navigate conflict with grace, and rediscover the friendship at the heart of your relationship. Together, we will transform reactive patterns into deeper understanding and shared meaning. Read more about this approach here.
For those who wish to integrate their faith into the clinical process, I offer a space where your relationship with God is held at the heart of your healing. Drawing from my Christian faith background, we will work together to align your path toward growth with your core values and beliefs—honoring the role of faith as a source of strength, hope, and restoration.
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.
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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.
CLINICIAN
Reviews
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.
1510 Fashion Island Blvd #110
San Mateo, CA 94404
(805) 556-7220
