Nicole Perkins, MA, LMFT
Licensed Marriage and Family Therapist
San Francisco, CA
Online only
About me
I provide structured, evidence based therapy for high achieving adults and couples who want less anxiety, healthier relationships, and more balanced lives.
You hold a lot together for everyone around you. You juggle work, family, and expectations while anxiety, stress, or old patterns keep pulling at you. You want relief and you want real change in how you think, feel, and relate.
I am Nicole Perkins, MA, LMFT and founder of A Life In Balance. I work with adults and couples who feel overwhelmed by responsibility, relationship strain, and unresolved experiences. My clients include professionals, parents, and high achievers who value both emotional insight and practical tools.
At A Life In Balance, therapy is structured and collaborative. I pull from multiple evidence based approaches, including skills based, insight oriented, and relationship focused work. Together we map patterns, strengthen emotional regulation, and create clear plans for communication, boundaries, and decision making that match your goals.
I pay close attention to culture, identity, and context. Sessions move between insight, skill practice, and real life application. You receive support, honest feedback, and accountability. The goal is steady progress you notice in your daily life, not vague conversation.
I do not rely on one model or one label. I use a wide range of evidence based therapies and structure treatment around your specific goals, history, and strengths. Together we decide what fits you, test it in daily life, and adjust as needed so therapy feels focused, flexible, and personal.
Common concerns I work with include anxiety, burnout, relationship conflict, mood concerns, and the impact of stressful or traumatic experiences. I also support clients during major transitions such as career changes, separation or divorce, and shifts in family roles.
If you are ready for focused, goal driven work, I would be honored to work with you. Together we build skills, insight, and structure so your inner world feels calmer and your relationships feel more grounded.
License
License(s)
Education
Pepperdine University
Fees and insurance
Cost per session
$120 - $150Sliding scale
YesAccepted payment methods
- Zelle
- Credit Card
Accepted credit cards
- Visa
- Mastercard
- American Express
Accepted insurance plans
- Tricare
- United Healthcare
- Aetna
- Anthem
- Cigna
- Optum
Specialties and clinical interests
- ADHD
- Anxiety
- Autism Spectrum Disorder
- Betrayal Trauma
- Binge Eating
- Bipolar & Other Mood Disorders
- Body Image
- Borderline Personality Disorder
- Bullying
- Career
- Chronic Illness
- Depression
- Developmental & Intellectual Disorders
- Divorce & Separation
- Eating Disorders
- Family Conflict
- Gender Identity
- Grief & Loss
- Life Coaching
- Mental Health Professionals
- Oppositional/Defiant Behavior
- Parenting & Parent-Child Relationships
- Personality Disorders
- Pet Loss
- Pre-Marital & Marital Issues
- Race-Based Traumatic Stress (RBTS)
- Relationships
- Self-Esteem
- Sex Offenders
- Sexual Identity
- Sleep Disorders
- Spirituality
- Sports Performance
- Stress/Stress Management
- Trauma & PTSD
- Traumatic Brain Injury
- Women's Issues
Therapy types
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Internal Family Systems (IFS)
- Mindfulness
- Solution-Focused Brief Therapy (SFBT)
- Trauma-Informed Therapy
Community specialties
- LGBTQIA+
- Single Parents
- People with Disabilities
- Military Families
- Autism
- Hispanic or Latino
- Biracial
- Cancer Survivors
- American Indian or Alaska Native
- Black
- Veterans
- Immigrants
- Asian
Faith-based specialties
- Atheism/Agnosticism
- Christianity
Licensed to see clients in
Years in practice
Service types
- Psychological Testing
- Therapy / Counseling
Types of clients
- Adolescents (13-17)
- Adults (18+)
- Older Adults (65+)
- Individuals
- Groups
- Families
- Parents & Caregivers
Languages
- English
Website and social media