Natalie Spautz,LMFT

Natalie Spautz,LMFT

Telehealth Available
Professions: Counselor, Marriage & Family Therapist, Psychotherapist
License Status: I'm a licensed professional.
Primary Credential: Marriage and Family Therapist - 916
Billing and Insurance:

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: Free 15 minute initial phone call

$225 per 50 minutes for individual therapy
$365 per 75 minutes for couples therapy

Current availability:
Telehealth sessions only
Accepting patients in California and Hawai'i
Free Initial Phone Consultation
Evening Availability

Offices

San Francisco, California 94115
Paia, Hawaii 96779

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My Approach to Helping

You're often fighting or feeling distant from your romantic partner. Small issues can become a big deal and conflict remains unrepaired. Perhaps you've tried many strategies to stop these difficult dynamics. You feel frustrated and need to find new ways to connect, resolve, and find each other again. Maybe you notice after fighting, that distance between you feels lonely and doubts about the relationship start to increase. It's like the fights get out of control and one or both of you say things you regret later. Deep down, you know what's been happening isn't healthy, and that you both need help and perspective. It might feel far away right now, but you know you need to try something radically different if you're going to change the relationship that means so much to you both.

I can help you develop new tools so you can finally feel reconnected and nourished instead of depleted and disconnected. Whether you begin therapy individually or together, change is possible. As your guide, I commit to supporting you in healing the past and building a strong foundation to support the well-being and happy future you seek.

My approach is supportive of developing a connection to your inner self so that you can communicate from your heart. Practicing an attitude of curiosity and acceptance, my goal is to build trust with you and to understand your unique experience. When working together, I aim to help you feel respected and understood. I truly believe in the healing powers of self-discovery, self-acceptance and offering these to others in close relationship. I strive to help you cultivate nourishing relationships with yourself, others and connect more to the world around you.

More Info About My Practice

I have extensive specialized training in Emotionally Focused Couples Therapy and the Developmental Model for Couples Therapy along with several other couples modalities including Gottman Couples Therapy, PACT Couples Therapy and Relational approaches. I also use a holistic perspective that includes inclusivity, anti-oppressive and and social justice values. I draw from each of these to create a personalized way to help you and your partner. I truly enjoy working with the depth of feeling and passion that couples bring into my practice.

Couples therapy can be a helpful opportunity to enter into a conscious and reflective process with your partner to heal past hurts, improve the quality of your communication and intimacy, to learn about yourselves and your relationship and to discover new ways of relating that support and nourish in times of need.

When two individuals are naturally growing at their own rate, in their own ways, there are periods of time that occur where the relationship needs extra effort and intention from both to support each other and reconnect by aligning the growth process and helping both get back on the same page.

Being in romantic relationship can also bring up unprocessed needs or experiences from the past, just by it's nature of fostering attachment and closeness. When we let someone into our hearts, our vulnerability, growing edges and sensitivities become very clear. Starting to untangle the complexity of your interactions and spending time to mend and maintain the health of your relationship are very important steps that can make all the difference in finding that deep satisfaction you are looking for with your partner.

Specific Issue(s) I'm Skilled at Helping With

Financial Therapy
Romantic partnership conflict
Relationship difficulties
ADHDers executive functioning skills
ADHDers emotional regulation
ADHDers relational skills and healing
Alcoholism & Recovery
Codependency
Anxiety
Depression
Childhood trauma
Stress management


More particularly:
-Couples who want to learn how to better support each other and who want to become the best versions of themselves, together.
-Couples who seek to learn how to consciously repair past hurts and transform their dynamic together.
-Couples where one or both are ADHD or AuDHD, or mixed neurotypes
-Women who seek to improve balance, self-confidence and fulfillment in life.
-Parents to be and new parents who struggle with depression or anxiety.
-Men who struggle with intimacy and talking about feelings.
- Individuals seeking to heal their relationship to money to stop overspending, manage financial anxiety or release unhelpful shame or guilt connected to adjustment to wealth.
- Individuals seeking to maintain recovery from alcohol addiction or misuse; supporting those who has a loved one in recovery and needing support to understand the recovery process and to avoid enabling or enacting codependent dynamics
- Individuals and couples needing support in healing childhood trauma and linking to behavioral patterns that block intimacy or healing and growth.

Image Gallery

Ages I Work With

  • Adults
  • Elders

Languages

  • English

Groups I Work With

    Couples who fight and struggle to communicate
    Couples and individuals who have anxiety about finances
    Multicultural or Interracial couples
    Couples with a partner or both in recovery from alcohol abuse or addiction
    Couples who struggle with conflict avoidance or high conflict patterns
    Couples with history of trauma, family addiction or childhood abuse
    Couples who need support determining next steps, whether healing and reconnecting, separation, divorce or opening up the relationship

    Individuals who wish to heal their relationship to money
    Individuals struggling with stress, anxiety or depression
    Individuals with relational issues with peers, partner or family.
    Individuals seeking to recover from issues with body image, food or alcohol addiction or misuse
    Individuals who are seeking ongoing consistent depth work, self awareness, integration

Industries & Communities Served

  • BIPOC
  • Education
  • Entertainment Industry
  • First Responder/Medical Professionals
  • LGBTQ+
  • Military/Law Enforcement
  • Professional Sports
  • Self-Employed and Freelance Professionals

Client Concerns I Treat

  • Abandonment
  • Abuse / Abuse Survivor Issues
  • Addictions and Compulsions
  • Adjusting to Change / Life Transitions
  • Aggression and Violence
  • Anger
  • Anxiety
  • Attachment Issues
  • Blended Family Issues
  • Breakup
  • Caregiver Issues / Stress
  • Child and/or Adolescent Issues
  • Chronic Illness / Disability
  • Codependency / Dependency
  • Communication Problems
  • Compulsive Spending / Shopping
  • Depression
  • Divorce / Divorce Adjustment
  • Drug and Alcohol Addiction
  • Eating and Food Issues
  • Emotional Abuse
  • Emotional Overwhelm
  • Emptiness
  • Family of Origin Issues
  • Family Problems
  • Forgiveness
  • Grief, Loss, and Bereavement
  • Health / Illness / Medical Issues
  • Identity Issues
  • Inattention, Impulsivity, and Hyperactivity (ADHD)
  • Infidelity / Affair Recovery
  • Irritability
  • Isolation
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Men's Issues
  • Money and Financial Issues
  • Mood Swings / Mood Disturbance
  • Multicultural Concerns
  • Parenting
  • Polyamory / Nonmonogamous Relationships
  • Posttraumatic Stress / Trauma
  • Power
  • Pre-Marital Counseling
  • Pregnancy and Birthing
  • Prejudice / Discrimination
  • Racism
  • Relationships and Marriage
  • Self-Actualization
  • Self-Care
  • Self-Compassion
  • Self-Criticism
  • Self-Love
  • Sensitivity to Criticism
  • Sexuality / Sex Therapy
  • Shame
  • Social Anxiety / Phobia
  • Spirituality
  • Stress
  • Trust Issues
  • Women's Issues
  • Workplace Issues
  • Worry
  • Young Adult Issues
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Types of Therapy

  • Body-Mind Psychotherapy
  • Culturally Sensitive Therapy
  • Depth Therapy
  • Developmental Model of Couples Therapy
  • Emotion Focused Couples Therapy
  • Emotion Focused Therapy
  • Emotionally Focused Couples Therapy
  • Emotionally Focused Therapy
  • Feminist Therapy
  • Holistic Psychotherapy
  • Humanistic Psychology (humanism)
  • Integration of different therapy models
  • Mindfulness-Based Interventions
  • Nonviolent Communication (NVC)
  • Parent Work
  • Psychodynamic
  • Relational Psychotherapy
  • Somatic Psychotherapy
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