Ryan Noble Therapist at Rouse in San Francisco

People have more capacity for growth than they realize.

In my work with individuals and couples from a wide range of identities and backgrounds, I’ve seen how therapy can help people connect with strengths and insights they already possess. They often just need the right space to access them. My focus is on creating that kind of space: one where you can be honest, ask difficult questions, and clarify who you want to become.

I specialize in providing support to LGBTQ+ individuals and couples of all ages, including those in non-monogamous relationships. People who come to see me often focus on addressing challenges related to depression, stress, self-esteem, anxiety, trauma, grief, relationships, and concerns about sex and sexuality.

I am currently accepting new appointments in-person and online! Please contact me for more information.

How I Can Help

Individual Therapy

I work with individual on addressing various topics, with a focus on these concerns:

  • Men’s Mental Health

  • Depression

  • Stress and Anxiety

  • Trauma

  • Grief and Loss

  • Shame and Self-Esteem

Our work together can be long term or brief and focused on specific goals.

Couples Therapy

Couples often come to me for support with:

  • Communication and Conflict Resolution

  • Intimacy Challenges

  • Infidelity

  • Polyamory and Non-Monogamy

  • Future Planning

My approach in couples work is very active and focused on helping you have difficult conversations, with the goal of you increasing your confidence with doing this at home.

Sex Therapy

I also specialize in addressing sexual issues, including:

  • Performance Anxiety

  • Men’s Sexual Health

  • Sexual Identity

  • Kink and Interests

  • Trauma and Healing

Together, we can talk about strategies to overcome these concerns and build up your confidence.

Castro District, San Francisco Therapy

Let’s Get Started

I am currently accepting new clients! I am available to meet at my Castro office in San Francisco, and by telehealth. Please use the button below to set up a free consultation.