some part of you has been circling the same ground for a long time.

Therapy for anxiety, overthinking, and relationship patterns.

Relief is a reasonable thing to want…

Therapy with me isn't mainly about learning better ways to manage yourself. There are skills worth learning and practicing, in sessions and between them. But the deeper work happens when learn to pause; to tune into your body, your emotions, and your reactions, and get curious about them instead of fighting them.

This isn't something you can figure out intellectually. Understanding your patterns in theory is useful, but on its own it doesn't equal change. The process takes time, and it unfolds in ways neither of us can fully plan.

Some relief often comes early: from having someone fully present with you, and from knowing you've taken an important step to care for yourself. A well-timed question about your particular situation can shift how you see it in a way that general advice usually can't. Deeper, more lasting change happens more gradually than people expect, and it can look many different ways. You might still shut down in a hard conversation, but less intensely, or for less time. And when it does happen, you may find yourself meeting it with less shame and more patience, which over time tends to change how long it lasts. That kind of patience with yourself is learned. It grows through practice, and through experiencing it first in the relationship with your therapist.

What people come to me with

People often come to me when they're dealing with:

  • Anxiety, overthinking, or a mind that won't settle

  • Relationships where the same conflicts keep repeating

  • Putting others' needs first until there's nothing left for yourself

  • A harsh inner critic, perfectionism, or feeling like an impostor

  • Constantly comparing yourself to others

  • Irritability or a short fuse you don't fully understand

  • Using substances or habits to avoid feeling certain things

  • Losing a sense of meaning, pleasure, or direction

  • Questions about identity, masculinity, or what's expected of you as a ma

How I Work


My approach is relational and integrative. Rather than focusing only on symptoms, we'll look at how your patterns developed and how they show up in your life now. That can include:

  • Paying attention to what your body is doing (tightening, bracing, going numb) because that's often where a pattern shows up first and learning to stay with that experience without overriding it

  • Understanding how early relationships shaped the way you connect now

  • Knowing what you feel, and being able to say it, even in the middle of conflict

  • Setting boundaries that come from understanding yourself, not just rules

  • Loosening the grip of shame and a harsh inner critic

  • Working with dreams

  • Bringing in contemplative practice, when it fits

If this resonates with you, I’d be happy to connect.

I offer a free consultation where we can talk about what’s going on for you and whether working together feels like a good fit.

Schedule your free consultation

Contact me

If you want a deep dive about how I think about therapy…..

I help individuals learn to have more peace.

Dr. Scott Menasco provides transformative and relational therapy and counseling in Petaluma

Hi I’m Scott Menasco, a Licensed Marriage and Family Therapist based in the San Francisco Bay Area. Let’s work together to help you reduce your inner and outer conflicts so you can get back to fully enjoying your life. Click the link below to learn more about me.

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