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The Psychotherapist Association for
Gender & Sexual Diversity

Myles Downes


Member profile details

First name
Last name

User photo

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I have been working in the field of psychotherapy since 1996, and have had experience working with a wide variety of concerns and a wide range of populations.
I also have a very diverse personal history, having lived and worked all over the world with a wide variety of peoples and cultures, and having undertaken a wide variety of personal explorations, everything from being a professional dancer, to database design and IT, and beyond. I have found in my practice that these areas of rich personal experience allow me to better relate to YOUR experience, no matter what it might be.
I approach therapy in general from a holistic perspective, working mindfully, experientially and somatically. I specialize in anxiety, trauma, relationship (couples) work and with the following communities: same-sex (gay, bi and/or queer), transgender and non-binary (mostly trans men and those who identify as gender queer/NB), polyamory, kink, etc., though my actual practice is very diverse and I work with a broad spectrum of clients.
I believe that therapy is a place to not only work through difficulties or problems, but also a place of immense potential to increase the satisfaction and joy in our lives, and a way to maximize the possibilities of what it means to be a human being here and now.
Currently accepting new clients?

Telehealth (for Referral/Org. members only)

Telehealth: primary state

Main Office

Work phone
Office #1: Address
3646 24th St.
Office #1: City
San Francisco
Office #1: State
Office #1: Zip
Office #1: Disability access?
Office #1: Disability details
Our suite is located on the second floor of a Victorian building, accessible only by stairs.
Office directions
Noe Valley

Demographic info (optional).

  • he/him/his
  • they/them/their
  • Male
Sexual orientation
  • Queer
  • White/Euro American

Credentials (required)

Prof. degree
  • MA
Prof. degree concentration
  • Psychology
Year degree obtained
Educational institution
New College of California
License type
  • LMFT
Year originally licensed
License number
License expiration date
January 31, 2022

Background and practice info

Theoretical approaches to my work
  • Client Centered / Person-Centered
  • Family Systems
  • Gestalt
  • Holistic
  • Humanistic
  • Psychodynamic
  • Relational
  • Somatic
Clinical techniques
  • EFT (Emotionally Focused Therapy)
  • Sand Play
  • Somatics
Clinical specializations
  • ACA / Codependence
  • Addiction / Substance Use
  • Anxiety Disorders
  • Artists / Creativity
  • BDSM / Kink Aware
  • Bisexual Issues
  • Coming Out
  • Couples / Relationships
  • Depression
  • Dissociative Disorders / DID
  • Ethnic or Cultural Issues
  • Gender Identity / Trans / GNC
  • Gender Specialist (as defined by Gaylesta)
  • Grief / Loss / Dying
  • Midlife Issues
  • Polyamory / Non-Monogamy
  • PTSD
  • Self Esteem
  • Sexuality
  • Spirituality
  • Stress / Burnout
Types of therapy
  • Clinical Supervision
  • Consultation
  • Counseling
  • Couples / Relationship / Marriage Therapy or Counseling
  • Distance Therapy (Phone or Internet-based)
  • Individual Therapy
  • Long-Term Therapy
  • Therapy Groups
Languages (used in therapy)
  • English
  • German
Client ages
  • Adults
Sliding scale
Low fee
Available 24 hrs?