Couples therapists in San Mateo, CA

I believe therapy should feel like a space where you can finally exhale. I strive to create an environment that is supportive, honest, and free of judgment; a place where you feel truly seen and emotionally safe. My approach is collaborative and practical. I don’t just help you understand why you feel the way you do; I help you build real tools to navigate it.

I earned my degree from Cal State Fullerton and have extensive experience working in addiction treatment, eating disorder recovery, and women’s issues. Supporting women is especially meaningful to me. I am deeply passionate about helping women navigate challenges related to self-worth, body image, relationships, boundaries, life transitions, and identity. I understand how trauma, societal expectations, and relational dynamics can shape how women see themselves, and I approach this work with both compassion and clarity.

Together, we focus on strengthening mindfulness, emotional regulation, distress tolerance, and communication skills in ways that feel realistic and sustainable. I blend insight-oriented exploration with concrete strategies, because meaningful change happens when insight meets action. My goal is to help you better understand your patterns, feel more confident managing your emotions, and move forward with greater clarity, self-trust, and resilience.

I’m a bilingual Licensed Marriage and Family Therapist who provides therapy in both Spanish and English, from colloquial to professional levels. My work has included supporting individuals facing HIV/AIDS-related challenges, domestic violence, substance use, loneliness, suicidal thoughts, dual diagnosis, sexuality-related concerns, aging-related issues, and the broader impact these experiences can have on families and support systems. Across community, academic, and clinical settings in Mexico and the U.S., I’ve built a strong foundation in helping people navigate both personal suffering and societal distress.

You may be seeking support in moving toward a more preferred version of yourself, your life, and your relationships. You may be questioning important facets of your identity, or wondering how to locate and uproot the seeds of painful and complicated emotions. Perhaps you are curious about navigating a different type of relational structure with your loved ones, or you may be feeling stuck with a particular challenge in the way you connect to others. My role as a therapist is to provide support and facilitate insight that will allow you to work toward your personal goals.

My journey into mental health began with a deep interest in the intersection of human behavior and emotional resilience.

I enjoy working with adolescents and adults going through life transitions and experiencing trauma. My current practice includes individual treatment helping adults with anxiety and depression, self-esteem/confidence, grief, trauma and life transitions! Finding a therapist with whom you connect with is important.

Over the past 14 years, I have worked in a variety of settings, including private practice, community clinics and public school settings. These experiences have shaped my belief that therapy is not a "one-size-fits-all" process, but rather a collaborative partnership built on trust and evidence-based strategies!

I hold a Master of Social Work from California State Long Beach as well as a Bachelor of Social Work from Azusa Pacific University..

I’m Katrina Balian, a Licensed Marriage and Family Therapist. I earned my Master’s degree in Clinical Psychology with an emphasis in Marriage and Family Therapy from Pepperdine University. I’m passionate about helping individuals navigate trauma, anxiety, relationship challenges, emotional overwhelm, and life transitions. My goal is to create a supportive, nonjudgmental space where clients feel understood, empowered, and able to build meaningful change in their lives.

Life can feel overwhelming — thoughts that won't quiet down, family tension that keeps building, or past experiences continue to dictate your present days. Whether you're an individual carrying something heavy, a couple trying to find your way back to each other, or a family navigating a moment that feels too big to face alone, you don't have to keep pushing through without support. I provide a safe space where your culture, your story, and your language are deeply valued. I bring a grounded, tenacious approach to my clinical work utilizing specialized, evidence- based tools to help with processing heavy burdens. Healing is possible and it can start here, so let's walk this path together.

As a Christian therapist, I walk with clients to strengthen and support them in learning self compassion, understanding their worth, finding insight and living wisely. I have studied psychology and marriage and family therapy for over 13 years and have been in practice as a therapist for 7 of those years. I have intentionally learned and applied principles and practices which help clients sustain growth from hurts, unprocessed feelings and lack of direction toward more energy, enjoyment and purposefulness in life again.

I look forward to consulting with you to see if our therapeutic work would fit with you!