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RICK NIZZARDINI, LCSW
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About Rick Nizzardini

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I found my way into the psychotherapy profession after several years as an attorney in Washington, D.C.  While I enjoyed the systemic impact of legal practice, I quickly realized that I was more interested in what is happening inside us and how we can understand ourselves better to feel more fulfilled in our lives.  With that realization, I went off to earn my Master's in Social Work from Smith College School for Social Work in Northampton, Massachusetts.  I then made my way to California and obtained my license with the Board of Behavioral Sciences (License Number 20716) in 2002.

Right after graduation, through a Soros Justice Fellowship I was awarded in 1999, I created the Men’s Sexual Trauma Program.  The Program, located within the San Francisco Rape Treatment Center, was a therapy, research, and education program focusing specifically on the care of men who are survivors of sexual abuse, incest and rape. Throughout my career, I have provided clinical support for survivors of all genders and sexualities.  
I have worked at hospitals, mental health and health clinics, and a university counseling center. 

I have also continued to develop my psychotherapy skills since graduation.  In 2015, I completed the Psychoanalytic Psychotherapy Training Program at the San Francisco Center for Psychoanalysis and have taken numerous trainings on Internal Family Systems.
I have held the following positions:
  • ​Clinical Counselor/Faculty, San Francisco State University Counseling & Psychological Services Center and the San Francisco State University Residential Life Program
  • Director and Clinical Social Worker, Continuum Adult Day Health Program and the MediCal Waiver and Nursing Case Management Programs for Individuals Living with HIV and AIDS
  • Mental Health and Complementary Care Services Manager and Therapist, Glide Health Services
  • Coordinator, Men's Sexual Trauma Program, San Francisco Rape Treatment Center 
  • Clinical Social Worker, San Francisco General Hospital Psychosocial Medicine Outpatient Mental Health Clinic, and Trauma Recovery Outpatient Program
  • Volunteer Therapist, New Leaf Outpatient Men’s Mental Health Services Program

I have several areas of expertise and work with clients of all genders and sexualities, including LGBTQ clients:

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Individual Therapy
Relationship / Couples Therapy
  • Stress and anxiety
  • Depression
  • Couples / relationship conflict and stress
  • Traumatic experiences, complex posttraumatic stress, and PTSD, including verbal, emotional, sexual or physical abuse as a child, adolescent or adult; life threatening accidents; sudden death of a loved one; urban violence; intimate partner or family violence; or sexual assault or harassment
  • Sexual identity concerns, including coming out as LGBTQIA+; relationship issues for individuals who identify as LGBTQIA+; and how to manage the conflicts between one’s different identities/roles
  • Sexuality concerns, including sexual functioning (for individuals and couples of all sexual orientations); substance use and sex; religion and sexuality conflicts; and sexuality and living with a disability or chronic medical condition
  • Substance use/abuse, including exploring harm-reduction strategies for cutting back 
  • Conflict in work/personal relationships, including ways to manage conflict, remove oneself from the emotional aspects of conflict in the workplace, and create relationships that can function more effectively with less conflict
  • Managing a chronic medical condition, including cancer and HIV
  • Managing change (in one’s personal or work life)
  • Grief and loss
  • Time management, including strategies for creating behavioral changes to manage time more effectively, as well as to address procrastination habits
  • College aged young adult struggles and concerns
533A Castro Street
San Francisco, California 94114
[email protected]
(415) 706-5716

​Copyright © 2026 Rick Nizzardini
Please note:  A therapeutic relationship is not established by use of this site.
This site does not offer medical advice or online therapy services.
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