Dr. Miriam Adrianowicz
In Person Psychotherapy for Adults in San Francisco
Whatever brought you here deserves to be taken seriously.
Please email if you'd like to request a different time than those that are available to book online.
My practice focuses on helping adults, usually in their 20s and 30s, who feel disconnected in some way, sometimes from other people, and sometimes from themselves. Often, there's a sense that what they're dealing with isn't serious enough to bring to therapy even though it's been weighing on them for a long time. Some feel isolated while others have friends and people around them but still feel lonely. Most don't want to burden anyone with what they're going through and tell themselves they should be able to handle it on their own. From the outside, they may seem okay. On the inside, they've gotten really good at being okay.
People often come to see me when they no longer know how to move forward. They feel overwhelmed by where to even begin, and exhausted from trying to figure it out alone. Something needs to change, even if they can't quite say yet what that change looks like.
What I offer is a place to stop minimizing what you’re experiencing and get genuinely curious about it instead. We’ll pay attention not only to what’s happening now, but to the experiences and relationships that have shaped who you are, how you see yourself, and how you relate to others. This work is about understanding you in your own context. We'll cultivate greater awareness of what helps you, and what deeper patterns may be getting in the way, so that there's more room for flexibility, choice, and joy.
Miriam Adrianowicz, Psy.D.
I try to offer a place where people can just... be. As our therapeutic relationship deepens, I hope to invite whatever is actually true for you in the room that day.
I embrace humor as an important part of therapy, when appropriate. It's never meant to minimize your experience, but instead to foster a sense of humanity and connection while engaging in such important work.
Services
Individual
psychotherapy
Ketamine-Assisted Psychotherapy
Ongoing, weekly psychodynamic and relational therapy for adults. Sessions are 50 minutes, and cost $200.
Ketamine-assisted psychotherapy pairs the therapy relationship with the use of ketamine in a supervised clinical setting, offered in office. The work includes preparation before a session, the session itself, and integration afterward, with the same emphasis on staying close to whatever comes up, rather than directing it. It's typically considered alongside, not instead of, ongoing individual therapy.
If you're curious whether KAP might be a fit, that's exactly the kind of thing to talk through in an initial consultation.
A first email or call isn't a commitment to anything. It's just a chance to talk briefly about what's going on and whether working together makes sense. There's no pressure to have it all figured out before you reach out.
Get in touch
Phone
miriam@drmiriampsyd.com
(415) 770-0720
Location
San Francisco, CA
If you're in crisis or need immediate support, please call or text 988 (Suicide & Crisis Lifeline), or go to your nearest emergency room. This site is not monitored for emergencies.
Contact
415-770-0720
miriam@drmiriampsyd.com
Address
The Flood Building
870 Market Street, Suite 721
San Francisco, CA 94102
© 2026 by Miriam Adrianowicz, License #: PSY35092
Miriam Adrianowicz, Psy.D.
