Dr. Miriam Adrianowicz

You can name what you're feeling. You may even know where it comes from. And still, it's getting in the way.

From the outside, you're doing fine. From the inside, you're just very good at doing fine.

You keep ending up in different versions of the same relationship, with different people each time.

Whatever brought you here deserves to be taken seriously. Whether you're considering therapy for the first time or returning after years of self-reflection, your story is important. Together, we'll work to understand your experiences in context, not only to make sense of them, but to use that understanding to create room to do things differently.

Maybe you've noticed...

If even a few of these resonate, you're not alone.

I work with adults struggling with many different difficulties, some of which include anxiety, depression, life transitions, relationship difficulties, and questions of identity. Some are coming to therapy for the first time. Others have spent years trying to understand themselves and are looking for something that reaches beyond insight alone. I aim to help you use insight to create movement.

My orientation is psychodynamic and relational. In practice, that means in addition to managing symptoms, I want to understand in what's underneath them. I focus on the lasting impact of earlier experiences and impactful life events. I pay attention to patterns, the meanings that develop around them, and the ways we learn to adapt to the relationships and circumstances that have, and continue to, shape us. Our beliefs about ourselves and others usually originate as protective ways to adapt to life circumstances. Therapy offers an opportunity not only to understand those patterns, but to see that they aren't fixed, creating room for choice.

Miriam Adrianowicz, Psy.D.

About

While I work with adults of all ages, most people I work with are young adults (18-35ish) who are struggling with life transitions, changing relationships, questions of identity, and distress about future goals. The quarter life crisis is real.

Above all, 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'm a steadfast believer that humor is an essential component of therapy. It is never meant to minimize your struggles, but instead to add a sense of humanity and connection to content that can be deeply distressing.

Services

In-person sessions offered in San Francisco, virtual sessions available across California

Individual
psychotherapy

Ketamine-Assisted Psychotherapy

Ongoing, weekly psychodynamic and relational therapy for adults. Sessions are 50 minutes, and $200 per session.

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 write.

Get in touch

Phone

miriam@drmiriampsyd.com

(415) 770-0720

Email

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.

Whatever brought you here, you're welcome to reach out.

Contact

415-770-0720
miriam@drmiriampsyd.com

Address

The Flood Building

870 Market Street, Suite 721

San Francisco, CA 94102

© 2025 by Miriam Adrianowicz, License #: PSY35092

Miriam Adrianowicz, Psy.D.