Psychotherapist and Integrative Physician

About me

I am both a licensed psychotherapist (LMFT) and a licensed physician (MD). This is my private practice website. If you are looking for my UCSF Medical practices, you can find more information here:

UCSF Osher Center

UCSF Stad Center for Pain, Palliative, and Integrative Medicine

Psychotherapy Practice

In my private psychotherapy practice I offer individual psychotherapy for adults, children, and adolescents.  My core training is in the psychodynamic model of Control-Mastery Theory (an unfortunate name for a psychotherapy model, but one that offers a grounded, relational approach to working with people).  My additional training and influences include Acceptance and Commitment Therapy, Attachment theory, Cognitive Behavioral Theory, mindfulness meditation (and a range of mind-body practices), and Somatic Experiencing (I’m not a trained practitioner, but I have a strong appreciation for this approach).  I enjoy working with adults, teens, and children who are dealing with anxiety, major life adjustments to illness, relationship difficulties, or other life challenges. 

As I am both a psychotherapist and a physician, the scope of care in our work has the potential to feel confusing. While my medical practice includes consultations for, and management of medical conditions including chronic pain, bowel disorders, migraines, and auto-immune conditions, this care for these conditions will not be a direct part of the psychotherapy relationship. This does not mean that medical conditions you may have will not be discussed.  Our mental and emotional well-being is inextricably linked to our physical health – in both directions. We may discuss many aspects of any medical issues you may be dealing with, and it may be helpful for me to be in communication with your medical providers. However, as part of the psychotherapy relationship, I will not be actively managing medical diagnoses or problems. The only exception to this may be psychoactive medication management, and/or natural health product recommendations, and any associated lab work essential to treatment selection or monitoring. Medications and/or natural health products are often used to support a variety of mental health conditions or symptoms. At the initial evaluation and throughout the course of the relationship, we may discuss and review treatment options, and if medications or supplements are considered, we will discuss the potential benefits, risks, common side effects, and alternatives.

More about my background and training

I am a licensed psychotherapist and a licensed physician. I began my career as a primary care pediatrician at the University of California, San Francisco after 2 years of volunteer global health relief work with Doctors Without Borders. My own mindfulness meditation practice led me to additional training in a range of mind-body modalities, followed by fellowship training in Integrative Medicine at the Andrew Weil Center for Integrative Medicine in 2005. I then left primary care and started Pediatric Integrative Medicine services at the UCSF Osher Center for Integrative Health, with a focus on pain management and general integrative medicine consultations. Throughout this time, I was drawn to developing deeper, longer-term relationships with the patients and families I worked with. In 2012, I completed a master’s degree in Clinical Psychology at the Wright Institute, followed by a three-year psychotherapy internship at the San Francisco Psychotherapy Research Group, working with adults, families, and children. 

In my pediatric Integrative Medicine and Pain Clinic practices at UCSF, I work with children, teens, and young adults with a range of chronic and complex medical issues including gastrointestinal disorders, autoimmune conditions, chronic pain from a variety of conditions, and others. The Integrative Medicine model considers the health of an individual in the context of a variety of factors that influence our health and how we approach taking care of ourselves. These factors include things like the food we eat, our physical environment, the coping skills we learn, physical activities/capabilities, our social and family relationships and supports, and others. Any treatment recommendations are made in the service of mutually agreed upon goals and are evidence-informed - guided by evidence for efficacy as well as safety. Generally, more attention is paid to gaps in current care or approaches to health goals where there is higher need or higher likelihood of benefit and that are consistent with individual and/or family preferences. This may mean recommendations for traditional medical consultations or treatments, or non-traditional approaches or providers. Collaboration with other providers is often sought and always welcomed.

Individual psychotherapy

Please contact me with any questions

Integrative Health consultations

Please contact me with any questions

beckerdk@gmail.com
(415) 295-9390