Anja Bircher, Psy.D.

Jonathan Horowitz Ph.D. is a licensed psychologist and the director of SF Stress—a team of anxiety specialists serving San Francisco and surrounding communities in the Bay Area.

Anja Bircher, Psy.D.

Licensed Psychologist

Individual Therapy for Adults
Family Therapy
Gender Affirming Surgery Assessment
Group Therapy
Partner/Couple Therapy

  • Anxiety

  • Behavior Change

  • Chronic Illness/Pain

  • Depression

  • Gender and Sexual Identity Concerns

  • Insomnia

  • Life Transitions

  • Relationships (including polyamory, nonmonogamy, monogamy)

  • Sexual Concerns (including and affirming of consensual kink and BDSM)

  • Stress

  • Trauma

Psy.D. Clinical Psychology Alliant International University - California School of Professional Psychology Social Justice Emphasis LGBT Human Services and Mental Health Certificate

B.A. Film Production with Honors California State University - Long Beach

50-minute in-person sessions are available in the San Francisco-FiDi location.

All appointments must be scheduled in advance.

San Francisco-FiDi Office


I provide therapy, assessment, and consultation to adult individuals, partners, and families who are struggling with stress, depression, anxiety, trauma, relationships, and/or life transitions. I have specialized training and experience addressing gender and sexual identity and sexual concerns. Whether you are beginning to explore a new aspect of your identity, in the midst of a transition, or well along in your process, exploring how different elements of our identities (race, culture, gender, sexual orientation, disability status, etc.) impact our experience can be an important part of making meaning from our lives.


My work is grounded by techniques shown by research to be effective, in particular, Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). I consider myself to be integrative in my approach, meaning that I am flexible to utilizing strategies from a variety of modalities (such as Dialectal Behavior Therapy [DBT], Motivational Interviewing [MI], Family Systems, and Narrative Therapy) in order to best meet the needs of the individuals I work with and their specific concerns. My practice is attuned to aspects of identity, guided by each individual's values and informed by social justice. I find that a strength-based approach is often a good starting point and can produce particularly generative results.


I am passionate about supporting people creating positive change in their life, whether they are focusing on reducing symptoms, adapting to change, or rekindling their resilience. I take a collaborative approach and am open to feedback, which I consider to be an important part of guiding the process.


My work with clients is centered on their specific goals and I aim to encourage progress with gentle accountability. Behavior change is challenging, and many people benefit from support with this process. I work to support individuals in designing their personal goals and taking manageable steps toward these goals, whether they're related to improving health, shifting habits, or coping with and adapting to change.


I have specialty training to provide evaluations for gender affirming surgeries. I also have experience working with individuals and partners with a variety of relationship configurations (polyamory, nonmonogamy, monogamy) and sexual identities (kinky, BDSM).

Additionally, I provide sex therapy to individuals of a variety of sexual identities seeking to address difficulties they experience in their sex lives. I identify as a queer, white, gender variant woman who is flexible with their pronouns - they, she, he, etc. are all fine to refer to me. I spend my personal time nerding out on movies, cooking, podcasts, and queer/trans music.


I completed an internship in Primary Care Behavioral Health at Edith Nourse Rogers Memorial Veterans Hospital, where I provided therapy to support individuals making health behavior changes, including eating and exercise, managing chronic diseases, chronic pain, and insomnia. I completed a postdoctoral fellowship in Interprofessional LGBT Healthcare Psychology at San Francisco Veteran's Affairs Health Care System, where I worked primarily with LGBT individuals with a broad variety of concerns, including depression, anxiety, and trauma. I have additional training from San Francisco Sex Information, where I taught for seven years. I continue to guest lecture at a number of local schools and clinics.

Additionally, I have contributed to research with gay male couples at the Center for Research and Education on Gender and Sexuality and with transgender people for my dissertation on their experiences of gender affirmation. I continue to work primarily with LGBT individuals as an integrated psychologist at Lyon-Martin Health Services, and I enjoy my work with individuals of a broad variety of identities.