About Bruce Hearn, LMFT

If you’re considering working with me, it makes sense to want a feel for who I am and how I approach therapy.

Finding the right therapist isn’t just about qualifications. It’s also about whether you feel comfortable enough to speak openly and whether the conversation feels useful.

Bruce Hearn San Francisco Individual Psychotherapy, Marriage Counseling and Relationship Coaching

My Approach to Therapy

My work is grounded in a thoughtful, relational approach.

I’m interested in how people make sense of their experience, how you think, how you relate to others, and how patterns from earlier in life may still be shaping things now.

Often, people come in with a sense that something isn’t working, but it’s not always clear why.

Part of our work is slowing things down and looking more closely at what’s happening beneath the surface.

Over time, this work can help you:

I’m not focused on quick fixes.

The goal is to develop a deeper understanding that supports meaningful change.

What it’s like to work with me

Our work together is conversational and collaborative.

I’ll be engaged and thoughtful, and I’ll share observations when something stands out, but I’m not going to push you faster than feels useful.

I aim to work in a way that feels steady, respectful, and open.

If you are used to handling things on your own, therapy can offer time to step back and think things through with someone else.

Background

Before becoming a therapist, I spent many years working as a software engineer.

Over time, I found myself drawn more and more toward understanding people, especially how emotions and relationships work, and why they can be so challenging.

That led me to return to school and train as a therapist at the Wright Institute in Berkeley. 

My clinical training included work with teens, college students, adults, and couples, as well as experience in crisis support settings.

I have been licensed as a Marriage and Family Therapist in California since 2014 (LMFT #79269). My work focuses on individuals and couples navigating relationships, emotional patterns, and life transitions.

My training includes:

Who I Often Work With

I work with individuals and couples dealing with relationship challenges, stress, and a sense of feeling stuck or disconnected.

Many of the people I work with:

This can include people who:

I also have a particular focus on working with men and with couples who want to better understand the patterns in their relationships.

In 2026, I founded PracticeRunner, a practice management platform designed for therapists. It grew from my interest in creating practical technology that supports clinical work and makes therapy practices easier for clients to navigate.

A Personal Note

Being in a long-term relationship and a parent myself, I’ve learned a lot about how relationships actually work, not just in theory, but in practice.

It hasn’t always been straightforward.

That personal experience continues to shape how I think about therapy: with a respect for how complex relationships can be, and how much patience and understanding real change requires.


International Perspective

I grew up in the UK and have lived in different parts of the U.S., as well as spending time in Australia and traveling extensively.

Those experiences inform how I think about culture, identity, belonging, and feeling at home in relationships and in life.


If you feel like this approach resonates, you’re welcome to reach out.

I offer a free consultation so we can talk briefly and see if working together feels like a good fit.

Schedule a free consultation