About Patrick …
If we've met at a Castro Night Market, at the Gaylesta booth at a street fair, or somewhere in the neighborhood, you already have a sense of how I work: direct, engaged, and genuinely interested in what you're carrying. Therapy sessions with me aren't much different.
I work with gay couples, queer couples, and people in non-traditional relationship structures (triads, open relationships, and relationships with kink or power-exchange dynamics), as well as with gay men and queer individuals on identity, relationships, and substance use. I'm gay, in recovery, and kink-identified, and I live and work in the community. Our early sessions will cover your history and what brings you in, but you won't have to explain what Sniffies is, or justify your sex/dating/hookup/relationship desires, or translate any part of your life before we can get to work.
Before becoming a therapist I spent over two decades in creative leadership roles in media and tech, including a decade at Facebook. I hold a BA in graphic design from American University and an MA in integral counseling psychology from CIIS, where I now teach psychodynamics as adjunct faculty.
Patrick Fagan, AMFT
(he/him/his)
In-Person Sessions Only
Registered Associate MFT147923
Supervised by Barton Shulman, Licensed Counselor (LPCC4199)
Languages: English
My clinical training included residential counseling at PRC/Baker Places, LGBTQIA+ support group facilitation at Openhouse, and a practicum at the Liberation Institute. I'm a founding member of the AIDS/LifeCycle team the San Francisco Baes, captain of the Baes' NorCal AIDS Cycle team, a training ride leader for the Castro Country Club's Recovery Ride, and Outreach Chair for Gaylesta.
I see clients in person here at the San Francisco Counseling Collective. A free 20-minute consultation is a good place to start to see if we're a good fit. Send me a message or give me a call to set it up.
Professional Affiliations
American Association of Sexuality Educators, Counselors and Therapists (ASECT)
Bay Area Open Minds (BAOM)
California Association of Marriage and Family Therapists (CAMFT)
San Francisco Chapter — SFCAMFT
Center for Positive Sexuality
Gaylesta, the Psychotherapist Association for Gender and Sexual Diversity
The Alternative Sexualities Health Research Alliance (TASHRA)

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