Carlota Azpiazu Osorio
Registered Marriage & Family Therapist Associate, AMFT #164139, APCC #23024
Phone:
(628)-293-5370
Email:
Address:
San Francisco
I help individuals, couples, athletes, founders, executives, and other high-performing professionals navigate relationship challenges, trauma, anxiety, burnout, and major life transitions. Whether you're striving to strengthen your relationships, recover from difficult experiences, or manage the pressures of a demanding career, therapy can provide a space to slow down, reconnect with yourself, and create meaningful change.
Originally from Madrid, Spain, my personal and professional journey has taken me across the United States, Europe, and East Africa. These experiences have deepened my appreciation for the many ways culture, family, identity, and life experiences shape our emotional wellbeing. I believe healing begins when people feel truly understood, accepted, and emotionally safe.
I earned my Master's degree in Counseling (Marriage, Family, and Child Therapy) from San Francisco State University and have worked with individuals, couples, and families in community mental health, educational, and international settings. I provide therapy in both English and Spanish.
My Approach
My work is grounded in the belief that lasting change happens when we understand not only our thoughts, but also the emotions, attachment patterns, and nervous system responses that shape our lives.
I integrate Emotionally Focused Therapy (EFT), Brainspotting, attachment theory, trauma-informed care, and family systems approaches to help clients heal at a deeper level. Rather than simply managing symptoms, we work together to strengthen emotional resilience, improve relationships, process unresolved experiences, and create new patterns that feel authentic and sustainable.
I have completed advanced training in Emotionally Focused Therapy (EFT) through the ICEEFT Externship and Core Skills program, one of the leading evidence-based approaches for strengthening relationships and repairing attachment injuries. I have also completed Brainspotting Phase 1, an effective trauma-focused approach that helps process experiences stored within the nervous system when words alone are not enough.
Education
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Master's in Counseling (Marriage, Family, and Child Therapy)
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Bachelor's Degree in Psychology from Universidad Pontificia Comillas
Trainings
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Emotionally Focused Therapy for Couples (EFT) Externship, Uganda
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Emotionally Focused Therapy for Couples (EFT) Core Skills, San Diego
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Brainspotting: Phase 1, Psychology
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Active member of California Association of Marriage and Family Therapists (CAMFT), The International Centre for Excellence in Emotionally Focused Therapy (ICEEFT)
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NCCEFT Board Committee Member
Fees
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In-person sessions in San Francisco
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Telehealth throughout California
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Free 30-minute phone consultation
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Out-of-network provider (superbills available for possible insurance reimbursement)
Professional Background
Alongside my clinical work, I remain actively involved in the EFT community through advanced training, consultation, and professional service. Working across the United States, Europe, and East Africa has given me extensive experience supporting clients from diverse cultural backgrounds and adapting therapy to each person's unique values, experiences, and goals.
As a bilingual therapist, I offer therapy in both English and Spanish, creating a collaborative and culturally responsive environment where clients can deepen self-understanding, strengthen relationships, heal from trauma, and move toward lasting emotional wellbeing.
Areas I Commonly Help With
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Couples experiencing conflict, emotional distance, communication difficulties, or rebuilding trust
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Athletes navigating performance pressure, injury recovery, identity, or life beyond sport
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Founders, executives, physicians, and other professionals managing chronic stress, burnout, leadership demands, and work-life balance
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Trauma, PTSD, childhood experiences, and emotional wounds that continue to affect present relationships
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Anxiety, perfectionism, self-criticism, and emotional overwhelm
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Major life transitions, grief, identity development, and multicultural experiences
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Individuals seeking healthier relationships with themselves and the people they love
