James

Mr James Milner

Licensed Marriage and Family Therapist

“For the past 15 years, I have been working with individuals, couples, and families helping with substance misuse disorder, trauma, mood disorders, anxiety disorders, personality disorders, and thoughts disorders.”

About Me

For 15 years, I have guided individuals, couples, and families through complex emotional challenges. I support those navigating substance misuse, trauma, and the often-intertwined struggles of mood, anxiety, and personality disorders. My aim is to create a safe space where you can explore your thoughts and feelings without judgement. We work together to understand underlying patterns and build practical strategies. This approach suits clients seeking comprehensive support for multifaceted difficulties, helping them find lasting stability.

Approach

Sessions move between focused skill practice and careful reflection to address trauma, addiction, and shifting moods, so you leave with manageable steps rather than vague insight. I offer in-person work in San Francisco and secure online sessions in English, keeping pacing adaptable for individuals, couples, and families. We track patterns between meetings with brief, practical tasks and relational experiments that build emotion regulation and clearer communication. This way of working suits people seeking steady, collaborative progress through complex, intertwined difficulties.
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Basic Information

In-person & Online

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Services

Services Offered:

  • Counseling

    A form of talk therapy providing a safe, confidential space to explore feelings, thoughts, and behaviours with a trained professional.

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  • Divorce Counseling

    Counselling for individuals or couples going through separation or divorce, addressing the emotional, practical, and relational dimensions.

  • Relationship Counseling

    Counselling for couples or partners focused on improving communication, rebuilding trust, and strengthening emotional connection.

  • Free Consultation

    A no-cost initial session to meet the therapist, discuss needs, and decide whether they are the right fit before committing.

  • Online Therapy

    Therapy sessions conducted over video call, phone, or secure messaging, using the same professional methods delivered remotely.

    Learn more about Online Therapy
  • Psychotherapy

    In-depth therapeutic work that explores patterns in thoughts, emotions, and relationships to produce lasting psychological change.

    Learn more about Psychotherapy
  • CBT

    Cognitive Behavioural Therapy, a structured, evidence-based approach that identifies and changes unhelpful thinking patterns and behaviours.

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  • Sex Therapy

    Specialised therapy addressing sexual concerns such as low desire, performance anxiety, pain during sex, or mismatched needs between partners.

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  • Individual Therapy

    One-on-one therapy sessions between a client and a therapist, focused on that person's specific concerns and goals.

    Learn more about Individual Therapy
  • Personal Development

    The ongoing process of self-awareness, self-improvement, and reaching one's potential, pursued not because something is wrong but to live more fully.

Works With:

  • Adults
  • Couples
  • Families
  • Groups

Area of Expertise

Scope of Practice:

  • Abuse

    Emotional, physical, or sexual mistreatment by another person that causes lasting psychological harm and disrupts a person's sense of safety.

  • Addiction

    A compulsive dependence on a substance or behaviour, such as alcohol, drugs, or gambling, that causes harmful consequences to health, relationships, or daily life.

    Learn more about Addiction
  • Anger

    An intense emotional response to perceived threat, injustice, or frustration that, when persistent or uncontrolled, can damage relationships and well-being.

    Learn more about Anger
  • Anxiety

    Persistent worry, nervousness, or fear that is disproportionate to the situation and interferes with daily functioning.

    Learn more about Anxiety
  • Career Issues

    Work-related difficulties such as chronic dissatisfaction, conflict, burnout, uncertainty about direction, or the stress of career change.

  • Divorce Counseling

    Counselling for individuals or couples going through separation or divorce, addressing the emotional, practical, and relational dimensions.

  • Family Issues

    Difficulties within the family system, including conflict, communication breakdown, blended family tensions, or intergenerational patterns, that affect individual and collective well-being.

  • Men's Issues

    Psychological challenges commonly experienced by men, including difficulty expressing emotions, anger, relationship struggles, fatherhood pressures, and societal expectations of masculinity.

  • Relationship Issues

    Difficulties in romantic relationships, including communication problems, trust breakdowns, conflict patterns, or uncertainty about the relationship's future.

    Learn more about Relationship Issues
  • Stress / Burnout

    The body and mind's response to prolonged or excessive demands. When sustained, it can lead to emotional exhaustion, detachment, and reduced functioning (burnout).

    Learn more about Stress / Burnout

Professional Title:

  • Licensed Marriage and Family Therapist

    A therapist licensed to work with couples and families on relationship difficulties, communication, and family dynamics.

Credentials

Registrations

Board of Behavioral Sciences (BBS)

Marriage and Family Therapist

Verify License

Qualifications

University of San Francisco

Service Areas

San Francisco

In-person & Online

San Francisco, California

United States

San Francisco, United States