Meet your therapist.

Dr. Kayla Sykes, relationship anxiety therapist in San Francisco

Dr. Kayla Sykes

California Licensed Clinical Psychologist

PSY32408


- Exhausted from overgiving in your relationship but don't know how to stop

- Keeping score silently and resenting your partner for not noticing

- Feeling like your partner's mother instead of their equal

- Wanting a relationship but avoiding dating because vulnerability feels terrifying

- Convinced something is wrong with you for struggling with closeness

- Unable to ask for what you need without feeling selfish or demanding

- Analyzing every text, every tone, every interaction with your partner or friends

- Giving more than you receive and wondering why no one takes care of you

- Afraid that if you set boundaries, people will leave

- Craving connection but keeping everyone at arm's length

- Losing yourself in relationships or avoiding them altogether

- Struggling to tell the difference between your intuition and your anxiety

We may be a good fit if you're:

Specialties.

Relationship Anxiety

People-Pleasing & Boundaries

Anxious Attachment

Fear of Vulnerability

Over-Functioning in Relationships

Dating Anxiety

Father Wounds & Partner Selection

Women's Issues Across Life Stages

Works With.

Individuals

Couples

Women (20s-40s)

Perinatal and Postpartum Women

Serene redwoods nature scene - online therapy for women with relationship anxiety in California

My Passion.

Background & Education.

Alliant International University, San Francisco, CA

PsyD in Clinical Psychology

University of California, Davis

B.A. in Psychology & Communication

University of San Francisco, CAPS

Postdoctoral Fellowship & Predoctral Internship

Women’s Health Across the Lifespan

National Health Register, Specialized Training

San Francisco city streets - online therapy serving Bay Area and California

I became a therapist because I kept seeing a pattern: the women who seemed to have it most together were often quietly struggling. The ones taking care of everyone else but didn't know how to ask for what they needed. What drew me to this specialty was seeing how many capable women needed help themselves.

Here's what I've learned: for women, relationships aren't just one part of life—they shape everything. When our relationships feel solid, we can handle stress, take risks, and show up fully. When they don't, everything else feels harder.

Many women don't feel okay unless their relationships are okay. And while that speaks to how deeply we value connection, it can also go too far. When your sense of worth becomes controlled by whether your partner noticed what you did, whether they texted back, whether they seem happy—you lose trust in yourself. You stop being able to tell the difference between your intuition and your anxiety.

My work is helping women rebuild trust in themselves. To discern between anxiety that's protecting you from something real and anxiety that's just protecting you from being vulnerable. To ask for what you need without feeling selfish. To stop keeping score and start showing up authentically.

Therapy with me is a real conversation. I'm warm and I care deeply, but I'm also honest. If I notice something, I'll name it. I bring humor when it fits and directness when it helps. And I won't let you people-please your way through our sessions.

San Francisco street scene - location of relationship anxiety therapist Dr. Kayla Sykes

"The hardest part isn't learning to set boundaries.
It's believing you're allowed to have them in the first place.

You don't have to keep earning love.
You already deserve it."


— Dr. Kayla Sykes

Scenic view of the Golden Gate Bridge - online therapy for anxious women throughout California

Let’s Get Started.