TherapywithRio

Queer-affirming · Online · MA + CA

Therapy that meets you where you are — and doesn't leave you there.

Queer-affirming online therapy for anxiety, identity, and relationship growth. I'm Rio Bauce, LCSW — I help adults and couples build resilience, clarity, and connection, from the comfort of home.

Telehealth across CA & MA Limited in-person · San Francisco Evening availability Sesiones en español
Rio Bauce, LCSW — therapist and founder of Therapy with Rio
Rio BauceLCSW · LICSW
TelehealthMA + CA

You might be here because…

You may be feeling overwhelmed, stuck, or disconnected. I specialize in working with people who are ready to better understand themselves and create meaningful, sustainable change.

You're struggling with anxiety, stress, or burnout — even if things look “fine” on the outside.

You're navigating identity exploration or LGBTQ+ related concerns.

You feel stuck in relationship or communication patterns that keep repeating.

You're processing trauma or difficult past experiences.

You're moving through a major life transition — career, relationships, relocation.

Therapy with me is a space where you don't have to perform or have everything figured out — at least not all at once.

Rio Bauce · LCSW, LICSW

Warmth, with thoughtful challenge.

I work relationally and at a pace that respects your nervous system, your lived experience, and what feels manageable right now.

Sessions that balance warmth with thoughtful challenge

A collaborative pace — not rushed, not stagnant

Practical tools alongside deeper reflection

Attention to identity, context, and lived experience

Clear boundaries and a consistent structure

A quiet, grounded moment from Rio's practice

Evidence-based. Human-paced.

CBT

Cognitive Behavioral Therapy

Practical tools to understand and shift the thought patterns that keep you stuck — so change shows up in your everyday life.

MI

Motivational Interviewing

A collaborative approach that strengthens your own motivation for change — especially powerful for shifting substance use.

Psychodynamic

Depth & Insight Work

Insight-oriented exploration of patterns, relationships, and emotional experience — for deeper, lasting change.

Also drawing from DBT and ACT — always tailored to you.

A moment, before you go on

This is the pace we work at: one unhurried breath at a time.

Rio Bauce, LCSW

Hi, I'm Rio.

I'm a Licensed Independent Clinical Social Worker providing telehealth therapy to adults and couples in Massachusetts and California. As a queer clinician, I bring an affirming, culturally responsive lens to all of my work — shaped by years in community mental health, HIV care, and LGBTQ+ health in San Francisco.

Clients describe my style as steady, attentive, and honest — in a way that feels human and relatable.

Consider this a first hello.

What it's like to work together, in Rio's own words.

0:19

Simple, transparent fees.

Individuals
$250

per session · weekly

Focused one-on-one work — steady momentum on anxiety, identity, substance use, and life transitions.

Couples
$300

per session · weekly

Communication, conflict patterns, trust repair, and intimacy — affirming of all relationship structures.

Superbills provided for out-of-network reimbursement in California; many plans cover a portion of each session. Massachusetts clients: United Healthcare, Aetna, BCBS of MA, and Harvard Pilgrim accepted. Details in the FAQ.

No pressure. Just a conversation.

Begin with a free 15-minute consultation.

A short, no-pressure call to see whether we're a good fit. Tell me a little about yourself and I'll reply within two business days.

I reply within two business days. Please don't include detailed clinical information in this form. If you're in crisis, call or text 988.