You Rule Therapy | San Francisco Harm Reduction & Sex Therapy
You Rule Therapy (YRT) is a San Francisco-based private practice founded by Cynthia Hoffman, LMFT, CST in 2018. We specialize in harm reduction therapy, sex therapy, and substance use counseling in the Bay Area, while also providing expert clinical supervision for Associate therapists (AMFT, APCC, ASW).
We offer therapy in San Francisco and across California (telehealth) for individuals seeking support with:
Alcohol and drug use
Compulsive sexual behavior
Sex- and drug-linked experiences (chemsex)
Relationships, identity, and intimacy
Our approach is nonjudgmental, trauma-informed, and client-centered, helping you explore change without shame, pressure, or abstinence-only expectations.
About Cynthia Hoffman, LMFT, CST – San Francisco Therapist
Cynthia Hoffman is a San Francisco-based Licensed Marriage and Family Therapist and Certified Sex Therapist with over 2 and a half decades of experience in harm reduction therapy.
She has led harm reduction therapy groups in the Bay Area for over two and a half decades and spent over 15 years in private practice supporting clients navigating substance use and sexual behavior concerns.
Cynthia specializes in:
Harm reduction for substance use
Sex therapy and compulsive sexual behavior
Sex and drug-linked behavior (chemsex support)
Training and supervising therapists in ethical, stigma-reducing care
She is passionate about helping people build agency, connection, and sustainable change by meeting them exactly where they are.
Inclusive Therapy in San Francisco & California
You Rule Therapy provides LGBTQIA+-affirming therapy in San Francisco and statewide, welcoming clients across:
Gender identities and sexual orientations
Kink/BDSM communities
Consensual non-monogamy and polyamory
Our team is committed to culturally responsive, trauma-informed therapy and ongoing clinical growth.
Contact a San Francisco Harm Reduction Therapist
If you’re looking for harm reduction therapy or sex therapy in San Francisco or California, we’d love to connect. Reach out today to learn more or get started.
