NOTICE: Sessions are offered in-person at our San Francisco office and by telehealth throughout California.

NSAC San Francisco, also known as Pacific CBT, is located in the Pacific Heights region of San Francisco in the Healing Arts Building at 1801 Bush Street. NSAC-SF offers a full range of therapeutic services to treat social anxiety disorder. Treatment begins with a comprehensive diagnostic evaluation by one of our experienced therapists. Services offered include individual CBT therapy, cognitive-behavioral group therapy, alumni aftercare groups, and social skills coaching.
Website: www.pacificcognitivebehavoraltherapy.com
Contact National Social Anxiety Center
San Francisco
Pacific Cognitive Behavioral Therapy
john@pacificcbt.com
pacificcognitivebehavioraltherapy.com
(415) 689-4131
1801 Bush Street, Suite 205
San Francisco, CA 94109
Staff at the National Social Anxiety Center
San Francisco

CLINIC REPRESENTATIVE TO NSAC:
John R. Montopoli, LMFT, LPCC
Specializations:
John treats adults with a variety of concerns, including—
- Anxiety Disorders including social anxiety, shy bladder, panic attacks, phobias, generalized anxiety, and worry
- Obsessive Compulsive Disorder and Body Dysmorphic Disorder
- Insomnia
- Depression
- Relationship challenges including conflict and/or dissatisfaction and breakups/divorce
- Work stress
- Insomnia
- Depression
John is a Licensed Marriage and Family Therapist and Licensed Professional Clinical Counselor who has worked in the mental health field for more than 20 years helping college students and adults, of all ages. He uses a combination of empathy and evidence-based therapies to help his clients who live with anxiety disorders, depression, work stress, obsessive compulsive disorder, specific phobias, life transition issues, and sexual identity issues.
Experience:
20+ Years
Ages:
- Young Adults
- College Students
- Adults (18+)
John started working with clients in 1996, and he received his license in 2003. One year later, he opened his own practice. He has dedicated his career to working in the field of mental health and helping his clients overcome barriers to achieving their goals and, ultimately, helping them to improve their quality of life. John enjoys working with those who live with anxiety disorders, such as social anxiety, panic disorders, specific phobias, and generalized anxiety. Other areas of special interest to him are depression, obsessive compulsive disorder (OCD), life transition issues, and work stress.
As a Licensed Marriage and Family Therapist and Licensed Professional Clinical Counselor, John sees working with his clients as a privilege where he is welcomed into their inner experiences. He appreciates the opportunity to help people who struggle with solving issues on their own and finds it rewarding to see people make positive changes and learn new life skills. He enjoys sharing the journey with his clients who are on paths to improving their lives.
John uses a combination of empathy and evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, and elements of Dialectical Behavior Therapy, Acceptance and Commitment Therapy, and Mindfulness. He practices compassion to ensure that his clients feel respected and understood while working to be goal-oriented, skills-based, and structured.
Outside of his work with clients, John loves to travel, go to indie films, hike on the beach, and try new restaurants.
Education and Professional Affiliations:
Master of Arts in Counseling Psychology – University of San Francisco
Bachelor of Science in Psychology – Fordham University, New York
Post-Graduate Training – Beck Institute for Cognitive Behavioral Therapy
Post-Graduate Advanced Training (OCD Treatment) – International OCD Foundation Behavior Therapy Training Institute
Certified Diplomate – Academy of Cognitive and Behavioral Therapies

David A. Ruth, NCC, LPCC
Specializations:
- Anxiety
- Depression
- Career and Work Issues
- Relationship Issues
- Life Transitions
David is a Licensed Professional Clinical Counselor and National Certified Counselor who has worked in the field for more than five years. He works with adolescents, young adults, and adults who live with anxiety, depression, and issues related to relationships, life transitions, work, and career. David particularly enjoys working with young adults who are experiencing a range of life changes.
Experience:
5+ Years
Ages:
- Adolescents (14+)
- Young Adults
- Adults
For more than five years, David has dedicated his career to helping clients with anxiety, depression, life transitions, relationship issues, and career and work issues. He uses Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy, and mindfulness. David particularly enjoys his work with young adults dealing with a range of stressors, such as relationships, professional identity, and work-life balance, all while exploring their own identities and questioning some of the beliefs they developed earlier in life. He finds that young adults are particularly open to therapy and making changes.
As a Licensed Professional Clinical Counselor and National Certified Counselor, David sees his work as a therapist as an extraordinary opportunity to see the uniqueness of each individual, their experiences, and how they relate to their world. Because therapy draws from a wide range of evidence-based solutions, David has the opportunity every day to collaborate with his clients to find the solutions that have the potential to make real differences in their lives.
David uses an approach based upon openness and acceptance with each client to explore their unique story and what it might mean to their lives today. He maintains a commitment with his clients to use every session as an opportunity to look for solutions and help the client move ahead.
David came to the field of therapy having had a professional career, a family, and a lifetime of cross-cultural experiences that he finds helpful in connecting with people from various backgrounds and experiences.
Education and Professional Affiliations:
Master of Arts in Clinical Counseling – Fairfield University (2016)
Master of International Affairs – Columbia University (1979)
Bachelor of Arts in International Relations – University of Wisconsin (1977)
Northern California Cognitive Behavior Therapy Network (NCCBT)
