Mariana Prutton, M.S., LMFT (she/her) | Eating Disorder Therapist in San Francisco

Therapist and clinical supervisor in San Francisco offering online therapy to adults in California, Oregon, and Arizona and consultation and training for therapists.

I support adults with:

  • Disordered eating and eating disorders including anorexia, yo-yo dieting, binge eating, over-eating, emotional eating, bulimia, excessive and compulsive exercise, and avoidant and restrictive food intake disorder

  • Body image issues including general negative body image and body dysmorphic disorder

  • Endometriosis as I am a fellow endowarrior and other chronic medical conditions (e.g., IBS, POTS, autoimmune disorders, etc.)

  • Anxiety including health anxiety, panic attacks, financial anxiety, social anxiety, and generalized anxiety

I also provide clinical case consultation to therapists to:

  • Break down where your client might be stuck

  • Explore evidence-based, client-centered interventions tailored to their needs

  • Build your confidence in treating eating disorders and body image struggles

Education

  • M.S. in Counseling with an emphasis in Couples and Family Therapy from the University of Oregon (Go Ducks!)

  • B.S. in Psychology from UC Santa Barbara. I was a D1 student athlete in Women’s Swimming at both Indiana University and UC Santa Barbara.

Clinical Experience

  • With over 10 years of clinical experience at different levels of mental health care, I offer a compassionate and structured approach so you can improve your relationship with food, your body, yourself, and others in concrete, and practical ways.

  • I’m also a clinical supervisor for other therapists and have been supervising and training other therapists for the last 6 years.

Therapy Approach

  • I draw from a variety of therapy approaches including Acceptance and Commitment Therapy, Interpersonal Psychotherapy, Compassion Focused Therapy, Dialectical Behavior Therapy, and Cognitive Behavioral Therapy. I’m also level-1 trained in Internal Family Systems Therapy.

  • I offer weight-inclusive care guided by the principles of Health at Every Size® (HAES®). The focus is on supporting overall well-being without centering weight as the main measure of health. My approach emphasizes sustainable habits like finding enjoyable ways to move and nourish your body. I aim to provide a respectful, nonjudgmental space where all bodies are valued. Your care will always center your unique needs, goals, and experiences.

  • I am committed to providing affirming and inclusive care for LGBTQIA+ individuals. The therapy space is one where you can show up as your full, authentic self without fear of judgment. I celebrate the diversity of gender, sexuality, and expression and am here to support you in your journey toward healing, self-acceptance, and thriving. Everyone deserves care that affirms who they are.

  • My goal is for people to leave each session feeling heard and understood and with something tangible, whether it's a new perspective, a strategy, or a skill to try or focus on afterward.

Personal

  • I enjoy fostering senior rescue dogs, golfing, seeing live music and comedy, and watercolor painting.