How MacKenzie Works
Psychodynamic: explore how past experiences create present reality
Narrative: author stories that help you cope with struggles
Solution-focused: find what works and do more of it
Strength-based: you have the wisdom to find your own happiness and stability
Skills-based: learn wellness tools from evidence-based practices like cognitive-behavioral and dialectical behavior therapy
Enneagram: learn about 9 types of personality and see how they play out in your life
Body-based: learn about your nervous system and befriend it using concepts from polyvagal theory
Creative: pull a tarot card, grab a coloring book, or create a collage to tap into your intuition
Eclectic: borrow from any discipline that helps
Who MacKenzie Works With
MacKenzie works with a variety of adults from a variety of backgrounds. She won't judge you for consensual expressions of your identity and sexuality. People who have historically been left out of therapeutic healing due to systemic forces are especially welcomed. She works with a variety of folks, including but not limited to:
Lesbian, gay, bisexual, trans, queer, intersex, asexual, and 2-spirt people are all welcome at Metaphor Therapy
People in ethically nonmonogamous relationships, including polyamorous and open relationships
BDSM/kink practitioners and community members
Fat people and folks of size
People living with chronic depression and suicidality
Mental health professionals, including therapists, social workers, coaches, and peer counselors
Each individual comes to therapy with their own goals in mind and MacKenzie is here to work on whatever you feel would most benefit you. You'll work collaboratively with MacKenzie to determine a path of treatment that makes sense for where you're at. MacKenzie works with clients on many facets of their lives, including but not limited to:
Discovering and supporting individual boundaries
Creating relationship agreements that honor individual boundaries
Consensual nonmonogamy, especially polyamory
Navigating relationship dynamics
Finding the right relationship structures
Nurturing metamour relationships
Managing depression and suicidality
Finding meaningful activities
Using the skills you've gained in your relationships to manage depression or other mental health symptoms
MacKenzie meets with clients weekly for 50-minute sessions, with 75-minute sessions available as needed. The duration of therapy is variable and depends on you and what you'd like to work on. MacKenzie offers longer term depth work, brief therapy, and everything in between. She is available for (and enjoys!) tuneups months or years after the body of weekly therapeutic work has concluded.
Intersectionality and Kyriarchy
In all aspects of her life, including your work together, MacKenzie commits to communicating without reinforcing systems of oppression. She makes this commitment knowing that her own points of privilege guarantee she will at times fall short of this commitment.
MacKenzie offers her clients acceptance and support regardless of what they say or do. She believes being accepted as you are creates a safe enough space from which to move toward growth and be accountable to yourself. She holds awareness of oppression, privilege, systemic power structures, and the intersectional way these impact our lives. She is firmly committed to work that weakens these systems of domination.
MacKenzie is a licensed marriage and family therapist. She sees clients in her Alameda office and online, and supervises a team of associates. She is a member of core faculty at The Wright Institute, where she especially loves teaching Psychopharmacology and the Biological Bases of Behavior and Diagnosis and Empirically Supported Treatments.
MacKenzie has participated in mental health care for depression since childhood. She is a queer white cisgender woman.
MacKenzie began her mental health career with Crisis Support Services. In addition to spending six years on their suicide and crisis hotlines, MacKenzie worked as a therapist for a variety of populations, served as a member of the community education team, and provided supervision to therapist interns. She still provides training to therapist interns at CSS.
MacKenzie served as a Program Manager and clinician for service teams supporting adults and older adults experiencing poverty, homelessness, and mental health challenges as part of Bay Area Community Services. She also served as the treasurer of the board of directors for PEERS and a board member for San Francisco Sex Information (SFSI). She was a relief clinical supervisor with Horizon Services, Inc.
MacKenzie has a BA in Political Theory from Scripps College and an MA in Counseling Psychology from John F. Kennedy University.
MacKenzie is a member of CAMFT and Bay Area Open Minds. She is a SFSI-endorsed sex educator. She is proudly listed in the Kink Aware Professionals Directory and the Poly-Friendly Professionals Directory.
MacKenzie sends out an occasional newsletter to keep in touch with friends and colleagues from the mental health community. Feel free to subscribe!
Outside of Work
MacKenzie enjoys artistic pursuits in a variety of media, board and video games, and puzzles. She collects tarot decks and zines.