Audrey Keaney, PhDc
Relationship Therapy
Relationships can be one of the most meaningful sources of joy in our lives—and also one of the most challenging. Many couples or partners seek therapy when they feel stuck, disconnected, overwhelmed, or uncertain about how to move forward. Whether you’re longing to feel closer, struggling with recurring conflict, or navigating complex dynamics, I provide a safe, supportive space to explore what’s happening between you and to build healthier, more fulfilling ways of relating.
My approach draws from attachment theory and relational, neuroscience-informed practices, which emphasize our deep need for connection, safety, and trust. I view relationship struggles not as one partner’s fault, but as patterns that both people contribute to and can work to shift together. In therapy, we look at those cycles—how hurt, miscommunication, or unmet needs play out—and practice new ways of listening, responding, and connecting.
I work with a wide range of couples and partnerships and affirm diverse identities, relationship structures, and sexual expressions. A particular focus of my work is supporting couples and partners in the areas of sex and intimacy—helping you navigate challenges around desire, sexual expression, physical closeness, and emotional vulnerability.
Areas I commonly support include:
Building and restoring physical and emotional intimacy
Navigating mismatched desire or changes in sexual connection
Healing from past hurts and trauma that affect closeness
Strengthening communication and conflict resolution skills
Rebuilding trust and security after breaches or disconnection
Navigating major life transitions (parenthood, loss, career changes, etc.)
Couples and partners who benefit most from this work are often motivated to strengthen their bond—even if they feel unsure how to get there. For those who feel uncertain about the future of their relationship, therapy can also provide space for clarity and thoughtful decision-making about how (or if) to move forward together.
My role as your therapist is not to take sides or assign blame, but to help you and your partner feel truly heard, understood, and supported. Together, we can uncover the underlying dynamics shaping your connection and build pathways toward greater security & intimacy.
If you live in the state of California, I am available to book for therapy appointments via telehealth through under the supervision of Dr. Jennifer Christian, PsyD (PSY30295).
Specialties
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Relational, developmental, discrimination-based, medical, generational, complex, or sexual.
Every person carries some form of trauma, whether through major events, relational wounds, or experiences that were small but left a mark. Trauma lives in the body and in the stories we tell about ourselves. Together, we work with both. -
Early attachment shapes everything — how close we let people in, how we handle conflict, what we do when we're hurt. If your relationships feel stuck or unsatisfying, we can work with the roots of that.
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Loss, grief, death and dying, breakups and divorce, career change.
Whether you're navigating loss, an ending, a new role, or an unexpected shift in who you are, therapy offers a space to grieve, reorient, and find your footing again. -
Sexuality and desire are deeply embodied, and deeply vulnerable. Shame, trauma, nervous system dysregulation, and disconnection from the body can all create blocks to pleasure and intimacy. I work somatically to help you reconnect with your body, understand what gets in the way of desire, and move toward a more embodied and satisfying relationship with your own sexuality — whether that's on your own or within a partnership.
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Pregnancy, birth, and early motherhood are profound thresholds, ones that can shake your sense of self, your relationships, and your identity. My doctoral research explored the experience of awe during childbirth, and I've come to understand birth as a transformative passage that can open unexpected access to the depths of who we are. Whether you're navigating birth trauma, the disorientation of new motherhood, or the grief of loss or infertility, I bring both clinical care and deep respect to this work.
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I work with concerns related to body image, hormonal transitions, relational patterns, and the deeper questions of worth and identity that so many women carry. I also hold reverence for the initiatory passages unique to women's lives, from menarche to motherhood to menopause, as thresholds that deserve tending.
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Questions of meaning, mortality, and the sacred deserve more than a clinical response. I work with people navigating spiritual emergence, religious trauma, and the existential terrain that sits beneath so much of our suffering.
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Identity is not fixed, it shifts, deepens, and sometimes changes entirely. Whether you're exploring your sexuality or gender, moving through a religious or spiritual transition, stepping into a new phase of life, reckoning with who you are after loss or trauma, or simply asking who you are becoming, this is a space for that inquiry. I work with curiosity and without assumption about where the process should lead.
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Psychedelic experiences can open unexpected access to the psyche, and without support, those insights often fade before they can take root. I work with people preparing for and integrating psychedelic experiences, including setting intentions, making meaning of what emerged, working through difficult or overwhelming material, and grounding insights into daily life.
I also support clients in microdosing preparation, education, and integration.
**Note: I do not provide illicit substances or psychedelic assisted therapy, I only support individuals looking to prepare, set intentions, and integrate their psychedelic experiences.
How I Work
My approach is relational and depth-oriented, grounded in the belief that lasting change happens through the body, the unconscious, and the therapeutic relationship. I draw on somatic, psychodynamic, Jungian, transpersonal, and parts-based frameworks, woven together in response to what each person brings.
The body holds what the mind cannot always access. When overwhelming experiences occur, the nervous system can get stuck in unfinished survival responses, showing up as hypervigilance, dissociation, tension, or chronic stress. Somatic work gently supports the body to complete those responses and return to balance, creating relief that goes deeper than insight alone.
Depth psychologically, I listen for what lies beneath: unconscious patterns, relational wounds, and protective strategies. Dreams, images, and symbols are welcome as invitations into the deeper psyche.
The therapeutic relationship itself is part of the work. How we connect, rupture, and repair in the room often mirrors the patterns that brought you here. Alongside symptom relief, I listen for questions of identity, purpose, and individuation: what has been disowned, what grief needs honoring, and what wants to come more fully alive. The aim is integration: a more embodied, authentic, and compassionate relationship with yourself and others.
To book an appointment, initial consultation, or find out more details:
Call (408) 827-5764 or
Email here
Some Questions Answered
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Sessions are typically 50 minutes long.
Typically, appointments are scheduled to occur on the same day/time every week. Many people find that this is just right for their needs, however some people find that meeting more often (twice per week) can feel supportive and accelerate the change process during challenging times. This is highly individualized and we can discuss a cadence that feels right for you during our initial meetings.
Each person and situation is unique, and session frequency can be an ongoing conversation in our work together. -
Yes, at this time I am only seeing clients virtually across California.
You can join me from your home or from a private space on your lunch break. Online therapy is portable and flexible.
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Your appointments are reserved specifically for you, and I value the time we set aside to work together. If you need to cancel or reschedule, please provide at least 24 hours' notice to avoid a late cancellation fee. Appointments canceled with less than 24 hours' notice will incur the full fee of the session. Sessions cancelled within the 24 hour time-frame that are rescheduled within the same week do not incur a charge. Thank you for respecting this policy, as it allows me to best serve all my clients.
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Therapy is a highly individual choice and journey and it is not possible to say how long it will take.
What research does show us is that the best outcomes in therapy are based on the strength of the therapeutic relationship and also showing up fully and doing the work.
Your active participation in the process is vital to the outcome.
While this is unique to each person, the kind of therapy I do is an investment - but it is an investment in yourself and your future. It is not a bandaid or a quick fix and many clients are in therapy with me for six months or longer. This is because we are doing deeper work to create real, lasting change.
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Sessions are $230 per 50-minutes.
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I accept payment by debit or credit card only at this time, including FSA and HSA cards.
I do not accept insurance, but I can provide a super bill which you can use for reimbursement from your insurance provider.
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I have several sliding-scale spots as part of my practice. Reach out to discuss if you may be eligible.
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Each story and individual is different and I create an individual treatment plan around each specific patient.
There is no one-size fits all approach to therapy, and this nuanced, highly specific approach is above all, collaborative.
Modalities that I work with are psychodynamic, psychoanalytic, relational, somatic and transpersonal.
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Due to state regulations, I am unable to provide therapy to those living outside of California. However I do provide coaching for individuals around the world. Contact me for more details.
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If you’re not sure where to start, I offer a free 30-minute consultation.
We’ll discuss what’s been going on, what you’re hoping for and any questions you have about therapy or working with me.
From there, we can decide on the next steps.