Maysie Tift, M.A., MFT
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  • Online/ Video Therapy
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  • Childhood Emotional Neglect (CEN)
  • Mindfulness
  • Hypnosis
    • Hypnosis
    • Quit Smoking
    • Digestive Disorders
  • Nutrition Therapy
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  • Coaching for therapists Launching a Private Practice
  • Forms and handouts for clients
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Forms for New Clients

Notice of Privacy Practices/ HIPPA: (read-only - no signature required)
notice_of_privacy_practices.pdf
File Size: 98 kb
File Type: pdf
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Consent to Teletherapy:  Please submit this form to me prior to our first video/audio session.
Click here for fillable teletherapy consent form
Identifying your Out of Network Benefits:  Use this form when calling your health insurance provider to ask about your mental health benefits. 
identifying_your_out_of_network_benefits.pdf
File Size: 82 kb
File Type: pdf
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Tools and Handouts for Clients

Therapy Progress Check-in: It’s helpful for you and your therapist to periodically set aside time to discuss how therapy is going for you. Here are some questions to consider.
Click here for Therapy Check-in Guide
Depressions Symptoms Checklist: You and those closest to you can use this form to monitor your depressive symptoms. Learn about your unique ways of experiencing depression, monitor changes and progress, and watch for red flags that indicate a worsening of symptoms or crisis. 
Depression_symptom_checklist.pdf
File Size: 35 kb
File Type: pdf
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Activity Schedule:​ Depression often leads to, and is worsened by, a reduction in activity levels and a withdrawal from the world. In order to recover, it is critical to engage with the world, to be active, and to handle your responsibilities. Use this form to commit yourself to specific daily goals. 
Activity_schedule.pdf
File Size: 40 kb
File Type: pdf
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Unhelpful Thinking Styles (aka "Cognitive Distortions"): This list describes some ways of thinking about the self, the world, and others that distorts reality and feeds bad moods. 
thinking_styles_that_feed_bad_moods.pdf
File Size: 66 kb
File Type: pdf
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Challenging Unhelpful Thoughts: (aka the "Thought Record") Use this form for tracking your thoughts and related behaviors which contribute to unwanted feelings of sadness, hopelessness, pessimism, anxiety, panic, anger, etc. Practice challenging those thoughts and choosing more helpful, balanced self-talk that will leave you feeling better and prevent a negative downward spiral. 
Challenging_unhelpful_thoughts.pdf
File Size: 27 kb
File Type: pdf
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I-messages: This is a simple but very important tool for non-defensively communicating your needs and feelings to your spouse/family members. 
i-messages.pdf
File Size: 38 kb
File Type: pdf
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Fair Fighting Rules: Develop skills for more loving and effective, less stressful problem resolution in all your relationships.
fair_fighting_rules.pdf
File Size: 82 kb
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Chart of Quit Smoking Medications: Learn about and compare the medications available to help smokers through the initial withdrawal phase. 
quit_smoking_medications.pdf
File Size: 43 kb
File Type: pdf
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IBS severity Index: Track you IBS symptoms over time.
ibs_severity_index.pdf
File Size: 66 kb
File Type: pdf
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Maysie Tift provides psychotherapy services in both San Francisco and Marin (San Rafael). She specializes in methods for moderating alcohol and other substances; treating depression and anxiety disorders; Brainspotting; mindfulness; parent-child enmeshment; adult survivors of emotional neglect (CEN) ; recovering from narcissistic abuse; nutritional approaches to mental health; helping people with Irritable Bowel Syndrome and quit smoking via hypnosis.
  • Home
  • Contact/ Schedule
  • Psychotherapy
  • Online/ Video Therapy
  • Moderating Alcohol
  • Childhood Emotional Neglect (CEN)
  • Mindfulness
  • Hypnosis
    • Hypnosis
    • Quit Smoking
    • Digestive Disorders
  • Nutrition Therapy
  • Fees & Insurance
  • Locations
  • FAQs
  • Coaching for therapists Launching a Private Practice
  • Forms and handouts for clients
  • Twitter feed
  • Blog