Mariana “Mar” Prutton, M.S., LMFT (she/her)
Therapist and clinical supervisor in San Francisco offering online therapy to adults in California and Oregon and consultation and training for therapists.
Specialties
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Anorexia nervosa, including restrictive eating and intense fear of weight gain
Constant thoughts and preoccupation with food, weight, and body shape
Binge eating episodes and feeling out of control around food
Chronic overeating or eating past fullness
Emotional eating as a way to cope with stress, anxiety, or sadness
Purging behaviors, such as self-induced vomiting
Laxative misuse or abuse to control weight or relieve discomfort
Avoidant/Restrictive Food Intake Disorder (ARFID)
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Ongoing struggles with negative body image and low self-esteem
Body dysmorphic disorder (BDD), including obsessive focus on perceived flaws
Feeling uncomfortable, self-conscious, or disconnected from your body
Frequent body checking or avoiding mirrors altogether
Comparing your body to others and feeling “not good enough”
Avoiding social situations, photos, or certain clothes due to body dissatisfaction
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Generalized Anxiety Disorder (GAD), including chronic worry and tension
Health anxiety and constant fear of illness or medical concerns
Panic attacks and panic disorder, with sudden waves of intense fear
Social anxiety, including fear of judgment or embarrassment in social situations
Restlessness, racing thoughts, and difficulty relaxing
Physical symptoms of anxiety such as rapid heartbeat, sweating, or shortness of breath
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As someone who also lives with endometriosis, I understand firsthand the physical, emotional, and mental toll it can take. I offer therapy tailored to the unique challenges of living with endometriosis, including pain management, fatigue, anxiety, depression, and the impact on relationships and daily life. Using evidence-based therapeutic approaches for chronic pain, I help clients build coping skills, reduce the emotional burden of symptoms, and reclaim a sense of control and quality of life.Item description
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I work with clients experiencing irritable bowel syndrome (IBS) and other gastrointestinal conditions that impact daily life. Research shows that brain–gut behavioral therapies can help manage and improve GI symptoms by addressing the connection between the nervous system and digestive system. In therapy, we focus on reducing stress-related symptom flare-ups, building coping skills for discomfort, and supporting lifestyle changes that improve overall digestive health and quality of life.
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I provide clinical case consultation for therapists who want guidance in supporting clients with eating disorders and body image concerns. Together, we can:
Identify where your client may be feeling stuck or not progressing
Explore evidence-based, client-centered interventions tailored to their needs
Strengthen your clinical skills and confidence in treating eating disorders and body image struggles
Whether you’re new to this work or looking to deepen your expertise, consultation offers practical strategies, new perspectives, and professional support so you can feel more equipped.
About Me
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University of Oregon
M.S. in Counseling with an emphasis in Couples and Family Therapy
UC Santa Barbara
B.S. in Psychology from UC Santa Barbara.
D1 student athlete in Women’s Swimming at both Indiana University and UC Santa Barbara.
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With over 10 years of clinical experience at different levels of mental health care, I offer a compassionate and structured approach so you can understand yourself better and 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.
I draw from a variety of therapy approaches including:
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.
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I enjoy fostering senior rescue dogs, golfing, running, attending live music and comedy shows, and watercolor painting.