In life, it can feel like you need some healing. A place for you to heal from your depression, or to heal from all the unanswered questions that come with your life. No matter where you go, however, it feels like no one can heal you. There is a person who can help, and that is a counselor in San Rafael. 

San Rafael is named after the angel of healing. While calling upon a healing angel can be a challenge, a counselor can help you in this mortal world. However, they help those who can help themselves and follow their plans. Talk to one today and see how they can help.

This is Rika Lopez's avatar and link to their profile

Rika Lopez

Offering therapy in CA
License: LMFT
AddictionsRelationship issuesTrauma and abuseGriefDepression
10 years of experience

Hi, my name is Rika Lopez and I am a Licensed Marriage and Family Therapist with over 10 years of experience working with adults, couples, and families. I am currently a candidate for CSAT (Certified Sex Addiction Therapist) where I am learning tools and techniques to work with those who struggle with compulsive and repetitive behaviors such as pornography addiction, infidelity, "hook up" apps, and other sexually impulsive patterns. Not only do I work with individuals who struggle with these sexually acting out behaviors but also partners who have been betrayed or hurt in their romantic relationships/marriages. As a Christian therapist, I find it also of value to work with faith based clients who feel immense guilt and shame due to their sexual addictions. Sadly many churches do not offer a safe environment for people struggling with sexual addiction to be heard, noticed, or even counseled. This is such a tragic reality. My hope and prayer is that many spiritual communities will begin to expose themselves to real issues and start having difficult conversations with their congregation so people will not silently suffer and drown in their loneliness and isolation. There are tangible and practical resources to help you with your sexual addiction. Let's begin this new journey today! You are not alone in this. You are seen, you are noticed, you are heard. Allow me to walk alongside you so that we can begin to unfold your pain and hurt and get the help that you need! Aside from sex addiction clients, my work with those who suffer from depression, anxiety, and trauma have allowed me to gain further insight into their world which thus helped me become more effective in providing tools and techniques into their day to day functioning. Thru my approach of CBT, Attachment based, and Systems theory, let's get to the bottom of these cycles and patterns you are dealing with. Therapy is a process so there are no quick fixes or changes that happen over night but I guarantee you that as you stay focused and committed, you will begin to see incremental changes in your life. Let's do this already! ONE DAY AT A TIME!! I believe in you!

This is Chelsea Heller's avatar and link to their profile

Chelsea Heller

Offering therapy in CA
License: MS, MA, PPS
Stress, AnxietyLGBTTrauma and abuseParenting issuesADHD
5 years of experience

Hi there! I'm Chelsea! I'm so glad you're exploring therapy - I think everyone can benefit from processing things in life and learning more about themselves. It's important to feel comfortable and connected with your clinician, so I'd like to tell you a bit about myself to help you make an informed decision as to whether or not we'd be a good fit together! I am a Licensed Marriage and Family Therapist (LMFT) in California. Previously, I worked as a social worker for Child Protective Services for 9 years, supporting children and families touched by foster care and adoption. As such, I am well versed in addressing core adoption issues, attachment, and identity concerns. Additionally, I have experience treating depression, anxiety, parenting, blended-families, teen concerns, grief/loss, trauma, abuse, crisis, and adjustment. I've also worked at an in-patient psychiatric hospital, helping stabilize individuals short-term with bipolar disorders, schizophrenia, schizoaffective, depression, anxiety, addiction, co-morbid disorders, suicidal ideations, self-injurious behaviors, and those encountering psychotic breaks triggered by stress. Equally important was my role in educating families about the diagnosis and ways to support their loved ones. I have since transitioned to the education sector and have been supporting students as a School Psychologist. In this role, I conduct psychoeducational assessments to identify students with autism, intellectual disabilities, AD/HD, and learning disabilities, among others. My assessments are then utilized to inform independent education plans. I also conduct Educationally Related Mental Health Service assessments and provide related counseling, serving students with higher mental health needs. Lastly, I would be remiss if I neglected my passion and experience serving the LGBTQ community. For a portion of my time as a social worker, I worked solely with LGBTQ parents and children, providing support to this community. In the school setting, I conducted my doctoral research focusing on LGBTQ student needs and facilitated a Gay Straight Alliance (GSA) club, supporting LGBTQ students and allies. I utilize an eclectic approach with clients, though tend to draw primarily from a humanistic, person-centered approach. This dynamic in a therapeutic relationship means I attempt to “meet each client where they are.” This serves as a catalyst, allowing each individual to progress through their unique process of self-discovery. I also utilize principles from leading psychological modalities such as Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, Motivational Interviewing, and Psychodynamic approaches. My role as a therapist is not to give you advice or change you. Rather, it is to be an understanding, empathic, and non-judgmental support to help guide you to your own choices, AT YOUR OWN PACE. Together, we can establish goals for therapy, and while I can help you gain insight, I will never push an agenda or risk rupturing our therapeutic relationship. I know it takes a lot of courage to seek support, and I am humbled by the opportunity to lend my strength during times when you are most vulnerable. My credentials include: - Bachelor of Arts in Social Science – California State University, San Marcos - Certificate in Parent Education and Training – University of California, Los Angeles - Certificate in Special Education Advocacy – University of San Diego - Master of Science in Research Psychology – University of Phoenix - Master of Arts in Counseling (Marriage & Family Therapy) – Mount Saint Mary’s College - PPS Credential in School Psychology – La Sierra University - Doctor of Education in Educational Psychology and Mental Health (in progress) – La Sierra University - Licensed by State of California Board of Behavioral Sciences (LMFT 116834) About me: I know it is difficult to share intimate details with someone, while not knowing any personal details about them. I also understand the desire for shared experiences, and feeling as though someone truly understands your pain. Thus, I tend to share some of my background with clients, while maintaining professional boundaries and focus. Growing up, my mother was a principal and my father was a chief of police. My older brother struggled with learning disabilities and drug addiction as a teen, eventually leading to crime and prison. Thus, as an adolescent, I was quickly exposed to internal conflict, fearing someone I loved, and grieving that relationship. As an adult, I became a single parent and sought my own therapy to manage the intense feelings of shame while learning to co-parent. I have since found a new partner and was recently married after postponing the wedding 4 times due to COVID.. I continue to navigate the challenges of having a blended family with my 6-year-old daughter and 6-year-old step son. I enjoy concerts, photography, soccer, and camping. I also use profanity a shitload more than I care to admit.

This is Susan Garner's avatar and link to their profile

Susan Garner

Offering therapy in CA
License: MA,LMFT
Stress, AnxietyRelationship issuesTrauma and abuseIntimacy-related issuesDepression
20 years of experience

I bring many years of clinical experience, my personal life experiences, and professional training to my work with clients. I have been a practicing psychotherapist for over 18 years, working with clients from 17-70+ years of age, including individuals, families, couples (including same sex couples), and those from diverse cultural and ethnic backgrounds. The common denominator in my work with every client is the depth of my commitment to their healing and personal growth. Together we will define your objectives and goals. The kinds of problems that each individual brings into therapy are often complicated and not usually neatly categorized. Human beings are complex and though many areas of functioning may be impacted, the source of these often result from a core emotional or psychological injury, or a traumatic event. Sometimes dysfunctional family of origin dynamics have adversely impacted our ability to have healthy, high functioning relationships and we need to learn new skills. For some, therapy can help to improve performance with personal goals. Whatever it is that you are seeking help with, it is well understood that the first step toward changing anything is in identifying the problem. Whatever your objectives my be (even when these are not clearly identified or understood), I am confident that I can help you gain clarity and work towards achieving whatever your goals may be. Therapy has been described as the "talking" cure and sometimes the very act of talking or sharing of experience and feelings with an experienced professional can help...help in the moment to not feel so alone or crazy, and in the long run, to have the clarity, confidence and self-esteem to create a life by design. Studies have shown that there are two important factors in determining the success of therapy: 1) the client's perception of the therapists skills and knowledge and 2) the relationship, or therapeutic alliance, between therapist and client. I offer you my respect, compassion and acceptance. I have studied a variety therapy disciplines and blend traditions from the East (mindfulness, insight-oriented therapy) and West (Cognitive Behavioral Therapy-CBT), somatic body-mind centered, and psychodynamic approaches to effectively address individual needs and differences. I have successfully worked with: relationships, marital problems, self-esteem, communication skills, healthy boundaries, self-esteem and self-confidence, mood disorders, co-dependency, unresolved traumas, anxiety, changing counter-productive patterns, life transitions including loss of loved ones, divorce, blended families.

This is Deloy Link's avatar and link to their profile

Deloy Link

Offering therapy in CA
License: MS,LMFT
Stress, AnxietyFamily conflictsParenting issuesDepressionCoping with life changes
25 years of experience

Welcome to my profile page! I am a Licensed Marriage and Family Therapist with over 20 years of private practice experience. I graduated from Cal State East Bay with a Master of Science degree in Counseling Psychology. I chose Marriage and Family Therapy and Career and Adult Development as my specialty areas of emphasis. My under graduate degree is from Cal Poly San Luis Obispo. My counseling philosophy is supportive, collaborative and proactive. In other words, we get things done! I believe in the science of Biopsychology so I always accept you for who you are and help you explore who you want to become. Every human is made from a sum of their DNA and their life experiences and sometimes things go haywire. The result is confusion brought on by anxiety, depression, or a number of maladaptive coping mechanisms that waylay us from achieving our full potential. Sifting through our confusion can seem impossible and this is where therapy can help. Discovering how to categorize a problem by naming it allows us to fix the problem. I use theoretical modalities derived from Cognitive Behavioral (CBT), Solution Focus, and Family Systems Therapy. Working together I will listen, provide feedback, and partner with you to find peace by offering clarification, reframing, and goal setting. When I chose to become a therapist, I didn’t just choose a career, I chose a lifestyle. I am committed to healthy choices, mentally and physically. I believe that every human being is unique and deserves to have a quality life and fulfilling interpersonal relationships. Exploring the many dimensions of who you are exchanges old thoughts and behavior for new ideas and outcomes. I look forward to guiding you in this journey of self-discovery and healing.

This is Dawn Chandler's avatar and link to their profile

Dawn Chandler

Offering therapy in CA
License: LMFT,CDC
Stress, AnxietyAddictionsLGBTTrauma and abuseDepression
35 years of experience

You can read more about my background, education, experience, and therapy approach by clicking on my name above our messages. You are one step closer to keeping that promise to yourself about gaining control of your unwanted patterns or behaviors. Every client has a story to tell and specific needs that bring them to therapy. Together we will develop and focus on understanding the forces that drive the need for those patterns or behaviors. Everyone has struggles in their life and everyone needs help along the way. I hold an MS in Counseling Psychology, Addiction Specialist, and CCTP, Certified Clinical Trauma Professional. I myself have 35 years of recovery and have 30 years working in the field of counseling, Trauma, and Addiction. I use a collective approach which means I draw from all forms of therapy. I match and adjust to my client's needs. My passion in life is to instill hope in my clients that they may reach their goals of change. I enjoy working with individuals, families, and groups that are motivated towards regaining balance and change in one's life. Together we will develop strategies and coping skills to help you reach emotional and physical freedom. I am compassionate about this work and feel I was called to do this work and to help others experience the world as an individual and in a collective way.

This is Carla Fort's avatar and link to their profile

Carla Fort

Offering therapy in CA
License: NCC, CRC,LPC
Stress, AnxietyTrauma and abuseAnger managementSelf esteemDepression
10 years of experience

You're here! Right here, right now! You may not be there yet, but you have already taken a step towards facing challenges with a strength you never knew you had. Besides, it doesn't hurt to get a little assistance on the way. I'm here to help you. Let me tell you something. Nothing is as remarkable as seeing positive change in my client! Helping you make even the smallest steps towards your goal every day brings me joy and I like to do these silly dances when I've noticed your progress. Even when they seem too small to notice, I'll notice! I can even tell a corny joke or two. You’ll be surprised how much a little positivity can help. I have been a counselor for almost a decade. I am a licensed professional counselor and a certified rehabilitation counselor with additional experience in helping individuals get back to work to attain the highest success possible after experiencing any life changing issues. I have helped people with almost everything you can think of. I have helped those with severe mental health concerns and those with mild ones. I have multicultural experience and have lived in and visited many different countries (experience does help!). I've learned a lot about cultural differences and appreciations. I respect the variation that we have as humans. I understand that there are times when struggles and challenges approach us and we need a little extra boost to help us work through it. I am here to help! When I counsel, my style is energetic, compassionate, and supportive. I praise your progressions, and I can show you how to be proud of your efforts and steps in the right direction. I am client-centered and I want to listen to you and be as helpful as is humanly possible. I am a firm believer in positive psychology, as I love highlighting your strengths! I love to empower my clients. I can't wait to meet you!

This is Krystyna Soch Ridenour's avatar and link to their profile

Krystyna Soch Ridenour

Offering therapy in CA
Stress, AnxietyAnger managementSelf esteemDepression
6 years of experience

I am licensed in California with 5 years of professional work experience working with a wide range of clients including adults, teens, and children as young as 3. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & motivation, self esteem, and confidence. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. My aim is to assist clients in developing the insights to make positive, healthy change in their lives and mental health. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

This is Carson Cozad's avatar and link to their profile

Carson Cozad

Offering therapy in CA
Stress, AnxietyGriefSelf esteemDepressionCoping with life changes
8 years of experience

I am licensed in California with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with grief and loss, motivation, self esteem, and confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialogue and treatment plan to meet your unique and specific needs.

This is Jacqueline Stevens's avatar and link to their profile

Jacqueline Stevens

Offering therapy in CA
Stress, AnxietyRelationship issuesDepressionCoping with life changes
6 years of experience

I am licensed in California with 6 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, depression, & coping with life changes. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

This is VaJezatha Payne's avatar and link to their profile

VaJezatha Payne

Offering therapy in CA
Stress, AnxietyTrauma and abuseSelf esteemDepressionCoaching
15 years of experience

I am licensed in California with 15 years of professional work experience. I have experience in assisting clients with life stressors, anxiety, depression, trauma and abuse, low/no motivation, poor self-esteem and low/no confidence. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming challenges that you are facing. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey. Welcome to behavioral health, where therapy and healing begin.

How to find counseling in San Rafael

Finding the best therapist close by in San Rafael can feel challenging, but know that once you narrow your search for a counselor serving your area, you can find a therapist in your city that is accepting new clients and fits your goals. Whether you're struggling with depression, anxiety, marriage, family issues, or other emotional challenges, feel proud that you have begun your search to find the mental health care services that work best for you in order to begin your personal journey towards emotional healing.

Understanding the type of therapy you'd like to search for is crucial before finding a therapist or psychologist in San Rafael. Perhaps you're interested in narrowing your search for a psychotherapist that can offer psychodynamic, cognitive-behavioral therapy (CBT), talk therapy, provide group therapy, marriage and family therapy for individuals or couples, or couples therapy. Each type of therapy can offer various benefits and address or treat different disorders. If you're still unsure or are new to counseling in San Rafael, feel free to contact the provider via email to find out which methods they practice.

It is also important to understand that mental health professionals in the United States are accredited to provide care, helping individuals and couples, with a variety of licenses. These include licensed marriage and family therapist (LMFT), licensed clinical social worker (LCSW), and clinical psychologist or doctor of psychology (PsyD). Regardless of their licensure, they are trained to treat individuals and couples counseling, and sometimes children, in any type of therapy. Find a therapist under any of these distinctions and know that the sessions they offer can provide a safe place to heal.

Mental health professionals working through their own in- person therapy practice in San Rafael or online may assist clients in improving healthy relationships, communication skills, working through life transitions, managing a mood disorder, improving coping skills, or change in negative thinking patterns. They may also provide a safe place and validation for clients experiencing emotional pain. Verified providers can provide licensed marriage and couples therapy, tailor to individual needs, and create a therapeutic relationship as a National Certified Counselor.

There are all kinds of therapists working with clients today across the United States and in the greater San Rafael area in different types of therapy, including:

  • CBT
  • DBT
  • Substance use therapy
  • Couples therapy

When you're ready to start your search and find therapists, have in mind what type of therapy you'd like your provider to be most experienced with and choose an experienced provider with a practice located near you in the city of San Rafael, elsewhere in Marin, or in the greater state of California.

Frequently asked questions (FAQs)

Some other commonly asked questions on therapy with a licensed counselor and BetterHelp serving the San Rafael area can be found below:

How does the cost of in-person counseling compare to the cost of BetterHelp with a licensed San Rafael therapist?

The average price of an in-person therapy session in the US is $100 to $200 per hour. These prices may be higher in San Rafael due to a higher cost of living. The price also depends on the type of provider you are looking for. See the following average prices for various mental health providers without insurance:

  • Counseling with a psychiatrist: $150-$500
  • Counseling with therapists: $100-300
  • Therapy with a psychologist: $100

While many psychologists in San Rafael may not take health insurance, some in the state of California may work on a sliding scale, meaning they'll factor in your income and charge what you can afford per session. With BetterHelp or clinicians throughout the state of California you can expect significantly more affordable options, with sessions ranging from $65 to $100 per week (billed every four weeks).

How is a licensed therapist on this online therapy platform verified?

Therapists in San Rafael, California working on BetterHelp are licensed, trained, experienced, and accredited as a doctor of psychology (PhD / PsyD), licensed marriage and family therapists (LMFT), licensed clinical social worker (LCSW / LICSW), or licensed professional counselors (LPC). All of these psychology clinicians have a Masters Degree or a Doctorate Degree in their field of psychology sciences, and follow the APA Code of Ethics. They have been qualified and certified by their state's professional board after successfully completing the necessary education, exams, training and practice with a patient, and extensive experience in a healthcare clinic or treatment centers, in order to become a mental health provider. While their lived experience, expertise, careers, and background vary, they all possess at least 3 years and 1,000 hours of hands-on experience with adult and sometimes teen patients, and have the necessary therapist credentials to provide a safe space for long lasting emotional healing in therapy. 

Please note BetterHelp does not offer or provide care from psychiatrists to prescribe a drug as treatment, or perform psychological assessments.

How does working with a counselor in BetterHelp online therapy sessions work?

BetterHelp clinicians treat clients online across the United States (individuals and couples) through life transitions, inner child exploration, long term depression or anxiety, and more. An online mental health professional, including the therapists in San Rafael above, can work with young adults, children, adolescents, and adults virtually as an accredited licensed clinical social worker (LCSW) or licensed marriage and family therapist (LMFT). You do not have to commute to a an office as a psychotherapy client.

Through BetterHelp therapy, you can partake in video, phone, or live chat therapy sessions with your licensed therapist. You can work through various symptoms, use the in app journaling feature, and receive worksheets. You'll also find support groups or group therapy lead by a therapist in San Rafael helping individuals on topics including managing life transitions, symptoms affecting sexual health, behavioral health, coping skills for anxiety or depression, trauma, stress, marriage counseling, and more. 

What mental health issues can psychotherapy address?

BetterHelp's verified San Rafael therapists specialize and have clinical experience in a wide range of mental health issues and modalities, helping clients to feel better and improve their lives every day. See below for examples.

Specialties on BetterHelp include:

You may also be struggling with relationship problems that could be addressed in couples therapy or with a sex therapist. In that case, you may choose to work with one of BetterHelp's experienced cognitive-behavioral therapists or licensed marriage family therapists (LMFT) who work with clients in relationships. You can also try a San Rafael therapy provider through BetterHelp's sister platform, ReGain, which is dedicated to couples and spouses worldwide. 

How do I know if online counseling is right for my family?

One of the potentially rewarding aspects of working with a therapist is the validation and active listening they can provide. Your friends and loved ones may also be available to listen, but you may feel that they may lack the skills to provide objective guidance. Counselors are trained to respond to various concerns, symptoms, and mental health conditions.

A psychologist in your city can support you toward a healthier emotional state, regardless of your mental health, life concerns, or healing needs. While supporting individuals in developing healthier habits, another good benefit of therapy is having an understanding, safe space with a non-judgmental party who can support you through challenging experiences.

Many people have sensitive topics that they may feel ashamed to discuss with their friends or partner. A San Rafael therapist can help you confront these concerns and open up through unique methods of support. There are also many types of therapy, such as art therapy, where you may find you can express yourself through creativity instead of words.

With a lot of people in CA, providers may be booked out with clients. Through the list of profiles above and others within BetterHelp's team, you may be able to find a psychologist within 24 to 48 hours. If you're searching to find a a nearby psychotherapist close to 94913 or the surrounding zip codes, consider others available through the BetterHelp site. No matter if you are seeking help in your area or beyond, online therapy can be a great option.

How should I prepare for my first therapy session with a San Rafael counselor?

Before seeing your therapist, prep for your session by reading to understand the therapy process. You might write a list of questions you want to ask your psychotherapist, any emotional pain you may feel, and the ways in which you hope to improve. When you attend your session, let them know if you have any concerns about therapy or feel unsure about what to talk about. They may help guide you with open-ended therapeutic questions. The first session will often serve as an intake to get to know you as a person and learn why you're attending therapy.

Should I find a therapist or psychologist if I feel fine? 

Some simply don't feel the need to see a psychologist. However, some people may avoid attending therapy due to stigma or preconceived notions of what therapy entails. Although psychologists often support people with mental health conditions, you do not need a diagnosis or condition to attend therapy. You can discuss grief, relationship concerns, stress, or life changes and ask for general feedback and advice. A San Rafael licensed clinical social worker may help you gain power over your life and emotions while you navigate day-to-day experiences.

Gaining a new perspective on yourself through various therapies might allow you to improve your self-esteem, work through relationships, and gain a better sense of your mental health goals. The success you may find through therapy can be dependent on your process.

People may also attend therapy for specific motives, such as bullying, an autism diagnosis, a desire to learn mindfulness meditation, personality concerns, trouble with office workers, specific phobias, and many other principles.

Is mental health care and therapy worth it? 

Therapy is effective and has the power to change individuals' lives. Each client is at a different stage of their emotional healing journey in life, as each human can be unique in their personality, expression, skills, and goals. A psychologist can target various symptoms, experiences, and personalities to help you feel your best and put you on the path to healing. Unlike advice from a friend, family, or non-professional, a mental health professional has an understanding of various disorders like ADHD and depression with many hours of experience in treating adults in their practice. For this reason, seeing an evidence based psychologist in San Rafael, California can be worth it. Over 41 million adults in the US attend therapy services each year, showing it's a popular option and is proven to be effective.

San Rafael has many clinicians who practice person or client-centered individual therapy in-person and through online therapy to assist clients in their healing journey. If you opt into online therapy, you might also be able to meet with providers all over the United States and change therapists easily at any time. Many people struggling with anxiety and depression, substance abuse, body image issues, and more find therapists that are a good fit for them, feel supported, and gain further insight into their lives through internet-based therapy.

Do therapists judge you in therapy sessions?

The boundaries between you and a therapist are in place to help you and them regarding ethical concerns. Mental health professionals are held by ethical standards through the American Psychological Association (APA) and are not allowed to judge or harm their clients. If you are concerned about sharing details about yourself, feel free to withhold personal information. Their job in the therapeutic relationship is to create a safe place, help you gain a deeper understanding of your mental health, and support you. You might consider changing counselors if you don't feel safe or respected.

Stay up to date with the leading online counseling platform

To stay up to date with BetterHelp's initiatives through their social channels, you can follow them on PinterestLinkedInInstagramTwitter, and Facebook. For mental health tips, check out the BetterHelp YouTube channel.

Take some time today to learn more about the team of therapists at BetterHelp to understand the services available to you clearly. If you are new to therapy or have any questions about the services and terms, please reach out through the contact page or send an email to contact@betterhelp.com.

If you’re ready to sign up for online therapy, consider signing up with a platform like BetterHelp and get matched within 24 to 48 hours.

If you are experiencing a crisis or emergency, don't use this site's online services. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:

A woman meets with a therapist online in her home city of San Rafael.

Below are some of the zip codes served by BetterHelp therapists in San Rafael:

94901, 94903, 94913, 94915

Find the right therapist for your needs
Match with a qualified therapist