

San Francisco residents struggling with substance use, alcohol, or behavioral addiction can find compassionate providers specializing in recovery strategies including harm reduction, relapse prevention, and 12-step facilitation. Headway offers flexible scheduling with free consultations available.
Life can be demanding, and it's easy to spend so much time caring for others, meeting expectations, and managing responsibilities that your own needs take a back seat. I offer a welcoming space to gain clarity, work through challenges, and reconnect with yourself. Together, we'll identify practical solutions while creating meaningful and lasting growth.
I have a passion for coming alongside others and believe it's part of my DNA as a human being. I'm a mom, a Veteran, been married/divorced and I love my job! I specialize in trauma.. the big "T's" and the little ones. I have experience working with sexual assault, complex PTSD, moral injury, addictions, and grief.
I am an African American woman with over 32 years of experience providing social service and therapeutic support to marginalized families who have experienced trauma — from Criminal Justice involvement, Adult and Child Protection systems, to housing insecurity, intimate partner violence and substance use challenges. I also have a deep passion for working with pregnant and postpartum individuals navigating pregnancy loss, perinatal mood disorders, leading to postpartum depression and anxiety. It is also important for me to hold space for Fathers who are navigating raising children as single fathers.
My therapeutic approach creates a safe, compassionate space where we partner together to challenge unhealthy beliefs, reduce shame and guilt, and address traumatic experiences at whatever pace feels right for you.
While my work is primarily centered with the BIPOC community — African American women specifically — it is my goal that no individual ever feel alone when dealing with depression, anxiety, or trauma. Through active listening and gentle, honest dialogue, I partner with individuals to uncover what is keeping them stuck and walk through those hard places together — building trust, fostering resilience, and creating a real sense of freedom for themselves and their families.
As an Asian American growing up overseas, I bring cultural considerations and my multicultural experiences into the therapy process.
I work with adults and seniors navigating anxiety, depression, grief, trauma, past hurts, and life transitions that can feel overwhelming to carry alone. Many of my clients come in feeling stuck, exhausted, or unsure how to move forward. My goal is to offer a supportive, welcoming space where you feel heard and understood as we work toward greater peace, confidence, and connection in your life.
I have been working in private practice for a few years and before that I worked in non-profits with a variety of individuals and groups. I am the parent of two adult sons and have three grandchildren that I thoroughly enjoy spending time with. I have an educational background in the study of philosophy, spirituality and counseling psychology. I have experience with helping people with histories of trauma, severe mental illness, as well as, symptoms of anxiety and depression. I also have experience and some expertise with clients struggling with substance use.
Demetric “Dee” Marsh, LCSW, JD, is a dedicated behavioral health professional with over 25 years of experience in the mental health field. She is a multistate licensed Licensed Clinical Social Worker and holds a Juris Doctor degree from the Jacob D. Fuchsberg Law School in New York. She earned her Master’s degree in Social Work from Adelphi University, with a specialization in mental health and addictions, and holds a Bachelor’s degree from Hofstra University in Sociology with a minor in Political Science and French Language/Culture.
Dee has extensive experience working in a variety of roles, including psychotherapist, program director, clinical supervisor, adjunct professor, and consultant. She also provides LCSW clinical supervision. Her practice includes working with individuals, families, couples, and groups.
She specializes in a wide range of areas, including anxiety, depression, trauma, stress management, addictions, grief and loss, workplace and employment issues, women’s issues, diversity and cultural concerns, spirituality, and court-related assessments and recommendations, as well as foster care and adoption-related services.
Dee believes in meeting each client where they are and tailoring treatment to their unique needs. She is committed to creating an inclusive, safe, and supportive environment that fosters trust, healing, growth, and a strong therapeutic alliance.
I believe therapy should feel like a space where you can finally exhale. I strive to create an environment that is supportive, honest, and free of judgment; a place where you feel truly seen and emotionally safe. My approach is collaborative and practical. I don’t just help you understand why you feel the way you do; I help you build real tools to navigate it.
I earned my degree from Cal State Fullerton and have extensive experience working in addiction treatment, eating disorder recovery, and women’s issues. Supporting women is especially meaningful to me. I am deeply passionate about helping women navigate challenges related to self-worth, body image, relationships, boundaries, life transitions, and identity. I understand how trauma, societal expectations, and relational dynamics can shape how women see themselves, and I approach this work with both compassion and clarity.
Together, we focus on strengthening mindfulness, emotional regulation, distress tolerance, and communication skills in ways that feel realistic and sustainable. I blend insight-oriented exploration with concrete strategies, because meaningful change happens when insight meets action. My goal is to help you better understand your patterns, feel more confident managing your emotions, and move forward with greater clarity, self-trust, and resilience.


Headway makes it easier to find support for overcoming addiction — from finding the right provider, to understanding costs, to scheduling with ease.
Finding addiction therapists in San Francisco starts with knowing what kind of support fits your needs. Addiction care can include support for alcohol use, drug use, substance use concerns, and behavioral patterns related to gambling, sex, or internet use. Many therapists list approaches such as motivational interviewing, cognitive behavioral therapy for substance use, harm reduction, or coordination with medication-assisted treatment when a prescriber is part of your care team. As you compare therapists, look for training and listed specialties that match what you want to work on.
San Francisco has many therapists across neighborhoods like the Mission, SoMa, the Richmond, and the Castro, which can make it harder to narrow your options. Consider whether an office location fits your commute, whether virtual appointments work better with your schedule, and whether the therapist is accepting new patients. Recovery can move in different directions over time, so it can help to read bios for signs of a nonjudgmental approach, experience with harm reduction frameworks, and a communication style that feels clear to you.
Therapy in San Francisco can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway helps you search for addiction therapists who match your location, preferences, schedule, and insurance plan. You can review therapist bios, see estimated costs after entering your insurance details, and book directly when you’re ready.
If you or someone you know is experiencing severe withdrawal symptoms — especially from alcohol or benzodiazepines — talk to a medical provider or seek emergency care before starting outpatient therapy. If you or someone you know is struggling with addiction or substance use and is in a crisis, immediately reach out to:
* 988 Suicide & Crisis Lifeline — call or text 988 * SAMHSA National Helpline — 1-800-662-HELP (4357), free, confidential, 24/7 * Crisis Text Line — text HOME to 741741
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