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Addiction therapists & psychiatrists in San Francisco, CA

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Top addiction and substance use disorder therapists and psychiatrists in San Francisco, CA

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.

Sharon Walsh

Sharon Walsh

Therapist

Virtual • California


I believe the best work happens when you feel comfortable, understood, and supported. My goal is to create a space where you can be yourself—no pressure, no judgment, and no need to have everything figured out before you start. We’ll work together to explore what’s bringing you in, what matters most to you, and what you’d like to change or better understand.

I don’t believe in one-size-fits-all approaches. Each person is different, so our work will be tailored to your needs, your goals, and your pace. Whether you’re feeling stuck, overwhelmed, going through a transition, or simply wanting to better understand yourself, I’m here to help you move forward in a way that feels manageable and authentic.

What I Bring to Our Work

  • A welcoming, nonjudgmental space
  • Thoughtful listening and honest, compassionate feedback
  • A balance of insight and practical tools you can use outside of sessions
  • Support that’s personalized to you, not a preset formula

If you’re looking for someone who is easy to talk to, genuinely supportive, and invested in your growth, I’d be glad to work with you and see if we’re a good fit.

Substance use / addiction, Anger management, Anxiety, Depression, End of life care
Direct, Open-minded, Warm
Accepts 9 insurance carriers
Dr. Arkadiy Yaretskiy

Dr. Arkadiy Yaretskiy

Psychiatrist

Virtual • California


“I seek to understand emotional difficulties within the broader context of an individual's life, health, relationships, and culture.”
Substance use / addiction, Anger management, Anxiety, Bipolar disorder, Chronic conditions
Affirming, Inquisitive, Warm
Accepts 5 insurance carriers
Stephanie McCarty

Stephanie McCarty

Therapist

Virtual • California


“My counseling style is warm and casual yet direct; typically combining Cognitive Behavioral (CBT), Dialectical Behavioral (DBT), mindfulness approaches and a solution/action-oriented style.”
Substance use / addiction, Anxiety, Chronic conditions, Depression, End of life care
Empowering, Humorous, Open-minded
Accepts 7 insurance carriers
Megan Galloway

Megan Galloway

Therapist

Virtual & in-person • Pasadena, CA


“My approach is warm, holistic, and trauma-informed, recognizing that our past experiences, relationships, and nervous system all play a role in how we feel today.”
Substance use / addiction, Anxiety, Depression, Family issues, Grief or loss
Empowering, Holistic, Warm
Accepts 2 insurance carriers
Joy Zembruski

Joy Zembruski

Therapist

Virtual • California


“In your first therapy session, you can expect a welcoming, low-pressure environment focused on introductory questions and building rapport.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Inquisitive, Open-minded
Accepts 8 insurance carriers
Melissa Deneau

Melissa Deneau

Therapist

Virtual • California


“I help clients understand the connection between their thoughts, emotions, and behaviors, and guide them in building practical tools to feel more in control of their lives.”
Substance use / addiction, Anger management, Anxiety, Bipolar disorder, Chronic conditions
Inquisitive, Solution-oriented, Warm
Accepts 9 insurance carriers

Offers free consultationsView profile and book
James Wagner

James Wagner

Therapist

Virtual • California


“My clients don't need a therapist who hands them worksheets; they need someone who will actually sit with them in the hard stuff.”
Substance use / addiction, Anger management, Anxiety, End of life care, Family issues
Direct, Humorous, Open-minded
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Patricia Riley

Patricia Riley

Therapist

Virtual • California


“I believe in each individual's right to self determination. Life can have multiple challenges, but with a thoughtful approaches it can reduce the power over us the challenges can have.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Open-minded, Solution-oriented
Accepts 5 insurance carriers
Dr. Alejandro Andrade

Dr. Alejandro Andrade

Psychologist

Virtual • Sacramento, CA


“I tailor treatment to each individual and value a collaborative, down-to-earth approach that integrates both mental and physical health perspectives.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Holistic, Humorous
Accepts 3 insurance carriers

Offers free consultationsView profile and book
Osiris Walls

Osiris Walls

Therapist

Virtual • California


“Our sessions are thoughtful, honest, and collaborative. I listen closely so you feel heard, understood, and never judged.”
Substance use / addiction, Anxiety, Bipolar disorder, Depression, Grief or loss
Direct, Humorous, Open-minded
Accepts 5 insurance carriers
Eva Okatcha

Eva Okatcha

Psychiatric Mental Health NP

Virtual • California


“I use a holistic, individualized approach to treatment, including therapy and medication management.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Holistic, Open-minded, Warm
Accepts 10 insurance carriers
Jalil Vazquez

Jalil Vazquez

Therapist

Virtual • California


“As your therapist, I am an empathic, authentic and present person in the room helping you navigate the challenges of life.”
Substance use / addiction, Anxiety, Cultural & ethnic issues, End of life care, Grief or loss
Challenging, Inquisitive, Open-minded
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Anita Harutunian

Anita Harutunian

Therapist

Virtual • California


“I advocate a philosophy of acceptance, compassion, empathy, respect, and a non-judgmental style with all my clients.”
Substance use / addiction, Anxiety, Depression, Family issues, Relationship issues
Affirming, Empowering, Warm
Accepts 2 insurance carriers
Dr. Carrie Canales

Dr. Carrie Canales

Therapist

Virtual • California


I am a full-time professor of psychology and a licensed therapist for over 10 years. I have a doctorate and two master's degrees so you see psychology is my passion!

Substance use / addiction, Anxiety, Depression, Relationship issues, Stress management
Open-minded, Solution-oriented, Warm
Accepts 2 insurance carriers
Jenna Failinger

Jenna Failinger

Therapist

Virtual • California


“As a former collegiate athlete, I have a passion for working with athletes navigating the unique pressures of competition, performance, identity, and life transitions.”
Substance use / addiction, ADD/ADHD, Anxiety, Bipolar disorder, Depression
Inquisitive, Open-minded, Warm
Accepts 7 insurance carriers
Matthew Darst

Matthew Darst

Therapist

Virtual • California


I'm Matt Darst, a Licensed Clinical Social Worker trained at the University of Southern California, with advanced training in military and veteran clinical social work. I work with adults who are motivated to change but feel stuck — navigating trauma, addiction, mood disorders, OCD, grief, or the kind of cumulative pressure that quietly builds until something gives.

My clients tend to be high-functioning people who look fine from the outside but are carrying more than they let on. That includes professionals managing stress and burnout, veterans and first responders, and anyone who's ready to do honest, purposeful work — regardless of background or title.

I bring a direct, warm style grounded in kind accountability. I'm not here to tell you what you want to hear. I'm here to help you move.

Substance use / addiction, Anger management, Anxiety, Depression, Grief or loss
Direct, Empowering, Solution-oriented
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Patience Okpala

Patience Okpala

Psychiatric Mental Health NP

Virtual • California


“My goal is to create a safe, respectful, and nonjudgmental space where clients feel heard, empowered, and supported in achieving their mental health and wellness goals.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Solution-oriented
Accepts 9 insurance carriers
Jillian Zamora

Jillian Zamora

Therapist

Virtual • California


“I'm passionate about the therapeutic relationship. I believe your therapy journey is unique so I work to learn what matters most to you...”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Affirming, Open-minded, Warm
Accepts 4 insurance carriers
Mohammad Reza Emami

Mohammad Reza Emami

Therapist

Virtual • California


“My approach is culturally responsive and grounded in the belief that every individual deserves to feel understood, supported, and empowered.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Open-minded, Participatory, Solution-oriented
Accepts 9 insurance carriers
Marcie Mitchell

Marcie Mitchell

Therapist

Virtual • California


“I am passionate about providing a collaborative approach and empathic understanding of my client's needs.”
Substance use / addiction, ADD/ADHD, Anxiety, Depression, Family issues
Holistic, Open-minded, Warm
Accepts 4 insurance carriers
Chido Ibe

Chido Ibe

Psychiatric Mental Health NP

Virtual • California


“My goal is always to help my patients reach their mental health homeostasis (a stable, balanced mental state despite external stressors).”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Humorous, Open-minded
Accepts 4 insurance carriers
Consuelo Gomez

Consuelo Gomez

Therapist

Virtual • California


Sometimes the hardest part is not what happened. It is finding someone you can finally say it to. I offer therapy in both English and Spanish, and I work with people across all stages of life, from children and teenagers to adults and seniors. I specialize in supporting people navigating trauma, domestic violence, anxiety, depression, and the unique challenges that come with new and expecting parenthood. Wherever you are in your story, you do not have to carry it alone.

Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Warm
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Bita Saad Adel

Bita Saad Adel

Psychiatric Mental Health NP

Virtual • California


“Her goal is to create a supportive, nonjudgmental space where you feel heard, understood, and empowered to take an active role in your mental health journey.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Solution-oriented
Accepts 4 insurance carriers
Gretchen Aguro

Gretchen Aguro

Psychiatric Mental Health NP

Virtual • California


“I've seen mental illness quietly unravel the lives of people I love, and that experience shapes the way I show up for every single person I work with.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Warm
Accepts 8 insurance carriers
Laurie Gallagher

Laurie Gallagher

Therapist

Virtual • California


“My goal is to help clients feel heard, understood and valued. In addition, I would like them to come away from therapy with a larger tool-box, including stronger communication and relationship-building skills.”
Substance use / addiction, Anxiety, Depression, LGBTQIA+, Men's issues
Empowering, Open-minded, Warm
Accepts 8 insurance carriers
Elizabeth Berry

Elizabeth Berry

Therapist

Virtual • California


“I believe that the most profound emotional growth occurs when we balance evidence-based practices with a deeply authentic human connection.”
Substance use / addiction, ADD/ADHD, Anxiety, Cultural & ethnic issues, Depression
Inquisitive, Open-minded, Warm
Accepts 7 insurance carriers
Juan Maillo

Juan Maillo

Therapist

Virtual • California


I am a California-licensed Marriage and Family Therapist with over a decade of experience providing specialized, confidential telehealth. My practice is built to support ambitious individuals—including busy professionals and dedicated college students—navigating high-pressure environments, life transitions, and relationship challenges.

Because your schedule is already packed with work or demanding coursework, I offer dedicated session times outside standard hours, including early mornings and weekends. Whether you are dealing with academic/professional burnout, family-of-origin issues, or deep emotional blocks, I provide a warm, inclusive space to unburden those patterns. I practice fluidly in English, Spanish, and Spanglish, honoring your unique cultural or bicultural lived experience.

Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Inquisitive, Open-minded
Accepts 4 insurance carriers

Offers free consultationsView profile and book
Dr. Andrew Vandernoot

Dr. Andrew Vandernoot

Psychologist

Virtual • California


“My work is grounded in a dynamic approach, focusing on the deeper emotional patterns and relational and childhood experiences that shape how we think, feel, and connect.”
Substance use / addiction, Anger management, Anxiety, Depression, Family issues
Inquisitive, Open-minded, Warm
Accepts 4 insurance carriers
Victor Goswami

Victor Goswami

Therapist

Virtual • California


“I believe therapy is a collaborative process where trust, safety, and compassion create space for meaningful growth.”
Substance use / addiction, Anxiety, Bipolar disorder, Depression, End of life care
Empowering, Open-minded, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Thomas Nash

Thomas Nash

Therapist

Virtual • California


“I seek to provide a collaborative, judgment free environment where individuals can heal from the challenges and hardships that life dishes out.”
Substance use / addiction, Anxiety, Bipolar disorder, Chronic conditions, Depression
Direct, Solution-oriented, Warm
Accepts 10 insurance carriers

Offers free consultationsView profile and book
Dr. Jessica Garibaldi

Dr. Jessica Garibaldi

Psychologist

Virtual • California


“Dr. Garibaldi utilizes a strength-based approach and values building a strong and collaborative relationship with her patients.”
Substance use / addiction, Anxiety, Depression, Family issues, Grief or loss
Empowering, Inquisitive, Open-minded
Accepts 1 insurance carrier

Offers free consultationsView profile and book
Sisi Yu

Sisi Yu

Psychologist

Virtual & in-person • San Diego, CA


“Many of my clients are high-achieving teens and adults who feel overwhelmed by anxiety, burnout, or patterns around alcohol or substance use.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Empowering, Inquisitive
Accepts 1 insurance carrier

Offers free consultationsView profile and book
Kabirat Oyenuga

Kabirat Oyenuga

Psychiatric Mental Health NP

Virtual • California


Mental health has long been treated as the forgotten side of healthcare — and for me, that's exactly why it matters so much. As a Psychiatric Nurse Practitioner serving clients across California through telehealth and in-person care, I specialize in helping people navigate depression, anxiety, and ADD/ADHD. I believe that when mental health struggles go unaddressed, everything else in life suffers — and that healing is not only possible, it's necessary. When I'm not supporting my clients, you'll find me out in nature, getting lost in a good movie, or discovering new music — small reminders of the joy and balance I encourage my clients to find for themselves.

Substance use / addiction, ADD/ADHD, Anxiety, Bipolar disorder, Chronic conditions
Holistic, Open-minded, Warm
Accepts 6 insurance carriers
Monica Brown-Hall

Monica Brown-Hall

Therapist

Virtual • California


“My approach to therapy is from a listener and strengths perspective, meeting clients where they are, validating, providing resources, support, and a person-centered approach.”
Substance use / addiction, ADD/ADHD, Anxiety, Depression, Family issues
Affirming, Empowering, Humorous
Accepts 6 insurance carriers
Lonniel Myles

Lonniel Myles

Therapist

Virtual • California


“I specialize in helping individuals navigate trauma, grief and loss, anxiety, depression, substance use concerns, and co-occurring mental health challenges.”
Substance use / addiction, Anger management, Anxiety, Bipolar disorder, Chronic conditions
Direct, Empowering, Solution-oriented
Accepts 4 insurance carriers
Richard Perez

Richard Perez

Psychiatric Mental Health NP

Virtual & in-person • Long Beach, CA


Richard Perez is a Board Certified Psychiatric-Mental Health Nurse Practitioner. For over 15 years, he has dedicated his career to serving the healthcare needs of Long Beach and Los Angeles County. Richard wants to continue improving the lives of each patient by providing professional, compassionate, and person-centered care.

Richard has spent the last two years providing mental health care to underserved populations. This experience has significantly sharpened his clinical skills, which he now aims to bring to the general patient population.

Substance use / addiction, ADD/ADHD, Anxiety, Bipolar disorder, Depression
Direct, Holistic, Solution-oriented
Accepts 6 insurance carriers
Clyde Blair

Clyde Blair

Therapist

Virtual • Ventura, CA


“As a licensed Therapist I've helped people find positive solutions to their problems, issues, and challenges for over 25 years.”
Substance use / addiction, Anxiety, Depression, Men's issues, PTSD
Challenging, Empowering, Open-minded
Accepts 5 insurance carriers
William Brock

William Brock

Psychologist

Virtual • California


“I bring a collaborative, practical, and supportive approach to helping people make meaningful change.”
Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Humorous, Participatory
Accepts 5 insurance carriers
Margaret Brako

Margaret Brako

Therapist

Virtual • California


I’m a Licensed Clinical Social Worker based in Berkeley, CA, and I’ve worked in mental health care since 2012. My background includes community-based work, trauma-informed care, and leadership in training and clinical development. I earned my MSW from NYU and specialize in treating anxiety, self-esteem challenges, and life transitions. I enjoy working with adults navigating changes - career shifts, identity questions, or simply trying to feel more at home in themselves. Clients often say they feel safe, understood, and more at ease after we talk. I believe therapy works best with a good sense of humor - even in hard sessions, there’s room for relief and laughter.

Substance use / addiction, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Affirming, Empowering, Humorous
Accepts 5 insurance carriers
Alexiis Figueroa

Alexiis Figueroa

Therapist

Virtual • California


“I believe that a strong therapeutic relationship is the foundation for growth and healing, and I strive to create a safe, supportive, and nonjudgmental space for clients.”
Substance use / addiction, Anxiety, Depression, Family issues, Grief or loss
Empowering, Open-minded, Warm
Accepts 7 insurance carriers

Offers free consultationsView profile and book

Frequently asked questions

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Find the right addiction counselor for you

Headway makes it easier to find support for overcoming addiction — from finding the right provider, to understanding costs, to scheduling with ease.

Factors to Consider When Choosing an Addiction Therapist in San Francisco

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

Find a provider - your way

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1 Cost may vary based on your location, age, and insurance coverage.