

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.
Hello and Welcome
With 30 years of experience as a licensed marriage, family therapist, my journey began at Sacramento California, where I first received my license and found my calling serving families within the community. Over time I found my way into private practice where my reach into the community grew and a deep passion for working with adults at various stages of their life emerged and one that has become central to my calling as a therapist.
Throughout my career, I have remained deeply committed to learning and growing alongside the field pursuing, continued education and certifications.
My clients often want to know a little about the person behind this practice. I am someone who loves to travel and spends time outdoors . Camping and water adventures are always my happy place and those who know me best will tell you with a knowing grin that I have never met an animal I didn’t love
I believe wholeheartedly that it is vital for me to live a congruent life, to bring my heart and desires into a living presence My passion to live with purpose, curiosity and joy is core to who I am and this is how I show up for my clients every single day.
From your very first visit, you will be received warmly with quiet encouragement and assurance that this is a safe relaxed welcoming space just for you.
I’m Thomas Moore, LPCC, a licensed professional clinical counselor providing therapy for individuals navigating anxiety, trauma, emotional overwhelm, identity development, and complex relational patterns. Many of the people I work with feel stuck in repeating cycles such as overthinking, people pleasing, emotional shutdown, intense reactions, or difficulty maintaining stable relationships even when they logically understand what they should do. My goal is to help you translate insight into real change.
My approach is structured and compassionate. I integrate evidence based methods including cognitive restructuring, emotional regulation training, interpersonal effectiveness skills, and trauma informed therapy. Sessions focus on understanding why your brain reacts the way it does and building practical tools you can actually use outside the therapy room. This is not only about talking through problems but learning how to respond differently when they show up in real life.
I work well with clients who want more than passive support and are ready to build skills, increase self awareness, and interrupt patterns that no longer serve them.
What clients should know before starting
Therapy with me is collaborative and active and you will learn strategies rather than only venting. We will work on understanding both the emotional and neurological side of your reactions. Sessions focus on present day functioning while also addressing past experiences that still affect you. I may gently challenge patterns when it supports growth while maintaining a supportive and respectful space. Progress often comes from small repeated changes rather than sudden breakthroughs.
If you are looking for therapy that combines validation with practical change, we will likely work well together.
I'm a Licensed Clinical Social Worker (LCSW) with over 15 years of experience helping adults navigate anxiety, depression, trauma, substance use, and life transitions. Throughout my career, I have been passionate about supporting individuals as they work through challenges, build resilience, and create meaningful, lasting change in their lives.
I believe therapy is most effective when clients feel safe, supported, and genuinely heard. My approach is compassionate, collaborative, and strengths-based, focusing on helping you recognize your existing strengths while developing practical tools to manage life's difficulties. Together, we will work to increase self-awareness, strengthen coping skills, and create a path forward that aligns with your values, goals, and overall well-being. My goal is to empower you to navigate challenges with greater confidence and build a life that feels more balanced, fulfilling, and authentic.
Hi! I'm Saby Kirpal, a dual-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner committed to comprehensive, compassionate mental health care across the lifespan. I earned my Master's degrees from Walden University and Chamberlain University, graduating with Presidential Honors from both programs, reflecting my dedication to clinical excellence and lifelong learning. My professional journey spans diverse healthcare settings, including inpatient psychiatric hospitals, outpatient clinics, residential treatment facilities, and community health centers, providing a well-rounded, real-world perspective on mental health treatment and recovery.
I specialize in treating a wide range of mental health conditions, including depression, anxiety disorders, ADHD, autism spectrum disorders, eating disorders, substance use disorders, and complex psychiatric conditions. I have extensive experience working with children as young as eight, adolescents, and adults across levels of care—from acute crisis stabilization to long-term outpatient medication management. My background includes serving as Associate Director of Nursing at Sierra Health and Wellness, providing clinical leadership across five facilities, and working with institutions such as UCSF Health and Stanford Health Care.
What sets me apart is my holistic approach, combining a strong nursing foundation with advanced psychiatric training. I recognize that mental health is deeply connected to physical health, family dynamics, culture, and life circumstances. I'm trilingual in English, Hindi, and Punjabi, with working knowledge of Spanish, allowing me to serve diverse communities. I believe in meeting individuals where they are and building a genuine therapeutic partnership where you feel heard, respected, and empowered on your path to wellness and recovery with personalized, evidence-based strategies, continuous guidance, and compassionate care that supports your wellbeing.
I provide empathic, compassionate care in a safe, supportive, and nonjudgmental space where clients feel heard and respected. My goal is to offer therapy you can trust—an environment where you can openly explore your thoughts, challenges, and goals while receiving understanding and supportive guidance.
Whether you're single and searching, recovering from a recent split, or at the precipice of big change in your relationship, I am here to help you move through those valuable transitions. If you are struggling with racing thoughts or repeating the same scenario over and over - you're not alone and I'm here to navigate it with you.
I have always been fiercely passionate about helping others to amplify their strengths and manifest the lives they find most fulfilling. Nothing moves me more than to be a guide and a witness to human transformation. As we go through life's inevitable transitions, occasionally we encounter roadblocks or detours that can either stop us in our tracks or provide us with vital life lessons filled with wisdom and empowerment.
I'm Austin Chenoweth, an LMFT with over four years of experience helping teens and adults work through anxiety, depression, and the deeper patterns driving them. I trained at Santa Clara University and take a relational, depth-oriented approach to therapy — which means I'm less interested in managing symptoms and more focused on
understanding what's underneath them.
I see clients via telehealth throughout California, and I work with people 13 and older. I genuinely enjoy the work of therapy, and I believe the relationship we build together is the most powerful tool we have for treatment.
I am a licensed clinical social worker who is trained in CBT and Motivational Interviewing. I work with trauma, anxiety, and depression.
I believe therapy works best when people feel genuinely seen, heard, and understood. I work with individuals facing depression, anxiety, trauma, substance abuse, relationship challenges, and difficult life transitions. With 4 years of experience, I strive to create a supportive and judgment-free space where clients can feel comfortable exploring their thoughts and emotions at their own pace.
I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a DNP (Doctor of Nursing Practice) degree from the University of Massachusetts Global. I have experience working with adolescents and adults in multiple settings facing various complex mental health issues, including OCD, depression, anxiety, ADHD and mood disorders.
I am a licensed therapist who specializes in anxiety depression and behavioral addictions such as gambling, gaming, shopping, and technology use. I became an LCSW because, quite simply, I love people and have the deepest respect for all living things. I have a masters in Social work and background in Psychology, Sociology and Education. I believe that every individual has innate strengths and my goal is to help you tap into yours. Whether you are in a difficult life transition, navigating healthy relationships, or looking to understand yourself more deeply, I am here to empower you so that you can move from feeling "stuck" to feeling capable.
Outside of the therapy room, I am a proud mom and dedicated reader. As someone who identifies as a lifelong learner, I will bring curiosity and warmth to every session. In addition to my private practice, I am a crisis clinician. This background has sharpened my ability to remain grounded, and provide a safe, stable space even when a situation may feel the most chaotic.


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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