

San Francisco couples can access flexible relationship counseling through Headway's network of compassionate providers specializing in communication, conflict resolution, and intimacy. With 70+ insurance plans accepted, many clients save 75% on sessions. Book your free intake call today.
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.
If you're feeling overwhelmed, stuck, or unsure how to move forward, you don't have to figure it out alone.
I help adults work through anxiety, ADHD, depression, and the stress of big life transitions so you can move forward with more clarity, confidence, and a renewed sense of direction.
I'm a Licensed Professional Clinical Counselor with over a decade of clinical experience, and I bring a calm, grounded presence to the work.
My background spans trauma-informed care, support for college students building self-advocacy and success strategies (especially those with learning differences), and extensive work with the military community — including wounded warriors and their families.
Whether you're navigating a career or life change, managing attention or focus challenges, working through anxiety or depression, or facing relationship stress, I offer a safe, collaborative space where real growth is possible.
Clients often describe me as warm, real, non-judgmental, and direct in a supportive way. I'm LGBTQIA+ affirming and welcome people from all backgrounds with a spirit of inclusion and care.
Welcome. You are giving your self the gift of therapy and you are in good hands. You will learn a lot and enjoy our time together.
Hello, my name is Tamra Smith. I am a licensed clinical social worker (LCSW) in Sacramento, CA. I have over 20 years of experience in the field of Mental Health Services, especially providing therapy and consultation. My practice name is Path to Wellbeing Therapy Services, and I truly lead each person on a path to their own emotional health and wellbeing.
¡Hola! Finding your balance doesn't happen all at once, it happens paso a paso (step by step). As a Licensed Clinical Social Worker with 8+ years of experience, my heart’s work has always been to provide culturally centered, evidence-based care for those navigating the complexities of early parenthood, identity transitions, anxiety, and depression.
My goal is to provide a warm, collaborative space where you feel truly heard and empowered. Together, we will work to reduce the overwhelm so you can find more balance and joy in your everyday life.
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.
A lot of young men grow up getting the message that they're supposed to have it handled — keep it together, don't make it a big deal, figure it out on your own. So when anxiety, anger, low motivation, or just feeling lost starts piling up, reaching out for help can feel like the last thing they'd want to do. If that's you, or if you're a parent watching your son struggle and shut down, I get it — and I can help.
I'm a Licensed Clinical Social Worker, and I work primarily with teenage boys and young men. I've spent years working with guys in some of the hardest settings there are — residential treatment, high-acuity programs, and intensive work helping young men take an honest look at their choices, their patterns, and who they want to become. That experience taught me how to actually connect with someone who doesn't necessarily want to be in therapy, and how to make this feel less like a lecture and more like a real conversation.
My style is warm but direct, and I don't think therapy has to be heavy or stiff to work. I'll meet you exactly where you are — no judgment, no pressure to have it figured out — and we'll get into the real stuff at a pace that feels right. I also work with adults navigating anxiety, life transitions, and figuring out who they are, bringing that same grounded, real presence to the work.
Most of us aren't born knowing how to navigate relationships, understand our emotions, or process trauma. Many things influence how we react and behave, but that doesn't mean we can't grow. My goal is to help you build confidence through discovering your self-worth and practicing self-compassion. My priority is creating a safe, judgment-free environment where you feel comfortable. I show up as my authentic self to build trust with you. I'm an empathetic listener and communicate in a calm, gentle, respectful way. My job isn't to tell you what to do, but to help you process and explore topics to build self-awareness and confidence.
I have 26 years of experience dealing with individuals, couples, families in therapy. We will work together to develop plans that are unique and right for you.


Headway makes it easy to find support for your relationship — from finding the right provider, to understanding costs, to scheduling with ease.
Finding couples therapists in San Francisco starts with knowing what you and your partner want to work on. Many people search for couples therapy in San Francisco for support with communication patterns, conflict, trust after infidelity, major life changes, or parenting disagreements. Not all therapists have specific training in couples work, so look for licensed marriage and family therapists or therapists who list couples modalities like the Gottman Method or emotionally focused therapy in their profiles.
San Francisco has many therapists across neighborhoods like the Mission, SoMa, the Richmond, and Noe Valley, which can make the search for the right fit more detailed. For couples counseling in SF, logistics matter for both partners: appointment times, office location, transit access, virtual availability, and whether the therapist is accepting new patients. Some therapists offer a brief initial consultation, which can help both partners understand the therapist’s style, session structure, and approach before booking ongoing care.
Relationship counseling 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 Headway helps you see estimated out-of-pocket costs before you book. You can compare San Francisco marriage counselors and couples therapists by specialty, availability, format, and insurance fit, then review bios and book directly when you’re ready.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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