Book a therapist or psychiatrist in San Francisco, CA covered by Cigna

My name is Thomas, and I have been working in the field of recovery and addiction for more than 20 years. I hold a Master’s degree in Marriage and Family Therapy and am also a Certified Alcohol and Drug Counselor. Throughout my career, I have had the opportunity to work with individuals and families facing challenges related to addiction, mental health, relationships, and life transitions.

My primary focus is helping clients regain balance and create meaningful, lasting change in their lives. Whether you are struggling with anxiety or depression, navigating family conflict, working toward recovery from addiction, or simply feeling stuck, I believe therapy can provide a safe and supportive space to better understand yourself and develop effective solutions.

I take a collaborative approach to therapy and believe that meaningful change often involves not only the individual, but also the family and support systems around them. Together, we can identify strengths, address challenges, improve communication, and develop practical tools to help you move forward with greater confidence and purpose.

Reaching out for help takes real courage, and I want that first step to feel manageable rather than daunting. I have spent 31 years working in mental health, primary care, and social services across Los Angeles, with people from just about every background this city holds: clients in behavioral health and integrated care settings, people coming out of homelessness, and families getting through genuinely hard seasons. Whatever brought you here, you will not have to explain yourself twice or justify why it matters. If you are ready to talk, I would be glad to meet you

I've been doing this work for 18 years, and the thing I hear most from new clients is some version of: "I wasn't sure therapy would work for me." I get it. Finding the right fit matters — and I think fit has a lot to do with feeling like your therapist actually understands where you're coming from. I offer therapy in both English and Spanish, and I bring a genuinely culturally informed perspective to the work. I see adults navigating anxiety, trauma, grief, depression, family conflict, ADHD, identity questions, and relationship stress — across communities that are often underrepresented in mental health care. I'm direct when that's useful, patient when it's needed, and warm throughout.

I believe therapy works best when it feels human, collaborative, and grounded in trust. I strive to create a space where clients feel safe being honest, imperfect, and fully themselves without fear of judgment. I value clear communication, emotional attunement, and meeting clients where they are rather than rushing the process. My goal is to support you in building insight, confidence, and tools that feel realistic and sustainable for your life.

I work with adults facing ADHD, anxiety, trauma, PTSD, sleep issues, and substance use, offering clear, practical help—no guesswork. You might feel overwhelmed, stuck, have trouble sleeping, or struggle to focus. We follow a structured approach to understand your situation and develop a treatment plan that progresses. I provide psychiatric evaluations, medication management, and focused follow-up using evidence-based and trauma-informed strategies. The process is simple, with clear steps and adjustments based on your progress. If you're ready to proceed, reach out.

My approach is direct and caring with a listening ear and inquisitive mind. I utilize Psychodynamic, EMDR, IFS and a little bit of almost all other therapy modalities to challenge my clients. I specialize in Men's issues, anxiety/depression, Trauma and couples.