Patt Denning, PhD


I have been a therapist for over 45 years and am one of the primary developers of Harm Reduction Therapy. I have expertise in psychopharmacology and dual disorders as well as working with people with personality disorders and medical conditions. I also provide short term consultations for friends and family members who want guidance to relate to a loved one who is misusing alcohol or other drugs. I am not taking new patients for ongoing treatment, only for short term consultations. I provide trainings in many areas to both clinicians and non clinical staff in treatment, housing, and other social services programs. 

  • Individual and Family Consultations

  • Professional Clinical Consultation and Training

  • Public Speaking



Cynthia Hoffman, LMFT


Owner at You Rule Therapy/ Sex Drugs and Therapy


I have been practicing and providing training in Harm Reduction Therapy (HRT) for over 21 years in both agency and private practice settings. I work from Psychodynamic and Relational perspectives and I incorporate mindfulness, DBT and CBT interventions in my work.


I specialize in:

  • Harm Reduction Group Therapy for People that use substances

  • Sex Therapy

  • Sex/Drug linked Behavior

  • HRT for individuals and couples

  • Provider Consultation and Training

My fee for individual and couple therapy, and assessments for group therapy is $200.




Dee-Dee Stout, MA


Consultant, Counselor, Coach, Trainer. In private practice for individuals and other family members since 1988; HRT since 2000.  Greater Bay Area educator & National trainer/consultant since 1989. Currently Adjunct Faculty, Holy Names University (Oakland).  Expert in HRP/Harm Reduction Recovery (HRRTM), Motivational Interviewing (Member of MINT), & Trauma-Informed Care with more than 1000 hours of added training in various subjects including Brainspotting, Energy Tapping, Nutrition & Exercise, iRest, CRAFT, Feedback/Outcome Informed Practice, Relapse Prevention, and much more (many evidence-based).  Author & writer.  Former problematic drug user/person with lived experience with mental health, addictions, & 12-Step.

  • Addiction/Behavior Change

  • Health Coaching

  • Brainspotting

  • Invitation to Change Interventions (based on CRAFT & CMC’s work)



Randy Daron, PhD 


(CA Licensed Psychologist #---)

Dr. Daron is a licensed clinical psychologist and maintains a private practice in Mill Valley where he sees adults, teens, couples and families. He has a wide range of experience working with diverse clientele with multiple diagnosis and a broad range of challenges in psychiatric inpatient and outpatient clinics, employee assistance programs, and emergency psychiatric clinics. For individuals seeking help to address substance use, his practice is client focused, non-judgmental, non-coercive, understands substance misuse as a as a complex biopsychosocial phenomenon, and is guided by principles of Harm-Reduction. For some client’s particular concerns, his approach is enhanced by his several years’ experience working at the University of California, San Francisco where he held a variety of leadership roles.

  • Psychotherapy

  • Consultation

  • Training/Workshops




Phone: (415) 935-4407

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Darcy Dittrich, MA


Registered Associate MFT #122771

Supervised by Cynthia Hoffman, LMFT #40736

I’m a Registered Associate MFT practicing under the supervision of Cynthia Hoffman, LMFT at You Rule Therapy. I support teens, adults, and couples individually and in groups, and I’m currently accepting new clients. I have experience providing Harm Reduction-based support for clients working on substance use-related goals in both community mental health and private practice. I emphasize self-compassion, mindfulness, and relational healing in my practice, often utilizing creative approaches and humor (when appropriate). I pursue anti-racism, feminism, Health at Every Size (HAES), LGBTQIA+ allyship and disability justice, and work to incorporate intersectional identities in my clinical work. I am trauma-informed. 

Along with helping clients develop deeper awareness and goal-setting around their current substance use (no matter their drug of choice or goals), I have specific experience supporting clients with co-occuring mental health diagnoses (depression, anxiety, schizophrenia, bipolar disorder, etc.), chronic pain, sexual concerns and sex-drug linked behaviors, identity exploration, relationships, LGBTQAI+ experiences, life transitions, disordered eating, trauma, and work stress. I have a decade of corporate and startup experience and enjoy supporting clients across a variety of careers and professional experiences, though I also enjoy working with artists, students, and those supporting families full-time.

Tel: (415) 741-0565



Perri Franskoviak, PhD.


Licensed Psychologist (#20925)

I am a part-time staff psychologist at Vacaville Medical Prison and maintain a private practice in San Francisco and the East Bay. Trained in harm reduction psychotherapy, Sensorimotor Psychotherapy and Systems-Centered Training, my practice focuses on working with individuals and couples who are experiencing difficulty managing their relationship to drugs and alcohol, as well as the co-occurring development of depression, anxiety and lack of meaning in one’s life that often accompanies such contexts. I am particularly interested in helping those with a history of overwhelming life experiences find greater balance and joy in their lives. I also provide clinical supervision and training at several community-based agencies in the Bay Area.  




Claudia Figallo, MPH, LAADC   (CAADAC LCi11440518)

She/Her           Bilingual/Bicultural         Spanish-English


I am a substance use counselor who provides treatment within the principles of Harm Reduction Therapy.

I understand the value of personalized care when addressing drug or alcohol use concerns. I approach my work with compassion and creativity, allowing for a variety of interventions in order to build sustainable change around behaviors which impact relationships, finances and achieving life goals.
My aim is to help you build awareness around your choices and motivation for change in a safe, non-judgmental space. I will work alongside you and support you to explore your relationship with substances, identify tools to address challenges and create goals which help you manage your life successfully, through controlled use or abstinence.

I incorporate Motivational Interviewing, Dialectical Behavioral Therapy, Mindfulness Based Relapse Prevention and Creative Arts within my practice.

I provide individual counseling, groups, training and consultation around the SF Bay Area.


Tel: 415-993-9011



Randy Daron, PhD

Joey Hess, LCSW 


LCSW #106951


I’m a Licensed Clinical Social Worker and I provide therapy to teens, transition aged youth, and adults, as well as couples and families. I currently have openings for new clients and offer free initial consultations. My experience includes 10+ years working in harm reduction and community mental health. I’m passionate about providing care to people who use drugs and also experience issues such as co-occurring mental health disorders, sex-drug linked behaviors, HIV+/AIDS, difficult life transitions, chronic illness, end of life, and trauma.


My clinical approach is grounded in harm reduction psychotherapy. I have a compassionate, reliable, and non-judgmental style. I utilize several therapeutic models (humanistic/relational, person-centered, trauma-informed, motivational interviewing) to help people explore how their relationship with substances interacts with the rest of their life. I strive to create a space where each client feels empowered to make decisions based on their own individual experience, needs, values, goals, well-being, and autonomy.


Contact me to schedule a free initial consultation!




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Image by Brett Jordan
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Jeremy Prillwitz



Licensed Advanced Alcohol and Drug Counselor (LAADC)


I have worked as a harm reduction-based counselor for the past ten years, helping people make changes in their substance use.

Harm Reduction Psychotherapy is the holistic treatment philosophy I have embraced throughout my career, mentored by Dee-Dee Stout.

My eclectic approach incorporates ancient Buddhist teachings, Motivational Interviewing, Attachment Theory and a wide range of psychoanalytic theory and technique.

If you are working with me, you are the expert on your life, and we are partners in finding what works best for you.

I was born and raised in Northern California, now based in Sacramento after working as a harm reduction-based substance use counselor for ten years at The Stonewall Project in San Francisco. 

I practice meditation, and consider spirituality and compassionate action to be the heart of my existence.



Erica Saini, PsyD



Licensed Psychologist (#33034)

I am a licensed clinical psychologist working out of the San Francisco Bay Area. I provide harm reduction based psychodynamic psychotherapy to individuals and couples affected by substance misuse. I offer long term and time limited treatment, as well one-time consultations. My work is trauma-informed, grounded in principles of self-determination, and sensitive to the intersecting dynamics surrounding peoples use of substances.

I offer:

-  Harm Reduction based psychodynamic psychotherapy

-  Consultation for family members and loved ones

-  Provider consultation and supervision

My fee for individual and couples therapy is $180. The fee for one-time consultations is $250. I do not accept insurance but can provide you with a monthly invoice for submission to yourinsurance. Please contact me regarding sliding-scale openings.

All services are currently offered via Telehealth.

Tel: 510-859-4316