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Image by Greg Rosenke


Gayle Paul, MFT

Virtual Therapist




Zoe Lantelme, PsyD

(530) 739-1685

I'm only meeting virtually with clients at this time*

Leora Lerba, LMFT

Located in SF and Marin but operating fully online seeing folks across California

Beth Bernstein, MFT.  

Certified in Brainspotting.  

Oakland, CA. 


Jamie Lavender, LMFT

San Francisco Bay Area

Claudia Figallo, MPH, LAADC-S


Jennifer Birch

As a Psychiatric Nurse Practitioner, I've helped people who struggle with symptoms of depression, bipolar disorder, anxiety, PTSD, or ADHD, and/or who are questioning their relationship with substances. My goal is to listen to you without judgment. I will try to provide you with information about your treatment options in a way that you can understand so that you feel empowered to make informed decisions about your care. I feel that the most successful treatment plans are developed collaboratively, so I value your perspective and find your input essential to designing your path to recovery.

Research has shown that, in many cases, psychiatric medications and psychotherapy together yield the best results. Appointments with me include psychoeducation and some talk therapy, but I recommend that my patients be engaged in ongoing psychotherapy. I can help you find a therapist if you need one.


I also offer medication support for those who would like to reduce their drinking, and taper off of medications or substances they feel they are dependent on like:

--benzodiazepines like Klonopin/clonazepam, Valium/diazepam, Xanax/alprazolam, Ativan/lorazepam)

--antidepressants: some people are more sensitive to these medications.  Following the generally recommended guidelines for stopping these medications often results in uncomfortable withdrawal symptoms and the tapering schedule often needs to be slower than published guidelines and can be individualized.

--opiates: there are medications to prevent withdrawal symptoms and make the process of stopping more comfortable

--alcohol: some medications can help reduce cravings or even help to prevent drinking.  Depending on how much alcohol is being consumed, stopping drinking can pose medical risks like tremors, insomnia, and even seizures.  Medications are available to prevent these consequences and make the process safer and more comfortable so that abstinence or moderation from alcohol is sustainable.

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