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Jennifer Fernández, PhD

Practicing HRP since 2009, mostly in private practice working with individuals, families, and groups. Author of Power Over Addiction: A Harm Reduction Workbook for Changing Your Relationship with Drugs. I specialize in:

  • Addiction & Personality Disorders

  • Harm Reduction for Psychedelics and Designer Drugs

  • Out-of-Control Sexual Behaviors

  • Substance Abuse Evaluations for Licensing Boards, Court, Schools, Employers

  • "Interventions" (or what I like to call Compassionate, Evidence-Based, Brief Family Therapy)


John Wiskind, LCSW, MPH:

Licensed since 2004 with a private practice focused on couples, individual adults and families.  I incorporate a Harm Reduction/Motivational Interviewing approach along with Emotion Focused Couples Therapy and Accelerated Experiential Dynamic Psychotherapy.  In addition to my psychotherapy practice, I also provide individual and group supervision to pre-licensed clinicians, agency consultation and training.  Trainings include:

  • Harm Reduction

  • Motivational Interviewing

  • Mental Health for Medical Providers 

  • Working with Personality Disorders

  • Motivational Interviewing with High Risk Pregnant & Parenting Teens   

Caitlin Terzulli, LCSW, CATC-IV


2991 Shattuck Ave., Berkeley


Practicing HRP for over 16 years in various settings including street outreach, private practice, inpatient and outpatient hospital clinics, prisons, and needle exchanges. I work with teens, families, groups, individuals, and all types of relationship formations. I use a present moment awareness to help manage difficulties or recognize joys. I have an eclectic approach to therapy and take into account the impact of life experiences, conscious and unconscious thinking, and social location.

  • Harm Reduction Psychotherapy for individuals and relationships.

  • Sex therapy with a focus on gender identity. 

  • Adolescent development and ability to work with teens and families around substance misuse, suicidality, and self harm.

  • Impulsivity. 

  • Individuals living with chronic illness/pain.

  • Sex/Drug Linked Behavior.

  • Training and supervision. 


Anna McDonald, LMFT 

Licensed Marriage and Family Therapist #116490

EMDR Trained Therapist

Board Member and Co-President of Bay Area Open Minds


pronouns: she, her, hers

  • Trauma focused therapy for adults, teens, and relationships. 

  • LGBTQ+, polyamory, and kink affirmative care.

  • Harm reduction for substance use and high risk behaviors. 

  • Strategies for young and emerging professionals who are mostly soaring, but feeling stuck.

  • Available for and experienced in public speaking and teaching. 


Bob Basque, MSW, ACSW (BBS # 86165) -

Pronouns: he/him/his


The Gender Health Center is a trans and POC-led led, grassroots nonprofit organization located in Sacramento, CA.  We keep our mental health services as accessible as possible by using a sliding-scale and not turning anyone away for lack of funds.  I have been practicing Harm Reduction Psychotherapy since my graduate school placements at Arizona State University beginning in 2015.  I focus on the LGBTQ+ community, including people living with HIV.  Additionally, I have a strong focus on serving the “T” in the LGBTQ+ community.


Celia Sampayo Perez, LCSW


Bi-lingual (Spanish/English) & Bi-cultural


Pronouns: she, her, hers.


Practicing HRP since 2009 primarily in community programs with individuals who suffer from comorbid conditions including mental and substance use disorders as well as complex trauma while being supervised by Jeannie Little, LCSW and Patt Denning, PhD under the Harm Reduction Therapy Center.  My private practice focuses on adult individuals, who have difficulties with managing the impact of their substance use, experiences with complex trauma, cultural identity and life stressors.  I basically integrate a collaborative and humanistic perspective into my psychodynamic and relational approach. I also have experience in providing psychosocial assessments for individuals for their U-Visa application process.  


  • Harm Reduction Psychotherapy for adult individuals

  • Motivational Interview/Spiral Stages of Change

  • Complex Trauma

  • Ethno-cultural Identity

  • Mindfulness/Spirituality


Raymond Buscemi, Psy.D.

Licensed Psychologist (PSY 22036)


I practice analytically oriented psychotherapy and tailor my approach to the individual or couple seeking treatment.  I work with people who may be experiencing problematic relationships with alcohol, substances, and other behaviors. I also have experience working with a range of other issues including depression, anxiety, relationship stress, job dissatisfaction, as well as life transition issues such as college and graduate school stress, pre-marital counseling, and the coming out process.  




Jennifer S. Birch NP                 

CA Lic.# 18162

pronouns: she, her



I am a board-certified psychiatric-mental health nurse practitioner licensed in 2007.  I have 16 years of experience working with people who are using substances in the context of depression, anxiety, PTSD, bipolar disorder, and other mental health issues.  Utilizing a patient-centered approach within a harm-reduction framework, I am available for psychiatric medication evaluations and ongoing medication management to those engaged in HRT, with an emphasis on psychoeducation and collaborative treatment planning.  My colleague, Natasha Distiller LMFT, PhD (Gender Studies) and I opened a private practice in Berkeley in 2019 that focuses on the LGBTQ+ community.


In addition to psychiatric medication management, my services include:

  • Benzodiazepine short-term detox/long-term taper

  • Alcohol detox support

  • Buprenorphine for opiate dependence


Gayle Paul, LMFT

Licensed Marriage & Family Therapist #37825

Pronouns: she, her

(415) 412-9674


I’m thrilled to be part of the amazing new Harm Reduction Therapy Association. My history with Harm Reduction dates back to graduate school with Patt Denning at the San Francisco School of Psychology. 



Leora Lerba, AMFT (#103526)

(Supervised by Cynthia Hoffman, LMFT #40736)

Experience in community mental health and private practice as a hardcore harm reductionist. Specializing in: 


  • Harm Reduction for individuals, couples and families

  • Harm Reduction Group Therapy for people who use substances

  • Sex / Drug linked behaviors

  • Immigration Issues 

  • Interventions include Narrative therapy, Mindfulness, incorporating CBT techniques

ph. 415-275-2301

Sliding scale available

Pronouns: she / her / hers


Connor Moss, AMFT

I'm an Associate MFT practicing under supervision in private practice. I do a lot of harm reduction work with active drug users in my practice and love helping people cut down or quit relationships with substances, especially opiates, cannabis, alcohol, benzos. Drug and alcohol work makes up a good portion of my practice, I also focus on trauma therapy (somatic, mindfulness, parts work) and couples therapy (EFT, attachment, NVC). I do psychedelic integration and preparation work and have done some training around Ketamine assisted psychotherapy.

Phone: 510.929.1700




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