Substance Use Psychiatrists in Marin County, CA

While I have special interests in the care of young adults, creatives, caregivers and those impacted by substance use disorders, I consider myself a generalist and remain open to peoples of all varieties.
I offer diagnostic and medication consultations, second opinion consultations, and in some cases psychotherapy. My approach is informed by psychoanalytic thought and a deep appreciation for human subjectivity balanced with the biological rigor of medical training and double-board certification in adult and addiction psychiatry.
While I have special interests in the care of young adults, creatives, caregivers and those impacted by substance use disorders, I consider myself a generalist and remain open to peoples of all varieties.
I offer diagnostic and medication consultations, second opinion consultations, and in some cases psychotherapy. My approach is informed by psychoanalytic thought and a deep appreciation for human subjectivity balanced with the biological rigor of medical training and double-board certification in adult and addiction psychiatry.

I specialize in treating depression, anxiety, sleep disorders, substance use, ADHD, OCD, and Bipolar disorders.
I believe in a strong connection between our mind and body. My approach is based on the holistic care model involving all aspects of life psychological, biological, emotional, social, and spiritual. Our environment, relationships, and lifestyle play a crucial role in our mental health and these aspects are inseparable from it.
I specialize in treating depression, anxiety, sleep disorders, substance use, ADHD, OCD, and Bipolar disorders.
I believe in a strong connection between our mind and body. My approach is based on the holistic care model involving all aspects of life psychological, biological, emotional, social, and spiritual. Our environment, relationships, and lifestyle play a crucial role in our mental health and these aspects are inseparable from it.

I specialize in treating complex addiction issues, dual-diagnoses such as ADHD and depression combined with substance use, and behavioral addictions such as gambling.
We will spend time discussing your life story, how your current situation came about, and your goals for treatment. I treat addiction proactively and holistically, utilizing a combination of medications and psychotherapy, so that you can get back to living a life in accordance with your values as quickly as possible.
I specialize in treating complex addiction issues, dual-diagnoses such as ADHD and depression combined with substance use, and behavioral addictions such as gambling.
We will spend time discussing your life story, how your current situation came about, and your goals for treatment. I treat addiction proactively and holistically, utilizing a combination of medications and psychotherapy, so that you can get back to living a life in accordance with your values as quickly as possible.

I do general psychiatry, medication management, addiction medicine, and consult with attorneys on issues involving criminal and civil issues. For details about my work and background see my Website at www.eugeneschoenfeld.com
I do general psychiatry, medication management, addiction medicine, and consult with attorneys on issues involving criminal and civil issues. For details about my work and background see my Website at www.eugeneschoenfeld.com

A universe stranger than we can suppose gave us personhood. We are thrown into this life where we remain a mystery unto ourselves. For many, the mystery of self becomes foregrounded only when life proves more complex, tragic, or disappointing than expected. During these times, people stumble backwards into a crisis of premise causing them to wonder: How did I become so alone and can anything be done about it? How did I come to lead a life that has so little to do with me? Why is it so hard to know how I feel and what I want? These questions bring people to psychotherapy seeking a way forward.
A universe stranger than we can suppose gave us personhood. We are thrown into this life where we remain a mystery unto ourselves. For many, the mystery of self becomes foregrounded only when life proves more complex, tragic, or disappointing than expected. During these times, people stumble backwards into a crisis of premise causing them to wonder: How did I become so alone and can anything be done about it? How did I come to lead a life that has so little to do with me? Why is it so hard to know how I feel and what I want? These questions bring people to psychotherapy seeking a way forward.

I have been a general adult psychiatrist for 30 years, practicing at the interface of psychotherapy and pharmacotherapy as an in-depth generalist. I offer an integrated model of psychiatric and psychological treatment, emphasizing mind/body interface. My modal patient has one or more psychiatric diagnoses and has failed one or more trials of psychiatric medication in a split treatment model (in which the primary care physician or the psychiatrist has prescribed while a psychologist or MFT has overseen therapy). There was usually little to no collaboration among those two treatment providers. I believe that treatment outcome is optimized with a strong physician/patient alliance.
I have been a general adult psychiatrist for 30 years, practicing at the interface of psychotherapy and pharmacotherapy as an in-depth generalist. I offer an integrated model of psychiatric and psychological treatment, emphasizing mind/body interface. My modal patient has one or more psychiatric diagnoses and has failed one or more trials of psychiatric medication in a split treatment model (in which the primary care physician or the psychiatrist has prescribed while a psychologist or MFT has overseen therapy). There was usually little to no collaboration among those two treatment providers. I believe that treatment outcome is optimized with a strong physician/patient alliance.
What's missing from typical psychiatric care? * Care is typically boiled down to diagnositic categories while bypassing confounding personal issues * Clinicians tend to focus on the patient separated from the rest of his or her life. * Care is available only on a schedule. * Care is delivered by someone whose experience and interest covers only part of a problem. -- Mental health conditions don't exist in isolation. They are generally complicated by interpersonal issues involving relationships, family, school, or employment. They may require psychotherapy, medication, or both. My practice consists of psychotherapy, medication as needed, and medical consultation as appropriate
What's missing from typical psychiatric care? * Care is typically boiled down to diagnositic categories while bypassing confounding personal issues * Clinicians tend to focus on the patient separated from the rest of his or her life. * Care is available only on a schedule. * Care is delivered by someone whose experience and interest covers only part of a problem. -- Mental health conditions don't exist in isolation. They are generally complicated by interpersonal issues involving relationships, family, school, or employment. They may require psychotherapy, medication, or both. My practice consists of psychotherapy, medication as needed, and medical consultation as appropriate

Sarah Udor
Psychiatric Nurse Practitioner, APRN, FNP-BC, PMHNPBC
Verified Verified
Sausalito, CA 94965
As a dedicated mental health, pain management, and aesthetic physician, I understand the unique challenges that individuals face when it comes to both physical and emotional well-being. I am here to support you in your journey toward healing, whether through personalized mental health counseling, advanced pain management techniques, or rejuvenating aesthetic treatments.
As a dedicated mental health, pain management, and aesthetic physician, I understand the unique challenges that individuals face when it comes to both physical and emotional well-being. I am here to support you in your journey toward healing, whether through personalized mental health counseling, advanced pain management techniques, or rejuvenating aesthetic treatments.

We are a dedicated telepsychiatry clinic that specializes in providing remote psychiatric and psychological services. Our comprehensive range of telepsychiatry options includes Psychopharmacology, Psychotherapy, Medication Management, and Spravato (Esketamine), all conveniently delivered to patients in the comfort of their own homes. We proudly serve veterans and welcome most insurances, including Medicare and Partnership (Beacon).
We are a dedicated telepsychiatry clinic that specializes in providing remote psychiatric and psychological services. Our comprehensive range of telepsychiatry options includes Psychopharmacology, Psychotherapy, Medication Management, and Spravato (Esketamine), all conveniently delivered to patients in the comfort of their own homes. We proudly serve veterans and welcome most insurances, including Medicare and Partnership (Beacon).

I'm a UCSF-trained psychiatrist working with adults experiencing the full spectrum of mental health challenges. I fit well with people who desire to go deeper than symptom suppression and work together to uncover the root causes beneath emotional suffering. This can include but often goes beyond medication prescribing. True healing requires us to care for all the different elements that make up our lives, from the physical body to the mind and beyond. I place an emphasis on the psychological impact of traumatic experiences and the importance of lifestyle factors like sleep, movement, nutrition, spirituality, and relationships.
I'm a UCSF-trained psychiatrist working with adults experiencing the full spectrum of mental health challenges. I fit well with people who desire to go deeper than symptom suppression and work together to uncover the root causes beneath emotional suffering. This can include but often goes beyond medication prescribing. True healing requires us to care for all the different elements that make up our lives, from the physical body to the mind and beyond. I place an emphasis on the psychological impact of traumatic experiences and the importance of lifestyle factors like sleep, movement, nutrition, spirituality, and relationships.

We offer a full range of psychiatric and psychological services: TMS, Telepsychiatry, Psychopharmacology - Medication Management, Psychotherapy, and Spravato (Also known as Esketamine). TMS Therapy is a therapy designed for the treatment of certain Neurological conditions, specifically Major Depressive Disorder. Remission from Depression. Knowledgeable approach to medication management. For patients who want to be seen at the convenience of their homes, we provide telepsychiatry options. Most Insurances are Welcome, including Medicare & Partnership (Beacon)
We offer a full range of psychiatric and psychological services: TMS, Telepsychiatry, Psychopharmacology - Medication Management, Psychotherapy, and Spravato (Also known as Esketamine). TMS Therapy is a therapy designed for the treatment of certain Neurological conditions, specifically Major Depressive Disorder. Remission from Depression. Knowledgeable approach to medication management. For patients who want to be seen at the convenience of their homes, we provide telepsychiatry options. Most Insurances are Welcome, including Medicare & Partnership (Beacon)
Meet Our Substance Use Psychiatrists

Trisha is a board certified Psychiatric Mental Health Nurse Practitioner with a Master of Science in Nursing and over twenty-five years of clinical experience working in mental health. She is an independent practitioner in the states of CT, NY, MA and CA. She is board certified with prescriptive authority and specializes in psychiatric medication management. At TLC Psychiatry, her approach to care involves getting to know each client individually, partnering closely with them to construct a plan of care specific to their needs, and supporting them to achieve their goals with medication management and talk therapy.
Trisha is a board certified Psychiatric Mental Health Nurse Practitioner with a Master of Science in Nursing and over twenty-five years of clinical experience working in mental health. She is an independent practitioner in the states of CT, NY, MA and CA. She is board certified with prescriptive authority and specializes in psychiatric medication management. At TLC Psychiatry, her approach to care involves getting to know each client individually, partnering closely with them to construct a plan of care specific to their needs, and supporting them to achieve their goals with medication management and talk therapy.

Mental health challenges can be overwhelming. You do not have to face your struggles alone — call us today for a consultation and start down the path towards better health.
Mental health challenges can be overwhelming. You do not have to face your struggles alone — call us today for a consultation and start down the path towards better health.

I earned a Ph.D. in cognitive neuropsychology from UC Berkeley before attending medical school at UC San Francisco and later specializing in psychiatry at New York University. As a result, I have a thorough understanding of the neural pathways involved in emotions and cognition, how they develop, how they are regulated, and the relevant neurotransmitters. I have applied my training to develop a specific expertise in identifying and treating ADHD in adults. While neural pathways affect behavior, your mind doesn't exist in a vacuum. Your mind developed and operates under distinct circumstances.
I earned a Ph.D. in cognitive neuropsychology from UC Berkeley before attending medical school at UC San Francisco and later specializing in psychiatry at New York University. As a result, I have a thorough understanding of the neural pathways involved in emotions and cognition, how they develop, how they are regulated, and the relevant neurotransmitters. I have applied my training to develop a specific expertise in identifying and treating ADHD in adults. While neural pathways affect behavior, your mind doesn't exist in a vacuum. Your mind developed and operates under distinct circumstances.

Melinda Cuthbert
Psychiatric Nurse Practitioner, PhD, DNP, PMHNP
Verified Verified
Tiburon, CA 94920
Waitlist for new clients
I have a passion for helping people live their best lives through accurate diagnosis, supportive therapy and evidence-based treatments in psychiatric care. I respect the courage and commitment it requires to present for care. I partner with you and bring over 30 years in inpatient, outpatient, and emergency psychiatry to help you meet your life goals. Developing innovative programs in technology and medical companies taught me strategies to support breaking large life issues into actionable items which can be addressed by Cognitive Behavior Therapy and other evidence-based interventions.
I have a passion for helping people live their best lives through accurate diagnosis, supportive therapy and evidence-based treatments in psychiatric care. I respect the courage and commitment it requires to present for care. I partner with you and bring over 30 years in inpatient, outpatient, and emergency psychiatry to help you meet your life goals. Developing innovative programs in technology and medical companies taught me strategies to support breaking large life issues into actionable items which can be addressed by Cognitive Behavior Therapy and other evidence-based interventions.

As the founder of Mind Therapy Clinic, a psychiatric center focused on innovative, integrated, and personalized care, I believe in utilizing innovative approaches to treating the most common to the most complicated problems with the latest, scientifically supported psychotherapeutic and medication approaches. The Mind Therapy clinicians supplement traditional approaches with rapidly developing diagnostic technologies to more objectively identify, target, and treat psychiatric problems. An integrated approach to treating the whole person involves integrating mainstream methods with alternative disciplines and fostering collaboration between clinicians with differing backgrounds and training.
As the founder of Mind Therapy Clinic, a psychiatric center focused on innovative, integrated, and personalized care, I believe in utilizing innovative approaches to treating the most common to the most complicated problems with the latest, scientifically supported psychotherapeutic and medication approaches. The Mind Therapy clinicians supplement traditional approaches with rapidly developing diagnostic technologies to more objectively identify, target, and treat psychiatric problems. An integrated approach to treating the whole person involves integrating mainstream methods with alternative disciplines and fostering collaboration between clinicians with differing backgrounds and training.

Dr Kletz has been a trusted provider for ADHD evaluations/treatment and general psychiatry in California for some time. With other providers, many people find they have to wait months for an ADHD evaluation. Due to our weekend hours we are typically able to schedule clients for ADHD evaluations within one week. Additionally, for every paid appointment, we also offer 2 phone “check-ins” at no additional charge basically whenever you may need it. In this way, the treatment you receive will have a concierge quality to it.
Dr Kletz has been a trusted provider for ADHD evaluations/treatment and general psychiatry in California for some time. With other providers, many people find they have to wait months for an ADHD evaluation. Due to our weekend hours we are typically able to schedule clients for ADHD evaluations within one week. Additionally, for every paid appointment, we also offer 2 phone “check-ins” at no additional charge basically whenever you may need it. In this way, the treatment you receive will have a concierge quality to it.

I offer evidence based psychotherapy and psychopharmacology. My therapy approach is a mix of genuine humanism, evidence based (CBT, DBT. RO-DBT) strategies and mindfulness. I strive to be validating, non-judgmental and warm while collaboratively helping you get the tools you need to reach your valued-goals in life.
I offer evidence based psychotherapy and psychopharmacology. My therapy approach is a mix of genuine humanism, evidence based (CBT, DBT. RO-DBT) strategies and mindfulness. I strive to be validating, non-judgmental and warm while collaboratively helping you get the tools you need to reach your valued-goals in life.

I look for ways to optimize individual treatment and seek opportunities to surpass previous functioning. My goal is to help patients achieve their full potential and self-actualize. I follow a positive strength based approach that is highly individualized. After graduating from the Juilliard School, I prepared for medical studies at the City University of New York. Then completed medical studies at U.C.S.F. and psychiatry residency at Stanford University. I have recently renewed Board certified in Psychiatry and Neurology 2020, Addiction Medicine 2019 and Pain Medicine 2017.
I look for ways to optimize individual treatment and seek opportunities to surpass previous functioning. My goal is to help patients achieve their full potential and self-actualize. I follow a positive strength based approach that is highly individualized. After graduating from the Juilliard School, I prepared for medical studies at the City University of New York. Then completed medical studies at U.C.S.F. and psychiatry residency at Stanford University. I have recently renewed Board certified in Psychiatry and Neurology 2020, Addiction Medicine 2019 and Pain Medicine 2017.

Dileep Shergill
Psychiatric Nurse Practitioner, MD, PMHNP
Verified Verified
1 Endorsed
Corte Madera, CA 94925
As a Psychiatric Mental Health Nurse Practitioner (PMHNP), I'm deeply committed to making quality mental health care accessible to everyone and emphasizing the importance of mental well-being in overall health. My journey in medicine began with the completion of my Doctorate of Medicine in Poland. With a strong foundation in medical knowledge and a passion for mental health, I provide holistic, compassionate care and evidence-based treatments for individuals across the lifespan facing mental health challenges.
As a Psychiatric Mental Health Nurse Practitioner (PMHNP), I'm deeply committed to making quality mental health care accessible to everyone and emphasizing the importance of mental well-being in overall health. My journey in medicine began with the completion of my Doctorate of Medicine in Poland. With a strong foundation in medical knowledge and a passion for mental health, I provide holistic, compassionate care and evidence-based treatments for individuals across the lifespan facing mental health challenges.
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Substance Use Psychiatrists
How do substance and drug recovery or rehabilitation programs work?
In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.
How do 12-step programs combined with psychotherapy work?
Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.
How does harm reduction combined with psychotherapy work?
According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.
Are there specific medications for substance and drug use?
There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.