Psychosis Therapists in San Francisco, CA
My approach to therapy is grounded in the belief that mental health should be understood within the context of a person’s life, never condescending or one-size-fits-all, and ideally, with a sense of lightness and even humor. I recognize that while mental illness can feel like an overwhelming challenge at times, it often coexists with unique qualities and strengths that can deepen a person’s understanding of themselves and the world around them. Our work is rooted in the belief that mental health is a deeply personal and cultural experience, shaped by our individual histories, identities, and the social environments we navigate.
My approach to therapy is grounded in the belief that mental health should be understood within the context of a person’s life, never condescending or one-size-fits-all, and ideally, with a sense of lightness and even humor. I recognize that while mental illness can feel like an overwhelming challenge at times, it often coexists with unique qualities and strengths that can deepen a person’s understanding of themselves and the world around them. Our work is rooted in the belief that mental health is a deeply personal and cultural experience, shaped by our individual histories, identities, and the social environments we navigate.
My background has given me specialized expertise in supporting people with addiction, burnout, and psychosis.
Have you ever tried to make a change in your life and found yourself falling back into old patterns? Have you felt stuck in a situation, and unsure how to proceed? Many of my clients have come with these types of problems. Through our work together we can address issues like these and so many more. I believe that therapy should be a space where there is honesty, non-judgemental, and collaborative communication to discuss hard topics.
My background has given me specialized expertise in supporting people with addiction, burnout, and psychosis.
Have you ever tried to make a change in your life and found yourself falling back into old patterns? Have you felt stuck in a situation, and unsure how to proceed? Many of my clients have come with these types of problems. Through our work together we can address issues like these and so many more. I believe that therapy should be a space where there is honesty, non-judgemental, and collaborative communication to discuss hard topics.
Rogerian therapist with experience in severe depression/anxiety/bipolar, psychosis, DID, play therapy, life transitions and addictions.
Hi! I'm Sophie and I specialize in depression, trauma, family and attachment issues, anxiety, bipolar and addictions.I'm very much looking forward to meeting you.
An ideal client is someone who shows up. Not even in the way of making every appointment (life happens) but takes the first step toward growth and self development. An ideal client is not a diagnosis or impairment in functioning but anyone who wants to live better and understand themselves more within our weird and scary world. I encourage my clients to advocate for what is working and name what is not by checking in so our time together is the most supportive possible.
Rogerian therapist with experience in severe depression/anxiety/bipolar, psychosis, DID, play therapy, life transitions and addictions.
Hi! I'm Sophie and I specialize in depression, trauma, family and attachment issues, anxiety, bipolar and addictions.I'm very much looking forward to meeting you.
An ideal client is someone who shows up. Not even in the way of making every appointment (life happens) but takes the first step toward growth and self development. An ideal client is not a diagnosis or impairment in functioning but anyone who wants to live better and understand themselves more within our weird and scary world. I encourage my clients to advocate for what is working and name what is not by checking in so our time together is the most supportive possible.
As we embark on this journey together, I aspire to provide you with my full attention and engagement, allowing you to experience the benefits of gentle, generous focus. With nearly a decade of experience working with non-ordinary states of consciousness (e.g. psychotic, manic, dissociative, ecstatic, etc.), I'm confident that I can help you manage most anything you're experiencing. You will find our time together has depth due to my background in Jungian theory; yet the somatic (embodied) and trauma-informed approach underlying everything we focus your curious attention on will remain rooted in your felt-sense of the present moment.
As we embark on this journey together, I aspire to provide you with my full attention and engagement, allowing you to experience the benefits of gentle, generous focus. With nearly a decade of experience working with non-ordinary states of consciousness (e.g. psychotic, manic, dissociative, ecstatic, etc.), I'm confident that I can help you manage most anything you're experiencing. You will find our time together has depth due to my background in Jungian theory; yet the somatic (embodied) and trauma-informed approach underlying everything we focus your curious attention on will remain rooted in your felt-sense of the present moment.
My clients often know something is wrong but can't quite name it, or can name it and still can't traverse it. They're thoughtful, emotional, self-aware, sometimes exhausted by their own self-awareness. I work with adults navigating depression, from low-grade and chronic to acute and destabilizing.
I work with people whose relationship to technology, gaming, social media, the particular gravity of the digital world, has quietly reorganized their life in ways they didn't choose. I work with people who have had profound experiences, psychedelic or otherwise, that hatched something and left them desiring therapy.
My clients often know something is wrong but can't quite name it, or can name it and still can't traverse it. They're thoughtful, emotional, self-aware, sometimes exhausted by their own self-awareness. I work with adults navigating depression, from low-grade and chronic to acute and destabilizing.
I work with people whose relationship to technology, gaming, social media, the particular gravity of the digital world, has quietly reorganized their life in ways they didn't choose. I work with people who have had profound experiences, psychedelic or otherwise, that hatched something and left them desiring therapy.
My ideal client is someone coping with anything from daily stressors to severe mental illness—feeling overwhelmed, misunderstood, or simply stuck. They may be navigating complex relationships, the aftereffects of trauma, or struggling with symptoms that disrupt their sense of self. Some may have tried therapy before; others are seeking a fresh, compassionate approach. What they share is a hope for change, a desire for clarity, and the drive to find new ways forward—whether that's healing, understanding themselves, or just feeling “okay” again.
My ideal client is someone coping with anything from daily stressors to severe mental illness—feeling overwhelmed, misunderstood, or simply stuck. They may be navigating complex relationships, the aftereffects of trauma, or struggling with symptoms that disrupt their sense of self. Some may have tried therapy before; others are seeking a fresh, compassionate approach. What they share is a hope for change, a desire for clarity, and the drive to find new ways forward—whether that's healing, understanding themselves, or just feeling “okay” again.
My name is Mara Justice, I have a Doctorate in Clinical Forensic Psychology and have extensive experience working with adults navigating complex and often overwhelming mental health challenges—including schizophrenia, bipolar disorder, depression, and anxiety.
My approach is collaborative and personalized. I draw from evidence-based practices like CBT , mindfulness, solution-focused therapy, and person-centered techniques to help you make meaningful change at a pace that feels right for you. I show up with warmth, openness, and respect—and I’m not afraid to gently challenge you when it serves your growth.
My name is Mara Justice, I have a Doctorate in Clinical Forensic Psychology and have extensive experience working with adults navigating complex and often overwhelming mental health challenges—including schizophrenia, bipolar disorder, depression, and anxiety.
My approach is collaborative and personalized. I draw from evidence-based practices like CBT , mindfulness, solution-focused therapy, and person-centered techniques to help you make meaningful change at a pace that feels right for you. I show up with warmth, openness, and respect—and I’m not afraid to gently challenge you when it serves your growth.
In far too many situations individuals with bipolar disorder, depression, and schizophrenia have internalized messages that there is no hope, that they are simply victims of their mental illness, and unable to reach their life goals.
I specialize in providing individual therapy and specialized skills training programs for individuals with bipolar, major depression, anxiety, schizophrenia, and self-injury. Treatment modalities include: CBT, Dialectical Behavioral Therapy, crisis intervention, and animal assisted therapy. I also provide consultation in the areas of suicide, violence reduction, and program development.
In far too many situations individuals with bipolar disorder, depression, and schizophrenia have internalized messages that there is no hope, that they are simply victims of their mental illness, and unable to reach their life goals.
I specialize in providing individual therapy and specialized skills training programs for individuals with bipolar, major depression, anxiety, schizophrenia, and self-injury. Treatment modalities include: CBT, Dialectical Behavioral Therapy, crisis intervention, and animal assisted therapy. I also provide consultation in the areas of suicide, violence reduction, and program development.
My work can also include Conservatorship, case management & working with families with problems with neurological imbalances & diseases such as schizophrenia, bipolar disease & other issues.
Welcome! I’m Lesa Pascali and I am committed to connecting with individuals, couples and families through individualized therapy and to helping them to discover/rediscover the harmony, meaning and wellness within their lives. After 23 years in law enforcement and 18 years doing therapy, I have dealt with a variety of situations. I’ve worked with individuals, couples and families, veterans, ex-offenders, children, teens and neurologically imbalanced individuals. I use a variety of therapies including RLT therapy, CBT & Solution Focused therapy and am a Certified Relational Life couples therapist.
My work can also include Conservatorship, case management & working with families with problems with neurological imbalances & diseases such as schizophrenia, bipolar disease & other issues.
Welcome! I’m Lesa Pascali and I am committed to connecting with individuals, couples and families through individualized therapy and to helping them to discover/rediscover the harmony, meaning and wellness within their lives. After 23 years in law enforcement and 18 years doing therapy, I have dealt with a variety of situations. I’ve worked with individuals, couples and families, veterans, ex-offenders, children, teens and neurologically imbalanced individuals. I use a variety of therapies including RLT therapy, CBT & Solution Focused therapy and am a Certified Relational Life couples therapist.
I most often work with folks who are experiencing significant emotional distress, whether due to trauma, psychosis, chronic illness, or discrimination.
I have expertise in more severe and chronic mental health concerns, including psychosis, PTSD, depression, and difficulty managing emotions, connecting with others and/or thinking. I trained in person-centered, research-supported treatments in graduate school and my fellowship at UCSD/San Diego VA. I have worked in inpatient and residential care settings.
I most often work with folks who are experiencing significant emotional distress, whether due to trauma, psychosis, chronic illness, or discrimination.
I have expertise in more severe and chronic mental health concerns, including psychosis, PTSD, depression, and difficulty managing emotions, connecting with others and/or thinking. I trained in person-centered, research-supported treatments in graduate school and my fellowship at UCSD/San Diego VA. I have worked in inpatient and residential care settings.
I enjoy working with clients from all backgrounds and walks of life. I honor my clients as unique individuals, with unique reasons for seeking therapy. Some clients may desire a short-term, solution-focused approach to therapy, where they can find relief from distressing situations and quickly move on with their lives. Others may prefer a less structured approach, where they can explore and gain clarity on their values so that they can live more fulfilling lives. Some may not have a clear reason for seeking therapy, but intuitively know that it will benefit them in some way—that too is most certainly welcomed.
I enjoy working with clients from all backgrounds and walks of life. I honor my clients as unique individuals, with unique reasons for seeking therapy. Some clients may desire a short-term, solution-focused approach to therapy, where they can find relief from distressing situations and quickly move on with their lives. Others may prefer a less structured approach, where they can explore and gain clarity on their values so that they can live more fulfilling lives. Some may not have a clear reason for seeking therapy, but intuitively know that it will benefit them in some way—that too is most certainly welcomed.
I offer a range of private services from coaching and consultation to psychotherapy and psychoanalysis. Contact me today to discuss your particular situation, whether in person, by phone, or online. I look forward to hearing about your unique needs. Also be sure to visit my website at https://www.drpabrown.com.
I offer a range of private services from coaching and consultation to psychotherapy and psychoanalysis. Contact me today to discuss your particular situation, whether in person, by phone, or online. I look forward to hearing about your unique needs. Also be sure to visit my website at https://www.drpabrown.com.
I’ve provided therapy to clients experiencing depression, anxiety, substance use, PTSD, mental health crises, and schizophrenia among others.
Anxiety and depression are common. There is no shame in feeling this way. In your day-to-day life, you have to balance work, money, relationships, your dreams, your health, sleep etc. It would make anyone not feel their best. Talking about the difficult things in your life with a licensed clinician who listens, empathizes, and challenges is often the thing you need to get you back on the right path or to find a new one.
I’ve provided therapy to clients experiencing depression, anxiety, substance use, PTSD, mental health crises, and schizophrenia among others.
Anxiety and depression are common. There is no shame in feeling this way. In your day-to-day life, you have to balance work, money, relationships, your dreams, your health, sleep etc. It would make anyone not feel their best. Talking about the difficult things in your life with a licensed clinician who listens, empathizes, and challenges is often the thing you need to get you back on the right path or to find a new one.
I have a relaxed approach that is spiced with humor and education. My goal is to have a comfortable and creative environment to help you make the changes you want to see. I'm big on education and will likely push books, articles, and videos on you; or at least summarize to the best of my ability. I'm also big on self acceptance and self-awareness, using practical mindfulness and personal intelligence as a guide. This means getting to know yourself and your strengths to learn how to use them to help yourself.
I have a relaxed approach that is spiced with humor and education. My goal is to have a comfortable and creative environment to help you make the changes you want to see. I'm big on education and will likely push books, articles, and videos on you; or at least summarize to the best of my ability. I'm also big on self acceptance and self-awareness, using practical mindfulness and personal intelligence as a guide. This means getting to know yourself and your strengths to learn how to use them to help yourself.
Anna Abramyan
Clinical Social Work/Therapist, LICSW, LCSW
1 Endorsed
Online Only
Waitlist for new clients
At this time, I am prioritizing specific populations ( schizophrenia/ psychosis/bipolar/addiction).
Recovery and management should be realistic to each person’s individual capacities, rather than a one-size-fits-all approach. I incorporate values, self-awareness, and deconstructing shame in my care. I believe in the importance of incorporating the state of the world into recovery; your care is driven by your unique experiences, strengths, and goals.
At this time, I am prioritizing specific populations ( schizophrenia/ psychosis/bipolar/addiction).
Recovery and management should be realistic to each person’s individual capacities, rather than a one-size-fits-all approach. I incorporate values, self-awareness, and deconstructing shame in my care. I believe in the importance of incorporating the state of the world into recovery; your care is driven by your unique experiences, strengths, and goals.
Dr. Bret Fimiani is a clinical psychologist and a psychoanalyst of the Lacanian School of Psychoanalysis. He is also a member of the Society for Psychoanalytic and Interdisciplinary Interventions and Research After Lacan (SPIIRAL). He specializes in working with people experiencing psychosis and extreme states in his private practice in Oakland, CA and he is on the board of directors for the Bay Area Hearing Voices Network. His recent book on psychosis is titled “ Psychosis and Extreme States: An Ethic for Treatment” (Palgrave-Macmillan 2021).
Dr. Bret Fimiani is a clinical psychologist and a psychoanalyst of the Lacanian School of Psychoanalysis. He is also a member of the Society for Psychoanalytic and Interdisciplinary Interventions and Research After Lacan (SPIIRAL). He specializes in working with people experiencing psychosis and extreme states in his private practice in Oakland, CA and he is on the board of directors for the Bay Area Hearing Voices Network. His recent book on psychosis is titled “ Psychosis and Extreme States: An Ethic for Treatment” (Palgrave-Macmillan 2021).
My experience has been in working with adolescent, adult, and older adult clients challenged by depression, anxiety, suicidality, identity development, mood disorders, men's issues, and schizophrenia spectrum disorders.
I work as an LMFT and LPCC serving clients virtually in California and Florida, virtually.
The clients that find their way to me are often people of color looking to process and work through anxiety, depression, questions of sexuality and gender, burnout and stress, and concerns related to how they show up in the world as men. In my practice, I support teens, adults, and couples in unpacking, making sense of, and growing from their past and present life challenges. Together, we will work to re-author limiting narratives, uncover hidden strengths, and build resilience.
My experience has been in working with adolescent, adult, and older adult clients challenged by depression, anxiety, suicidality, identity development, mood disorders, men's issues, and schizophrenia spectrum disorders.
I work as an LMFT and LPCC serving clients virtually in California and Florida, virtually.
The clients that find their way to me are often people of color looking to process and work through anxiety, depression, questions of sexuality and gender, burnout and stress, and concerns related to how they show up in the world as men. In my practice, I support teens, adults, and couples in unpacking, making sense of, and growing from their past and present life challenges. Together, we will work to re-author limiting narratives, uncover hidden strengths, and build resilience.
I am an experienced clinician and gage our work by the progress you are making towards your treatment goals. I have extensive experience as a clinical consultant and provide consultation for clinicians. I have supervised clinicians in treatment settings ranging from the counselor's office to acute mental health facilities. I have a professional background in the arts and work with self defined meaning, identity and creative processes. My work specifically is in Lacanalysis and I am in ongoing formation as such with Dr. Jacques Siboni at Topologos Lutecium.
I am an experienced clinician and gage our work by the progress you are making towards your treatment goals. I have extensive experience as a clinical consultant and provide consultation for clinicians. I have supervised clinicians in treatment settings ranging from the counselor's office to acute mental health facilities. I have a professional background in the arts and work with self defined meaning, identity and creative processes. My work specifically is in Lacanalysis and I am in ongoing formation as such with Dr. Jacques Siboni at Topologos Lutecium.
Dr. Aguirre is a licensed clinical psychologist with specialties in trauma and stress-related disorders, anxiety and major depression, life transitions, grief and loss, identity development and multiculturalism. She draws from a variety of evidence-based psychotherapies, including behavioral therapies like CBT and CPT, third-wave psychotherapies like DBT and ACT, and more structured therapies like EMDR, and Prolonged Exposure in order to find the right fit for each client. Her approach is values-affirming, collaborative, empathic, and culturally inclusive.
Dr. Aguirre is a licensed clinical psychologist with specialties in trauma and stress-related disorders, anxiety and major depression, life transitions, grief and loss, identity development and multiculturalism. She draws from a variety of evidence-based psychotherapies, including behavioral therapies like CBT and CPT, third-wave psychotherapies like DBT and ACT, and more structured therapies like EMDR, and Prolonged Exposure in order to find the right fit for each client. Her approach is values-affirming, collaborative, empathic, and culturally inclusive.
Annette Chan, LCSW I am a Chinese American born and raised in the SF Bay Area. I served in the US Peace Corps in West Africa in that area of water and sanitation development. I also worked in the area of anti-human trafficking in the country of Cambodia.
Annette Chan, LCSW I am a Chinese American born and raised in the SF Bay Area. I served in the US Peace Corps in West Africa in that area of water and sanitation development. I also worked in the area of anti-human trafficking in the country of Cambodia.
See more therapy options for San Francisco
Nearby Psychosis Therapists Searches for San Francisco
- Alameda
- Albany
- Berkeley
- Daly City
- Emeryville
- Mill Valley
- Oakland
- Pacifica
- Piedmont
- Sausalito
- South San Francisco
- Tiburon
Psychosis Therapists
What’s the most effective treatment for psychosis?
The most effective treatment for psychosis is coordinated specialty care. In this model, a team of professionals works with a patient to address all aspects of the underlying disorder. This approach incorporates individual or group therapy, employment and education support, family support and education, medication management (which often involves low doses of antipsychotics), and case management to facilitate problem-solving as needed.
When should people seek treatment for psychosis?
People should seek immediate treatment at the earliest indication of psychosis. Symptoms include delusions, hallucinations, disorganized or blocked speech, and agitated body movements. Early signs that a person may be developing a disorder that will lead to psychosis include suspiciousness of others, memory problems and distractibility, an inability to think clearly, rapid or nonsensical speech, withdrawal from friends or family, aggression toward others, and sensitivity to bright lights or noises.
What if psychosis is left untreated?
Without treatment, psychosis can have significant repercussions, including injuries, job loss, homelessness, financial or legal trouble, ruptured relationships, and suffering for the person and their family. While early treatment for psychosis often yields the best results, there is no point past which it becomes useless to seek treatment. At any point, treatment can make a difference.
How do I get someone else to seek treatment for psychosis?
It’s extremely difficult to watch a loved one suffer from hallucinations, delusions, and other elements of psychosis—sometimes exacerbated by their fears of treatment. Have a conversation with them in a quiet space and maintain a calm, supportive tone. Share your concerns about behaviors you’ve observed, suggest treatment, and explain the potential benefits. Listen carefully to their responses. The person may not be ready after one conversation, but with time, they may come around.