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Addiction therapists & psychiatrists in San Francisco, CA


Top addiction and substance use disorder therapists and psychiatrists in San Francisco, CA
San Francisco residents struggling with substance use, alcohol, or behavioral addiction can find compassionate providers specializing in recovery strategies including harm reduction, relapse prevention, and 12-step facilitation. Headway offers flexible scheduling with free consultations available.
Dr. Cristina LaFarre
Psychiatric Mental Health NP
Virtual & in-person • 1.5 mi away • San Francisco, CA
I have found a calling that allows me to bring my full self – head, heart, and soul – to my work.
I found this calling after a fulfilling career in social services. In addition to working as a teacher, program manager, policy advocate, and peer counselor, I have also married, raised a family, coached youth sports, and pursued mindful self-care, creativity, and personal growth.
I earned my Bachelor’s in English from Harvard and my Master’s in Counseling Psychology from The Wright Institute.
I’m a Licensed Clinical Social Worker (NY & CA) with an MSW from NYU and a BA in Communications from Northwestern. With 14 years as a professional actor and teaching artist, I incorporate creativity into my eclectic therapeutic approach, which includes CBT, mindfulness, expressive arts, and psychodynamics. I specialize in supporting clients with anxiety, depression, identity exploration, relational challenges, and personal growth.
Anxiety and perfectionism have turned your mind into a battleground. Your inner critic nitpicks every interaction, leaving you exhausted by thoughts of “Damnit, why can’t I just be better!” Painful memories get louder, no matter how hard you try to ignore them. Daily invalidations of your Latina, queer, or immigrant identity sting, and you feel isolated as you keep your suffering to yourself. You’ve tried everything: doom scrolling, drinking, and self-help books, but nothing has worked. You're left feeling hopeless and weighed down.
I work with adults struggling with anxiety, depression, addiction, relationship challenges, and major life transitions. Many of my clients are professionals who appear successful and capable on the outside but privately feel overwhelmed, disconnected, or stuck.
I also work extensively with men and husbands who have spent years believing they should be able to handle life's challenges on their own.
Before becoming a therapist, I spent more than 25 years in engineering and organizational leadership. That experience gives me an appreciation for the pressures of work, relationships, family responsibilities, and the challenge of balancing competing demands while trying to keep everything together.
I’m passionate about helping those who need help mentally and emotionally
I'm an open minded individual and welcome any topics in treatment
Starting therapy can feel overwhelming, but you don’t have to figure it out alone. I’m Maria Zavala, a Bilingual/Bicultural Licensed Clinical Social Worker based in California. I offer a warm, supportive space where you can show up exactly as you are. I work with individuals navigating stress, life transitions, identity exploration, and emotional challenges, with a strong focus on culturally responsive care. My goal is to help you feel seen, understood, grounded, and safe while we gently explore what’s been weighing on you and begin creating a path forward that feels authentic, steady, and truly yours.
You may feel stuck in patterns that no longer serve you, overwhelmed by emotions, or unsure why certain experiences continue to affect your life. Maybe you find yourself repeating the same relationship patterns, being hard on yourself, feeling disconnected, or trying to move forward but something keeps pulling you back.
Therapy is a space to slow down, understand yourself on a deeper level, and create lasting change. Together, we will explore the roots of your struggles, reconnect with your strengths, and help you move toward greater self-trust, healing, and a life that feels more aligned with who you truly are.
About our therapists who can help with addiction and substance use located within 20 miles of San Francisco, CA



- 100%Substance use / addiction
- 100%Stress management
- 100%Anxiety
- 100%Depression
- 95%Relationship issues

- 100%Aetna
- 48%Anthem Blue Cross California
- 48%Providence Health Plan
- 43%Curative
- 33%Cigna

- 100%English
- 10%French
- 10%Russian
- 10%Spanish
- 5%Hebrew

- 95%In-person or online
- 5%In-person only

- 67%Woman
- 29%Man
- 5%Non-binary

- 62%Licensed Marriage/Family Therapist
- 14%Clinical Psychologist
- 14%Nurse Practitioner
- 10%Licensed Clinical Social Worker

- 100%Individual therapy
- 38%Child or adolescent therapy
- 29%Couples therapy
- 24%Family therapy
Frequently asked questions


Find the right addiction counselor for you
Headway makes it easier to find support for overcoming addiction — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing an Addiction Therapist in San Francisco
Finding addiction therapists in San Francisco starts with knowing what kind of support fits your needs. Addiction care can include support for alcohol use, drug use, substance use concerns, and behavioral patterns related to gambling, sex, or internet use. Many therapists list approaches such as motivational interviewing, cognitive behavioral therapy for substance use, harm reduction, or coordination with medication-assisted treatment when a prescriber is part of your care team. As you compare therapists, look for training and listed specialties that match what you want to work on.
San Francisco has many therapists across neighborhoods like the Mission, SoMa, the Richmond, and the Castro, which can make it harder to narrow your options. Consider whether an office location fits your commute, whether virtual appointments work better with your schedule, and whether the therapist is accepting new patients. Recovery can move in different directions over time, so it can help to read bios for signs of a nonjudgmental approach, experience with harm reduction frameworks, and a communication style that feels clear to you.
Therapy in San Francisco can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway helps you search for addiction therapists who match your location, preferences, schedule, and insurance plan. You can review therapist bios, see estimated costs after entering your insurance details, and book directly when you’re ready.
If you or someone you know is experiencing severe withdrawal symptoms — especially from alcohol or benzodiazepines — talk to a medical provider or seek emergency care before starting outpatient therapy. If you or someone you know is struggling with addiction or substance use and is in a crisis, immediately reach out to:
* 988 Suicide & Crisis Lifeline — call or text 988 * SAMHSA National Helpline — 1-800-662-HELP (4357), free, confidential, 24/7 * Crisis Text Line — text HOME to 741741
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