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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.
My patients can expect me to be warm, empathetic, and genuinely interested in their story. I take time to understand not just current struggles, but also personal history and experiences that have shaped who they are. I believe that mental health is deeply connected to overall health, and treating psychiatric conditions can positively impact all areas of life. I work with all patients and conditions, and I always meet people where they are. If someone isn’t ready for medications, I fully support their choice and will be there to provide guidance, education, and care until the time feels right for them. Above all, I listen, I value each person’s perspective, and I aim to create a safe space where patients feel truly heard.
Hi! Im Mike Strauss and I specialize in anxiety, PTSD, depression and substance abuse. With my own background as an addict now with 17 years clean and sober, I organically found my purpose as a clinician. What initially started with drug and alcohol counseling immediately turned into something bigger, as I pursued a master’s degree in social work. Understanding that addiction is but a symptom of underlying fears and traumas resulting in mood disorders, I was able to REALLY look at myself as I encourage my clients to do during their journeys toward self-realization.
I am a Licensed Clinical Social Worker with over 15 years of experience in domestic violence, addiction, homelessness, severe mental illness, behavioral modification, individual and family therapy, relational conflicts, crisis intervention, advocacy, social policy, clinical supervision and program development.
I believe in the immense power of our thoughts and our incredible capacity as human beings to change them through awareness, intention and implementation. Together we will work to create the life you want to live despite the hardships you have overcame and any future struggles that may lay ahead.
I believe life’s hardships and tragedies have strength and the power to empower with self awareness and guidance through the pain.
I work with all ages and I'm trained in trauma based therapies such as CBT, DBT, and EMDR. I offer individual therapy using attachment based therapies, solution-focused brief therapy, and Gestalt self-compassion techniques. I'm not currently offering couples counseling except through private pay. I have worked with foster youth, caregivers, families, LGBTQ, and veterans. I have found my work to be professionally rewarding by assisting people in reaching their goals. I’m committed to meeting your needs and learning.
I’m April Madden, a Licensed Marriage and Family Therapist and the owner of Twisted Oaks Family Therapy.
If you are interested in services, please reach out to clerical at (805)721-6112 or visit our website at twisitedoakstherapy.com
As the owner of Twisted Oaks Family Therapy, I’ve also built a team of clinicians with diverse specialties so that clients can be matched with a therapist who best fits their individual needs. Our goal is to provide a welcoming, nonjudgmental environment where clients can feel comfortable doing difficult work while knowing they do not have to navigate it alone.
I hold a master’s degree in clinical psychology and have more than 20 years of experience in the helping profession, working with individuals and families facing a wide range of emotional, behavioral, relational, and life challenges.
My approach to therapy is compassionate, trauma-informed, and direct. I believe therapy should be a space where you feel heard and supported, but also a place where meaningful growth happens. I work collaboratively with my clients to identify patterns, build healthier coping skills, strengthen relationships, and create lasting change.
I have experience working with adolescents, adults, couples, and families, with particular focus on trauma and PTSD, anxiety, depression, relationship and family concerns, life transitions, addiction and recovery, communication difficulties, self-esteem, and rebuilding trust and connection. I am also a Certified Substance Use Disorder Counselor IV (SUDCC-IV), which provides me with specialized experience in substance use, addiction, and recovery.
Whether you are seeking support for yourself, your relationship, or your family, our goal is to meet you where you are and help you move toward greater understanding, healing, and meaningful change.
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
- 96%Relationship issues
- 96%Aetna
- 54%Providence Health Plan
- 50%Anthem Blue Cross California
- 50%Carelon Behavioral Health
- 38%Curative
- 100%English
- 8%French
- 8%Russian
- 8%Spanish
- 4%Hebrew
- 92%In-person or online
- 8%In-person only
- 69%Woman
- 27%Man
- 4%Non-binary
- 62%Licensed Marriage/Family Therapist
- 19%Clinical Psychologist
- 12%Nurse Practitioner
- 8%Licensed Clinical Social Worker
- 100%Individual therapy
- 35%Couples therapy
- 31%Child or adolescent therapy
- 31%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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