Family therapy and counseling in San Francisco, CA

I have been working in private practice for a few years and before that I worked in non-profits with a variety of individuals and groups. I am the parent of two adult sons and have three grandchildren that I thoroughly enjoy spending time with. I have an educational background in the study of philosophy, spirituality and counseling psychology. I have experience with helping people with histories of trauma, severe mental illness, as well as, symptoms of anxiety and depression. I also have experience and some expertise with clients struggling with substance use.

All roads lead to Rome! It doesn't matter where we jump in, if you’re ready, we’ll get there. My POV is through a Neurodiverse lens and incorporates Attachment Theory and C-PTSD with the idea that much of our conflict and distress stems from old wounds & unmet needs that can often be traced back to necessary adaptations needed to survive not only our families of origin but also societal norms and expectations. The gig of being human is hard and de-coding this blueprint can provide a path toward understanding, healing and, fulfillment. I utilize a variety of therapeutic modalities including Ketamine Assisted Psychotherapy.

Hello, my name is Tamra Smith. I am a licensed clinical social worker (LCSW) in Sacramento, CA. I have over 20 years of experience in the field of Mental Health Services, especially providing therapy and consultation. My practice name is Path to Wellbeing Therapy Services, and I truly lead each person on a path to their own emotional health and wellbeing.

I specialize in supporting adolescents, adults, and families navigating trauma, systemic stress, life transitions, anxiety, depression, and relationship challenges. With 11 years as a Licensed Clinical Social Worker, I’ve worked across diverse communities, including Black, Native American, Veteran, and criminal justice-involved populations. Clients often describe me as grounded, direct, and compassionate, and I bring deep respect for each person’s lived experience into the work we do together.

I am dedicated to helping teens struggling with trauma and self-harm behavior. My experience working with Orange Unified School District, running groups from grade 6-12 for students struggling with emotional and behavioral problems has given me unique insight into not only helping teens, but also working with the families, schools, and community to provide more effective treatment. I have partnered with Western Youth Services in helping at risk teens and low income families in helping adolescents to overcome academic barriers and families cope with serious defiance and drug use.

I’m a bilingual Licensed Marriage and Family Therapist who provides therapy in both Spanish and English, from colloquial to professional levels. My work has included supporting individuals facing HIV/AIDS-related challenges, domestic violence, substance use, loneliness, suicidal thoughts, dual diagnosis, sexuality-related concerns, aging-related issues, and the broader impact these experiences can have on families and support systems. Across community, academic, and clinical settings in Mexico and the U.S., I’ve built a strong foundation in helping people navigate both personal suffering and societal distress.