LGBT therapists in San Luis Obispo, CA

In addition to my work as a licensed therapist, I have over 15 years of experience supporting children, adults, couples, and families in a variety of mental health and community settings. As a Licensed Marriage and Family Therapist who works with teens, adults, couples, and families navigating trauma, anxiety, relationship challenges, and the lasting impact of childhood experiences. My passion is helping cycle breakers heal old wounds, build healthier relationships, and create lives that feel more connected, intentional, and authentic.

As a therapist, I am passionate about walking alongside folks as they reveal their truths and vulnerabilities to themselves. I believe, and have witnessed that people are capable of long standing change with knowledge, support, and connection, and that therapy is a great place for that. You can learn new ways to manage life stressors, feel safe, gain confidence, and live a more joyful and purposeful life. I use cognitive behavioral, solution-focused, and strength-based techniques, while never ignoring the human element and connection where the real change happens.

My work centers queer and transgender preteens, teens, and adults, as well as individuals with current or past foster care involvement. My clients may be feeling overwhelmed, questioning their identity, or don't know where to start with therapy. I can support you by helping you notice patterns and build trust in your own process.

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 working with neurodivergent adults (ADHD, autism), LGBTQIA individuals, and those navigating chronic illness, burnout, and perimenopause or menopause. Many of my clients come to therapy feeling overwhelmed, exhausted, or like nothing they’ve tried has worked.

You might feel like you’re constantly “too much” and “not enough” at the same time, or like simple things take more energy than they should. That’s not a personal failure—it’s a sign that your brain and body need different kinds of support.

With over twelve years of experience, I offer therapy that is warm, affirming, and practical. I help clients reduce overwhelm, build coping tools that actually work, and better understand how their brain and body function.

My goal is to create a space where you feel safe, understood, and supported as you build a life that works for you.