Addiction therapists & psychiatrists in San Rafael, CA

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 an open minded individual and welcome any topics in treatment

My name is Jeffrey W. Danese, MS, MA, LMHC, LPCC, and I am a licensed mental health counselor in Washington State and California, currently based in Sacramento. I bring over 15 years of clinical experience across private practice, inpatient and outpatient mental health settings, and college counseling, along with a an academic background teaching psychology, religious studies, and the history of science in higher education from UCSB, FSU, and 10 years at SJSU to various community colleges in the Puget Sound region and in North Florida and cross-cultural experiences such as living in Taiwan, Zambia, Germany and traveling around the world; I studied Spanish, German, and Chinese language, world history and religions, psychology, evolutionary psychology and the cognitive science of religion; was raised Catholic but ordained as a Buddhist monk in Thailand; and continue to meditate, explore and read broadly. One of my favorite quotes is by the Roman writer, Terence: "I am human and there is nothing human foreign to me." (or, Homo sum, humani nihil a me alienum puto. -- Publius Terentius Afer, 165 BCE)

Dr. Fidelis Azeke is a University of the Pacific, Sacramento graduate and a board certified psychiatric mental health nurse practitioner who specializes in treating patients of all ages. He has 13 years of nursing experience, and over 6 years of specialization in the practice of psychiatry, overseeing the care of patients - infants, children, adults, through the lifespan. Dr. Azeke is a licensed psychiatric mental health nurse practitioner in California, Utah, Washington State and New York State.

My name is Rene and I’m a down-to-earth therapist who specializes in substance use and trauma, and I love helping people feel hopeful again during some of the hardest and most confusing chapters of their lives. I also support clients navigating anxiety, depression, bipolar disorder, PTSD, family and relationship struggles, stress, and women’s issues. I especially enjoy working with women rebuilding identity and confidence after difficult life experiences.

People often tell me they feel comfortable with me quickly. My goal is simple: to meet you exactly where you are — whether that’s overwhelmed, stuck, healing, hopeful, or unsure — and help you find freedom, opportunity, and solid ground again. If faith or Christian counseling is meaningful to you, I’m happy to incorporate spirituality into our work together. And if not — that’s perfectly okay too. Therapy with me is about your values and your journey.