Romie Nottage, LMFT

Romie Nottage is a Licensed Marriage and Family Therapist (LMFT) practicing in California with eight years of experience in community mental health. She has spent much of her career working in San Francisco, supporting people who have experienced homelessness, incarceration, and substance use, and those community roles have been central to shaping her clinical perspective.

Romie recently transitioned from long-term community work to founding a private practice where she can focus on refining the therapeutic approach she developed during her training. Her background emphasizes complex trauma, and she brings that expertise to work with people facing stress, anxiety, addictions, relationship concerns, trauma and abuse, and depression.

Her style is collaborative and flexible - she prioritizes building a strong connection first, then tailors interventions to the individual. Depending on the presenting concerns and the relationship that develops, Romie draws from expressive and narrative methods, often integrates Gestalt techniques, and grounds her work in Attachment Theory. She is also a proponent of Internal Family Systems (IFS), uses principles from Cognitive Behavioral Therapy (CBT), and generally situates her work within a humanistic framework.

Romie created a treatment modality called Transformative Recovery through Evolutionary Exploration, or T.R.E.E. Work, while supporting men re-entering society after lengthy incarceration who were navigating opiate dependence. T.R.E.E. Work blends elements from multiple orientations with the aim of helping people cultivate a clearer sense of self. Romie views therapy as a restorative, individualized process and offers a supportive space for people who want to explore growth on their own terms.

She approaches each client with respect for their experiences and an emphasis on creating a therapeutic environment that feels safe, supportive, and personalized to the person in front of her.