Romie Nottage

Romie Nottage is a Licensed Marriage and Family Therapist (CA LMFT 119577) practicing in California. She has been passionate about psychology since a young age and always intended to build a career in this field.

Romie brings more than 8 years of clinical experience and, after more than a decade working in community mental health, recently opened her own private practice. Much of her earlier work was with people experiencing homelessness, incarceration, and substance use, largely within San Francisco. Those community-focused roles have shaped her approach both as a clinician and as a person.

Her training centers on complex trauma, and Romie believes everyone is one crisis away from what feels like a very difficult place. She holds that all experiences are valid and that people deserve supportive, soft places in their lives where they can land and heal.

Therapy with Romie follows a collaborative and fluid style. She prioritizes getting to know each person so the therapeutic relationship can guide how she supports them. Depending on the presenting concerns and the rapport that develops, she draws from expressive and creative methods, storytelling and narrative work, Gestalt techniques, Attachment Theory, Internal Family Systems (IFS), and Cognitive Behavioral Therapy (CBT). Overall she describes her orientation as humanistic.

Romie is refining a modality she developed during her graduate training called Transformative Recovery through Evolutionary Exploration, or T.R.E.E. Work. Originally created while working with men re-entering society after 25+ years of incarceration who were struggling with opiate dependence, T.R.E.E. Work blends several clinical orientations with the intention of cultivating self-identity. The model aims to be restorative and transformative.

If Romie seems like a good fit, she welcomes contact and looks forward to supporting each person’s growth in a way that honors their individuality.