Therapy for Black couples and families

A private practice in San Francisco, with sessions in person or by video for people in California. Start with a short call to see whether we fit.

Book a first session See the first month

A room that feels like home

I'm Dr. Natasha Hairston, a licensed psychologist in California. I see individuals, and couples and families of adults, in person in San Francisco and by video.

Many people arrive carrying a lot for a lot of other people: at work, at home, in the family. Here you set the pace and bring whoever matters to you, and you don't have to explain every part of your life before it is heard.

Warmth
Each session starts with care and a chance to settle in.
Plain talk
I explain what we are doing and why, in everyday words.
Your pace
You decide what to talk about and how fast to go.
Privacy
We keep your records private and share them only as the law allows.

A brown sofa in the corner of a room under a floor lamp, with a mountain poster and a pegboard on the wall

What we hold to

Therapy is easier to begin in a room that feels like home: warm, familiar and unhurried.

Warmth
A space that feels like home, not a clinic.
Connection
Talking with someone who listens is where the work starts.
Authenticity
Come as you are, and bring the people who matter to you.

How we can help

Individual, couples and family sessions, in person or by video.

Individual therapy

One-on-one sessions to talk through what is on your mind, at your pace. We decide together what to focus on.

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A navy velvet sofa with mustard cushions by a window and a brick wall

Couples therapy

Sessions for you and your partner to talk, listen and sort out what is getting in the way. Couples sessions run about 80 minutes.

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Linen curtains tied back from a window overlooking hills

Family sessions

For partners, parents, adult siblings and grown children who want to talk things through in the same room.

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A fluffy white cushion and pastel patterned pillows on a sofa by a bright window

Stress and anxiety

Support when work, money or the weight of everything you carry is wearing you down.

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A small study with a desk, laptop, table lamp and leather armchair in warm light

Grief and life transitions

Room for a loss, a move, a new job, a new baby or a change in the family.

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A red sofa with a knitted yellow cushion beneath an orchid on a windowsill

What to expect

How sessions feel.

Warm and welcoming
A room designed for comfort and ease.
Everyone heard
In couples and family sessions, each person gets room to speak.
Your pace
Nothing is rushed, and you can slow down or pause whenever you need to.

Your first month

What the first month looks like

A gentle way in, with a say for you at every step.

01
Week 1
Step 1: A short call
A 15-minute call to ask questions and hear how I work. It is not therapy, and you can say no afterward.
02
Week 1 or 2
Step 2: Your first session
We talk about what is on your mind and who matters to you. I explain how privacy and fees work before we go further.
03
Weeks 2 and 3
Step 3: Finding a rhythm
We settle into a regular time. You tell me what is helping and what isn't, and I adjust.
04
Week 4
Step 4: A check-in
We look at how it has felt so far and decide together whether to continue, change the pace or pause.

What clients say

“I didn't have to explain where I was coming from. I felt listened to from the first ten minutes.”
Darnell V.
“My partner and I each got room to talk. It never felt like one of us was on trial.”
Felecia I.
“No one rushed me. I could take my time, and I always knew what was coming next.”
Theodore H.