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50 minutesLicensed in CA
Hearth
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A woman in a beige cardigan and olive trousers sits in an armchair beside a lamp and a bookshelf, smiling slightly

Dr. Natasha Hairston

Licensed psychologist

I see individuals, and couples and families of adults, in San Francisco and by video.

I explain what we are doing and why, and I leave the pace to you.

  • Licensed psychologist · CA Lic. 000000

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The story behind Hearth

Hearth is a small private practice in San Francisco. The idea is simple: a therapy room should feel like the room in a home where people end up gathering, warm and unhurried, with space for more than one person.

The practice is for Black couples and families, and for individuals who want to be heard without having to translate. Many of us hold up other people, and the expectations that come with being the one everyone leans on are welcome here.

Sessions are 50 minutes for individuals and about 80 for couples and families, in person or by video for people in California, where I am licensed.

  • Warmth

    You are a whole person, not a case file.

  • Plain talk

    I explain the method before we use it.

  • Your pace

    We go as fast or as slowly as you want.

  • Privacy

    Your story stays private within the limits the law sets.

  • Adults

    Individuals, couples and families

  • Video

    Or in person in San Francisco

  • 15 min

    Call about fit
A lounge with a stone feature wall, a teal armchair, a dark sofa and a round wooden table

My approach

How I work

Therapy isn't one-size-fits-all. Here is how I think about the work we do together.

  1. 01

    Step 1: A relationship first

    Everything starts with trust. I want you to feel heard enough to be honest, and I want to earn that.

  2. 02

    Step 2: Curiosity over judgment

    We look at your patterns and struggles with curiosity, not criticism. Understanding why you do what you do is often where change begins.

  3. 03

    Step 3: Body and mind together

    I use mindfulness and attention to the body alongside talk therapy, and I explain each before we try it.

  4. 04

    Step 4: Your goals set the end point

    You decide what you want from this, and we talk regularly about whether to space sessions out or stop.

What you can expect from me

A few plain commitments.

  • Respect

    Your time, your story and your decisions are yours.

  • Honesty

    I tell you what I think is going on, and I welcome it when you disagree.

  • Privacy

    What you say stays private, except where the law says otherwise. I explain those limits at the start.