About Romie
Romie Nottage, LMFT, offers a warm, human-centered approach to therapy. She brings eight years of clinical experience in community mental health to her independent practice in California. Romie focuses on helping people who are dealing with stress, anxiety, depression, relationship strain, trauma and abuse, and addictions.
She aims to create a calm, supportive space where people can talk and begin to make changes. Romie built much of her experience working with people who experienced homelessness, incarceration, or substance use challenges, mostly in San Francisco.
Background and approach
That background shaped a practical, down-to-earth style and an emphasis on meeting people where they are. She sees therapy as a collaborative process and centers the therapeutic connection when deciding how to work together. Her approach blends several well-known methods in ways that fit each person’s needs.
She often uses storytelling and narrative techniques, Gestalt ideas, Attachment Theory, Internal Family Systems, and elements of Cognitive Behavioral Therapy to help people notice patterns and try new behaviors. She describes her overall orientation as humanistic and adaptable to the situation. Romie also developed a personal treatment model called Transformative Recovery through Evolutionary Exploration, or T.R.E.E.
Work, which she created while supporting people re-entering society after incarceration. T.R.E.E. Work aims to strengthen self-identity and promote change through restorative practices.
She tailors sessions to the individual rather than applying a single formula. People who choose Romie can expect conversational, practical sessions focused on real-life problems and steady progress. She invites potential clients to explore whether her style feels like a fit before committing to a plan of work.
Evidence-informed approaches and online care
Romie often draws on Internal Family Systems to help people notice different parts of themselves, understand their roles, and reduce internal conflict. This approach is useful for people struggling with inner criticism, strong emotions, or patterns that feel stuck.She also uses elements of Cognitive Behavioral Therapy, which focuses on identifying unhelpful thoughts and testing new behaviors. CBT techniques can be helpful for managing anxiety and changing routines that keep problems going.
Finding the right mix of methods is part of the work together. Romie treats therapy as a collaboration and will adapt techniques based on a person’s goals, needs, and preferences. She checks in and adjusts the plan as progress unfolds so the approach fits the individual.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video is useful for a face-to-face feel and deeper conversation, while phone sessions require less bandwidth and can fit into a busy day. Live chat or text messaging can support brief check-ins, ongoing reflection between sessions, or a lower-pressure way to reach out. These formats make it easier to schedule regular sessions and keep momentum when life gets busy.
Questions people ask
What concerns does she commonly help with?
How would you describe her therapy style?
What experience does she bring to sessions?
What are her credentials and where does she practice?
Which languages are offered for sessions?
What formats are available for online therapy?
How does billing and cost work?
What is the first step to begin working together?
What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Experience
- 8 years
- Licensed
- California
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.