San Francisco · In person & telehealth
You don’t have to keep feeling this way.
Change is possible.
I help adults find hope, build real skills, and break the patterns that have been running the show — so you can live the life you actually want.
Janeen Smith, MFT, LPCC
Trauma-informed · LGBTQ+ affirming · Recovery-focused
20+
Years in private practice
Deep roots in San Francisco and Bay Area private practice and community mental health
EMDR
Eye Movement Desensitization & Reprocessing
Level 2 trained: guiding through eye movements, tapping, or sounds
EFT
Emotional Freedom Technique
A practical, body-based skill you’ll carry long after our work together ends
About Janeen
Warm, direct, and genuinely
invested in your growth
Hi — I’m Janeen. For over 20 years I’ve been helping people in San Francisco and the Bay Area find their footing after trauma, loss, burnout, and life transitions that make everything feel uncertain.
My approach is collaborative and strength-based. I’m not here to just listen — I’ll be actively engaged with you, offering honest feedback, real tools, and warm challenge that actually moves things forward.
I bring a contemplative practice to this work, informed by Zen Buddhism and Jewish wisdom traditions — and I’m equally at home with people who have a rich spiritual life, people who have left a tradition, and people who have never had one.
I am committed to supporting clients navigating the stress of today’s political and social climate. Collective fear, grief, and overwhelm are real — and there is a place for them in this work.
You’ve taken the first step just by being here. If this feels like the right fit, I’d love to talk.
“Janeen had the ability to respond to my anxiety and cautiousness with compassion and sincerity. She provided counsel, comfort, and challenges — and what I remember most were the moments we shared joy through the progress I’d made.”
— FORMER CLIENT
Theory of Change
How I believe change happens.
Change happens through a real, authentic therapeutic relationship.
Waking up to our patterns — not with self-criticism, but with compassion and curiosity — is where it begins. We learn to listen to our bodies, noticing what feelings and sensations are telling us before the mind has caught up. New skills are learned and practiced in the moment and outside of sessions. New ways of talking to ourselves emerge that are more truthful, kind, and affirming.
This takes practice and patience. When we learn to pause, breathe, and reflect — creating space between what happens and how we respond — we begin to see more clearly and act from a more grounded place.
Mistakes are not evidence of failure. Each stumble is a chance to understand the pattern more deeply and try something different, with compassion rather than self-criticism.
And beneath all of it, healing happens. Trauma-informed practices address old wounds and build new neural pathways — new thoughts, new body responses, new ways of moving through the world. Change isn’t just insight. It’s practice. And practice, over time, becomes who you are.
And you are not alone in this process.
People I work with
You don’t have to fit a label.
You just have to be ready.
I work with adults of all genders, identities, and backgrounds. These cards describe experiences — not categories. You may find yourself in more than one.
Anger, feelings & emotional regulation
People who were never taught how to handle what they feel
"I don't know what I'm feeling — I just know it comes out sideways."
Anger, emotional shutdown, overwhelm, or the sense that feelings run the show rather than inform it — these are some of the most common reasons people come to me. I work with people of all backgrounds who want to understand what’s happening inside them and make more skillful choices.
Identity & life transitions
People in the middle of becoming someone different
"Everything that used to define me is changing. I don't know who I am on the other side of this."
Midlife, retirement, career change, relationship transitions, an empty nest, a health diagnosis — or simply the slow recognition that the life you built no longer fits. I help people move through change with intention rather than just surviving it.
Depression, anxiety & overwhelm
People who look fine — and feel anything but
"I'm functioning. I'm showing up. Nobody would know. But inside I'm anxious, flat, or just barely holding it together."
Sometimes depression and anxiety look like a full, productive life with a persistent low hum of dread underneath it. I work with people who are functional but suffering — and getting curious about the parts of ourselves that are feeling nervous, scared, or hurt.
- Meditation & mindfulness
- Emotional Freedom Technique (EFT)
- Self-talk
- Connecting to scared or hurt parts
- Nervous system regulation
- Breaking cycles of self-criticism
Recovery & sobriety
People building a life worth staying sober for
"I've put down the substance. Now I have to figure out what to do with all this feeling."
Getting sober is one thing. Building a life that genuinely sustains recovery is another. Trauma and recovery are deeply intertwined — once the substance is gone, the pain it was managing often comes forward. I use EMDR to process the underlying trauma driving addictive patterns — addressing the root, not just the behavior. For many, this also opens spiritual questions: Who am I now? What is my life for?
- Build community and a sense of belonging
- Improve body, heart and spirit connection
- Heal old wounds
- Emotional regulation
- Healthy routines that sustain recovery
Burnout & the exhausted high-achiever
People who are capable of everything — except slowing down
"I've done everything right. So why do I feel so empty?"
Burnout often happens to people who have worked incredibly hard for a very long time. I work with high-functioning people who have lost touch with what they actually want, who they are outside of their productivity, and what a sustainable life looks like for them.
Grief, loss & end of life
People facing what we all must face — without facing it alone
"I've lost someone. Or I'm watching someone decline. Or I'm the one facing something I can't fix."
Loss is not only the death of a person — it is the loss of a role, a relationship, a future you had imagined, a version of yourself. I bring both clinical training and a spiritual perspective to grief and end-of-life work, offering a space to grieve fully, ask the hard questions, and find ground even in the most uncertain terrain.
LGBTQ+ community
A genuinely affirming space — not just a checkbox
"I need a therapist who actually gets it — not one who needs me to educate them."
Working with lesbian, gay, bisexual, transgender, and queer clients is not a specialty I added — it is woven into the fabric of my practice and my life. I understand the particular terrain: coming out at any age, internalized shame, family rejection, relationship dynamics, chosen family, community, and the specific grief and resilience that comes with living authentically in a world that has not always made that easy.
I also recognize that many LGBTQ+ clients are navigating a particularly painful political and social moment right now. The loss of freedoms and protections, medical care being undermined, the fear, the grief, the visibility — that stress belongs in the room. I see it, I hold it, and I am here for all of it.
Relationships, patterns & connection
Something keeps going wrong — and I'm starting to wonder what my part is in all of this
"I care so much about the people in my life. So why does it keep feeling like this?"
Relationships are where we have the most opportunity to heal and grow. They are also where our oldest wounds show up most reliably — the patterns we learned early, the ways we protect ourselves, the roles we slip into without realizing it.
I work with individuals and couples on exactly this territory. Whether the struggle is showing up in a romantic relationship, a friendship, at work, or within yourself — the invitation is the same: to pause, notice, and interrupt old patterns in the moment, starting with an honest and compassionate look at how you are showing up.
Social justice & identity
The world has told you something about who you are. We get to look at that together.
"I'm exhausted by what I have to navigate just to exist. I need a therapist who understands that."
Are you navigating the impact of racism, sexism, homophobia, ableism, or other forms of oppression? The chronic stress of discrimination — microaggressions, systemic barriers, erasure — has real psychological consequences. It is not in your head. And it belongs in the therapy room. I am committed to holding the full complexity of your experience, including the ways the world has shaped it.
Collective stress & political overwhelm
People carrying the weight of what is happening in the world
"I feel hopeless and exhausted every time I open my phone. I don't know how to keep going without shutting down or burning out."
To be human is to be affected by what is happening around us. The stress of political and social upheaval — the uncertainty, the grief, the anger, the fear — is real and takes a real toll. It is not weakness. It means you are paying attention. It means you are human. We can explore how to carry what is happening without being consumed by it — finding your footing in community and connection, and building resilience that lasts.
Existential & spiritual
A space for existential & spiritual exploration
"What is my life for? What do I actually believe? How do I live with the fact that this ends?"
For those seeking it, I offer a space to explore the deeper questions — meaning, mortality, faith, doubt, and what makes a life worth living. I bring a personal and longstanding contemplative practice to this work, informed by Zen Buddhism and Jewish wisdom traditions. I am equally at home with people who have a rich spiritual life, people who have left a tradition, people who have never had one, and people in recovery finding their own relationship to something larger than themselves. This is here for you if you want it — and never imposed if you don’t.
- You're facing a major transition — retirement, illness, loss — and the practical questions have given way to deeper ones.
- Your spiritual or religious framework no longer fits, but you don't want to abandon the questions it was trying to answer.
- You're facing your own mortality or that of someone you love, and want space to do that honestly.
- You feel your life isn't aligned with what you actually value — and want to change that before more time passes.
How I work
Strength-based, trauma-informed,
and genuinely collaborative
I don’t believe in one-size-fits-all therapy. I work with you — drawing on a range of approaches to find what actually moves things forward for you specifically.
Stage 1
We start where you are
No agenda, no assumptions. The first sessions are about understanding your experience, your goals, and what you’ve already tried. You set the pace.
Stage 2
We build real skills
Insight matters — but so does having actual tools. Whether that’s EMDR, EFT, mindfulness, or self-talk, you’ll leave sessions with something concrete to work with.
Stage 3
We work toward lasting change
The goal is never dependency on therapy — it’s building enough resilience and skill that you can handle what life brings. I celebrate when clients are ready to go.
For more information on how I approach our work together, visit the resources page →
“What I remember most were the moments we were able to share joy through the progress I’d made and the milestones she helped me achieve. Janeen responded to my anxiety and cautiousness with compassion and sincerity — she provided counsel, comfort, and real challenges.”
— FORMER CLIENT
Getting started
Three simple steps to begin
You don’t have to have it all figured out before you reach out. That’s what the consultation is for.
1
Book a call
Book a free consultation at the link below. No forms, no intake paperwork yet — just a conversation.
2
We’ll talk
A free 20-minute consultation to see if we’re a good fit. You ask questions too — this goes both ways.
3
Start the work
If it feels right, we schedule your first session and I send you onboarding information.
Ready to take the leap?
Hope is a good place to start.
You’ve been thinking about this long enough. A single conversation could be the thing that changes everything. San Francisco in-person and telehealth available.
