Dr. Katie Leoni

Everyone’s path is different. Your experiences, values, strengths, and hopes for change are uniquely yours. I believe therapy should reflect that. Rather than a one-size-fits-all approach, I tailor our work to you. I focus on where you are right now, what you’re navigating, and where you want to go. Reaching out for therapy can feel vulnerable or even a little intimidating. I work to make that first step feel as comfortable, welcoming, and worthwhile as possible.

My goal is to create a space where you can be honest, be yourself, and feel understood without fear of judgment. I bring professional training, clinical expertise, and structure to our sessions. I also recognize that you are the expert on your own life. Together, we’ll explore patterns that may be keeping you stuck. We’ll develop a deeper understanding of what’s going on beneath the surface. We’ll also practice new ways of responding to difficult thoughts, emotions, and situations. I draw from evidence-based approaches including CBT, exposure-based therapies, ACT, and self-compassion. I always adapt them to what makes sense for you. Therapy with me is collaborative and practical. It is focused on helping you create meaningful change that carries into your everyday life.

As a mother of two young children, I also understand how intense, emotional, and sometimes isolating pregnancy, postpartum, and parenthood can be. I’m especially passionate about supporting people through these transitions. I want to create a space where you can talk openly about the parts that may feel hard, messy, or overwhelming. You don’t have to have everything figured out before you reach out. Many of the clients I work with come to therapy feeling anxious, overwhelmed, low, stuck, or unsure of themselves. Our work is about understanding what’s getting in the way. It is also about building tools that fit your life and helping you feel more grounded, confident, and capable of handling what comes next.

If you’re considering therapy, I’d be happy to connect. We can talk a little about what you’re looking for and see if working together feels like the right fit.

Clinical Specialties

• Perinatal Mental Health: Pregnancy, postpartum, postpartum depression, postpartum anxiety, postpartum OCD, and the emotional challenges of parenthood

• Anxiety: Generalized anxiety, excessive worry, social anxiety, panic, and difficulty managing uncertainty

• Obsessive-Compulsive Disorder (OCD): Intrusive thoughts, compulsions, reassurance-seeking, and difficulty tolerating uncertainty

• Depression: Low mood, loss of motivation, self-criticism, and feeling stuck or disconnected

• Sleep: Insomnia, difficulty winding down, and anxiety or worry related to sleep

• Life Transitions: Navigating big changes, uncertainty, identity shifts, and periods of adjustment

• Relationship & Family Stress: Communication difficulties, conflict, relationship patterns, and the challenges of balancing competing needs

• Self-Esteem & Self-Compassion: Self-criticism, perfectionism, confidence, and developing a more supportive relationship with yourself

Education and Training

I earned my doctoral degree (PsyD) in Clinical Psychology from California School of Professional Psychology (CSPP) in San Francisco, and my undergraduate degree in Child Development and Psychology from Cal Poly, San Luis Obispo. I am certified in Perinatal Mental Health (PMH-C) through Postpartum Support International. Before beginning graduate school, I held various positions at a residential treatment facility in Marin County. During my graduate training, I worked at an intensive outpatient substance abuse program and various community mental health centers in San Francisco. My APA internship was completed at University of the Pacific Counseling and Psychological Services and my post-doctoral training was in private practice in San Francisco.