Therapy to deepen self trust, become more connected to what matters, and pursue the life you want.

You don't have to keep working against yourself.

My practice is built on the belief that whatever's been holding you back — guilt, self-doubt, a pattern you can't seem to shake — isn't a flaw to fix, but rather an unconscious adaptation that once served a purpose and may still be echoing into the present.

Therapy grounded in decades of research related to understanding what helps people change

Drawing on relational, psychodynamic and attachment-focused frameworks, I offer a genuinely individualized approach to every person who walks in the door. I help people move past the stories that no longer serve them, and into a more fulfilled life.

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My practice is rooted in:

Attachment

Relationships shape how we understand ourselves, connect with others, and respond to closeness and conflict. A deeper, more enriched life comes from belonging and shared meaning.

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Trauma-Informed Care

Trauma can shape our sense of safety and impede possibilities, but with support and connection, we can rebuild a greater sense of security and trust.

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Evidence-Based Practice

Empirically supported treatment matters because it grounds psychotherapy in what actually helps support change, tailoring the most effective approach to each person’s unique needs, strengths, and goals.

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Meet Paige Pires de Almeida

People choose to work with me because they want a therapist who treats them as an active, capable participant in their own healing, not a diagnosis to be managed, and who brings both clinical skills and real warmth to that process.

My background shows up in the room as a genuinely individualized
approach, delivered in a practical, integrative style that draws on
psychodynamic, attachment, and mindfulness perspectives, rather than a
single rigid framework.

Across my practice, consultation, and teaching, I’m interested in bringing together relational theories and contemplative practices to help people make meaning of difficult experiences and find new ways forward.

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I offer individual therapy for adults in California, and also have a focus on ketamine-assisted therapy.

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Individual Psychotherapy →

Good psychotherapy is a collaborative process that helps you feel understood, challenge limiting beliefs, and develop the freedom and agency to overcome what’s holding you back.

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Ketamine Assisted Psychotherapy →

Ketamine-assisted therapy combines carefully supported ketamine treatment with psychotherapy to help adults gain new perspectives and create meaningful change.

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Consultation

Specializing in Control Mastery Theory

Becoming a therapist is hard. You deserve high quality mentorship, guidance, and support. If you've taken a class or course with me and enjoyed learning about case conceptualization principles, but struggled to put formulation into practice, I offer consultation services to help therapists be more effective with their patients.

Paige Pires de Almeida offers psychotherapy and consultation in Marin County, California, just north of San Francisco over the Golden Gate Bridge.

She also offers tele-health services all across California.