Romie Nottage, LMFT

Founder/Creator of T.R.E.E Method

Hello! I am Romie, a Licensed Marriage and Family Therapist, EMDR therapist, and Internal Family Systems (IFS)-informed clinician with a deep passion for helping people reconnect with themselves—especially after life, trauma, relationships, addiction, systems, or survival mode have pulled them away from who they are.

I believe something important:

People are not broken.

What often looks like anxiety, addiction, perfectionism, emotional overwhelm, disconnection, or relational struggles are actually intelligent adaptations—parts of us that learned how to survive difficult experiences. My work is about helping you understand those parts, soften toward them, and build a relationship with yourself that feels more integrated, compassionate, and aligned.

I’m not a “sit quietly and nod” kind of therapist.

I am relational, engaged, honest, curious, and deeply invested in helping you understand why you are the way you are—without shame. Therapy with me is often reflective, emotionally deep, sometimes challenging, sometimes unexpectedly funny, and always rooted in genuine connection. I believe healing happens when we feel safe enough to tell the truth, explore the hard things, and stay curious about ourselves along the way.

My therapeutic approach integrates Internal Family Systems (IFS), EMDR, Humanistic Therapy, Attachment Theory, Gestalt, Narrative Therapy, and relational trauma work. I work with individuals, couples, and families navigating complex trauma, developmental trauma, addiction, dual diagnosis, identity disruption, grief, relational wounds, institutionalization, and major life transitions.

I have spent much of my career working with people navigating some of life’s most painful and complicated experiences, including those impacted by complex trauma, incarceration, homelessness, domestic violence, substance use, and systems involvement. My background includes leadership roles in behavioral health organizations throughout the San Francisco Bay Area, where I developed trauma-informed programs, treatment models, and strategies aimed at improving mental health outcomes in underserved communities.

I am also the founder and creator of the T.R.E.E. Method (Transformative Recovery Through Evolutionary Exploration)—a therapeutic approach I developed to help people rebuild identity, reconnect with purpose, and create meaningful transformation after experiences that fragment the self. The T.R.E.E. Method integrates IFS, Gestalt, Narrative Therapy, attachment work, and trauma-informed practices, with a particular focus on those who have experienced institutionalization, developmental trauma, addiction, or profound life disruption.

The truth is, I created the T.R.E.E. Method because I kept seeing something missing in traditional treatment: many people were being asked to heal without first understanding who they had to become to survive. I wanted to create a framework that honored adaptation while helping people move toward authenticity.

In addition to psychotherapy, I’ve consulted with nonprofit and for-profit organizations to develop treatment programs, therapeutic curriculums, and trauma-informed systems grounded in de-institutionalization, emotional sustainability, relational healing, and whole-person care.

At the center of all of my work is this belief:

Healing is not about becoming someone new.

It is about coming home to yourself.

My hope is that therapy becomes a space where you feel deeply seen, appropriately challenged, and supported in creating a life that feels more connected, meaningful, and fully yours.