Romie Nottage, LMFT
Compassionate, flexible therapy for lasting growth
About Romie
Romie Nottage is a licensed Marriage and Family Therapist who brings an open, human-centered approach to therapy. She draws on eight years of work in community mental health and aims to help people find steadier footing during stressful times.
Background and approach
Romie speaks plainly and focuses on building a connection that guides the work together. Romie has spent much of her career working in California community settings, including programs serving people experiencing homelessness, incarceration, and substance use.
That background shaped a practical, down-to-earth style and a belief that anyone can move forward after hard experiences. She describes her practice as collaborative and individualized instead of one-size-fits-all.
Her work often addresses stress, anxiety, addictions, relationship concerns, trauma and abuse, and depression. Romie uses a mix of approaches so sessions can be tailored to what helps most for a person’s goals and needs.
She commonly uses attachment ideas and Gestalt techniques to understand relational patterns and present-moment experience. Romie also works with Internal Family Systems ideas and elements of cognitive behavioral therapy to help people understand internal parts and change unhelpful thoughts and behaviors.
She created a personal integrative method called Transformative Recovery through Evolutionary Exploration, or T.R.E.E. Work, which aims to support identity development and recovery from complex life challenges.
People who choose Romie often want a therapist who listens closely and adapts methods to fit them. She values practical steps, storytelling, and creative ways to learn about yourself.
Romie practices as an LMFT in California and conducts sessions in English.
Therapeutic approaches offered online and how they help
Romie uses trauma-informed, humanistic work to help people rebuild a sense of self and safety after difficult experiences. This approach centers the person’s story and focuses on connection as a guide for healing, often using present-moment awareness and expressive exercises to process feelings and memories.She also incorporates Internal Family Systems ideas, which help people name and relate to different parts of themselves. IFS work can be useful for reducing inner conflict, managing overwhelming emotions, and understanding why certain patterns repeat. Elements of cognitive behavioral work are used to identify unhelpful thoughts and try new behaviors that support daily functioning and mood shifts.
Finding the right mix of approaches is part of the process. Romie collaborates with each person to decide which methods fit their goals, preferences, and life situation. She adapts pacing, style, and tools based on what appears most helpful in early sessions.
Online therapy offers practical benefits like flexible scheduling and easier access from different locations. Video calls let people see facial cues and do richer conversational work, while phone sessions require less bandwidth and can be simpler to fit into a busy day. Live chat and text messaging are useful for brief check-ins, ongoing support between sessions, and for times when typing feels easier than speaking.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- Experience
- 8 years
- Licensed
- California
- Languages
- English