Esther Spearman, PsyD, LP, Psychologist in San Francisco, California

Dr. Esther Spearman, PsyD, LP, helps children, adolescents, teens, adults, and older adults throughout California build the skills, insight, and confidence needed to navigate life’s challenges and improve their overall well-being. As a psychologist at LifeStance Health, Dr. Spearman provides compassionate, evidence-based care tailored to each patient’s unique experiences, strengths, and goals. She offers individual therapy, group therapy, couples therapy, testing, and case management services, creating a supportive environment where patients feel heard, understood, and empowered to make meaningful progress. Dr. Spearman works with individuals experiencing anxiety, depression, and ADHD, while also supporting those facing grief, trauma, sleep disturbances, relationship concerns, and major life transitions. She believes in a collaborative therapeutic process that helps patients better understand the factors influencing their mental health while developing practical tools for lasting change. Her treatment approach incorporates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), mindfulness-based strategies, and other evidence-based interventions selected to meet each patient’s specific needs. A special area of interest for Dr. Spearman is working with individuals affected by early life abuse and neglect, as well as those experiencing somatic symptoms and the long-term emotional impact of difficult life experiences. She recognizes that early adversity can shape emotional well-being, relationships, self-esteem, and physical health across the lifespan. Through a thoughtful and supportive therapeutic approach, she helps patients process challenging experiences, strengthen coping skills, and move toward greater resilience and emotional wellness. Outside of her clinical practice, Dr. Spearman enjoys playing tennis and pickleball, exploring the outdoors, reading, and attending culinary events. Her broad experience working with individuals across all stages of life allows her to provide care that is both clinically informed and deeply compassionate.