Hi. I’m Dr. Gatta.

But if we work together, please call me David. Therapy is structured, but it shouldn’t be stuffy. In fact, it’s the relationship that heals. The vehicle of change is the connection between two people. Unlike other forms of relating, therapy offers a dedicated space to be truly open and vulnerable. It’s a framework that creates emotional safety - a place where you can say what comes to mind and be exactly who you are without being judged or pressured to conform.

 

First and foremost, I’m here for you. Being able to listen to you deeply and to offer thoughtful interpretations is what I get out of the relationship – and it’s an honor to be able to offer that to you. As a practitioner I feel deeply privileged every day to have the trust of my patients and the sacred responsibility of holding their pain, joy, secrets, and the ever-changing narrative of their individual life experience. This is my life’s work and I’m dedicated to providing the depth of care necessary to help people gain the insight to achieve substantive and lasting change.  

 

Treatment Philosophy

 

You are always becoming the person that you are.

My approach to depth psychotherapy starts from this premise. Who a person is and how they come to understand themselves is an ongoing, life-long process. There are times in life when that process is disrupted and, as a consequence, we suffer—struggling to locate ourselves and find our way forward. That suffering is best alleviated through collaborative understanding and insight building.

I work from a holistic stance—I see each individual as a sum of their total life experiences rather than a collection of symptoms.

Together we will not simply better understand your life context, we will go to the places of unresolved conflict and past trauma in order to construct a better path forward. What is left unexplained, unexamined, and unresolved stays that way when it is too overwhelming without a guide.

You no longer have to go it alone.

I will be with you every step of the way. I listen very closely and past the surface of suffering so that together we can address the underlying issues and create the conditions for lasting change. In order for that change to occur and to stick, it is paramount that we work on those underlying problems that are often outside of our conscious awareness. That is what I’m good at.

In therapy, it’s the relationship that heals us.

Clinical Training

 
  • Since 2013 I have been working in private practice, even in the past as a registered psychological assistant while under supervision. I started early in this endeavor as I knew that it was my calling to work with people one on one. Getting additional intensive training has meant a lot in my development as an independent private practitioner.

    In my private practice I emphasis holistic psychodynamic technique grounded in contemporary object relations theory and attachment. I work with young adults and adults to help them make connections between early life experience with conflicts in the here and now. I believe we are all under the influence of narrative scripts that are often outside our awareness and that those scripts can lead to repetitive loops and a sense of ‘stuckness’. When you work with me we discover and examine the old scripts while writing something new—freeing you to live a life of lasting change.

    In my consulting room you will be encouraged to say what ever comes to mind as I provide a safe, non-judgmental space that ultimately facilitates personal freedom trust and growth.

  • From 2014-2016 I was a pre-doctoral intern at the Access Institute for psychological services. This was a specialized two year internship that offered advanced clinical training in psychoanalytic psychology. The Access mission has always been to provide low-fee, high-quality therapy to the underserved in San Francisco. This experience afforded me the opportunity to work at times with people suffering from severe and persistent mental mental illness who would not ordinarily have access to therapy. This experience was deeply rewarding and it helped me hone my ability to help others navigate very difficult distress and life circumstances. While at Access I also had the opportunity to work many young adults who were in the process of life and identity transition.

  • I started my journey working with students first in Fall 2012 at Mills College and then later as a post-doctoral fellow at Sonoma State University. In both settings I worked as a therapist in the counseling center. This work was deeply rewarding as I had the opportunity to help young people navigate unresolved issues from their families of origin, difficulties regarding separation, and in many cases identity development including issues related to gender and sexuality. Working with students remains a passion, as does working with anyone trying to understand and work through life transitions.

  • My very first clinical placement in graduate school in outpatient substance abuse counseling. I worked with people newly in recovery in a 12-step model program. Since that time I have continued to work with people struggling with substance – many of whom I have helped find their way to lasting sobriety.

    Since my early days of working in substance abuse counseling, my approach and attitude toward recovery has evolved considerably. There is a reason for every behavior we do as human beings, especially those behaviors that are as complex as self-medicating with substances. No one overuses a substance because they are happy, and from that premise, I work with people to understand the attachment traumas that are usually the cause of problematic substance use. The poet Anne Carson once wrote that “Pain demands an explanation.” When we over-medicate, we are trying desperately to cope with overwhelming emotional pain. Much of this pain is usually greater than we can allow ourselves to know—like an iceberg, most of it is still submerged. Previously as a professor of clinical psychology, I taught a course on the psychological dynamics of addiction that still informs how I work with folks struggling today.

 

Whatever it you’re going through, get the care and support you need.

Just because you feel lost does not mean all is lost. Help is available. We’d be happy to hear about what you need and let you know about how we can support you.