In Person Therapy for the Mind, Body and Soul
Miriam Rubino, MA, LMFT 126411
Integrative Trauma-Informed Therapy
A relational, somatic approach to psychotherapy
My approach to therapy is integrative, which means I draw from different therapeutic modalities depending on your needs, history, goals, and what emerges in our work together.
Rather than focusing only on thoughts or symptoms, we may also pay attention to emotions, relationships, patterns of protection, body sensations, creativity, and the nervous system. The intention is not to follow a predetermined formula, but to create a therapeutic process that responds to you as a whole person.
I believe healing can involve both practical change and deeper exploration. Sometimes we may focus on what is happening in your life right now; at other times, we may become curious about patterns, emotions, relationships, memories, body experiences, dreams, symbols, or parts of yourself that are asking for attention.
A Collaborative Process
I see therapy as a collaborative process. You bring your lived experience, values, wisdom, curiosity, and knowledge of yourself. I bring my clinical training, experience, compassion, curiosity, and perspective.
Together, we explore what feels most supportive and meaningful for you. Rather than applying techniques automatically, I draw from different approaches according to your needs, goals, and what emerges in our work.
Consent, respect, and cultural humility are central to this process. I invite rather than impose, and we can continually pay attention to what feels supportive, what does not, and how the therapeutic process can best honor your boundaries, identities, values, and lived experience
Therapeutic Approaches I May Integrate
Depending on your needs and treatment goals, our work may draw from several therapeutic approaches. Not every modality is used with every client, and we can discuss together what feels appropriate for your therapeutic process.
Relational Therapy
Healing happens within relationship. Our experiences with family, attachment, culture, belonging, intimacy, trust, and connection can influence how we relate to ourselves and to others.
Relational therapy pays attention not only to what has happened in your life, but also to the patterns that emerge in relationships—including, when useful, what happens between us in the therapeutic relationship.
Together, we may explore patterns around trust, boundaries, vulnerability, protection, communication, closeness, and disconnection with curiosity and compassion.
Somatic Therapy
Our experiences can show up not only through thoughts and emotions, but also through body sensations, tension, movement, impulses, patterns of protection, and changes in the nervous system.
Somatic therapy brings gentle attention to these experiences alongside conversation. We may explore sensations, breathing, movement, boundaries, or shifts in activation while developing greater awareness of how your body responds to stress, connection, and safety.
The work is paced collaboratively, with an emphasis on curiosity rather than forcing a particular response.
EMDR Therapy
Eye Movement Desensitization and Reprocessing (EMDR) is a structured psychotherapy approach commonly used in the treatment of trauma and distressing life experiences.
EMDR can provide a way of working with memories, emotions, beliefs, and body responses that continue to feel activated in the present. The process is collaborative and paced according to your individual needs, with attention to preparation and resources before moving into trauma processing.
I may integrate EMDR with relational, somatic, expressive, and parts-oriented approaches depending on what is appropriate for you.
Parts Work
We all have different aspects or “parts” of ourselves that may carry particular emotions, beliefs, needs, memories, or ways of protecting us.
Parts work offers a compassionate way of becoming curious about these different internal experiences rather than judging or trying to eliminate them. We may explore how particular parts developed, what they are trying to protect, and what they may need in the present.
I integrate parts-oriented approaches within the broader therapeutic process when they are useful.
Expressive Arts Therapy
Not every experience is easily expressed through words. Images, symbols, movement, dreams, metaphor, and creative expression can offer additional ways of exploring our inner world.
Depending on your interests and needs, we may incorporate drawing, collage, body mapping, movement, sand tray, imagery, writing, or other forms of creative exploration.
No artistic experience is necessary. The focus is on the process of exploration rather than artistic skill or creating a finished product.
Trauma-Informed Stabilization Treatment (TIST)
TIST is a parts-oriented and trauma-informed approach that can be especially useful when experiences from the past continue to affect emotions, relationships, beliefs, or patterns of protection in the present.
The approach incorporates an understanding of trauma, attachment, the nervous system, and internal parts while emphasizing stabilization, curiosity, and compassion.
When appropriate, I may integrate elements of TIST with somatic, relational, expressive, and EMDR work.
Ketamine-Assisted Psychotherapy & Psychedelic Integration
For appropriate clients, psychedelic-assisted approaches may offer a different way of engaging with emotions, body sensations, patterns, imagery, and experiences within psychotherapy.
My work includes Ketamine-Assisted Psychotherapy (KAP), psychedelic preparation and integration, and psychedelic-informed somatic approaches.
When ketamine is part of treatment, I provide the psychotherapy component—including preparation, therapeutic support, and integration—while an independent licensed medical provider is responsible for medical screening, determining eligibility, prescribing, medication instructions, and medical management.
I do not prescribe or dispense ketamine.
Psychedelic Somatic Interactional Psychotherapy (PSIP)
My psychedelic-informed work is also influenced by training in Psychedelic Somatic Interactional Psychotherapy (PSIP), an approach that brings attention to the relationship between the nervous system, trauma responses, relational experience, and non-ordinary states of consciousness.
Elements of this approach may inform how I work with somatic experience, protective patterns, relational dynamics, and psychedelic preparation and integration.
The way this work is incorporated depends on the individual client, treatment context, and what is clinically appropriate.
Meaning, Symbol, Dreams & Spirituality
For clients who are interested, therapy may also make space for dreams, symbols, spirituality, ancestry, ritual, creativity, and questions of meaning.
These dimensions of experience can sometimes provide another language for exploring identity, transition, grief, relationship, purpose, and our inner world.
I approach these areas with cultural humility and according to each client's own beliefs, traditions, identities, and values. They are never assumed or imposed and may or may not be part of our work together.
Mind, Body, Creativity & Relationship
One reason I work integratively is that we are more than our thoughts.
We experience life through our bodies, emotions, relationships, imagination, histories, cultures, and the ways we have learned to adapt and protect ourselves.
Sometimes words are exactly what we need. At other times, paying attention to a sensation, an image, a dream, a protective part, a relationship pattern, or a creative process may open another way of understanding what is happening.
The different approaches I use are not separate techniques that need to be checked off one by one. They are resources that we can draw from thoughtfully as our work develops.
Finding the Right Approach for You
You do not need to arrive knowing whether you need EMDR, somatic therapy, expressive arts, parts work, or another approach.
We can begin with what is bringing you to therapy now and explore together what may be most supportive. The approaches we use can evolve as our work develops.
I offer in-person psychotherapy for adults in Petaluma and San Rafael, California, as well as telehealth throughout California. Limited child therapy appointments are available in San Rafael.
Therapy is available in English and Spanish.
You Might Find My Approach Helpful If You…
🌿 You’ve tried talk therapy and feel ready to explore approaches that include the body, nervous system, creativity, or experiential work.
🧠 You understand your patterns intellectually, but insight alone hasn’t created the changes you’re looking for.
🌊 You experience trauma, anxiety, emotional overwhelm, numbness, or disconnection, or find yourself repeating relationship and attachment patterns.
🫶 You’re curious about the connection between your emotional life and your body and want to develop a deeper relationship with your internal experience.
🧭 You want both practical tools and deeper exploration, rather than therapy that focuses only on symptoms.
🎨 You’re open to different ways of working, including EMDR, somatic therapy, expressive arts, parts work, or psychedelic-assisted psychotherapy and integration when appropriate.
🌎 Your culture, identity, family history, migration experience, or sense of belonging matters to you, and you want these parts of your life to have space in therapy.
✨ You’re interested in questions of meaning, spirituality, creativity, identity, or personal transformation as part of your therapeutic process.
🤝 You value a collaborative therapeutic relationship that respects your boundaries, pace, lived experience, and individual needs.
You do not need to know which modality is right for you before beginning therapy. Part of our work together is discovering what approaches feel useful and appropriate for you.
Offerings and Services
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Psychedelic Assisted Therapy
Psychedelic-assisted therapy is a therapeutic approach that combines the guided use of psychedelic substances in a psychotherapy session to facilitate deep emotional healing and personal insight. Conducted in a controlled, supportive environment, the therapist helps navigate the experience and integrate insights into your daily life. It is increasingly recognized for its potential to treat conditions such as depression, PTSD, and anxiety, when used responsibly and ethically. Modalities offer: Ketamine- Assisted Therapy (KAP) and Psychedelic Somatic Interactional Therapy (PSIP)
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EMDR Therapy
Experience profound healing with EMDR (Eye Movement Desensitization and Reprocessing). EMDR is a powerful, evidence-based approach designed to help you process and overcome trauma, anxiety, PTSD, and deep-seated emotional wounds.
Through gentle guided eye movements and integrative techniques, EMDR facilitates your brain’s natural ability to reprocess distressing memories, reducing their emotional charge and transforming how you relate to past experiences.
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Expressive Arts Therapy
For adults, children and the young-at-heart. This modality includes Creative, Expressive, Somatic and Play elements to work holistically in resolving life challenges. This modality encourages clients to explore emotions, experiences, and inner conflicts through various expressive forms. By engaging the senses and the imagination, expressive arts therapy facilitates deeper self-awareness, emotional release, and healing. Suitable for all ages, no art experience necessary.
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Embodied and Talk Therapy
Integrative Psychotherapy combines the wisdom of the body, relational models and talk therapy to support deep healing and self-awareness. This approach recognizes the connection between physical sensations, emotions, and mental patterns, helping clients release trauma stored in the body while fostering emotional balance and resilience.
By integrating techniques from approaches like IFS/Parts work, Somatic Therapy, Mindfulness and others, it provides a holistic path to transformation and well-being.