Therapist in Tiburon, CA | Anxiety & Postpartum Depression Therapy
Many of the women I work with in this waterfront town have built lives that look, from the outside, entirely relaxed, a beautiful view, an easy ferry commute, plenty to be grateful for. Privately, though, many feel anxious, quietly depleted, and unsure how to admit that a life that looks this good on paper can still feel exhausting underneath. I work with women ready to set aside the appearance of ease and start attending to what is actually happening beneath it.
Along the waterfront shops of Main Street, past Ark Row's weathered storefronts, and out toward the views of Angel Island across the water, this town carries an unhurried, almost vacation like feeling that can make private struggle feel especially confusing. Many clients here catch the ferry into the city for work or manage a full household while everyone assumes their days are simply easy given the setting. The beauty and calm this town is known for can make it harder to admit that, privately, things feel like too much.
In a place this scenic, admitting exhaustion can feel almost embarrassing, as though you are not allowed to struggle somewhere so lovely. My virtual practice offers a space where beauty and struggle are allowed to coexist honestly. Here, beneath the relaxed appearance, there is finally room to feel, to rest, and to come home to yourself.

How it works

Setting the Foundation

We begin by slowing down enough to notice what is happening beneath the relaxed, composed exterior many of my Tiburon clients bring into session. Rather than rushing toward another obligation, we take time to understand the perfectionism and self silencing that keep your nervous system on alert. This unhurried pace becomes the foundation for everything that follows.

Building Awareness and Understanding

From there, we begin naming what has quietly been building beneath the surface, the invisible pressure, the guilt, the resentment of feeling like you are not allowed to struggle. This stage favors noticing over fixing, learning to catch old patterns as they arise instead of pushing past them. Awareness becomes the turning point where real change starts to feel possible.

Creating Change and Cultivating Growth

As that awareness deepens, we shift toward practicing new ways of responding rooted in honesty instead of appearance. Many women find they need less energy to maintain the image of ease and have more left for what actually feels good. This is ongoing, unhurried work that continues shaping your life well beyond our sessions.

Explore my therapy services and specialization

Many of the women who find their way here have built beautiful, enviable lives on the water, yet privately feel anxious, overstimulated, and unseen underneath the calm appearance of it all. Together we explore what sits beneath that relaxed exterior: the resentment, the guilt, the quiet exhaustion of feeling like you should just be grateful. Many women describe finally feeling room to breathe as our work continues. Sessions happen virtually, fitting around a full Tiburon schedule, and this work is never about doing more. It is about finally coming home to yourself.
For many women here, anxiety hides behind a calm, relaxed exterior that matches the scenery, while quietly cycling through worst case scenarios underneath. That composure often masks a nervous system that rarely gets to rest. We create space to notice these patterns without judgment, gradually loosening the grip anxious thoughts hold over daily decisions. Rather than trying to manage the anxiety behind a calm exterior, we explore what your nervous system has been trying to protect you from. Offered virtually around a full schedule, this work helps quiet the internal noise even while responsibilities stay just as full.
A beautiful setting does not automatically mean an easy relationship. Many women feel quietly disconnected in their closest relationships, even while everyone assumes their life is simply idyllic. Together we look at the patterns that keep conversations circling, the resentment that builds when needs go unspoken, and the walls that form from sheer exhaustion. This is gentle work aimed at reconnection, not blame. Available virtually, this support helps rebuild real closeness beneath a beautiful surface.
Stress builds quietly here, often unnoticed because the setting looks so calm from the outside, until even small tasks start to feel disproportionately heavy. Many clients keep functioning well outwardly while feeling foggy and depleted within. We slow down together to understand what your mind and body have actually been holding, rather than assuming the view alone should be enough. This work is about restoring real ease, not just its appearance. A steady, unhurried weekly space becomes its own form of relief, helping you meet daily demands with more clarity and considerably less internal noise.
A career change, a shifting relationship, or a new chapter of motherhood often stirs up far more than logistics. Many women feel a quiet grief or uncertainty beneath the practical decisions, even while appearing entirely at ease to friends and neighbors. We use this time to understand what is actually shifting inside you rather than rushing to have it all figured out. There is room here for excitement and loss to exist side by side. This work is offered virtually, meeting you wherever this season finds you, helping you move through change with more steadiness and self trust.
Early motherhood can bring a heaviness that catches many women off guard, even in the most peaceful surroundings. Even while loving her baby deeply, a woman might carry worry, numbness, or constant tension that never quite lets go. Here we make space for intrusive thoughts and exhaustion that rarely get spoken about honestly. Together we explore what your mind and body are trying to communicate beneath the fog. This support is available virtually, fitting around feeding schedules and unpredictable naps, oriented toward helping you feel steadier and more like yourself, one gentle step at a time.
Pregnancy brings enormous physical and emotional change, and for many women it also brings anxiety and identity questions that feel confusing rather than celebrated. Even amid excitement, an undercurrent of fear can quietly take hold. Together we make space for what is shifting inside you emotionally and physically, including fears about birth and motherhood that do not fit into a tidy conversation with friends or family. This is grounded space to feel supported, not simply informed. Sessions are offered virtually throughout pregnancy, helping you feel connected and steady as you prepare for the next chapter.
Sometimes the heaviest moments come not from what is actually happening but from the loop of thoughts about whether you have any right to struggle in such a beautiful place. Many women know logically a fear is unlikely, yet the feeling of it stays lodged in the body regardless. This work is about changing your relationship to those thoughts rather than fighting to push them away. We practice noticing a difficult thought as simply a thought, so it gradually loses its grip on your day. Offered virtually, this approach frees up energy spent trying to control every feeling, helping you build a life that feels genuinely yours, worry included.

I provide therapy in Tiburon and nearby areas

I offer virtual therapy to women throughout Tiburon, from the waterfront shops on Main Street to the storefronts of Ark Row and the views out toward Angel Island. Whether your days move between a ferry commute into the city, household management, or time near the water, this is a steady space to explore your emotional world with care. Support is available for the appearance of ease, exhaustion, and quiet overwhelm that so often live just beneath a relaxed surface.

Testimonials

"Tamara is an engaged and nurturing therapist. Her style is warm, nonjudgemental and welcoming. Tamara helps her clients feel heard, accepted and understood so that they can feel empowered to move forward towards their goals and dreams. I highly recommend working with her! "

Therese Yrani LMFT

"Tamara is an outstanding therapist. She has been a trusted colleague for many years- I trust and value her insights and clinical skills. She is an exceptionally caring and attuned therapist who I couldn't recommend more! "

Christine Treski LMFT

"Tamara's compassionate approach and deep expertise in women's mental health make her an exceptional therapist. As a former colleague, I witnessed her unique ability to create a safe space where clients feel truly heard and supported."

Janny Condie LMFT

Hello, I'm Tamara Pancoe, therapist serving Tiburon
I'm Tamara Pancoe, a Licensed Marriage and Family Therapist and Perinatal Mental Health Certified clinician supporting women throughout Tiburon and the greater Bay Area. My own healing journey taught me what it means to finally be seen and validated, and that experience shapes every session I hold today. I created this virtual practice as a steady, unhurried space for women who look like they have it together but feel anxious and depleted beneath the surface. This is a soft place to land, a place to exhale, a place to come home to yourself.
Smiling woman in a black top and jeans sitting on a couch, holding a mug by a window with mountain views

Frequently asked questions

  • Do you accept insurance?

    I’m considered an out-of-network provider, which means you pay for sessions directly and can request reimbursement from your insurance company. If you have out-of-network benefits, I can provide a superbill (an itemized receipt) each month that you can submit to your insurance for potential reimbursement.


    Please note that insurance companies require a mental health diagnosis to process claims. This means that you will first need to qualify for a mental health diagnosis before I can provide a superbill. 


    To check your out-of-network benefits, you can call your insurance provider and ask:

    • Do I have out-of-network mental health coverage?
    • What is my deductible and have I met it?
    • What percentage of my session fee will be reimbursed?
    • Do I need pre-authorization for therapy?

    Many clients find that their insurance reimburses a portion of their session fees, making therapy more affordable.

  • What if I don’t want a diagnosis shared with my insurance?

    That’s completely okay. If you prefer not to submit claims for reimbursement, your diagnosis will remain private and will not be shared with anyone outside of our work together. Many clients choose to pay privately for this reason, as it allows for complete confidentiality and freedom from insurance requirements.

  • How does virtual therapy work?

    Virtual therapy allows us to meet from the comfort and privacy of your own space. Sessions take place on a secure, HIPAA-compliant video platform designed specifically for therapy. 


    All you need is a stable internet connection and a quiet, comfortable space where you can talk freely. Many clients find that meeting virtually makes it easier to stay consistent with therapy, without the added stress of travel or scheduling. 

  • Session Fees and Payment

    Each therapy session is 50 minutes and billed at a rate of $200 per session. Payment is due at the time of each session and can be made by credit card, debit card, or HSA/FSA card through a secure online system.


    If you ever need to adjust your schedule, please provide at least 24 hours’ notice to avoid a late cancellation fee.

  • Still Have Questions?

    If you have any other questions about fees, scheduling, or what to expect, please don’t hesitate to reach out. I’m happy to answer your questions before we begin so you can feel informed, comfortable, and confident about starting therapy.