About Roy Bettencourt, LMFT CA#110220; NV#4336-R
So about me…
People fascinate me.
I've spent my life around them.
In prison.
In community mental health.
In executive leadership.
In private practice.
I've worked with people who've lost everything and people who seemingly have it all. The details of their lives couldn't be more different.
The patterns often are.
That's why I became a therapist.
Not because I think people are broken.
Because I think most people make a lot more sense than they realize.
Before private practice, I led mental health for one of the Bay Area's largest community agencies, overseeing more than 100 staff across nine programs serving over 2,000 people throughout Alameda County. We worked with people facing severe mental illness, homelessness, addiction, trauma, and poverty, and we continued providing face-to-face care every day throughout the pandemic.
Long before any of that, my own life took a very different path.
I grew up with childhood trauma, made some poor decisions, and spent time in prison. Those experiences shaped me in ways graduate school never could. They taught me about shame, accountability, resilience, and the extraordinary capacity people have to change.
Today, I work with individuals and couples throughout California. My approach is direct, conversational, and grounded in the belief that lasting change comes from understanding the patterns beneath our struggles—not simply managing symptoms. My work draws from attachment theory, systems thinking, Internal Family Systems (IFS), and years of clinical experience, but therapy isn't about theories. It's about helping people build lives and relationships that feel more honest, connected, and intentional.
If any of that resonates with you, I'd be honored to be part of your story.