Where Excellence Meets Well-Being

Sports and performance psychology is the field that applies the science of psychology to help people perform at their best under pressure, combining clinical mental health care with trainable mental skills. At Align, this means integrated support for high performers of every kind, available in person in San Francisco and via telehealth across California.

Align is a specialized practice built to care for the whole person behind the performance. Through our full spectrum of services, we bring personalized, integrated expertise to athletes, performers, executives, and every kind of high achiever. Meet pressure with clarity, resilience, and lasting balance.

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Clinical Care

Therapy

Align Sports and Performance Psychology, PC provides expert mental health care for anxiety, depression, trauma, burnout, relational issues, and performance anxiety. We support high performers and anyone seeking clinical support for their mental health. Our approach to therapy is insight-driven, supportive, and directive, offering empathic, evidence-based treatment that understands the unique pressures you face from both an individual and systemic lens.

We help you manage symptoms and navigate the harder moments, including slumps, burnout, perfectionism, the feeling of not being good enough, and the fear of failure, with practical, sustainable strategies tailored to you. Our team has lived the life of athletics and high-pressure environments, so we know both personally and professionally what it takes to meet the moment. We also have the training to best support you through life's successes and challenges. We value process over outcomes, walking alongside you as a teammate on your journey to wellness.

$225 / 50-minute session — Associate ProviderEmma Bargetto, AMFT · Julie Shiller, ACSW, CMPC$280 / 50-minute session — Licensed Clinical and Sports PsychologistDr. Lauren Lowe, Psy.D., CMPC, M.S.Our providers each reserve a few sliding scale spots for individuals experiencing financial hardship, available on a case-by-case basis.
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Performance

Mental Skills & Performance Coaching

Individual or Team Coaching

Mental skills are trainable, and peak performance is built on purpose. Working with a Certified Mental Performance Coach (CMPC), you will train the mind the way you train the body: with a clear plan, measurable goals, and an evidence-based, process-driven approach. Our work translates across every high-pressure field, supporting athletes, performers, executives, professionals, and teams who want to perform at their best. Whatever your arena, we help you translate pressure into focus, build unshakable confidence, and consistently access your ideal performance state when it matters most.

Every program is directive, goal-oriented, and fully individualized. We start with a thorough assessment, define what winning looks like for you, and build a structured, week-by-week training plan with clear benchmarks and accountability. Core mental skills include: present-moment focus and attention control, confidence building, productive self-talk, arousal and emotion regulation, goal setting, pre-performance routines, imagery and visualization, resilience, composure under pressure, flushing mistakes, and locking into flow.

$225 / 50-minute session — Emma Bargetto, AMFT · Julie Shiller, ACSW, CMPC$280 / 50-minute session — Dr. Lauren Lowe, Psy.D., CMPC, M.S.Our providers each reserve a few sliding scale spots for individuals experiencing financial hardship, available on a case-by-case basis.
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For Organizations & Professionals

Consultation

Utilize our expertise to optimize the performance of your clinical care, team, or system.

Client Consultation

Providers are carrying more than ever, from complex cases and heavy caseloads to the rising mental health needs of the people they serve and the very real risk of burnout. We partner with mental health clinicians, sports medicine teams, administrators, and executives to think through the relational, behavioral, and mental health challenges that show up in their work, bringing a sport and performance psychology lens to even the toughest situations. Together we build tailored strategies, sharpen case conceptualization, and strengthen the systems of support around your clients, so you can deliver confident, high-quality care while protecting your own well-being and longevity in the field.

Coaches Consultation

Coaching today means leading through constant change, from shifting rosters and the transfer portal to NIL, social media, and rising mental health demands. We meet coaches where they are, partnering with you to navigate this evolving landscape of high performance sport and to lead with clarity and confidence. Together we sharpen the psychology behind winning: motivation and buy-in, team culture and cohesion, communication and player development, managing pressure and adversity, building resilient cultures, and unlocking peak performance when the stakes are highest, all while protecting your own well-being and longevity in the profession.

Leadership Development

Leaders are expected to deliver results while navigating constant change, high stakes, and the weight of everyone looking to them for direction. We partner with leaders, executives, and emerging leaders to develop the mental skills behind elite leadership, the same psychology that drives the world's top performers. Together we strengthen decision-making under pressure, emotional regulation, presence, and communication, and we build the self-awareness and resilience that sustain you through adversity. The result is a leader who can stay composed when it counts, inspire buy-in, and cultivate a connected, high-performing culture where people and performance thrive together.

Injury & Sports Medicine Consultation

Injury is as much psychological as it is physical, and the providers guiding return to play see firsthand how fear, identity loss, and motivation can make or break recovery. We partner with athletic trainers, physical therapists, physicians, and sports medicine teams to bring the mind-body connection into the rehab process and to support athletes through the mental side of being sidelined. Together we translate the psychology of injury, recovery, and burnout into practical strategies, equipping you to have confident mental health conversations, recognize when to refer, and help athletes rebuild confidence and resilience for a stronger, more sustainable return to peak performance.

$300 / hour
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For Organizations & Systems

Systems & Program Development

Build wellness and peak performance into the culture of your organization.

The strongest cultures are built on purpose. Administrators, directors, and program leaders are under growing pressure to support the whole person while still chasing results, often without a clear blueprint for where mental health and performance fit in. Align partners with schools, sports organizations, non-profits, startups, and growing teams to embed sport and performance psychology as an integrated, lasting part of how your system operates, not a one-off workshop. Working shoulder to shoulder with your leaders, we design supportive environments where people feel cared for and equipped to perform at their best.

Every engagement is built around your unique environment. We begin with a thorough assessment to understand your goals, pinpoint gaps, and map where psychological support will make the greatest impact. From there we design a tailored roadmap, establish clear protocols and referral pathways, and deliver ongoing services such as therapy, mental skills training, leadership development, and workshops. We measure what matters, secure buy-in at every level, and equip your people with the tools to carry the work forward, leaving you with a sustainable system rather than a temporary fix.

$300 / hour
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For Teams & Organizations

Presentations

Engaging, customized talks that bring performance psychology to your group.

From keynotes and workshops to podcasts, webinars, summits, and conferences, we bring sport and performance psychology to any stage and audience, whether you need an interactive workshop, a featured keynote, a panel appearance, or a guest expert for your show. Every detail is shaped through a quick consultation call so the structure, length, and message land for your group. The result is a session that goes beyond inspiration, giving people practical tools and insights they keep using long after the room clears.

Topics include: performance anxiety and pressure management, building unshakable confidence, the winning mindset, focus and attention control, resilience and bouncing back from adversity, burnout and sustainable high performance, identity and student-athlete mental health, team culture and cohesion, leadership under pressure, the mind-body connection in injury and recovery, and accessing flow and your ideal performance state.

$300 / hour

Not sure which service fits?

That's okay — most people aren't. Reach out and we'll help you find the right starting point.