About Samantha Keiser

Therapy for People Ready for More Than Just Getting By.

I help young adults break free from anxiety, perfectionism, and self-imposed pressure so they can trust themselves, pursue their goals, and enjoy the life they've worked hard to build. I strive to create a down-to-earth, inclusive space where you can better understand yourself, make decisions that feel right for you, and move toward the life you want.

Who I Work With Best

High Achievers Struggling with Anxiety & Perfectionism

From the outside, it looks like you have it all together. Inside, you are overthinking, doubting yourself, or feeling like you should be doing more. No matter how much you achieve, it never feels like enough. Imagine feeling proud of yourself without constantly wondering if you've done enough.

Young Adults & Professionals Navigating Life Transitions

Big life changes can bring stress, uncertainty, and self-doubt. You may be starting a new job, ending a relationship, changing careers, or figuring out what's next. Therapy can help you navigate change with greater confidence so the next chapter of your life feels exciting instead of overwhelming.

LGBTQ+ Individuals Seeking an Affirming Space

You deserve a space where you can be yourself without fear of judgment. From exploring your identity, navigating relationships, or dealing with family challenges, I provide a welcoming space so you can show up as yourself without constantly wondering if you belong.

You Don't Have to Be Falling Apart to Deserve Support

Many people hesitate before reaching out for therapy. They wonder if their struggles are serious enough, if they should be able to manage on their own, or whether therapy is really worth it. The truth is, you don't need to be in crisis to benefit from therapy. You don't need all the answers, a clear plan, or even certainty about where to begin. If you're tired of carrying stress, pressure, and emotional exhaustion on your own, therapy can help you quiet the mental noise, let go of constant pressure, and make more room for rest and the people who matter most.

Helping You Find Your Footing Through Life's Challenges

Licensed Clinical Social Worker, CA License 129094 & OR License L17495

I'm Samantha Keiser, founder of Stone & Sapling Psychotherapy. I believe everyone deserves a therapist who truly listens. My goal is to help you better understand yourself, trust your decisions without replaying them all night, and move forward in a way that feels right for you.

My training focused on how our relationships, experiences, and surroundings shape our lives. This helps me see the whole person, not just the challenges that bring them to therapy.

Because of this, my approach is collaborative, practical, and grounded in everyday life. You know yourself best. My role is to provide guidance and practical tools as you work through anxiety, stress, perfectionism, and life changes. Together, I will help you spend less time questioning yourself and more time living the life you've worked so hard to build.

The Person Behind the Screen.

I believe you are the expert on your own life. No one else has lived your experiences, faced your challenges, or walked your unique path. My role is not to tell you who you are, but to help you better understand yourself and create the changes you want to see.

I also believe people can grow and change. Anxiety, perfectionism, and other challenges often develop from patterns we've learned over time. Together, we'll identify what is no longer working and build healthier ways of thinking, coping, and responding.



This work is personal to me. As someone who has experienced anxiety and perfectionism, I understand how exhausting those patterns can be. Therapy helped me better understand myself, make decisions that felt right for me, and find more peace along the way. I hope to help you do the same.

Outside of work, I enjoy spending time outdoors with my rescue dogs. I am committed to creating a welcoming, LGBTQ+ affirming space where all people feel respected, supported, and valued.

A Space Where You Don't Have to Hold It All Together

Many of my clients feel exhausted by stress, anxiety, perfectionism, and the pressure to keep up. Therapy gives them a space to be honest, feel supported, and build practical tools for change.

Creating that kind of space is at the heart of my work. My approach is warm, collaborative, and tailored to your needs. I use evidence-based approaches, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Solution-Focused Therapy, and Motivational Interviewing, to help you better understand yourself, manage stress and anxiety, and build self-assurance in your ability to handle life's challenges.

I believe you know yourself best. Together, we'll explore the experiences and patterns that may be affecting how you think, feel, and respond to life's challenges. My goal is to help you better understand yourself and create meaningful change.

Also Don't Forget About The Self-Care Coordinator.

If you hear a soft snore or see a tail wag in the background, that's Ender, the official Self-Care Coordinator at Stone & Sapling. While he doesn't have an LCSW, he takes his job very seriously.



His responsibilities include professional napping, requesting walks, and reminding everyone nearby to slow down and enjoy the moment. Ender is also a good reminder that healing doesn't always happen through big breakthroughs. Sometimes it looks like taking a deep breath, getting outside, slowing down, or giving yourself permission to rest.