Clinical psychologist Thomas D. Harpley, PhD operates a solo talk-therapy practice at 3554 Front Street in Hillcrest with extended Spanish-language access through bilingual interpreters during sessions. Long-term divorce recovery, grief processing, and major life transitions form the bulk of the caseload, with medication-management referrals routed to community psychiatry partners including Claudio Cabrejos when pharmacological support is indicated. Sessions integrate cognitive and emotional regulation work for adult individuals navigating relationship loss, family conflict, and identity questions across decades of life. For patients requiring complex psychiatric medication regimens or psychiatric co-management, coordination flows to Hala Kazanchi, MD within the same Hillcrest medical corridor. The most demanding cases involve sustained multi-year therapy through compounded grief, contested divorces, and the emotional aftermath of late-stage family caregiving.