Nicolette Gottuso LMFT, SUDCC IV-CS
Clinical Director, Skillman Residential & Petaluma IOP
Role at Muir Wood
Nicolette Gottuso is a Licensed Marriage and Family Therapist (LMFT) and certified Substance Use Disorder Certified Counselor IV Clinical Supervisor (SUDCC IV-CS) with over 12 years of experience in the behavioral health field. She serves as the Clinical Director for the Girls Dual-Diagnosis Residential Program and Program Director for the Intensive Outpatient Program at Muir Wood Adolescent and Family Services in Petaluma, California.
Since joining Muir Wood in 2020, Nicolette has held a variety of leadership roles, bringing a depth of clinical expertise and innovation to the organization. In her current role, she oversees all aspects of clinical programming, including individual, group, and family therapy, treatment planning, crisis intervention, and clinical decision-making related to admissions and discharges. She supervises a multidisciplinary team of associate therapists, counselors, social workers, and care coordination staff, ensuring high standards of care and professional development.
Nicolette specializes in the treatment of adolescents and young adults with co-occurring mental health and substance use disorders. Drawing from her background in addiction treatment and personal experience, she developed Muir Wood’s substance use programming from the ground up—creating the curriculum, assessments, and key counseling roles that now serve as a cornerstone of care within the organization.
Prior to her work at Muir Wood, Nicolette provided outpatient therapy and case management to the homeless population in Marin County and delivered in-home behavioral therapy to children and adolescents ages 3 to 17. She brings a compassionate, systems-informed, and client-centered approach to her leadership and clinical work, advocating for integrative, evidence-based care for youth and their families.
Who We Are
Muir Wood treats primary mental health and co-occurring substance use disorders with equal clinical depth. Our approach is mental health-first, trauma-informed throughout, and grounded in nationally recognized expertise in adolescent substance use treatment.
Every program is designed exclusively for teens, with specialized environments for those needing an even greater level of psychiatric, trauma, or clinical support — like our Penngrove campus for girls, and our upcoming Sonoma Mountain campus for boys (Fall '26).
Mental Health First
Every program treats primary MH — anxiety, depression, trauma, mood — as the core clinical focus.
Trauma-Informed Lens
Every staff interaction, not just therapy, is filtered through a trauma lens. It is our operating principle, not a modality.
Integrated SUD Expertise
Substance use is treated alongside mental health throughout all programs, not in a separate track.
Adolescent Specialists
Every clinician, psychiatrist, nurse, and educator works exclusively with teens ages 12–17.
We Treat the Whole Teen
Nothing is treated in isolation, because nothing exists in isolation.
Every teen arrives with behaviors that developed for a reason — ways of coping with or adapting to emotional pain. Our role is to understand what's driving those patterns and build healthier, more sustainable ways of regulating and coping.
Mental Health
Trauma Informed
Emotional Functioning
Family Systems
Why Specialized Programming Matters
Many teens benefit from environments designed around shared clinical presentations and needs.
Greater Peer Alignment
Shared clinical presentations create more cohesive, therapeutically relevant group dynamics.
Individualized Treatment
Approaches tailored to the specific developmental and psychiatric profile of each population.
Improved Emotional Safety
Environments designed to reduce threat, increase predictability, and foster genuine connection.
Clinically Relevant Groups
Group therapy dynamics mirror real-world experiences of teens with similar presentations.
Lower-Stimulation Environments
Sensory and environmental design calibrated to the needs of highly activated or sensitive teens.
Enhanced Psychiatric Support
Specialized staff training and clinical protocols matched to the population's complexity.