Jackie Fielder will be back at City Hall on Sunday, three months after a mental health collapse sent her to the hospital and briefly to the edge of resignation. She's got two bills she wants to move immediately — and an unusually candid account of what broke her.

The District 9 supervisor's return closes a chapter that left the Mission, Bernal Heights, and Portola neighborhoods without their elected voice at the Board of Supervisors since late March. Fielder had initially called reporters and Mayor Daniel Lurie from her hospital room to say she planned to resign before learning she could take medical leave instead. Now she's back, and in an interview with Mission Local, she named the grinding specifics of her district — two BART plazas, rampant evictions, immigrant communities living in fear of ICE — as the forces that wore her down.

Jackie Fielder will return to San Francisco City Hall on June 29 and appear at the June 30 Board of Supervisors meeting — the first time she'll vote on legislation since going on leave in late March after what she has described as a collapse brought on by sustained mental health pressures.

In a video posted to Instagram Tuesday and a direct interview with Mission Local, Fielder offered the most detailed public accounting yet of how her crisis unfolded, and what she intends to do now that it's over.

The leave began under murky circumstances. In late March, her staffers announced she was stepping back to address an "acute personal health crisis" after she'd already missed several Board of Supervisors meetings. What wasn't disclosed at the time: Fielder had checked herself into a hospital, and from there called two reporters and Mayor Daniel Lurie to tell them she planned to resign. She reversed that decision after learning she could take medical leave. "I felt a pressure to escape, and that was my emergency escape button," she told Mission Local. "I was just feeling a lot of intense feelings to get out of the role on that one day, when I was having my crisis."

Her doctor recommended a full three months of rest. Fielder used the time on basics she'd let slip — sleep, regular meals, exercise, family. "I feel good, I feel ready," she told Mission Local ahead of her return. "I feel prepared and ready and almost brand-new."

The stress, she said, had been accumulating since she launched her grassroots campaign for District 9 in early 2023. "I've been running 100 miles an hour since really early 2023, when I started the campaign," she said. The first year in office accelerated the pressure: fights with Lurie's administration over family homelessness policy, the federal immigration surge in fall 2025 that frightened immigrant communities in her district, and the daily reality of serving a district with two BART stations that "attract thousands of people" along with chronic street conditions at 16th and Mission.

"I've often felt like the weight of this district and city is on my shoulders," she said in her video statement. "I, through this leave, have had the silver lining of understanding that it never has."

In a city where politicians have more often gone public about substance abuse struggles than mental health ones — Aaron Peskin sought rehab in 2021, Matt Dorsey has spoken extensively about addiction — Fielder's openness about a mental health breakdown is relatively rare. "I left the work that I love so much, not because I wanted to, but because my mental health demanded it, and I say that with no shame," she said.

She offered two immediate legislative priorities: moving a Microenterprise Home Kitchen Operations (MEHKO) ordinance to help street food vendors comply with health and safety laws — San Francisco, Napa, and Marin are the only Bay Area counties without one — and establishing a citywide goal for building more public bathrooms, particularly near Mission District BART plazas.

Her office will continue focusing on 16th and Mission conditions, family homelessness, evictions and affordability, and immigrant rights, she said. On the question of whether her own crisis would push her toward mental health legislation, she was noncommittal.

On Mayor Lurie: despite tensions in their first year over homeless policy, Fielder said the two met before her return and that he had been "gracious and kind." "We've always worked together to serve constituents," she said.

Listening sessions in District 9 are expected through July — a chance for constituents to meet the supervisor they haven't seen in three months, and for Fielder to hear what accumulated while she was away.

"I am an example that it is possible to come back and heal," she said. "I could not be more honored to serve and more ready to serve."