Letty Cain Nissan
I am originally from Mexico and have a strong academic and cultural background in psychology, including a Master’s degree in Couples Therapy. My clinical approach is grounded in Narrative Therapy and Family Systems, allowing me to help clients understand their stories, relationships, and patterns with greater clarity and compassion.
My clinical approach is grounded in Narrative Therapy and Family Systems, allowing me to help clients understand their stories, relationships, and patterns with greater clarity and compassion.
I work with individuals and couples who are navigating anxiety, depression, relational issues, and the many challenges that arise in daily life. My goal is to provide a supportive, culturally sensitive space where clients can feel understood, empowered, and equipped to create meaningful change.
First session
In our first session, clients can expect a welcoming, judgment-free space where we begin building a foundation of clarity and understanding. Together, we will explore what brings you to therapy, identify the patterns or challenges that are impacting your life, and discuss the goals you would like to work toward. By the end of the session, you will have a clearer sense of direction and a practical path for how we can move forward—one that feels meaningful, achievable, and tailored to your unique needs.
Strengths
As a therapist, I bring active and empathetic listening to every session, ensuring that clients feel truly heard and understood. I approach therapy with compassion and warmth, creating a safe, non-judgmental space where you can explore your thoughts, emotions, and challenges openly. I help clients gain clarity about their struggles, uncover patterns, and understand themselves on a deeper level. Together, we work on practical tools and strategies that empower you to take control, build resilience, and feel better in your everyday life.
Ideal clients
My therapeutic approach is rooted in active and empathetic listening, creating a warm and supportive space where clients feel genuinely heard and understood. I work collaboratively, helping clients identify patterns, clarify their goals, and move toward meaningful solutions. While I am compassionate and grounded, I also stay focused on problem-solving and practical strategies that support real change. Above all, I aim to empower my clients—helping them build confidence, strengthen their relationships, and navigate life’s challenges with greater clarity and resilience.
Treatment methods
Cognitive Behavioral (CBT)
CBT is one of the most effective and widely used therapy approaches for improving mental and emotional well-being. It helps by exploring the connection between your thoughts, feelings, and behaviors, and identifying patterns that may be contributing to stress, anxiety, depression, or relationship challenges. CBT offers practical tools to gently challenge unhelpful thinking—such as catastrophic thoughts or negative self-beliefs—and replace them with more balanced, realistic perspectives. Over time, CBT can lead to reduced emotional distress, improved problem-solving, healthier habits, and a greater sense of control and confidence in daily life.
Narrative
Narrative Therapy can be incredibly helpful because it dares you to step back and recognize that struggles are part of your story, but they are not your identity. When you begin to name a problem as something outside of you—not something that defines you—you regain space to breathe, reflect, and respond with intention instead of self-blame or fear. This approach bravely uncovers patterns, beliefs, and messages you may have absorbed from past experiences, culture, or relationships, and invites you to rewrite them through the lens of your real strengths, values, and resilience.
Family Therapy
Using a family systems approach in therapy can be powerful because it helps you understand how relationship patterns, roles, and communication styles shape your emotions and responses. It focuses on improving connections rather than placing blame. This approach can help you create healthier boundaries, communicate more effectively, reduce conflict, and gain deeper insight into yourself within your relational world.
Couples Counseling
Couples therapy offers a supportive space to strengthen your relationship, improve communication, and break unhelpful cycles of conflict or disconnection. Approaches like the evidence-based model Emotionally Focused Therapy help couples rebuild trust, deepen emotional intimacy, and better understand each other’s needs. Many partners experience less tension, more clarity, healthier problem-solving, and a renewed sense of connection as they learn to communicate with more compassion and confidence.
Location
Virtual sessions
In-person sessions9920 Pacific Heights Blvd, San Diego, CA 92121