Licensed to practice in California and accepts 66 insurances. Specializes in Couples Counseling

Letty Cain Nissan

LMFT, 15 years of experience
Solution oriented
Warm
Open-minded
VirtualAvailable

About me

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. 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.

Get to know me

In our first session together, here's what you can expect

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.

The biggest strengths that I bring into our sessions

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.

The clients I'm best positioned to serve

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.

Specialties

Top specialties

Identifies as

Serves ages

Licensed in

Accepts

Cash - $160 per session

Aetna

Aetna - Allied Benefits

Aetna - ASR Health Benefits

Aetna - Lucent Health

Aetna - Luminare

Aetna - Medicare

Aetna - Moda

Aetna - WebTPA

Aetna – HealthEZ

All Savers

Amerihealth Administrators

Amerihealth NJ Medicare Advantage

Anthem

Arlo

AvMed

Blue Cross

Blue Shield

Blue Shield of California - Medicare

Carelon Behavioral Health (Commercial)

Centivo

Central California Alliance for Health (Medi-Cal)

Cigna

Cigna - HealthEZ

EAP:Cigna

EAP:Evernorth

EAP:UnitedHealthcare/Optum

Evernorth

Gold Coast Health Plan (Medi-Cal)

Gold Coast Health Plan Total Care Advantage (HMO D-SNP)

Golden Rule

GTEB

Harvard Pilgrim/UnitedHealthcare

Health Plan of San Joaquin/Mountain Valley Health Plan – Medi-Cal

Humana - Medicare

Humana Dual (Medicare & Medicaid)

IHSS Healthy Workers

Independence Administrators

Independence Blue Cross

Independence Keystone 65 HMO

Independence Personal Choice 65 PPO

L.A. Care Covered

L.A. Care Covered Direct

L.A. Care Health Plan (Medi-Cal)

L.A. Care Medicare Plus (HMO D-SNP)

L.A. Care PASC-SEIU

Optum

OptumHealth Complex Medical Conditions

Oscar

Oxford

Partnership HealthPlan of California (Medi-Cal)

San Francisco Health Plan (Medi-Cal)

Santa Clara Family Health Plan - Medi-Cal

Scripps Health Plan

SFHP Care Plus (HMO D-SNP)

Sharp Health Plan

Surest (formerly Bind)

Sutter Health Plan

Tufts Health/Cigna

United Medical Resources

UnitedHealthcare Complete Care (C-SNP)

UnitedHealthcare Dual (Medicare & Medicaid)

UnitedHealthcare Life Insurance

UnitedHealthcare Shared Services

UnitedHealthcare StudentResources

UnitedHealthcare/Optum

UnitedHealthcare/Optum - Medicare

Location

Offers in-person in 9920 Pacific Heights Blvd, San Diego, CA 92121

Virtual

My 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.

, 20 ratings

5 ratings with written reviews

July 2, 2026

I thank you for your warm and authentic support. I also appreciate your practice to keep such detailed notes so that we can continue to be updated on our sessions to make them effective and solution oriented. I also appreciate your personal touch during our time and keeping a focus on positive, directive work.

Verified client, age 55-64
Review shared after session 3 with Letty

April 27, 2026

I booked her on a whim. I’m glad I did. She was warm and inviting. I felt safe to be my self and express my worries. Will book again when in CA

Verified client, age 35-44
Review shared after session 1 with Letty

March 4, 2026

Reflecting my time with Letty as a therapist has been absolutely wonderful. I feel seen and heard. She gives me the confidence and courage to challenge myself and I deeply appreciate that. I look forward to my meetings with her and having a comfortable space/person to talk with has been very helpful.

Verified client, age 25-34
Review shared after session 9 with Letty