I help adults who are feeling overwhelmed by anxiety, stress, depression, or challenging life transitions. Many of the people I work with feel stuck, uncertain, or emotionally drained and are looking for support, clarity, and practical tools to move forward. In therapy, we work together to better understand what you’re experiencing while building coping skills that can help you manage difficult emotions and life challenges. My goal is to provide a supportive, nonjudgmental space where you can gain insight, strengthen resilience, and feel more confident, grounded, and empowered in your daily life.
I am licensed in California with 7 years of professional work experience. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you and walk alongside with you in that process.
I have a twenty-eight year background in community mental health. In that time I have worked with people from many different cultures, with wide array of psychosocial stressors and mental health challenges. Over the past eighteen years I have developed unique programing that has brought people together and looked at stories that may otherwise go untold. I have created a twenty-hour training that I offer annually online that helps teach providers how to work witih hard to reach people.
I have run a part-time private practice over the last six years and use trauma modalities like IFS and EMDR and other theories or movements that I have learned over time that further accentuate my work.
Hi there, I'm Autumn Webb a Licensed Marriage & Family Therapist (LMFT) based in California. Do you feel pulled like life is moving faster than you can think or breathe? Are you struggling to keep up with your relationships, work, and responsibilities? Is it difficult to find ways to cope with the everyday stressors of life? I help individuals better manage stress and heal from the pain of their past. Together, we can identify what's not working and get you back to center, a place where you are not overcome with anxiety. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
I am licensed in California for more than eight years of experienced, I have provided therapy services to individuals ages 14 to 70, couples and families, helping them learn coping skills they can apply in their daily lives to enhance their overall quality of life. My goal is to provide a safe space where people can share their feelings and thoughts without feeling judged.
**SPANISH SPEAKING CLIENTS ONLY**
Soy Trabajador Social Clínico Licenciado y ayudo a adultos a manejar la ansiedad, la depresión y el estrés de la vida diaria. Muchas de las personas con las que trabajo se sienten abrumadas, estancadas o mentalmente agotadas, y buscan maneras prácticas de sentirse mejor. Mi estilo es de apoyo, directo y enfocado en estrategias reales que puedes aplicar en tu vida cotidiana. Mi objetivo es crear un espacio donde te sientas cómodo siendo tú mismo/a, mientras trabajamos juntos para desarrollar herramientas que te ayuden a avanzar.
I specialize in supporting adults navigating trauma, grief, and major life transitions. Drawing from EMDR therapy and Cognitive Behavioral Therapy (CBT), I provide a safe, collaborative space to help clients process painful experiences, build resilience, and rediscover a sense of balance and self-worth.
My goal is to support your healing journey at your pace by fostering self-awareness, emotional regulation, restore calm, confidence, hope, and lasting growth.
As a therapist, I am someone who embarked on a unique journey that shaped my path in psychology. After serving in the army, I found a deep passion for understanding the human mind and behavior. This newfound love led me to pursue further education and training in psychology, ultimately guiding me towards specializing in marriage and family therapy.
My own experiences of building and nurturing a family have influenced my focus on helping couples and families thrive. I understand the dynamics and complexities that arise within intimate relationships and the importance of fostering healthy connections. My goal as a therapist is to create a safe and non-judgmental space where individuals, couples, and families can explore their emotions, conflicts, and challenges.
Having worked in the field for five years, I have gained valuable experience and expertise in helping clients navigate their relationship dynamics and personal growth. I am committed to normalizing emotions, recognizing that experiencing a range of emotions is a natural and essential part of the human experience.
My approach is centered around placing well-being as a priority. I believe that when individuals prioritize their own mental and emotional health, they are better equipped to cultivate healthy and fulfilling relationships. I work collaboratively with clients, empowering them to gain self-awareness, develop effective communication skills, and implement strategies that support their overall well-being.
Through therapy, my intention is to support clients in fostering stronger connections, resolving conflicts, and achieving personal and relational growth. I am passionate about helping individuals and families navigate life's challenges, providing them with the tools and support they need to lead fulfilling and meaningful lives.
Hola! My name is Maritrini "Mari" Rodriguez, and I am a Licensed Clinical Social Worker (LCSW) and proud first-generation Latina. I am deeply committed to creating a safe, compassionate, and supportive space where clients can explore their emotions, navigate life's challenges, and feel empowered in their healing journey.
My approach is centered on understanding each person's unique experiences and providing thoughtful, personalized care that honors their values, strengths, and goals. I believe in fostering a welcoming and respectful environment where you feel heard, understood, and supported every step of the way.
Whether you're working through past experiences, facing a current life transition, or looking to build healthier coping strategies, my goal is to help you gain insight, strengthen resilience, and foster lasting personal growth. Together, we'll work toward healing, creating meaningful change, and helping you move forward with greater confidence and hope.
Hola! I'm a Licensed Clinical Social Worker based in California. As a BIPOC therapist, I’m here to walk alongside you through the unique challenges and stressors life can bring. I understand how past relationships, traumas, and anxieties can sit heavily with you, shaping how you feel at work, in your relationships, and in your sense of self. My goal is to offer a space where you feel safe, seen, supported, and understood as we work together toward healing and resilience. También ofrezco sesiones en Español para quienes se sientan más cómodos expresándose en este idioma.
Welcome! I’m Dynesha Crooks, Licensed Clinical Social Worker. I have been a Medical Social Worker for over 18 years. I am a lover of mindfulness and an advocate for mental wellness. I truly believe all can benefit from supportive guidance during life events, especially while dealing with grief and loss, depression, and anxiety. I approach every situation in a supportive and empathetic manner in order to assist individuals feel validated and encouraged. Let's make mental health MATTER together!
I am a Licensed Marriage and Family Therapist (LMFT) based in California with 15 years of experience. I earned my Master’s in Clinical Psychology from Pepperdine University and take an empathetic approach to building strong client relationships, fostering personal growth, and promoting healing. My experience ranges from working with individuals facing severe mental health challenges to those navigating life events for the first time.
Hello there : ) I am a Licensed Clinical Social Worker (LCSW) based in California. I have been practicing for 12 years. I create confidential, non-judgmental, and safe space for you to unpack your thoughts and process your feelings about whatever is causing you to feel sad, stuck, angry, or confused. It is a privilege to be a part of your journey of healing.
My name is Isai (E-sai-EE), and I’m a Therapist based out of Southern California. I have experience working with all ages and backgrounds. My training as a social worker focuses on individual therapy, couples therapy, and family therapy. My professional interests and specialities include working with teens, young adults, older adults, family therapy, and those who struggle with anxiety, depression, marital/relationship issues, men’s issues, autism, anger management, and those with difficulty understanding/controlling big emotions.
As a male therapist, I try to make my sessions feel like a conversation with a friend and offer a calm space to talk about difficult issues, a new perspective to help better understand situations, and can help you identify and understand how you might be feeling.
Hey There! My name is Jeshana Johnson, I am a Licensed Marriage and Family Therapist based in California.
I'm so glad you're here. Taking the first step toward therapy isn't always easy, and finding the right therapist can feel overwhelming. My goal is to create a space where you can show up exactly as you are.
I work with adults navigating anxiety, trauma, relationship challenges, life transitions, self-esteem, and the stress of trying to balance life's many demands. My approach is warm, collaborative, and trauma-informed, blending compassion with practical tools to help you better understand yourself, heal from the past, and create meaningful change. I believe therapy should feel like a genuine conversation. One where you feel heard, challenged when needed, and supported every step of the way. Whether you're feeling stuck, overwhelmed, or simply ready to invest in yourself, I'd be honored to walk alongside you on your journey toward healing.
Being a therapist is a lifelong passion for me and is rooted in my dedication to supporting adults, children, families, and communities in building safety, resilience, and hope. My journey has taken me from my home county of Santa Cruz where I advocated and ran groups for youth living in situations including domestic violence from 2011-2013, to working as a shelter counselor in Oakland for youth 13-21 from 2016-2018. I worked in serving famillies with San Francisco Child and Family Services, where I partnered with families navigating reunification with their children while providing psychoeducation and crisis counseling during critical moments from 2018-2022. I have been licensed with my LCSW since May 2025 and focused my prior professional development around harm reduction and culturally focused treatment, aligning with my commitment to social justice and culturally responsive care.
Hello and thank you so much for having enough courage and honesty to take the first big step. My name is Erlynn Cabarles, LCSW and I have a Master’s in Social Work from SFSU. I am a Licensed Clinical Social Worker in the state of California since 2015. I have 20 plus years of experience in the mental health field and I believe that the first step of healing is self-discovery and the development of personal goals to overcome challenges. My intentions are to instill hope and inspiration and to empower you to be able to move on to a more fulfilling life. Remember that You are resilient and determined to change for the positivity. My purpose is to provide a safe space and non-judgmental environment. If you’re ready, I’ll be here to support you on your journey towards healing!
Hi, I’m Charlene, a licensed therapist dedicated to supporting individuals through anxiety, depression, trauma, and life transitions. I take an integrative, evidence-based approach, combining Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to help clients develop practical skills, increase self-awareness, and create lasting positive change.
I believe that therapy is a collaborative process. I work alongside my clients to understand their unique experiences, identify patterns that may be holding them back, and develop strategies to manage emotions, improve relationships, and navigate life’s challenges with confidence. My approach is compassionate and nonjudgmental, providing a safe space to explore difficult emotions, heal from past experiences, and build the life you want.
In our work together, you can expect to gain tools to cope with stress, regulate emotions, and reduce anxiety or depressive symptoms. I also focus on helping clients strengthen self-esteem, set healthy boundaries, and develop skills for resilience in everyday life. Whether you’re facing a major life change, struggling with ongoing emotional challenges, or simply seeking personal growth, my goal is to empower you to feel more in control, resilient, and aligned with your values.
With over 17 years of experience, Georena is a compassionate and experienced therapist dedicated to supporting individuals through life’s challenges. With expertise in anxiety, depression, anger management, addictions, and other struggles. Georena provides a safe, nonjudgmental space to explore emotions, build resilience, and develop practical strategies for growth. Committed to personalized care, Georena helps clients navigate change and achieve meaningful, lasting well-being.
As a Licensed Marriage and Family Therapist, I work with adults (no couples) and children who feel overwhelmed, emotionally drained, or disconnected from themselves. You may be doing everything you can to keep going—showing up for work or school, caring for others, and managing daily life—while quietly carrying anxiety, sadness, anger, or deep exhaustion. Sometimes your reactions feel bigger than expected. Sometimes life just doesn’t feel like it used to.
I specialize in trauma-informed care and understand that these experiences are not signs of weakness. They are often signs that your mind and body have been working hard to cope. I believe healing happens when you feel safe, understood, and supported at your own pace.
In our work together, I offer a calm and steady presence. Therapy with me is not about pushing you to “just move on” or forcing change before you’re ready. It’s about slowing down, listening to what your mind and body are holding, and creating space for relief and clarity. My role is to walk alongside you as you regain a sense of stability and reconnect with the part of you that holds resilience, strength, and the capacity for joy—even if that feels far away right now.
I am a Licensed Marriage and Family Therapist in California with over a decade of experience helping adults navigate anxiety, trauma, and relationship challenges. My work is grounded in creating a safe, culturally responsive space where clients feel understood, supported, and empowered to grow.
I specialize in working with individuals impacted by trauma, domestic violence, and chronic anxiety. Many of my clients are high-functioning on the outside but feel overwhelmed internally. Together, we work to untangle patterns, strengthen emotional regulation, and build practical tools hat create lasting change.
My approach integrates Cognitive Behavioral Therapy (CBT), trauma informed care, and skills-based interventions to help clients process past move from survival mode into stability, clarity, and confidence.
You don’t have to carry everything alone. Healing and growth are possible.
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I provide a supportive, collaborative space for individuals seeking meaningful and lasting change. I understand that starting therapy can feel overwhelming and I want to acknowledge the courage it takes to take that first step. My approach is grounded in empathy, authenticity, and respect, with a strong belief that each person has the capacity for growth when given the right environment and tools.
I take an integrative approach to treatment, drawing from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy, and person-centered principles. This allows me to tailor each session to your unique needs, balancing emotional support with practical strategies you can use in your daily life. Together, we will explore patterns in your thoughts, emotions, and behaviors while identifying clear, achievable steps toward your goals and creating space to re-author personal narratives and foster lasting change.
I work well with both teens and adults who may be feeling overwhelmed, stressed, or stuck, particularly those navigating anxiety, depression, substance use, trauma, complex relationships, or major life transitions. Many of my clients are highly capable but struggling with burnout, boundary-setting, or feeling pulled in multiple directions. I also provide an affirming, inclusive, and judgment-free space for individuals within the LGBTQ community to explore identity, relationships, and life experiences safely and authentically.
My goal is to help you feel more in control, more aligned with your values, and better equipped to handle life’s challenges. Therapy with me is both a place to be understood and a place to grow. I welcome you to reach out for a consultation so we can explore how I can support you.
Hi! I am a Licensed Clinical Social Worker with over 15 years of experience. I believe therapy should be a space where you feel seen, supported, and able to show up as you are. I bring warmth, compassion, and genuine respect for each person’s story, while helping clients work toward greater clarity, healing, and growth. My approach is collaborative and personalized, with care that honors your experiences, values, and the unique path that has shaped who you are.
I am Laquanda Autrey, M.A. in Counseling Psychology, a Licensed Marriage and Family Therapist (LMFT) and trauma-informed practitioner dedicated to supporting individuals, families, and couples on their healing journey. I have experience working with children, adolescents, and adults navigating trauma, anxiety, depression, life transitions, relational challenges, grief, and stress.
My approach is integrative and client-centered, combining evidence-based practices like CBT, psychodynamic, mindfulness, and somatic techniques with holistic modalities such as Reiki and hypnotherapy. I support healing of the whole person, mind, body, and spirit.
Guided by my faith in God, I create a safe, compassionate space where clients feel seen and supported. I’m known for being warm and empathetic, while also encouraging accountability and meaningful change. My passion is helping clients heal from trauma, rebuild self-worth, and create healthier, more connected lives.
I am a a culturally competent, trauma-informed therapist who has worked with adults and adolescents in homeless shelters, community resource centers, mental health residential, and intensive outpatient programs. My goal is to offer a supportive environment where you can fully express yourself, gain insight, and take steps toward whatever your goals are. I'm focused on collaborating with you to foster their self determination and agency to support their most authentic and genuine growth and change.
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Hey there, I’m a licensed Clinical Social Worker based in California and Massachusetts. I received my masters from University of New England with a focus in Individuals, families and groups. I’ve been practicing for 13 years. I specifically enjoy helping people find perspective through the voice of their pain. I think pain and discomfort can be our best teacher if we allow ourselves to look at it, this way.
I am a licensed marriage and family therapist in private practice located in Manteca, CA. I earned my Master of Arts in Counseling Psychology from Holy Names College in Oakland, CA. Experiencing this profession as a healing art has impacted my faith in client's transformational change. My relationship with the practice of psychotherapy has grown from wonderment during the earlier years, to outright joy in these present times.
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Hi! My name is Yadira Martinez, I am licensed marriage and family therapist in California. I have worked with clients with a wide range of concerns including depression, anxiety, trauma, and mood disorders. l love working with clients who are motivated to change. I want to help clients get to the root of their problems and make their lives better.
My career has enabled me to work with a variety of populations in the mental health field. My work is rewarding and feels more like a calling than a job. My goal is to provide my clients support and provide a safe space for them to express themselves. I listen and I care. Together we collaborate to create an individualized treatment plan to address your specific concerns. I make myself available, I’m flexible, and I am invested in your growth.
I was born in NJ where I completed my education at Rutger's University and now live with my family in DE. I have my LCSW in DE, NJ, and CA and currently practice in these 3 states. I am an animal lover of all kinds and enjoy being outdoors as much as I can. In my free time, I enjoy traveling, hiking, exercising, and reading.
Hello there, I’m Lus.
Do you miss feeling like yourself? Does it feel like you are going around in circles with the same problems yet can’t seem to find a permanent solution? I guide adults from a person-centered approach to find solutions to their problems when experiencing difficulty managing emotions such as those that come with depression and anxiety. I can help you work through major life transitions (newly married, becoming a parent, empty nester, starting school, grief, becoming ill, divorce, etc.) getting to the root of the problem and developing cognitive behavioral techniques that will get you back to stability. Obtaining therapy services can be intimidating but I can guarantee you that you are making the right decision. I possess bilingual abilities (Spanish), if it's your preference. You deserve your own space to heal and evolve. During our sessions, you will have a safe space where I will meet you with empathy and evidence-based practice. Let me help you.
You don’t have to struggle alone!
I believe therapy should feel like a safe, supportive place to slow down, feel understood, and begin making sense of what you are carrying. Using Internal Family Systems (IFS), I help clients gently explore the parts of themselves that may feel overwhelmed, stuck, protective, or hurt. My hope is that through our work together, clients feel less alone, more self-compassionate, and more able to move through life with greater clarity and ease.
In our hectic world we often find ourselves afraid to take risks that could jeopardize the stable lives we have created for ourselves. We remain in jobs, relationships and old patterns that no longer work, while symptoms such as anxiety, depression, stress, anger and self-defeating patterns keep us from making real changes to our lives.
If that sounds like you, you are stuck. We can feel lost and alone when we are unable to move forward, whether in work or a personal relationship. Therapy can help you break free of that and thrive.
I am a Licensed Marriage and Family Therapist with a focus on teens, adults, and couples. I have worked with clients on concerns such as anxiety, depression, trauma, and family reunification.
I received my Master’s in Marriage and Family Therapy from Pepperdine University. I also minored in sociology.
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Hi! Welcome to Grow! I am a Licensed Professional Clinical Counselor & hold a Masters of Science in Counseling Psychology from Hope International University. My academic curriculum specialized in: family systems, biopsychosocial thought, psychodynamic approaches, and person centered interventions. Therapeutically, I specialize in substance abuse counseling/addiction, as I am also certified as a substance use counselor and have worked in substance abuse treatment as a residential treatment technician before becoming a therapist. Further, I specialize in working with kids & adolescents who struggle with emotional defiance/conduct disorders & developmental disabilities. Further, I have experience in dual diagnosis treatment and exploring grief/loss issues. My style to therapy comes from a Rogerian, CBT, and Humanistic approach and embracing the “entire self”. My passion in being a therapist is to see and embrace progress, meeting people where they are at, being present during “aha” moments, and serve altruistically. Outside of being a therapist, I enjoy participating in ministry work, being active in recreational sports, volunteering as a crisis counselor & hospice volunteer. Some of my past work experience has included: working in special education as a substitute teacher, in the public-school sector as a tutor/instructional assistant, and as an in-home behavior interventionist working with kids who have developmental disabilities.
I am a Licensed Clinical Social Worker fluent in English and Spanish. I earned a Bachelor's Degree in Social Welfare from the University of Puerto Rico and a Master's Degree in Social Work from the University of Nebraska in Omaha. I have dedicated my career empowering individuals, families, and communities. I believe in people's inherent ability to lead healthier lives and see it as the driving force behind every relationship.
I am a Licensed Clinical Social Worker with over 10 years of experience as a psychotherapist, complemented by my background as a veteran of the United States Armed Forces. My clinical training includes a Master’s in Social Work with a focus on Critical Race Theory and Intersectionality, which informs my understanding of how diverse life experiences shape individuals’ perspectives and interactions with their environments. This foundation allows me to approach therapy with cultural humility and a deep appreciation for the complexities of identity and systemic influences.
In my practice, I utilize a person-centered, solution-focused approach that prioritizes client autonomy and self-determination. I collaborate closely with clients to identify their unique challenges and barriers, empowering them to develop realistic and meaningful short-term and long-term goals. Together, we explore and optimize the therapeutic tools that clients have already been using, while considering the introduction of additional strategies when appropriate. My goal is to support clients in creating actionable plans that align with their values and aspirations, fostering resilience and sustainable growth in both their present lives and future endeavors.
I am a licensed psychotherapist and certified DBT therapist with nearly a decade of experience supporting adults navigating anxiety, depression, neurodivergence, trauma, and relationship concerns. I offer a thoughtful, collaborative approach that balances structure with compassion, helping clients feel both supported and empowered in their work.
My integrative practice draws from DBT, Acceptance and Commitment Therapy (ACT), somatic mindfulness, and relational therapy, alongside executive functioning skill development. I focus on practical, solution-oriented strategies while also honoring the deeper emotional and relational patterns that shape each person’s experience.
I work to create a calm, validating therapeutic space where clients can build insight, emotional regulation, and sustainable change at a pace that feels respectful and achievable.
I am a licensed professional counselor (PhD, LPC, NCC) with years of experience supporting individuals across a wide range of mental health challenges. I am deeply committed to helping people explore their thoughts, emotions, and behaviors in a safe, supportive environment. My approach integrates evidence-based strategies with compassion and understanding, so clients can gain clarity, build resilience, and achieve meaningful, lasting change in their lives.
Hi there, my name’s Ephraim Tokar. I'm a licensed Marriage and Family Therapist with 20+ years of experience. My specialties consist of relationships, men’s issues, career counseling, and psychosomatic illnesses. I received my Bachelors degree in Child Psychology, working initially with the adolescent population before transitioning over to adults. I then received my Masters in Marriage and Family Therapy. Whether it's individuals or couples, I'm happy to get to work with whomever comes my way. I do my best to facilitate a warm, trusting environment. Looking forward to meeting with you soon!
Hi there! I'm Cindy Nguman, a Licensed Clinical Social Worker (LCSW) based in California, and I’m so glad you’re here. I work with clients all across the state through the convenience of Telehealth, creating a safe and supportive space, wherever you are.
I specialize in supporting young adults and adults who are navigating life’s many ups and downs, whether that’s anxiety, stress, depression, dating, life transitions, identity exploration, or relationship challenges. You're not alone in what you're going through, and together, we’ll work to help you feel more grounded, confident, and understood.
My style is warm, compassionate, and collaborative. I use a person-centered approach, which means I deeply value who you are and what you bring to the table. I also draw from Cognitive Behavioral Therapy (CBT) and Solution-Focused Therapy to help us make meaningful progress toward your goals.
Reaching out is a brave first step, and I’m here to walk alongside you on your journey. 💛
Hi my name is Jehalin,
I am a Licensed Professional Counselor and Registered Play Therapist with 16 years of experience working with adults, children, adolescents, and families from various walks of life. I have experience with helping people who are experiencing various hardships in life and difficulty adjusting, as well as people experiencing symptoms of anxiety, depression, anger, low self-esteem, mood disorders, etc. I am known for being a good listener, caring, accepting, and compassionate, regardless of the challenges one might be experiencing. The therapeutic approaches I use is cognitive-behavioral therapy, solution-focused, client centered, play therapy, reality therapy, mindfulness, and more. My desire is to help you achieve your goals by providing a safe, authentic, and compassionate clinical setting with an individualized therapy experience. Please let me know how I may assist.
I am a psychotherapist with over 15 years of clinical experience in a variety of settings. I received my psychotherapy training at the San Francisco State University and graduated in 2012. After working at a private counseling center for 6 years, I opened my private practice in 2018 as a licensed marriage and family therapist. I specialize in working with LGBTQ+ adults and Asian adults. My areas of interests include gay/lesbian and gender issues, sexuality, psychotherapy education, and psychotherapeutic technique.
VirtualOffers in-person in Berkeley, CA - Accepting clients in CAAvailable
Meet Tara Zandi, LICSW – a compassionate and highly skilled therapist with over a decade of experience supporting adults, children, and families. Tara holds a Master’s in Clinical Psychology and an MSW in Clinical Social Work, blending deep academic knowledge with practical expertise.
She’s trained in a powerful range of evidence-based approaches, including CBT, DBT, PCIT, EMDR, and even yoga for children—offering a holistic and personalized approach to healing. Whether working through depression, anxiety, or behavioral health challenges, Tara meets her clients with empathy, insight, and culturally sensitive care.
Fluent in English and Farsi, Tara creates a welcoming space for diverse communities to feel seen, heard, and supported on their journey toward wellness.
Hi I’m a licensed professional counselor licensed in many states. I have been in the counseling field helping children and adults for more than 20 years. I help adults of all ages struggling with everyday stressors, my goal is to help you figure out and work through challenges to live life on your terms and create a healthy balance. ****Please note if you are currently or recently feeling suicidal, you will be referred to an in office provider, psychiatrist and/ likely a higher level of care, as I would only treat in severe depression and suicidality in office.******Please call 988 which is the free 24 hour crisis line, if you feel like you want to harm yourself or are feeling very overwhelmed.