Deborah Kjeldsen
Marriage & Family Therapist, MA, LMFT Verified
Sacramento, CA 95811
Offers online therapy
I guide women and couples through tough times and back to a place of joy.
You're feeling anxious, depressed, and stressed out. Having a baby changed everything and you're overwhelmed by the ways motherhood isn’t what you were expecting, let alone hoped it would be like. You're worried about the scary thoughts you're afraid to say out loud or share with others. Or, you're living through loss and feel alone. You are not alone. With support, it can get better. There's no such thing as a perfect mother, and that's okay, so you can stop trying to be one. I support and nurture women struggling in any life transition and especially during pregnancy, post-partum and motherhood.
(628) 203-1108
Verified
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Sacramento, CA 95811
Offers online therapy
I guide women and couples through tough times and back to a place of joy.
You're feeling anxious, depressed, and stressed out. Having a baby changed everything and you're overwhelmed by the ways motherhood isn’t what you were expecting, let alone hoped it would be like. You're worried about the scary thoughts you're afraid to say out loud or share with others. Or, you're living through loss and feel alone. You are not alone. With support, it can get better. There's no such thing as a perfect mother, and that's okay, so you can stop trying to be one. I support and nurture women struggling in any life transition and especially during pregnancy, post-partum and motherhood.
Photo of Life Steps Consulting, Drug & Alcohol Counselor
Life Steps Consulting
Drug & Alcohol Counselor, LAADC, ICADC Verified
Sacramento, CA 95816
Offers online therapy
I offer individual, couples, family, medication-assisted treatment (MAT), mental health evaluations, and medication management services.
Have you or a loved one struggled with drug or alcohol dependency? Allow me to help you on your journey to recovery. At Life Steps Consulting, we know that life is full of different transitions, which can be broken down into a series of steps. When you are struggling with substance abuse, movement through the transitional steps halts, causing you to fall into unhealthy life cycles, which impact your career goals, relationships, physical and mental health. I can help you get back on track. I not only have studied the disease of alcohol and drug addiction, but I have been there and I know how you feel.
(916) 545-9754
Verified
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Sacramento, CA 95816
Offers online therapy
I offer individual, couples, family, medication-assisted treatment (MAT), mental health evaluations, and medication management services.
Have you or a loved one struggled with drug or alcohol dependency? Allow me to help you on your journey to recovery. At Life Steps Consulting, we know that life is full of different transitions, which can be broken down into a series of steps. When you are struggling with substance abuse, movement through the transitional steps halts, causing you to fall into unhealthy life cycles, which impact your career goals, relationships, physical and mental health. I can help you get back on track. I not only have studied the disease of alcohol and drug addiction, but I have been there and I know how you feel.
Photo of Gita Seshadri, Marriage & Family Therapist
Gita Seshadri
Marriage & Family Therapist, PhD, LMFT Verified
Sacramento, CA 95816
Offers online therapy
I also have a specialization with cultural and racial issues, and have an interest in working with interracial and intercultural couples and families.
Frustrated? Unhappy? Want some insight and change? I offer an encouraging approach to help you explore your world in a therapeutic environment. I believe that everyone is the expert of their own experience; you have lived your life longer than I have known you. I often use the metaphor of being a flashlight in a dark cave, shedding light on different things, however, you, as the client are in the driver's seat; I am in the passenger seat, as a co-driver. Together, we will explore your personal meanings and experiences while making larger connections to your goals. I invite you to our journey together in creating new meaning.
(949) 441-5655
Verified

Sacramento, CA 95816
Offers online therapy
I also have a specialization with cultural and racial issues, and have an interest in working with interracial and intercultural couples and families.
Frustrated? Unhappy? Want some insight and change? I offer an encouraging approach to help you explore your world in a therapeutic environment. I believe that everyone is the expert of their own experience; you have lived your life longer than I have known you. I often use the metaphor of being a flashlight in a dark cave, shedding light on different things, however, you, as the client are in the driver's seat; I am in the passenger seat, as a co-driver. Together, we will explore your personal meanings and experiences while making larger connections to your goals. I invite you to our journey together in creating new meaning.
Photo of Linda Lee Sessions, Marriage & Family Therapist
Linda Lee Sessions
Marriage & Family Therapist, PhD, MAHS, LMFT, MAC Verified
Sacramento, CA 95825
Offers online therapy
I enjoy helping divorcing and divorced couples find common ground, working with multi-generational families to resolve difficult family transitions, and I love helping students overcome test or performance anxiety.
My approach to therapy is based on integrating theories from a family systems perspective, Cognitive Behavioral Therapy, Emotionally Focused Therapy, & Attachment Theory. While I enjoy working with all client populations my specialties are LGBTQ issues, relationship issues, chronic illness and pain, terminal illness, grief and loss. I see each client as uniquely special, and deserving of life's best. My goal is to help each client discover who they are meant to be regardless of their experience. I especially like coaching individuals in the corporate setting, helping them to achieve their personal best in the office and at home.
(916) 668-5345
Verified
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Sacramento, CA 95825
Offers online therapy
I enjoy helping divorcing and divorced couples find common ground, working with multi-generational families to resolve difficult family transitions, and I love helping students overcome test or performance anxiety.
My approach to therapy is based on integrating theories from a family systems perspective, Cognitive Behavioral Therapy, Emotionally Focused Therapy, & Attachment Theory. While I enjoy working with all client populations my specialties are LGBTQ issues, relationship issues, chronic illness and pain, terminal illness, grief and loss. I see each client as uniquely special, and deserving of life's best. My goal is to help each client discover who they are meant to be regardless of their experience. I especially like coaching individuals in the corporate setting, helping them to achieve their personal best in the office and at home.
Photo of Ivana Tufekcic, Marriage & Family Therapist
Ivana Tufekcic
Marriage & Family Therapist, MS, LMFT Verified
Sacramento, CA 95822
Offers online therapy
I have been working with couples since 2013.
Relationship difficulties can preoccupy one's life. My clients find themselves stuck in repetitive negative communication patterns, they have experienced a recent injury to their emotional bond or fear that the trust in their partner has been broken. Sometimes they repeatedly reach out for emotional connection with their partner only to end up in the same old disconnecting cycle that leaves them feeling alone and demoralized. Often, they appear like they have it all together yet feel isolated and unsure how to find the right kind of help.
(916) 259-0238
Verified
View

Sacramento, CA 95822
Offers online therapy
I have been working with couples since 2013.
Relationship difficulties can preoccupy one's life. My clients find themselves stuck in repetitive negative communication patterns, they have experienced a recent injury to their emotional bond or fear that the trust in their partner has been broken. Sometimes they repeatedly reach out for emotional connection with their partner only to end up in the same old disconnecting cycle that leaves them feeling alone and demoralized. Often, they appear like they have it all together yet feel isolated and unsure how to find the right kind of help.
Photo of Candice Marie Erba, Clinical Social Work/Therapist
Candice Marie Erba
Clinical Social Work/Therapist, RN, MSW, LCSW Verified
Sacramento, CA 95816
Offers online therapy
The goals of couples therapy include reestablishing a partnership that replaces attacking and withdrawing with healthier communication skills, closeness, and intimacy.
If you are trying to tough things out on your own or avoiding issues in your relationship that hold you back from a more fulfilling life, now there is hope! I have 35 years experience as a psychotherapist, couples therapist, and mediator, helping individuals and couples make positive changes in their lives--both immediate and lasting. The goals of psychotherapy are tailored to the specific problems, but always include greater self awareness, healing of old wounds and present losses, better coping skills, and feeling both more secure and more free. I will help you discover more effective ways of dealing with challenges and issues.
(916) 794-0161
Verified
View

Sacramento, CA 95816
Offers online therapy
The goals of couples therapy include reestablishing a partnership that replaces attacking and withdrawing with healthier communication skills, closeness, and intimacy.
If you are trying to tough things out on your own or avoiding issues in your relationship that hold you back from a more fulfilling life, now there is hope! I have 35 years experience as a psychotherapist, couples therapist, and mediator, helping individuals and couples make positive changes in their lives--both immediate and lasting. The goals of psychotherapy are tailored to the specific problems, but always include greater self awareness, healing of old wounds and present losses, better coping skills, and feeling both more secure and more free. I will help you discover more effective ways of dealing with challenges and issues.
Photo of Oscar Carbajal, Marriage & Family Therapist
Oscar Carbajal
Marriage & Family Therapist, LMFT Verified
Sacramento, CA 95814
I work with individuals, couples, families and children by using theories in psychology that emphasize the importance of autonomy, relationships, family systems and behavioral change.
To schedule your first visit with me, please use this online scheduling link - (https://portal.geneticforesight.com/book) --- I am a client centered therapist that focuses on providing the skills necessary for clients to succeed in life and obtain a stronger sense of self and value. It is important to me that you feel heard, seen and validated, but most importantly, connected. If you are struggling with life transitions, symptoms associated with PTSD, frequently feeling worried and depressed, or have turned to substance use as a way to cope, and would like to once again obtain control of your life, I can help.
(510) 561-0749
Verified
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Sacramento, CA 95814
I work with individuals, couples, families and children by using theories in psychology that emphasize the importance of autonomy, relationships, family systems and behavioral change.
To schedule your first visit with me, please use this online scheduling link - (https://portal.geneticforesight.com/book) --- I am a client centered therapist that focuses on providing the skills necessary for clients to succeed in life and obtain a stronger sense of self and value. It is important to me that you feel heard, seen and validated, but most importantly, connected. If you are struggling with life transitions, symptoms associated with PTSD, frequently feeling worried and depressed, or have turned to substance use as a way to cope, and would like to once again obtain control of your life, I can help.
Allison Johnson-Gierth
Marriage & Family Therapist, MA, LMFT Verified
Sacramento, CA 95816
Offers online therapy
I work with individuals, couples, teenagers and families.
Beginning or continuing your therapeutic growth and journey does not need to be an intimidating process, but one in which ultimate support, healing and connection is found. It is my goal to provide a collaborative experience of working together to create growth and change in a safe and supportive environment to help you meet your goals, discover your inner strengths and lead a more fulfilling life.
(916) 507-1696
Verified
View

Sacramento, CA 95816
Offers online therapy
I work with individuals, couples, teenagers and families.
Beginning or continuing your therapeutic growth and journey does not need to be an intimidating process, but one in which ultimate support, healing and connection is found. It is my goal to provide a collaborative experience of working together to create growth and change in a safe and supportive environment to help you meet your goals, discover your inner strengths and lead a more fulfilling life.
Photo of Philip Littman, Clinical Social Work/Therapist
Philip Littman
Clinical Social Work/Therapist, LCSW Verified
Sacramento, CA 95816
Offers online therapy
The enneagram also helps couples understand their partners' personality type to form a stronger partnership.
Phil has been practicing as a psychotherapist since 1983 and started in private practice in 1987. His training and experience have emphasized working with adults in individual, couple, and group modalities. He focuses on creating a collaborative environment to help the client feel empowered and inspired to experience the changes they wish for their lifes. Clients often express feeling very comfortable with his genuiness, empathy, and unconditionalness.
(916) 451-1900
Verified
View

Sacramento, CA 95816
Offers online therapy
The enneagram also helps couples understand their partners' personality type to form a stronger partnership.
Phil has been practicing as a psychotherapist since 1983 and started in private practice in 1987. His training and experience have emphasized working with adults in individual, couple, and group modalities. He focuses on creating a collaborative environment to help the client feel empowered and inspired to experience the changes they wish for their lifes. Clients often express feeling very comfortable with his genuiness, empathy, and unconditionalness.
Photo of Colleen Cotter, Marriage & Family Therapist
Colleen Cotter
Marriage & Family Therapist, MA, LMFT Verified
Sacramento, CA 95825
Offers online therapy
Telehealth therapy for individuals, couples, groups and Brainspotting.
**Taking new clients via telehealth** Clients that find me usually feel that trauma has informed or altered their life in some way. Or they feel depressed, anxious, detached, and may not know why. I face each client with their unique challenges and life experiences and offer a place to explore what you are needing in therapy. My ideal client wants to understand and grow to their full potential and I am here as a guide to offer tools, options, a place to process your emotions and or trauma. Adults that have been through child abuse, mental illness in family, addiction, sexual abuse, relationship distress, anxiety and depression.
(916) 237-9292
Verified
View

Sacramento, CA 95825
Offers online therapy
Telehealth therapy for individuals, couples, groups and Brainspotting.
**Taking new clients via telehealth** Clients that find me usually feel that trauma has informed or altered their life in some way. Or they feel depressed, anxious, detached, and may not know why. I face each client with their unique challenges and life experiences and offer a place to explore what you are needing in therapy. My ideal client wants to understand and grow to their full potential and I am here as a guide to offer tools, options, a place to process your emotions and or trauma. Adults that have been through child abuse, mental illness in family, addiction, sexual abuse, relationship distress, anxiety and depression.
Photo of Clark S. Marshall, Marriage & Family Therapist
Clark S. Marshall
Marriage & Family Therapist, LMFT Verified
Sacramento, CA 95816
Offers online therapy
I find success working with all types of couples and polyamorous relationships.
A trusting and genuine relationship with your therapist is the most important part of the therapeutic process. This is why, despite the theoretic perspective, I strive to accomplish an authentic relationship with each and every person, family or couple that comes to see me. Whether your goals are to recover from trauma, evolve or repair your relationships, or to build a happier sense of a self, it all starts with a trusting well defined attachment to your therapist. Thank you for reading my profile and I look forward to hearing from you.
(916) 502-8298
Verified

Sacramento, CA 95816
Offers online therapy
I find success working with all types of couples and polyamorous relationships.
A trusting and genuine relationship with your therapist is the most important part of the therapeutic process. This is why, despite the theoretic perspective, I strive to accomplish an authentic relationship with each and every person, family or couple that comes to see me. Whether your goals are to recover from trauma, evolve or repair your relationships, or to build a happier sense of a self, it all starts with a trusting well defined attachment to your therapist. Thank you for reading my profile and I look forward to hearing from you.
Photo of Jesse Little Shapiro, Marriage & Family Therapist
Jesse Little Shapiro
Marriage & Family Therapist, MA, LMFT Verified
Sacramento, CA 95825
I work with individual adult patients, and also see couples.
I work hard to help clients meet their own goals by creating a non-judgmental space, encouraging reflection, and exploring alternatives. I am warm, engaging, and professional. I draw from humanistic and psychodynamic approaches, and believe the past influences our current feelings, habits, and choices in life. My approach is a mix of understating the past, helping clients develop more self-compassion and empathy, and fostering reflection through the therapeutic relationship, which helps to make healthier choices.
(510) 661-3563
Verified
View

Sacramento, CA 95825
I work with individual adult patients, and also see couples.
I work hard to help clients meet their own goals by creating a non-judgmental space, encouraging reflection, and exploring alternatives. I am warm, engaging, and professional. I draw from humanistic and psychodynamic approaches, and believe the past influences our current feelings, habits, and choices in life. My approach is a mix of understating the past, helping clients develop more self-compassion and empathy, and fostering reflection through the therapeutic relationship, which helps to make healthier choices.
Photo of Catherine Zanzi, Marriage & Family Therapist
Catherine Zanzi
Marriage & Family Therapist, MA, LMFT Verified
Sacramento, CA 95811
I have a special interest, experience, and training working with couples and relationships, including sexual issues.
Do you want to bring more peace into your life, strengthen your relationships, and increase your joy? I would love to work with you! By integrating healthy principles of mind, body, and spirit, I can help you rediscover and develop your core strengths. You will learn new tools to help heal emotional pain, communicate more effectively, decrease your stress, and increase your life enjoyment. You are worthy of unconditional love and acceptance. You hold unique gifts to share with the world, and these same gifts can be used for self-healing. Let's discover your gifts together!
(916) 678-1977
Verified
View

Sacramento, CA 95811
I have a special interest, experience, and training working with couples and relationships, including sexual issues.
Do you want to bring more peace into your life, strengthen your relationships, and increase your joy? I would love to work with you! By integrating healthy principles of mind, body, and spirit, I can help you rediscover and develop your core strengths. You will learn new tools to help heal emotional pain, communicate more effectively, decrease your stress, and increase your life enjoyment. You are worthy of unconditional love and acceptance. You hold unique gifts to share with the world, and these same gifts can be used for self-healing. Let's discover your gifts together!
Photo of David Clark, Marriage & Family Therapist
David Clark
Marriage & Family Therapist, MA Verified
Sacramento, CA 95825
Offers online therapy
Rebuild or reclaim your relationship and happiness. I help couples and individuals overcome the emotional upheaval of past trauma, stress, and communication issues that often result in infidelity, addiction, sexual issues, shame and guilt. I'm confident you will find my friendly interactive style sets the stage you will want in a safe and nonjudgmental space. LGBT and friends of Bill W. welcomed. Your peace of mind, happiness, and success is my goal.
(916) 436-1422
Verified
View

Sacramento, CA 95825
Offers online therapy
Rebuild or reclaim your relationship and happiness. I help couples and individuals overcome the emotional upheaval of past trauma, stress, and communication issues that often result in infidelity, addiction, sexual issues, shame and guilt. I'm confident you will find my friendly interactive style sets the stage you will want in a safe and nonjudgmental space. LGBT and friends of Bill W. welcomed. Your peace of mind, happiness, and success is my goal.
Photo of Peter Kirchner, Psychologist
Peter Kirchner
Psychologist, PhD Verified
Sacramento, CA 95818
I tailor my treatment to the specific needs of each client. I work at establishing a therapeutic alliance so that clients become more able to observe, assess and reflect on their emotions and symptoms, gaining awareness to their true feelings. Results are achieved in a collaberative atmosphere of emotional safety, trust and unconditional acceptance that leads to understanding and healing. Changes brought about by this treatment are not meant to be temporary, but tend to be permanent. I work with adults, adolescents and couples who seek to resolve conflicts, stop repetitive dysfunctional patterns and develop deep emotional connections.
(916) 546-1643
Verified
View

Sacramento, CA 95818
I tailor my treatment to the specific needs of each client. I work at establishing a therapeutic alliance so that clients become more able to observe, assess and reflect on their emotions and symptoms, gaining awareness to their true feelings. Results are achieved in a collaberative atmosphere of emotional safety, trust and unconditional acceptance that leads to understanding and healing. Changes brought about by this treatment are not meant to be temporary, but tend to be permanent. I work with adults, adolescents and couples who seek to resolve conflicts, stop repetitive dysfunctional patterns and develop deep emotional connections.
Photo of Derek Krauss, Marriage & Family Therapist
Derek Krauss
Marriage & Family Therapist, LMFT Verified
Sacramento, CA 95814
Offers online therapy
I work with individuals, couples, and families by using theories of psychology that promote positive change.
To schedule your first visit with me, please use this online scheduling link - (https://portal.geneticforesight.com/book) --- Life is challenging and unpredictable, and we all need help sometimes. Whatever you are experiencing, you don't have to be alone. Speaking with a good counselor can help you feel accepted, understood, respected, and encouraged. You can learn how to be your best self in life and relationships regardless of the current circumstances.
(279) 888-9244
Verified
View

Sacramento, CA 95814
Offers online therapy
I work with individuals, couples, and families by using theories of psychology that promote positive change.
To schedule your first visit with me, please use this online scheduling link - (https://portal.geneticforesight.com/book) --- Life is challenging and unpredictable, and we all need help sometimes. Whatever you are experiencing, you don't have to be alone. Speaking with a good counselor can help you feel accepted, understood, respected, and encouraged. You can learn how to be your best self in life and relationships regardless of the current circumstances.
Photo of David Keith Nylund, Clinical Social Work/Therapist
David Keith Nylund
Clinical Social Work/Therapist, PhD, LCSW Verified
Sacramento, CA 95816
Offers online therapy
I have been a therapist for 32 years working in non-profits, managed care, and private practice. I am experienced in working with anxiety/depression; couples therapy; trauma; ADHD; eating disorders; and family therapy. I am a Professor of Social Work at Sacramento State University. I conduct workshops for therapists nationwide/internationally. My recent work has been with LGBT youth and their families. I am the Clinical Director of the Gender Health Center, an agency that serves LGBTQ communities. I am also part of a Narrative Therapy Collective called Unique Outcomes. I teach for the Vancouver School for Narrative Therapy..
(916) 382-7565
Verified
View

Sacramento, CA 95816
Offers online therapy
I have been a therapist for 32 years working in non-profits, managed care, and private practice. I am experienced in working with anxiety/depression; couples therapy; trauma; ADHD; eating disorders; and family therapy. I am a Professor of Social Work at Sacramento State University. I conduct workshops for therapists nationwide/internationally. My recent work has been with LGBT youth and their families. I am the Clinical Director of the Gender Health Center, an agency that serves LGBTQ communities. I am also part of a Narrative Therapy Collective called Unique Outcomes. I teach for the Vancouver School for Narrative Therapy..
Photo of Rosa Di Lorenzo, Psychologist
Rosa Di Lorenzo
Psychologist, PsyD Verified
Sacramento, CA 95816
Offers online therapy
My professional experience is broad, and includes working with people suffering from anxiety, depression, sexual and physical abuse; adult children of alcoholics, war veterans, college students, women, families, couples, adults and adolescents.
How would you like to live a vital, fulfilling life and reduce the effects of stress and anxiety that keep you stuck? I offer integrative mind/body approaches to health and wellness, including ACT and Mindfulness-based psychotherapy, Somatic Experiencing, a tailored use of meditation and body awareness techniques, suggestions for lifestyle adjustments, and emphasis on Being in the moment. I am also interested in existential issues like aging, transitions and losses, relationships/communication problems, and managing changes. Being mother tongue Italian, I am happy to offer bilingual services to Italian-speaking clients.
(916) 525-8595
Verified
View

Sacramento, CA 95816
Offers online therapy
My professional experience is broad, and includes working with people suffering from anxiety, depression, sexual and physical abuse; adult children of alcoholics, war veterans, college students, women, families, couples, adults and adolescents.
How would you like to live a vital, fulfilling life and reduce the effects of stress and anxiety that keep you stuck? I offer integrative mind/body approaches to health and wellness, including ACT and Mindfulness-based psychotherapy, Somatic Experiencing, a tailored use of meditation and body awareness techniques, suggestions for lifestyle adjustments, and emphasis on Being in the moment. I am also interested in existential issues like aging, transitions and losses, relationships/communication problems, and managing changes. Being mother tongue Italian, I am happy to offer bilingual services to Italian-speaking clients.
Photo of Ivonne M. Mejía, Psychologist
Ivonne M. Mejía
Psychologist, PsyD Verified
Sacramento, CA 95811
Offers online therapy
I am an LGBTQ-affirming therapist, and I work with individuals and couples/partners (in all forms of relationship structures).
You entered into the year with the intention of manifesting joy - only to realize that you’re more anxious, ungrounded, and exhausted than ever before. Perhaps you’re experiencing a transition in your life, a loss of relationship with a loved one, or a shift in your identity that you’re needing to explore and process. Or maybe it’s your partner who’s hurting and you don’t know what else to do because no matter what you say, it never feels like enough.
(916) 542-6319
Verified
View

Sacramento, CA 95811
Offers online therapy
I am an LGBTQ-affirming therapist, and I work with individuals and couples/partners (in all forms of relationship structures).
You entered into the year with the intention of manifesting joy - only to realize that you’re more anxious, ungrounded, and exhausted than ever before. Perhaps you’re experiencing a transition in your life, a loss of relationship with a loved one, or a shift in your identity that you’re needing to explore and process. Or maybe it’s your partner who’s hurting and you don’t know what else to do because no matter what you say, it never feels like enough.
Sean Cook
Psychologist, PsyD Verified
Sacramento, CA 95816
Offers online therapy
I am certified as an Emotionally Focused Couples Therapist and Supervisor (EFT).
Hello, and welcome to my page. I recognize the courage you are showing by exploring options for support. I am interested in the journey that has taken you to this moment, and I will provide a nonjudgmental and collaborative space to explore your story, your feelings, and your hopes for the future. I believe that we are all vulnerable to finding ourselves "stuck" in patterns that don't serve us well. I also believe in every person's ability to lead a fulfilling life and to maintain relationships that are meaningful, safe, and rewarding.
(916) 525-8938
Verified
View

Sacramento, CA 95816
Offers online therapy
I am certified as an Emotionally Focused Couples Therapist and Supervisor (EFT).
Hello, and welcome to my page. I recognize the courage you are showing by exploring options for support. I am interested in the journey that has taken you to this moment, and I will provide a nonjudgmental and collaborative space to explore your story, your feelings, and your hopes for the future. I believe that we are all vulnerable to finding ourselves "stuck" in patterns that don't serve us well. I also believe in every person's ability to lead a fulfilling life and to maintain relationships that are meaningful, safe, and rewarding.

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Couples Therapists
If you're looking for couples therapists in Sacramento or for a Sacramento couples therapist these professionals provide couples therapy in Sacramento. Couples counseling can be effective and saves many relationships, but if you're part of a couple in distress remember that the sooner you get help, the more likely couples counseling will bring about a positive result.