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Your Trusted Mental Health Partner in San Diego
Therapy Changes is a San Diego-based mental health practice dedicated to empowering individuals, couples, and families through evidence-based therapeutic approaches. Founded on principles of compassion, authenticity, and empowerment, our team of licensed Clinical Psychologists specializes in Cognitive Behavioral Therapy (CBT) and related modalities to address life transitions, trauma, anxiety, depression, and relationship challenges. With over two decades of collective experience, we prioritize personalized care, racial justice, and accessibility, offering services tailored to diverse populations including LGBTQ+ individuals, emerging adults, and perinatal clients.

Our mission is to provide a safe, inclusive environment where clients develop practical tools for emotional resilience and meaningful life changes. We maintain strict confidentiality, flexible scheduling, and a hybrid model of in-person and teletherapy sessions to meet client needs.
Services
Cognitive Behavioral Therapy Couples Therapy Family Therapy LGBTQ+ Counseling Perinatal Services Teletherapy Trauma Therapy Individual Therapy
Highlights and features
  • Our team includes licensed Clinical Psychologists with specialized CBT training
  • We offer tailored therapy for LGBTQ+, perinatal, and emerging adult populations
  • Comprehensive approach combining CBT with mindfulness and trauma-informed care
  • Dedicated Client Care Coordinator ensures optimal therapist matching
  • Hybrid in-person/teletherapy model for maximum accessibility
Services
Cognitive Behavioral Therapy
Our Cognitive Behavioral Therapy helps clients develop practical tools for managing anxiety, depression, and life transitions. This evidence-based approach focuses on transforming negative thought patterns and behaviors through structured, goal-oriented sessions. Clients learn coping strategies that promote emotional resilience and lasting positive change.
Couples Therapy
Specialized couples therapy addresses relationship conflicts and enhances intimacy through Imago Relationship Therapy techniques. We help partners improve communication, rebuild trust, and resolve long-standing issues in a supportive, nonjudgmental environment tailored to both heterosexual and LGBTQ+ relationships.
Perinatal Services
Our perinatal mental health specialists support expectant and new parents through mood disorders and anxiety during pregnancy and postpartum. Services include risk assessment, coping strategies, and evidence-based interventions specifically designed for the unique emotional challenges of this life stage.
LGBTQ+ Counseling
Affirming therapy services for LGBTQ+ individuals include gender identity exploration, coming-out support, and discrimination-related stress management. We provide gender-affirming letters and counseling tailored to trans and nonbinary clients' unique mental health needs in a safe, inclusive environment.
Teletherapy
Secure teletherapy sessions offer convenient access to mental health care through video conferencing or phone calls. This HIPAA-compliant service maintains the same therapeutic quality as in-person visits while providing flexibility for clients with scheduling or mobility challenges.
Questions
What therapy approaches do you specialize in?
We specialize in Cognitive Behavioral Therapy (CBT) and related evidence-based approaches including Mindfulness-Based Stress Reduction, Exposure Response Therapy, and Imago Relationship Therapy for couples.
Do you offer teletherapy options?
Yes, we provide secure HIPAA-compliant teletherapy sessions via video or phone, available as a standalone option or combined with in-person visits for maximum flexibility.
What insurance plans do you accept?
We accept most major insurance plans and offer out-of-network reimbursement assistance. Please contact our office directly to verify your specific coverage details.
Are evening or weekend appointments available?
While our standard hours are Monday-Friday, we offer limited evening appointments and strive to accommodate client schedules through our flexible scheduling system.
Do you provide gender-affirming care?
Yes, we offer gender-affirming letters and counseling for trans and nonbinary individuals, with streamlined access available in one or two sessions without ongoing therapy requirements.