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Depression, Anxiety, Trauma, ADHD Therapy
Individuals, Couples and Families
in California
Join a compassionate and affirming space where you can develop practical tools to navigate your emotions, overcome challenges, and thrive authentically in your daily life.
Does this sound familiar?
Individuals
You might feel overwhelmed by anxiety, weighed down by self-doubt, or stuck in patterns that no longer support you. You may be navigating the unique challenges of being LGBTQIA+, BIPOC, or neurodivergent in a world that often misunderstands or minimizes your experiences.
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The pressure to meet expectations, mask parts of yourself, or push through stereotypes can leave you feeling disconnected from others and from your own sense of self. You may be wrestling with questions about identity, the pain of being unseen or dismissed, or the weight of trauma and systemic oppression that affects your mental health.
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ADHD may make daily tasks harder than people realize. Microaggressions may drain you. Societal pressure may leave you exhausted. You may want a space where you can tell the truth about how overwhelmed you feel and not worry about being judged.
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Many clients come in wanting to feel more grounded and aligned with who they are. They want to move past shame, perfectionism, and fear. They want support that respects their lived experience.
If this resonates with you, individual therapy offers a safe and affirming space where your experiences matter, your strengths are recognized, and your goals are taken seriously. Together, we’ll work toward clarity, connection, and emotional steadiness.
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Couples
You and your partner(s) might feel stuck in the same arguments or caught in cycles that leave both or all of you feeling unheard. You may be trying to communicate, but conversations get tense, shut down, or go nowhere. Distance may build even when you care deeply about each other.
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You might also be navigating layers that impact the relationship: being LGBTQIA+, BIPOC, or neurodivergent in environments that aren’t always supportive. Cultural expectations, identity-based stress, trauma history, or ADHD-related overwhelm may make connection harder to maintain.
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You may both feel weighed down by misunderstandings, unmet needs, or the pressure of holding things together without support. You may want a space where both partners can slow down, feel understood, and rebuild trust and safety.
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Couples often come in wanting to repair distance, communicate more clearly, and understand what’s happening under the surface. They want a relationship that feels steady instead of reactive.
If this resonates with you, couples therapy offers a space where both partners can feel seen, supported, and understood. Together, you can create connection that feels secure and sustainable.
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Families
Your family may be struggling to communicate, support one another, or understand the impact of what each person is going through. Conflict may escalate quickly. Conversations may turn into shutdowns or defensiveness. Everyone may feel unheard in their own way.
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You might be navigating the added strain of a family member dealing with anxiety, depression, ADHD, trauma, an eating disorder, or addiction. These challenges don’t exist in isolation: everyone in the family system feels the ripple effects. You may notice patterns of codependency, caretaking roles that feel heavy, or a sense that one person’s struggles are determining the emotional temperature of the entire home.
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Identity-based stress, neurodivergence, cultural expectations, or systemic pressures may complicate the family’s ability to understand each other. Even when everyone cares deeply, communication can break down, and support can get tangled in fear, frustration, or exhaustion.
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Families often come in wanting clearer communication, healthier boundaries, and more stability. They want to understand the emotional needs underneath behaviors, reduce reactive patterns, and break cycles that have been running the household for years.
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If this resonates with you, family therapy offers a structured, affirming space where each person’s voice is respected and the full context of the family system is taken seriously. Together, we’ll work toward clearer communication, healthier boundaries, and more sustainable ways of supporting each other—without losing yourself in the process.
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What is Relational Gestalt Therapy?
Relational Gestalt Therapy is a compassionate and holistic approach designed to help you build stronger relationships and deepen your self-awareness. This therapy focuses on the healing power of relationships, using the connection between you and your therapist as a supportive space for growth. By exploring your thoughts, emotions, and body sensations in the present moment, Relational Gestalt Therapy helps you uncover patterns shaped by past experiences and how they impact your current relationships. Through open and authentic dialogue, you can practice new ways of connecting with others, gaining tools to create healthier and more fulfilling relationships. This approach also considers how cultural and systemic factors influence your unique journey, offering a personalized and inclusive path to healing. Relational Gestalt Therapy is especially helpful if you’re working through challenges in relationships, identity development, or past relational trauma. Start your journey toward stronger connections and personal growth today.
Meet Alyshia Marcelletti,
AMFT, APCC (they/them)
Registered Associate MFT # 147455, Registered Associate PCC #16932, Supervised by Robyn Caruso, LMFT #80168, CEDS-S #4246-C
I believe therapy is where we collaborate to co-create a space for you to show up and work on your goals with support and care. In my work, I center you as the expert in your lived experience exploring your unique identity for a holistic approach to our work together. I work from the belief that increasing your awareness empowers you to make choices that feel right for you from an intentionally responsive place rather than a reactive one.
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I bring a social justice lens to recognize the systems we navigate and their impact on us and our journey. I work primarily from a Relational Gestalt and psychodynamic approach while incorporating tools from other modalities such as polyvagal theory to meet individual needs. I have experience working with BIPOC, LGBTQIA+, and neurodivergent individuals as well as experience working with substance abuse, trauma, anxiety, depression, grief, self-esteem, and identity development through times of transition.
My goal is to support people in their goals in working towards their definition of wellness.
Group Therapy Sessions Online in California
Individual, Couples, Family Therapy Sessions in Los Angeles and Online
When: Daytime and evening options available
Where: Virtually for California residents or in person in Encino (Los Angeles), CA
Cost: $200 per session (out-of-network insurance billing available)
Why Choose Individual Therapy?
Individual therapy gives you focused, one-on-one support to understand what you’re feeling, why it’s showing up, and what you need to move forward. Many people seek therapy when anxiety becomes overwhelming, depression makes daily life harder, or past experiences start affecting how they show up in relationships and at work. You may notice changes in your confidence, mood, or sense of self, and you want support that actually understands your lived experience.
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Individual therapy is a space grounded in your identity, your cultural context, and the realities you navigate. Sessions help you build clarity, strengthen emotional awareness, and make choices that reflect who you are instead of reacting from stress or survival mode. The work is collaborative, responsive, and led by your goals.
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Alyshia provides LGBTQIA+ affirming, BIPOC-affirming, and neurodivergent-affirming therapy for clients navigating trauma, anxiety, depression, grief, low self-esteem, identity development, substance use history, and major life transitions. Their approach integrates Relational Gestalt, psychodynamic therapy, and polyvagal theory to support both emotional and nervous system regulation.
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If you’re looking for individual therapy in California, either in person in Los Angeles or online statewide, you’ll receive care that respects your identity, honors your lived experience, and supports you in building the kind of internal stability you want.
Individual therapy offers personalized, one-on-one support to help you:
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Address challenges like trauma, anxiety, depression, grief, self-esteem, and transitions.
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Focus on your unique identity and lived experience.
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Integration of Relational Gestalt, psychodynamic, and polyvagal theory.
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Specialized experience with BIPOC, LGBTQIA+, and neurodivergent clients.
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Why Choose Couples Therapy?
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Couples therapy helps partners understand each other more clearly, break painful patterns, and rebuild a stronger, more secure connection. Many couples look for support when communication feels tense, emotions get misunderstood, or conflict repeats in ways that leave both partners feeling alone or shut down. These moments don’t mean your relationship is failing. They mean the relationship needs care, clarity, and guidance.
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Couples therapy gives you a space to slow down and explore what’s happening underneath the surface: fear, hurt, overwhelm, or unmet needs that often get buried under arguments or silence. My approach is inclusive and affirms queer couples, BIPOC partners, neurodivergent relationships, and couples navigating eating disorder recovery, addiction, trauma, identity-based stress, or systemic pressures.
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Whether you’re dealing with emotional distance, ruptures in trust, conflict around communication, intimacy struggles, cultural or family expectations, or the impact of mental health concerns, couples therapy helps you reconnect in a real and sustainable way.
If you’re seeking couples therapy in California, either in person in Los Angeles or online throughout the state, you’ll receive care that honors your lived experience and supports you in creating a relationship where both partners feel understood and valued.
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What We Focus On in Couples Therapy (Emotionally Focused Therapy – EFT)
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Emotionally Focused Therapy (EFT) is a research-supported approach for relationship counseling. EFT helps partners understand the attachment needs and emotional responses driving their patterns so they can move out of conflict and into connection.
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Here’s what EFT supports in our work together:
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Identify the cycles that keep leading to distance, shutdown, or escalation
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Slow down reactive moments to promote partners feeling heard
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Understand the deeper emotions and needs behind the conflict
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Strengthen emotional safety to help you communicate honestly and directly
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Repair ruptures and rebuild trust after moments of hurt
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Support queer, trans, and nonbinary partners with affirming, trauma-informed care
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Adjust communication strategies for neurodivergent partners (ADHD, autism, AuDHD)
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Address how eating disorders or addiction recovery impact the relationship
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Help partners navigate trauma triggers without blaming or shaming
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Create new relational patterns that support closeness, stability, and mutual care
Why Choose Family Therapy?
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Family therapy helps households navigate conflict, improve communication, and understand how each member’s experiences shape the entire system. Many families seek support when disagreements escalate quickly, communication shuts down, or one member’s mental health concerns create strain across the home.
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Alyshia works with families navigating anxiety, depression, ADHD, trauma, identity development, eating disorders, a history of addiction, or the emotional impact of recovery. These experiences often lead to patterns of codependency, over-functioning, avoidance, or misunderstandings between family members. Therapy helps clarify roles, reduce reactive dynamics, and build healthier boundaries.
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This work is LGBTQIA+ affirming, BIPOC affirming, neurodivergent affirming, and respectful of multicultural and blended family systems. Sessions offer a structured space where each member’s voice is valued and the system as a whole is supported.
If you’re seeking family therapy in California—online or in person in Los Angeles—you’ll receive care that supports connection, stability, and healthier communication.
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What We Focus On in Family Therapy
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The impact of mental health concerns on the family system
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Eating disorders, addiction recovery, and their ripple effects
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Codependency, caretaking dynamics, and emotional boundaries
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Communication patterns that create misunderstanding
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Reducing escalation and improving emotional safety
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Supporting neurodivergent family members with clear, affirming communication
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Navigating identity, cultural expectations, and systemic pressures
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Strengthening the family’s ability to support one another without losing themselves
