With Love Wellness Center · California telehealth

Real change asks harder questions.

Depth-oriented therapy for high-functioning adults who look fine on paper and are done with surface-level fixes. Anxiety, trauma, relationships, and the patterns underneath. Sessions in English & Español, anywhere in California.

Get in touch How I work

Ask harder · look closer

Sound familiar?

The reasons people almost didn't reach out.

Read them anyway.

"You've tried therapy before and it didn't help."

Fair. Surface-level therapy talks about the weather. Depth work sits with the pattern under it — and stays there until something actually moves.

"You're not sure your problems are “bad enough.”"

Whatever's making you read this page is enough. You don't have to be in crisis to deserve a real conversation.

"You think you should be able to figure this out alone."

You have figured out most of it alone. That's what got you here. The next part is not a solo project.

What we work on

The full range of work. One way of doing it — honestly.

Anxiety & chronic stress

The one where you look fine and feel wrecked.

Trauma & PTSD

For what your body still remembers.

Relationship & attachment patterns

Same dynamic, different person.

Men's issues

For men who were taught to figure it out alone.

Substance use & recovery

The part 12 steps can't reach on its own.

Life transitions

For the seasons that rearrange who you thought you were.

Depression

For the flat, grey version of yourself that won't lift.

Burnout & high-achiever therapy

For people who look fine on paper and are quietly running on empty.

Grief & loss

For the part no one around you seems to know how to sit with.

EMDR therapy

Evidence-based reprocessing for what your body still holds.

How this actually goes

Depth work, not a quick fix.

We don't paper over the symptom. We understand the pattern beneath it — and then, together, we change it.

A real first conversation

A free 15-minute call to hear what's going on and whether we're a fit. No pitch. If I'm not the right person, I'll tell you.

The map, not just the moment

The first few sessions we understand the pattern beneath the symptom — where it started, what it's been protecting, what it's costing you now.

The work of actually changing

Depending on what fits — EMDR, CBT, DBT, psychodynamic, mindfulness — we move at a pace your nervous system can hold. No white-knuckling.

The therapist

Joshua Acosta-Duque, LCSW.

Latino LCSW, Columbia-educated, trained in EMDR, CBT, and DBT. Five years in practice, with roots in child welfare, justice-involved populations, and substance abuse recovery. The work is grounded in justice, equity, and treating people like adults.

He'll ask you the hard questions and won't look away when it gets messy.

Self-pay practice. On purpose.

No insurance company deciding what "medical necessity" means for your life. No mandatory diagnosis in your record. Reach out and we'll talk specifics — including what a self-pay practice actually buys you.

About investment Ask a question

FAQ

The questions people actually ask.

Do you take insurance?

This is a self-pay practice. Reach out and we'll talk specifics — including options like out-of-network reimbursement.

How does telehealth actually work?

Secure video sessions through a HIPAA-compliant platform. You need a private space and a stable connection. Anywhere in California works.

Do you offer sessions in Spanish?

Sí. Ofrezco sesiones completas en español. Ver la página en español.

What if I've never done therapy before?

Then you don't have to unlearn anything. We start where you are.

How do I know if we're a fit?

A free 15-minute consult. If I'm not the right therapist for you, I'll say so and, when possible, point you somewhere better.

When you're ready to stop managing it and start changing it.

Get in touch Or send a note