PSYCHOTHERAPY
+ ART THERAPY
For pre-teens, teens, emerging adults + adults
Rancho Bernardo-San diego, ca
You’ve been working hard because that’s what you were told to do.
You’ve always been capable. You worked hard, kept up with your responsibilities, and found a way to get things done. But lately, what used to work isn’t working anymore.
The demands of middle or high school have increased. College has brought more independence and less structure. Your career or relationships are asking more of you. Or a major life change has shifted your responsibilities and how you see yourself.
Avoidance has become your go-to and stress, anxiety, and burnout are taking over. You’re falling behind, struggling to stay organized, questioning yourself, or working twice as hard just to keep up.
the problem isn’t your ability. The demands have changed.
Each developmental stage and major life transition brings new expectations, responsibilities, and shifts in identity. As demands change, the strategies that once helped you cope may no longer be enough, making existing challenges with ADHD, anxiety, trauma, or stress harder to manage.
Sometimes this is when ADHD or other concerns are first recognized. Other times, a major transition simply pushes previously manageable challenges to the surface. The added effort to keep up can lead to avoidance, anxiety, burnout, low confidence, and the frustrating feeling that you’re no longer as capable as you once were.
You need support that looks beyond the symptoms.
At Patch Counseling, we help pre-teens and teens, emerging adults, and adults understand what has changed, build on their strengths, and develop practical strategies for the stage of life they’re in. For teens, we also work with parents to improve communication and support growing independence.
Our approach combines Clinical Art Therapy, mindfulness, and evidence-based treatments including CBT, DBT, and EMDR. We help clients develop self-compassion, build resilience, and gain a better understanding of themselves so they can move forward with greater confidence and in ways that align with their values and goals.
TEENS
adults
ART THERAPY
Take the first step towards balance & relief
We know there can be a small window between thinking about therapy and feeling ready to reach out. That’s why we prioritize new inquiries, respond promptly, and offer same-week complimentary 15-minute phone consultations.
Fill out the contact form below to see if we’re a good fit.
Frequently Asked Questions
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Patch Counseling does not accept insurance and is not in-network with any insurance companies. Clients are responsible for the full session fee at the time of service.
If you have a PPO plan with out-of-network benefits, we can provide a superbill for you to submit for possible reimbursement. We recommend contacting your insurance provider before starting therapy to understand your out-of-network benefits and reimbursement rates.
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We recommend in-person therapy for local pre-teens and teens, as it can support engagement and help build a strong therapeutic relationship. Once rapport is established, online sessions may be an option when appropriate.
We offer online therapy for college students and adults throughout California.
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Therapy length depends on your goals and the concerns bringing you in. Some clients begin to notice improvement within the first few sessions, particularly when they practice skills between appointments. Short-term, goal-focused therapy may last 10–12 sessions, while more complex concerns or ongoing support may benefit from longer-term therapy. You and your therapist will regularly review your progress and adjust treatment based on your needs.
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Patch Counseling requires at least 48 hours’ notice to cancel or reschedule an appointment. Cancellations made with less than 48 hours’ notice and missed appointments will be charged the full session fee to the card on file.
View all frequently asked questions (FAQ)