Therapist · Lamorinda + Contra Costa
Therapist for Lafayette
and Orinda.
Couples, sex therapy, trauma, anxiety, and ADHD-affirming individual work for the quiet 24/680 corridor between the hills and the rest of the Bay. Led by Christina Mathieson, LMFT #115093, with a team of associate therapists across California.
Telehealth is our default. All clinicians see clients via secure video across California, with the office a ten-minute drive from Lafayette and Orinda when in-person matters.
Who we see in Lamorinda
The patterns that show up here.
Lafayette and Orinda are tight, affluent small towns wrapped inside top-ten school districts, and that particular container shapes the therapy we do here. A lot of who we see is trying to hold three things at once: a demanding career (often SF-based), a family whose schedule reads like a logistics diagram, and a set of community expectations that are quieter than the Bay Area's but no less exacting.
Common presentations: couples who haven't had a real conversation that wasn't about the kids in eighteen months. Parents absorbing the anxiety of college admissions through their teenagers and then finding themselves wired at midnight. Long-married couples at the launch phase, looking at each other and asking now what? High-functioning professionals (especially at the 15-to-25-year career mark) starting to notice that the strategy that got them here is running them ragged.
A meaningful subset of Lamorinda clients arrive in individual therapy and stay. Perfectionism, the long-tail costs of being a capable person, late-diagnosis ADHD, mid-career identity questions that don't have a clean answer.
Services for Lamorinda clients
What we work on.
Couples Therapy
Gottman Method, EFT, and attachment-based work, including discernment counseling for couples at a decision point.
Learn moreSex Therapy
Desire, pleasure, pain, or disconnect after years together.
Learn moreAnxiety Therapy
High-functioning anxiety, perfectionism, professional burnout.
Learn moreADHD & Neurodiversity-Affirming
Late-diagnosis ADHD in adults, executive function, relationships shaped by a different-wired brain.
Learn moreTrauma Therapy
EMDR, IFS, somatic practices for what the body is still holding.
Learn moreIndividual Therapy
Identity, life transitions, midlife reassessment, meaning-making.
Learn moreFAQ
Common questions from Lafayette and Orinda clients.
Do you see clients from Lafayette and Orinda?
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Yes. Lafayette and Orinda are part of our core service area. All clinicians see clients via secure telehealth across California. Our business address is 10 minutes away in Walnut Creek (1460 Maria Ln #300).
Is therapy here a good fit for someone whose kids are at Acalanes, Campolindo, or Miramonte?
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Yes. We regularly work with parents from Lamorinda's high-achievement school culture, both the college-admissions intensity and the less-obvious toll it takes on parents' own relationships, stress load, and identity. The work isn't about reducing expectations; it's about staying grounded inside them.
We've been married for 25+ years and our kids are launching. Is that something you work with?
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Yes, frequently. The empty-nest transition is one of the most common reasons long-married Lamorinda couples come to therapy. The relationship was organized around raising kids, and now the organizing principle is gone. Discernment counseling, Gottman-method couples therapy, and individual work can all be part of figuring out what comes next.
Can we do couples therapy by telehealth?
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Yes. Couples therapy works well over secure video. Both partners join from the same room on the same device, or from different locations if that's easier. Most Lamorinda couples choose telehealth for scheduling flexibility around commutes and family obligations.
Verified resources
Local + state authorities for Lafayette and Orinda residents.
We are not a 24/7 service. If you need help outside our hours, or if you want to verify a California therapist's license before you book with anyone, these are the resources we point clients to.
- Contra Costa Crisis Center (Contra Costa County):crisis-center.org. The local 988-aligned 24-hour crisis center serving Contra Costa County.
- 988 Suicide & Crisis Lifeline:988lifeline.org. Call, text, or chat 988 for free, confidential 24/7 support anywhere in the U.S.
- Verify a California therapist's license:search.dca.ca.gov. California Department of Consumer Affairs official license search. Look up any LMFT, AMFT, APCC, LCSW, or psychologist licensed in California by name or license number.
Ready to talk it through?
Free 15-minute call. We'll figure out if we're the right fit and match you with the right person on our team.
Book a Free Consult