Telehealth across California
Online therapy in California — secure video sessions across the state.
Online therapy for individuals, couples, and families anywhere in California. Evidence-based clinical care delivered over secure video, with the flexibility to fit sessions around commutes, childcare, and the rest of your life. Most of our clients work with us online, and that's by design.
Good fit if
- You live anywhere in California and want to work with a therapist who specializes in what you're actually working on (not just whoever's nearest)
- Your schedule makes in-person sessions hard to commit to (commute, kids, shift work, caretaking, travel)
- You want the flexibility to do a session from home, a private room at the office, or wherever you have privacy and a stable connection
- You've done in-person therapy before and want to keep working without a weekly drive
- You're between places (moving, traveling, splitting time between cities) and want continuity of care
Not a fit if
- You're in active acute crisis and need a higher level of care (inpatient, intensive outpatient). We can help connect you to the right resource
- You don't have reliable access to privacy or a stable internet connection — the work depends on both
- You need hands-on interventions (like body-based trauma work that requires in-person presence). Most of our work translates; some does not
Not sure which column you're in? Book a free consult. If we're not the right fit, we'll help you find someone who is.
What the work looks like
How we actually work together.
We use SimplePractice, a HIPAA-compliant telehealth platform built specifically for healthcare (not consumer video like regular Zoom or FaceTime). You'll get a unique link before each session. No download required, no account, just a browser. Sessions are 50 minutes, scheduled weekly or biweekly depending on what the work needs.
Clinically, online therapy is not a watered-down version of in-person. The research over the last decade, accelerated by the pandemic, has been clear: telehealth outcomes match in-person outcomes across most conditions and modalities. Couples therapy, individual therapy, trauma work, sex therapy, anxiety treatment all translate well. Both partners in couples work can join from the same room on one device, or from different locations if that's easier.
What makes online therapy work is the same thing that makes any therapy work: a therapist who gets what you're working on, shows up consistently, and holds the process. We match you with a clinician on our team whose specialty fits your presenting concern, not whoever happens to have an open slot.
Modalities we draw from
Wondering if this is the work you need?
Free 15-minute call. We'll figure out together if we're the right starting point.
Book a Free ConsultWho on our team does this work
4 therapists who specialize here.
Christina Mathieson
Licensed Marriage and Family Therapist (LMFT) #115093
Human sexuality, couples work, ADHD and neurodiversity-affirming therapy, and affirming care for individuals navigating relationships, identity, and life transitions.
Michelle Cortez
Registered Associate Marriage and Family Therapist (AMFT) #146795
Supervised by Christina Mathieson, LMFT #115093
Couples work grounded in attachment theory and Emotionally Focused Therapy (EFT); anxiety and OCD using Exposure and Response Prevention (ERP); cultural identity, relationship challenges, and the weight of carrying trauma quietly. Relational and culturally responsive at heart.
Jalyse Stewart
Registered Associate Marriage and Family Therapist (AMFT) #153712
Supervised by Christina Mathieson, LMFT #115093
Trauma-informed therapy for women healing from childhood sexual abuse, complex trauma, and what a lifetime of carrying other people's weight does to the nervous system. I also work with neurodivergent clients and trauma that intersects with grief, anxiety, or chronic overcompensation.
Tina Masoudi
Registered Associate Marriage and Family Therapist (AMFT) #155851
Registered Associate Professional Clinical Counselor (APCC) #19568
Supervised by Christina Mathieson, LMFT #115093
Trauma-informed therapy for young adults navigating anxiety, grief, identity, and life-stage transitions, with previous clinical experience at a college counseling center. Also works with couples, families, first responders, and clients impacted by the justice system. Optional Christian counseling for clients who want faith to be part of the room.
FAQ
Common questions about online therapy.
Is online therapy as effective as in-person?
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For most conditions and modalities, yes. A large body of research (meta-analyses across anxiety, depression, PTSD, couples therapy, and more) shows telehealth outcomes matching in-person outcomes, particularly when the clinician is trained and the platform is secure. The American Psychological Association and the VA both recognize telehealth as a first-line delivery method for most mental health care.
Do I have to be at home? What if I don't have privacy?
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You can join from anywhere with privacy and a stable connection. A parked car, a private office room, a corner of a library with headphones; we've seen it all work. If privacy at home is the obstacle, we can problem-solve it together on the consult call.
Can couples therapy happen online?
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Yes, frequently. Both partners can join from the same room on one device, or from different locations. Some couples actually find separate-location sessions useful, especially for higher-conflict dynamics where having your own space helps you stay regulated.
Can sex therapy be done online?
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Yes. Sex therapy is always talk therapy; nothing physical happens in session regardless of format. Many clients find online sex therapy more comfortable than in-person because they can do sessions from their own space.
What about EMDR and trauma work online?
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Online EMDR uses visual bilateral stimulation on screen or tapping-based alternatives, and outcome research shows it's comparable to in-person EMDR. Most trauma modalities (IFS, somatic practices, trauma-focused CBT) translate well to telehealth with a trained clinician.
Do you only do online, or are in-person sessions available?
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Our default is online. In-person sessions are available in Walnut Creek with Tina Masoudi, either by client request or clinical recommendation. Everyone else on our team is online-only.
What platform do you use?
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We use SimplePractice, a HIPAA-compliant platform built specifically for healthcare (not consumer video like regular Zoom or FaceTime). You'll get a unique session link each time, accessible from any browser; no account or app download required.
References & further reading
- APA — Telepsychology Guidelines — American Psychological Association
- VA — Telemental Health Research Overview — U.S. Department of Veterans Affairs
- EMDRIA — Virtual EMDR Therapy — EMDRIA
Last clinically reviewed: April 24, 2026 by Christina Mathieson, LMFT #115093.
Free monthly workshop
It's Not Just the Fight: How Trauma Shows Up in Your Relationship
Thursday, April 30, 2026 · 6:00 PM PT · Zoom · Free
Related
Individual Therapy
One-on-one therapy for anxiety, depression, identity, trauma, and the patterns you can see but can't yet shift.
Learn moreCouples Therapy
Gottman Method, EFT, and sex therapy integrated into relationship work for partners at any stage.
Learn moreTrauma Therapy
Evidence-based trauma therapy using EMDR, IFS, somatic practices, and careful pacing.
Learn moreReady to talk it through?
Free 15-minute call. We'll figure out if online therapy is the right work for where you are, and match you with the right person on our team.
Book a Free Consult