--- title: "Approach · Depth work, EMDR, CBT, DBT · California telehealth" description: "How Joshua works: honest, root-cause therapy over quick fixes. EMDR, CBT, DBT, psychodynamic, Gottman-informed, and mindfulness. California telehealth." lang: en json-ld: | [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://withlovewellnesstherapy.com/#website", "name": "With Love Wellness Center", "url": "https://withlovewellnesstherapy.com", "inLanguage": [ "en", "es" ] }, { "@context": "https://schema.org", "@type": "MedicalClinic", "@id": "https://withlovewellnesstherapy.com/#clinic", "name": "With Love Wellness Center", "url": "https://withlovewellnesstherapy.com", "medicalSpecialty": "Psychiatric", "areaServed": { "@type": "State", "name": "California" }, "availableService": [ "Anxiety therapy", "EMDR & trauma therapy", "Relationship therapy", "Men's therapy", "Substance use & recovery", "Life transitions & grief" ], "telephone": "", "priceRange": "$$", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" } }, { "@context": "https://schema.org", "@type": "Person", "@id": "https://withlovewellnesstherapy.com/#joshua", "name": "Joshua Acosta-Duque, LCSW", "honorificSuffix": "LCSW", "jobTitle": "Licensed Clinical Social Worker", "worksFor": { "@id": "https://withlovewellnesstherapy.com/#clinic" }, "url": "https://withlovewellnesstherapy.com/about", "knowsLanguage": [ "English", "Spanish" ], "hasCredential": { "@type": "EducationalOccupationalCredential", "credentialCategory": "license", "name": "CA LCSW #121584", "recognizedBy": { "@type": "Organization", "name": "California Board of Behavioral Sciences" } } }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://withlovewellnesstherapy.com" }, { "@type": "ListItem", "position": 2, "name": "Approach", "item": "https://withlovewellnesstherapy.com/approach" } ] } ] --- [Skip to content](#main) [](/) [About](/about)[Approach](/approach) [Services](/services) [Who I work with](/who-i-work-with) [Insights](/insights)[Español](/es)[Contact](/contact) [Book a free call](/book) ![Sheer amber and crimson curtains drifting by a windowsill with a small vase of red berries](/assets/hero-approach-D7u__4Tf.jpg) Approach # Depth work, not a quick fix . Symptom management is real, and sometimes it's what you need. But if you've been managing the same symptom for years — if the pattern keeps coming back wearing a new outfit — you don't need better management. You need to understand what's underneath it. Surface-level therapy - Talks about the week — the argument, the deadline, the feeling. - Teaches coping skills for the symptom in front of you. - Ends when the acute distress ends. - You feel better; the pattern comes back. Depth work - Traces the pattern under the week to where it started. - Uses skills, and processes what makes the skills necessary. - Stays until something actually rearranges. - You feel better, and the pattern doesn't have to keep repeating. Modalities, plainly ## The tools — explained without the jargon. 01 EMDR Eye Movement Desensitization and Reprocessing. Evidence-based trauma work that lets your nervous system finish processing what it couldn't at the time. Doesn't require you to re-narrate the worst of it in detail. 02 CBT Cognitive Behavioral Therapy. Practical work on the loop between thought, feeling, and action — especially useful when anxiety has taken your daily life hostage. 03 DBT Dialectical Behavior Therapy. Skills for the moments that feel unbearable. Emotional regulation, distress tolerance, and interpersonal effectiveness without the workbook feel. 04 Psychodynamic The long look. Understanding how the earliest relationships in your life are still writing scripts you're running now — and what changes when you can see them. 05 Gottman-informed For couples work: research-backed patterns of what actually happens between people who make it and people who don't. Practical, not preachy. 06 Mindfulness-based Not a meditation app. Real practices for coming back to your body, and staying with what's true, even when it's uncomfortable. Sessions ## What a session actually looks like. Fifty minutes, secure video, once a week to start. You show up from wherever you are in California — home office, closed door, parked car if that's the only private space you have. Some weeks are talking. Some are EMDR reprocessing. Some are practicing a hard conversation you're about to have. There's no script we're stuck to — the work responds to what your life is asking for that week. No homework police. No clinical distance. Direct enough that the work moves, warm enough that you can afford to be honest. ![Golden California grasses at sunset](/assets/scene-grass-CCmsxKB1.jpg) Telehealth across California ## The logistics. Who I can see Anyone physically located in California at the time of the session, ages 18–64. What you need A private space, a stable internet connection, headphones if the walls are thin. Platform HIPAA-compliant video via the practice's client portal. Link and reminders sent before each session. If you travel Sessions require you to be in California. We'll plan around trips together. ## If depth work is the version you've been looking for — [Book your free 15-min call](/contact) [Ask a question ](/contact) With Love Wellness Center Depth-oriented therapy across California. Sessions in English & Español. Telehealth-only practice. Begin [Book your free 15-min call](/contact) In a crisis or emergency, call or text [988](tel:988) or [911](tel:911). Services - [All services](/services) - [EMDR therapy](/services/emdr-therapy) - [Anxiety & chronic stress](/services/anxiety-therapy) - [Trauma & PTSD](/services/trauma-ptsd-therapy) - [Relationship & attachment patterns](/services/relationship-therapy) - [Depression](/services/depression-therapy) - [Substance use, recovery & codependency](/services/substance-use-therapy) - [Burnout & high-achiever therapy](/services/burnout-therapy) - [Life transitions](/services/life-transitions-therapy) - [Grief & loss](/services/grief-therapy) - [Men's issues](/services/mens-therapy) Who I work with - [Overview](/who-i-work-with) - [Latino/a/x adults](/who-i-work-with/latino-therapy) - [LGBTQ+ adults](/who-i-work-with/lgbtq-therapy) - [Veterans & first responders](/who-i-work-with/veterans-therapy) - [High achievers](/who-i-work-with/high-achievers) Serving California - [California online therapy](/california-online-therapy) - [Los Angeles](/california/los-angeles) - [Orange County](/california/orange-county) - [San Diego](/california/san-diego) - [San Francisco](/california/san-francisco) - [San Jose](/california/san-jose) - [Sacramento](/california/sacramento) Insights - [All insights](/insights) - [High-functioning anxiety](/insights/high-functioning-anxiety) - [When therapy didn't work](/insights/when-therapy-didnt-work) - [Are my problems bad enough?](/insights/are-my-problems-bad-enough) - [Perfectionism & anxiety](/insights/perfectionism-and-anxiety) - [Can't think your way out](/insights/why-you-cant-think-your-way-out) Practice - [About Joshua](/about) - [Approach](/approach) - [Rates & insurance](/rates) - [Reviews](/reviews) - [Contact](/contact) En Español - [Inicio](/es) - [Sobre mí](/es/sobre-mi) - [Terapia de ansiedad](/es/terapia-de-ansiedad) - [Terapia de trauma](/es/terapia-de-trauma) - [Contacto](/es/contacto) With Love Wellness Center · Telehealth across California · sessions in English & Español. Individual results vary; therapy outcomes are not guaranteed. This website is for informational purposes only and is not a substitute for clinical care. Website by [Automaus.ai](https://automaus.ai) © 2026 With Love Wellness Center · Joshua Acosta-Duque, LCSW · CA LCSW #121584