Online therapist for adults anywhere in California.
I am Joshua Acosta-Duque, a Licensed Clinical Social Worker (LCSW #121584) licensed by the California Board of Behavioral Sciences. My practice is fully telehealth — no waiting room, no in-person office, no location that requires you to organize a commute around a feeling. Sessions run by secure video from wherever you are in the state, in English or Español.
One license. One state. No office.
Every therapist is licensed state by state. Mine is California — meaning we can work together as long as you are physically in California when we meet. That covers a 40 million-person state with wildly different textures of life, and the same LCSW is legally, ethically able to see all of them.
Telehealth is not a downgrade from in-person work. For most adults, the evidence is that it is as effective — including for EMDR — and it removes the specific friction that keeps a lot of high-functioning people out of therapy: the commute, the parking lot, the waiting room, the risk of running into someone you know on the way out.
The people I sit with are usually high-functioning professionals whose lives already have too many meetings in them. Making therapy fit inside that life is the whole point of doing it this way.
Where my California clients actually live.
Each of these pages is written for the specific professional world that lives there — not a template. Start with the one that sounds most like your week.
Or start with the work itself.
About working with a California online therapist.
What does 'online therapist in California' actually mean?
It means I am a Licensed Clinical Social Worker (LCSW #121584), licensed by the California Board of Behavioral Sciences, seeing clients only by secure video. You can be anywhere in California when we meet. I am not licensed outside California, and I do not travel to see clients in person.
Do you have any physical office in California?
No. My practice is fully telehealth. There is no waiting room, no in-person address, and no in-person hybrid. This is a deliberate choice — it is how I keep the practice accessible across the whole state.
Which parts of California do you serve?
All of it. If you are physically located in California at the time of session, we can work together — from the Bay Area, LA, San Diego, the Central Valley, the Sierra foothills, the North Coast, or anywhere in between.
Is telehealth therapy as effective as in-person?
Research on telehealth therapy — including EMDR — has grown substantially, and for most adults it is as effective as in-person work. What matters more than the medium is the fit between you and your therapist, and the depth of the work.
Do you take insurance?
I am a private-pay practice, and I work through Grow Therapy for booking. If cost is on your mind, we can talk honestly about it in a consultation — no pressure.
What if I move out of California?
California law requires that I only see clients who are physically in California at the time of session. If you move, we'll talk about referral options in your new state before the change.