--- title: "Online Therapist in California · Statewide Telehealth · Joshua Acosta-Duque, LCSW" description: "California-licensed online therapist. Secure video telehealth for anxiety, trauma, burnout, depression, and grief. 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Secure video telehealth for anxiety, trauma, burnout, depression, and grief. English & Español.", "url": "https://withlovewellnesstherapy.com/california-online-therapy", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" }, "areaServed": { "@type": "State", "name": "California" }, "serviceType": "Online therapy in California" }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "What does 'online therapist in California' actually mean?", "acceptedAnswer": { "@type": "Answer", "text": "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." } }, { "@type": "Question", "name": "Do you have any physical office in California?", "acceptedAnswer": { "@type": "Answer", "text": "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." } }, { "@type": "Question", "name": "Which parts of California do you serve?", "acceptedAnswer": { "@type": "Answer", "text": "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." } }, { "@type": "Question", "name": "Is telehealth therapy as effective as in-person?", "acceptedAnswer": { "@type": "Answer", "text": "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." } }, { "@type": "Question", "name": "Do you take insurance?", "acceptedAnswer": { "@type": "Answer", "text": "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." } }, { "@type": "Question", "name": "What if I move out of California?", "acceptedAnswer": { "@type": "Answer", "text": "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." } } ] } ] --- [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) ![Golden California hills at sunset with oak trees and dry grasses in the foreground](/assets/hero-california-BABuonUR.jpg) Statewide · Licensed in California # 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. [Book your free 15-min call](/contact) [See all services ](/services) What statewide telehealth really means ## 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. By region ## 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. [ San Francisco County San Francisco What lives in a San Francisco week Read the San Francisco page ](/california/san-francisco) [ Los Angeles County Los Angeles The specific weather of an LA career Read the Los Angeles page ](/california/los-angeles) [ San Diego County San Diego The San Diego thing no one names out loud Read the San Diego page ](/california/san-diego) [ Santa Clara County San Jose The Silicon Valley squeeze Read the San Jose page ](/california/san-jose) [ Sacramento County Sacramento What Sacramento work does to a nervous system Read the Sacramento page ](/california/sacramento) [ Orange County Orange County The Orange County trap Read the Orange County page ](/california/orange-county) By what we work on ## Or start with the work itself. [01 EMDR therapy EMDR helps your brain reprocess experiences that got stuck — the memories, images, or feelings that still fire even when you know, on paper, they shouldn't. We don't rush it. We move at your pace, build the resources you need first, and work toward those old moments losing their grip on the present. ](/services/emdr-therapy) [02 Anxiety & chronic stress Primary focus. EMDR, DBT, and CBT for the version of you that looks fine and feels wrecked. ](/services/anxiety-therapy) [03 Trauma & PTSD EMDR-led reprocessing for what your body still remembers. ](/services/trauma-ptsd-therapy) [04 Relationship & attachment patterns Gottman-informed work for couples, attachment-based work for individuals — same dynamic, different person. ](/services/relationship-therapy) [05 Depression For the flat, grey version of yourself that won't lift. ](/services/depression-therapy) [06 Substance use, recovery & codependency Trauma-informed depth work for codependency, intimacy patterns, and the shame recovery alone can't reach. ](/services/substance-use-therapy) [07 Burnout & high-achiever therapy For people who look fine on paper and are quietly running on empty. ](/services/burnout-therapy) [08 Life transitions For the seasons that rearrange who you thought you were. ](/services/life-transitions-therapy) [09 Grief & loss For the part no one around you seems to know how to sit with. ](/services/grief-therapy) [10 Men's issues For men who were taught to figure it out alone. ](/services/mens-therapy) FAQ ## 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. ## Ready to actually start ? [Book your free 15-min call ](/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