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[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)

![Chaparral hillside overlooking distant coastal marine fog with sage brush in the foreground](/assets/nature-los-angeles-DDMrOWVS.jpg)

[← California online therapy](/california-online-therapy)

Los Angeles County · Telehealth across California 

# Anxiety therapist for creative and gig-economy Angelenos

You built a career in a city where rejection is a daily job requirement, and somewhere along the way your nervous system stopped being able to tell the difference between 'no' on a project and 'no' on you as a person. You still show up for the room. It's just that the room now lives inside your chest.

[Book your free 15-min call ](/contact)

The specifics 

## The specific weather of an LA career

Creative and gig work in Los Angeles is a study in outsourcing your sense of worth. Auditions, pitches, callbacks, notes, ghosted decks, seven maybes that never become a yes — each one is small on its own and enormous in aggregate. Most people I see from LA have quietly organized their entire self-image around a verdict that has not arrived yet.

Underneath that is a very LA kind of loneliness. Your peers are also chasing. Your family thinks you're 'in the industry' and doesn't ask again. Your income arrives in unpredictable lumps that don't line up with rent, and the anxiety of the flush month is often worse than the anxiety of the empty one.

The work here is not about learning to hustle harder. It's about untangling your sense of who you are from the last piece of news you got, so that the news — good, bad, or radio silence — stops being able to rearrange your inner life.

Sound familiar? 

## You might recognize  —

-   Your mood is on a leash tied to your inbox, your agent, or the last audition 
-   Weeks of feast-or-famine income and a body that no longer knows what safe feels like 
-   You've been 'on the verge' for years and don't know who you are without the wanting 
-   The industries you're in reward the exact traits that are eating you 
-   You've quietly stopped enjoying the thing you moved here to do 

How telehealth actually works 

## No commute. No waiting room. No one  sees you walk in.

No parking in Mid-City. No driving up Cahuenga at 6pm just to be told you need to breathe more. You take the session from your apartment, your trailer between setups, or a friend's guest house up the coast. Anywhere in California with a door and Wi-Fi.

I am a Licensed Clinical Social Worker in California (LCSW #121584). I do not have a physical office. Sessions run by secure video and are confidential under California law and HIPAA. You can be anywhere in the state.

Where Los Angeles clients usually start 

## Services that fit this work .

[

Primary focus

Anxiety & chronic stress

Primary focus. EMDR, DBT, and CBT for the version of you that looks fine and feels wrecked.

Read more ](/services/anxiety-therapy)[

Depth work

Depression

For the flat, grey version of yourself that won't lift.

Read more ](/services/depression-therapy)[

Depth work

Life transitions

For the seasons that rearrange who you thought you were.

Read more ](/services/life-transitions-therapy)

FAQ 

## Questions people in Los Angeles actually  ask.

I have an unpredictable schedule. Can we make this work?

Yes. Weekly is the default because consistency is where the change lives, but we can build in flexibility for production weeks. What we don't do is disappear for two months and pretend that was still therapy.

Do you work with actors, writers, and creative-industry people specifically?

Yes. The specifics of audition rooms, staffing cycles, agents, and the culture of chronic 'almost' aren't something I have to be walked through.

Do you have an office in Los Angeles?

No. Telehealth-only, statewide California. You meet me from wherever you are.

What if I need help in a crisis outside session?

Call or text 988, or reach the LA County Department of Mental Health ACCESS line at 800-854-7771. Didi Hirsch's 24-hour Suicide Prevention line is 877-727-4747.

If it's an emergency 

## Local and California crisis resources.

If you or someone you love is in immediate danger, call 911. Otherwise, these lines are free, confidential, and answered by trained humans.

LA County DMH ACCESS Line

Los Angeles County Department of Mental Health — 24-hour help line, referrals, and mobile response.

[800-854-7771](tel:8008547771)[Visit site](https://dmh.lacounty.gov)

Didi Hirsch 24-Hour Suicide Prevention Line

One of the country's oldest suicide-prevention crisis lines. Multilingual, 24/7.

[877-727-4747](tel:8777274747)[Visit site](https://didihirsch.org)

988 Suicide & Crisis Lifeline

Call or text 988 — free, confidential, 24/7, English & Español.

[988](tel:988)[Visit site](https://988lifeline.org)

Crisis Text Line

Text HOME to 741741 for free, 24/7 crisis support by text.

[741741](tel:741741)[Visit site](https://www.crisistextline.org)

California Peer-Run Warm Line

Non-crisis peer support for anyone in California. 24/7.

[855-845-7415](tel:8558457415)[Visit site](https://www.mentalhealthsf.org/peer-run-warmline/)

## Ready to do the work  from Los Angeles?

[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.

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© 2026 With Love Wellness Center · Joshua Acosta-Duque, LCSW · CA LCSW #121584