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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)

![Coastal sage scrub on a Torrey Pines style bluff with agave and buckwheat above the Pacific](/assets/nature-san-diego-CB4ZLCYQ.jpg)

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

San Diego County · Telehealth across California 

# Therapist for San Diego veterans, service members, and biotech professionals

You either wore the uniform, love someone who did, or work in a lab where the culture of not-complaining is nearly as strong as the one on base. You have been trained — formally or by osmosis — to translate discomfort into function. That worked. And it has a cost, and the cost is what brought you here.

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

The specifics 

## The San Diego thing no one names out loud

San Diego holds two overlapping cultures that both prize the same thing: absorb it, don't broadcast it, keep the mission moving. In the veteran and active-duty community, that shows up as sleep that won't come, a startle response that outlives deployment, and a marriage that has slowly organized around what you cannot say. In biotech and research, it looks like a career where slowing down feels like abandoning the work — and where imposter feelings run hot because the person next to you also has a PhD.

Transition out of the military is its own animal. The structure disappears. The camaraderie disappears. And the version of you that made sense inside the mission has to find a version of itself that makes sense on a Tuesday afternoon with nothing on the schedule. Most of the veterans I sit with are grieving that shift and do not have a language for it yet.

This work does not ask you to become someone you are not. It asks what your body has been carrying, what you have been silently protecting your family from, and what would be possible if some of that could finally be set down.

Sound familiar? 

## You might recognize  —

-   Sleep that is either shallow, interrupted, or fought for 
-   A startle response, hypervigilance, or emotional flatness that pre-dates the current job 
-   Anger that shows up sideways at people who don't deserve it 
-   You are the strong one for your unit, your family, your lab — and there is nowhere for your own weight to go 
-   Substance use that started as a way to sleep and has quietly become part of the routine 

How telehealth actually works 

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

No driving to a clinic between watch shifts or after a long day at the lab. Sessions happen from base housing (with a private space), your apartment in North Park, a hotel room during travel — anywhere in California with a closed door. For veterans specifically: you are not required to tell me anything you are not ready to tell me. Pace is yours.

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 San Diego clients usually start 

## Services that fit this work .

[

Specialization

Trauma & PTSD

EMDR-led reprocessing for what your body still remembers.

Read more ](/services/trauma-ptsd-therapy)[

Specialization

Men's issues

For men who were taught to figure it out alone.

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

Depth work

Substance use, recovery & codependency

Trauma-informed depth work for codependency, intimacy patterns, and the shame recovery alone can't reach.

Read more ](/services/substance-use-therapy)

FAQ 

## Questions people in San Diego actually  ask.

Do you work with veterans and active-duty service members?

Yes. Combat and non-combat, moral injury, transition to civilian life. I do not use the VA, but I can coordinate alongside VA care when you have it.

Do you do EMDR for combat trauma over telehealth?

Yes. There is a strong evidence base for telehealth EMDR, and we prepare carefully before any reprocessing begins.

Do you have an office in San Diego?

No. Telehealth-only, statewide California.

What if I'm in crisis between sessions?

Call or text 988 (press 1 for the Veterans Crisis Line, or text 838255). The San Diego Access & Crisis Line is 888-724-7240, 24/7.

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.

San Diego Access & Crisis Line

24/7 county behavioral health crisis line and mobile response coordination.

[888-724-7240](tel:8887247240)[Visit site](https://www.optumsandiego.com)

Veterans Crisis Line

Dial 988 and press 1, or text 838255. Free, confidential, 24/7 — you do not need to be enrolled in VA.

[988](tel:988)[Visit site](https://www.veteranscrisisline.net)

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 San Diego?

[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