--- title: "Therapist in San Jose, CA · Online Therapy for Silicon Valley Engineers" description: "Online therapy for San Jose and Silicon Valley engineers — on-call burnout, visa stress, golden-handcuff paralysis. 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California telehealth.", "url": "https://withlovewellnesstherapy.com/california/san-jose", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" }, "areaServed": { "@type": "State", "name": "California" }, "serviceType": "Online therapy in San Jose, California" }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "I'm on an H-1B or dependent visa. Does that change anything about therapy?", "acceptedAnswer": { "@type": "Answer", "text": "No — therapy records are confidential and this work does not affect your immigration status. Many of the people I sit with in this seat carry visa-linked stress; it is a real, non-abstract weight and we treat it that way." } }, { "@type": "Question", "name": "How do I fit therapy around on-call and long hours?", "acceptedAnswer": { "@type": "Answer", "text": "Weekly matters more than perfect timing. We build a schedule that survives your calendar — early mornings, evenings, and honest conversations about the weeks where on-call breaks the rhythm." } }, { "@type": "Question", "name": "Do you have an office in San Jose or Palo Alto?", "acceptedAnswer": { "@type": "Answer", "text": "No. Telehealth-only, statewide California." } }, { "@type": "Question", "name": "What if I'm in crisis and my session isn't for a few days?", "acceptedAnswer": { "@type": "Answer", "text": "Call or text 988. Santa Clara County's 24-hour Behavioral Health Call Center is 800-704-0900 (option 1 for crisis)." } } ] } ] --- [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) ![A South Bay foothill trail through spring poppies and lupine with the Santa Cruz mountains on the horizon](/assets/nature-san-jose-6FGMmELZ.jpg) [← California online therapy](/california-online-therapy) Santa Clara County · Telehealth across California # Therapist for Silicon Valley engineers and immigrant tech workers You are an engineer, or a PM, or an SRE who has been in the same big-tech job long enough that the compensation makes leaving feel financially insane and staying feel spiritually insane. The pager still goes off. You are still writing docs at 11pm. You have not felt truly rested in a length of time that would embarrass you to name. [Book your free 15-min call ](/contact) The specifics ## The Silicon Valley squeeze There is a very particular kind of Silicon Valley paralysis I see all the time. The comp is real, the RSUs are real, the mortgage is real — and so is the sense that you have quietly disappeared into a role that no longer has anything to do with the person who first learned to code. The exit ramp costs money you can see, and the price of staying is charged in a currency you don't have great names for yet. Layered on top of that: on-call rotations that shred sleep, performance-review cycles designed to keep you anxious, and an ageism that is spoken about privately and never officially. If your visa is tied to your employer, everything above gets multiplied. You are not paranoid. Your body has correctly identified the risk profile and is trying to keep you safe. This work is not career coaching. It's a place to look at what your ambition has been protecting you from, what a life outside the compensation structure could look like, and whether the version of you that has been optimizing for exit is the same version that will actually be there when the exit comes. Sound familiar? ## You might recognize — - Your body cannot tell the difference between a Slack ping and a threat anymore - You've quietly stopped enjoying the work and are afraid what that means for the paycheck - Immigration status is doing background stress in your body every day - You look at engineers in their 20s and feel dread you don't say out loud - You've been about to leave for two years and have not left How telehealth actually works ## No commute. No waiting room. No one sees you walk in. You do not need to drive to Los Gatos or take PTO to see me. Sessions happen from a conference room, your home office, a coffee break between meetings — anywhere in California with a door and Wi-Fi. I try to protect early-morning and evening slots because Silicon Valley calendars are not gentle. 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 Jose clients usually start ## Services that fit this work . [ Specialization Burnout & high-achiever therapy For people who look fine on paper and are quietly running on empty. Read more ](/services/burnout-therapy)[ 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)[ Specialization Men's issues For men who were taught to figure it out alone. Read more ](/services/mens-therapy) FAQ ## Questions people in San Jose actually ask. I'm on an H-1B or dependent visa. Does that change anything about therapy? No — therapy records are confidential and this work does not affect your immigration status. Many of the people I sit with in this seat carry visa-linked stress; it is a real, non-abstract weight and we treat it that way. How do I fit therapy around on-call and long hours? Weekly matters more than perfect timing. We build a schedule that survives your calendar — early mornings, evenings, and honest conversations about the weeks where on-call breaks the rhythm. Do you have an office in San Jose or Palo Alto? No. Telehealth-only, statewide California. What if I'm in crisis and my session isn't for a few days? Call or text 988. Santa Clara County's 24-hour Behavioral Health Call Center is 800-704-0900 (option 1 for crisis). 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. Santa Clara County Behavioral Health Call Center 24/7 access to crisis support, screening, and referrals for Santa Clara County residents. [800-704-0900](tel:8007040900)[Visit site](https://bhsd.sccgov.org) Bill Wilson Center Crisis Line (Santa Clara County) 24-hour suicide and crisis hotline serving Santa Clara County. [855-278-4204](tel:8552784204)[Visit site](https://www.billwilsoncenter.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 San Jose? [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