--- title: "Latino therapist in California · Bilingual telehealth · Joshua Acosta-Duque, LCSW" description: "Depth therapy with a Latino LCSW across California. Bilingual English/Español, culturally fluent, Columbia-trained. 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Many of my clients move between both depending on the topic. We work in whichever language is closer to what you're actually feeling in that moment." } }, { "@type": "Question", "name": "I'm second-generation and my Spanish isn't perfect. Does that matter?", "acceptedAnswer": { "@type": "Answer", "text": "Not at all. The point isn't fluency — it's not having to translate the parts of your life that don't have an English word." } } ] } ] --- [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) ![Two facing wooden armchairs with red upholstery in a warm sunlit sitting room](/assets/hero-who-WDcz5MAT.jpg) [Who I work with](/who-i-work-with)Latino/a/x adults # A Latino therapist , not a Latino specialty. I'm Latino. That's not a technique I trained in — it's the family I grew up listening to. The context ## What I actually bring to this. There's a specific kind of tired that comes from being the translator in your own family — for your parents at the doctor's office, for your grandparents at the bank, for the cousin who calls at 11pm. There's a specific kind of guilt that comes from doing better than the generation that made your life possible. There's a specific kind of loneliness in being second-generation, or 1.5, or the one who left. I don't treat any of that as a footnote. It's often the exact material. What happened in your family, what didn't get said, what your parents survived and never named, what "estar bien" was allowed to mean in your house — that's part of the work when it's relevant, not a diversity module I bolted on. I'm Columbia-trained. I'm licensed in California. And I'm not going to ask you to explain why your mom's tone about your career "isn't really that bad" — I already know why. Sound familiar? ## You might recognize — - You're the first in your family to be in therapy, and it feels vaguely disloyal - You carry your family's expectations in your chest, not just your head - You've achieved what they wanted for you and can't tell them how tired you are - You feel guilty for having problems your parents would have loved to have - Your Spanish and English each carry parts of you the other one can't - You've had therapists before who needed you to explain your own culture to them How we work ## The shape of it. Depth-oriented. Culturally fluent. Bilingual sessions when they help. We can switch languages mid-sentence if that's what the material asks for. I use EMDR for the older stuff — including intergenerational and migration-related material — and psychodynamic work for the patterns underneath. You don't have to choose between honoring where you came from and building the life you want. Most of the work is figuring out what "both" actually looks like for you. [Book your free 15-min call ](/contact) FAQ ## Questions people actually ask. Do you only work with Latino clients? No. But it's a large and specific part of my practice, and it's where a lot of the cultural nuance gets to be assumed rather than explained. Can we switch between English and Spanish? Yes. Many of my clients move between both depending on the topic. We work in whichever language is closer to what you're actually feeling in that moment. I'm second-generation and my Spanish isn't perfect. Does that matter? Not at all. The point isn't fluency — it's not having to translate the parts of your life that don't have an English word. Services often relevant here ## Where this often overlaps . [ 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 Trauma & PTSD EMDR-led reprocessing for what your body still remembers. Read more ](/services/trauma-ptsd-therapy)[ Depth work Relationship & attachment patterns Gottman-informed work for couples, attachment-based work for individuals — same dynamic, different person. Read more ](/services/relationship-therapy) 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