Therapy can be the first step toward a more fulfilling life. If you’re looking for a therapist in San Marcos, CA, it can be beneficial to consider online treatment. While there may be various settings that offer support, like a community mental health center or local practice in your area, barriers to in-person therapy, like transportation challenges or a lack of available counselors, can make it challenging for some people to get support. With an online therapy platform like BetterHelp, you can attend sessions remotely at a time that fits your schedule.
BetterHelp therapists use a person-centered approach to ensure that they understand your unique challenges. An online therapist can create a nurturing environment so you get the help you need to lead a more meaningful life. Your therapist will work with you to determine the best therapeutic approach to help you manage your unique challenges. Please note that while BetterHelp does not provide therapy to families as a whole, individual treatment can help you learn how to navigate family conflict if you feel overwhelmed.
Whether you need support as you work through the healing process or want to be proactive about overcoming old patterns, connect with a San Marcos-based therapist below to learn more. (If you need crisis intervention, see our Get Help page for resources you can connect with for immediate assistance.)
Maria Biasiotto
My therapy style is warm, interactive, action orientated and focused. I have experience working with adults, both in Individual and Group Therapy for many years. I believe in treating everyone with respect, sensitivity, and compassion. Spiritual/Religious, as well as cultural sensitivity is included in my approach. My approach combines humanistic, cognitive-behavioral/CBT, and brief solution focused therapy. I am here to meet your unique and specific needs. Clients that I have interacted with have included those with issues involving Self Esteem, Complex Trauma, MST, PTSD, CPTSD, Bipolar, Depression, Anxiety, Panic, Substance Abuse, Sexual Trauma, and Domestic Violence and Behavioral issues. These clients over all have reported reduction in unwanted symptoms and improvement in quality of life. A quote I share here was from a client I had been seeing for about a year: "I did not think this could help and one day I realized that it really was helping and I never believed it could." "The Longest journey BEGINS WITH A SINGLE STEP." My Masters is in psychology and I hold a License as a Family Therapist, LMFT. I have a RN and I am Certified in Behavioral Health by the ANCC, RN-BC. Please feel free to ask any questions about my experience, that may be of a help for you.
Breanna "Bre" Spehn
Hi, I’m Bre, preferred pronouns she/they. I am a licensed professional counselor in California and Oregon, with over eight years of experience. I have worked with individuals of all ages, with different backgrounds, and across a wide variety of settings. Within sessions, I take a humanistic approach while remaining rooted in mindfulness. From receiving a Master of Arts in Contemplative Psychotherapy and Buddhist Psychology from Naropa University, to completing a 500 Hour Holistic Yoga Teacher Training with Adi Yogpeeth, I have gained a variety of skills in order to show up fully for others. I remain an active participant in deepening my self-awareness through ongoing therapy, yoga, and meditation as these practices aid in my self-discovery of inherent compassion so that I'm able to guide others with humility and grace. Diversity and inclusion are crucial for me in my personal life, and in my career as a therapist. While working from a social justice lens, I invite conversation regarding bias, privilege, and power. Throughout my diverse experiences in the field, I have increased my competency as well as my confidence in being of service to others. Let's create a safe and supportive space together that is unique to your needs as an individual!
Brandy Walker
I am an LCSW in the state of California and Georgia. I have been in the field for over 20 years. I work with individuals, couples and families. I have worked with a wide range of clients such as: LGBTQ, depression, stress, anxiety, ADHD, PTSD, trauma, physical trauma, emotional abuse, relationship problems, family conflicts, intimacy related issues, parenting problems, anger management and the like. Life is an individual journey with many different experiences. Sometimes those experiences can lead to turmoil, tragedy, trauma and pain. The pain can feel debilitating as if moving on is merely impossible. However, I am a firm believer that there are solutions to all of life’s problems, and I believe therapy is a gateway to change. Those changes can transform an individual’s life. Thus, the road to therapy begins with one single step. If you are willing to take the first step, the journey of healing and transformation can begin. By understanding your mindset, increasing self-awareness, and practicing mindfulness, you can have significant benefits on your overall well-being. My job is to provide you with tools that you need to rebuild your life and sense of self. If you are willing to do the work, the benefits and possibilities are endless. Investing in therapy can be a rewarding experience, and it can be the key to a more fulfilling life. I am here for you every step of the way as you blossom from a caterpillar into a beautiful butterfly. In my spare time, I enjoy reading, writing, listening to music, meditating and praying. I am eager to help you begin your journey of self-discovery.
Diane Cullen
I am a Licensed Clinical Social Worker with more than 30 years of experience in the Human Services field. I am based out of the Los Angeles, CA, area, My interest as a clinician is to work as a therapist who is resourceful, motivated, passionate, approachable, non- judgmental, diverse and informed. I have the interest and ability to offer assistance through the various stages and experiences of life as well as mental health issues for you. . My ability is to bring education, resources, hope and comfort to you. I will provide positive regard, respect, honesty and caring. We will examine the emotional experiences of life challenging mental health concerns. It takes courage to seek a more balanced and fulfilling life. I can create comprehensive therapy and treatment planning. Please feel free to contact me with any questions or concerns.
Frankie Ter Keurst
Hello! My name is Frankie and I am a Licensed Mental Health Counselor currently living in the sunshine state of Florida, and am licensed in California and Georgia as well. I completed my graduate school internship as well as post graduate registered intern experience at an inpatient crisis stabilization center. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parent-child relationship problems, self-harm, personality disorders, and ADHD. I also helped many people who have experienced physical trauma or emotional abuse and have worked closely alongside the Department of Children and Families and the Baker Act court system, and numerous IOP programs. My therapy style is warm and compassionate, and I believe my clients should have someone who listens to their concerns wholeheartedly with an open mind. I believe in treating everyone with genuine respect and sensitivity, and I don't believe we should label or stigmatize ourselves based on our struggles. My approach combines cognitive-behavioral, humanistic, psychodynamic, and solution-focused therapy. I will tailor our conversations and create a treatment plan to meet your unique and specific needs, with your input along the way. It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support and empower you. I offer video, phone call, and text message sessions! I look forward to working with you!
Blanca Nicassio
I am licensed in California with 8 years of professional work experience. I have experience in helping clients with stress, anxiety, relationship issues, anger management, motivation, self esteem, & confidence. I also have experience working with depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
Denise Gutirrez-Miller
I am licensed in California and Oklahoma with 25 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. I have worked with many populations, from developmentally disabled to SED teens to adults. I enjoy meeting people and seek to make others' lives better. I would love to work with you and help you become the best version of yourself. I am a born-again Christian and available for those needing to understand themselves according to Scripture. My availability is 10am to 4pm Central Time.
Joseph De Vico
Hello, my name is Joseph De Vico. Let’s talk. We’ll work together until that unsolvable problem is history, until that overwhelming pain is bearable, until the dream future that seems a million miles away is right in front of you. You’ve always been strong, resourceful, and intuitive. I’m just going to help clear away the junk you’re trapped beneath so you can actually feel that way: false beliefs that make life seem harder than it really is; stories about yourself that are so outdated, they have nothing to do with who you are now; distractions that keep you from deciding what is most meaningful to you; power imbalances that take away good things that are rightfully yours. This stuff has to go. What will you feel when you feel better? Peaceful? Hopeful? Whole? Decisive? Free? Seen, validated, grounded, elevated, invigorated, triumphant? Just plain better? When do we start?
Jasmine Ortiz
I am licensed in California with 15 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, relationship issues, & trauma and abuse. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. I am also Bilingual in English and Spanish.
Saloumeh Del Vecchio
My name is SALLY DEL VECCHIO I am a Licensed Marriage and Family Therapist, in the state of CA and NV. I have a Bachelor of science in Psychology and a Master of science in Counseling/Marriage, Family, And Child Therapy. I have worked with many different individuals, families, couples, and children. I have experience working with clients who have depression, anxiety, low self-esteem, social anxiety, couple’s issues, and family of origin issues. I believe that together in a therapeutic setting, you can learn to embrace and explore many different parts of your life that can be uncomfortable or cause distress. By leaning into these often uncomfortable areas, you also open yourself up to new solutions, new ideas, and a fuller more alive experience. It would be a pleasure to join you on your journey of improving your life, relationships, and overall well-being. I use a gentle, strength-based, collaborative approach to help you build insight, and self-awareness and find meaning and solutions to your life’s journey. My goal is to help you create your fullest life; however, you choose to define it.
Jo Ellen Clark
I am licensed in California with 10 years of professional work experience. I have experience in helping clients with stress, anxiety, depression, relationship issues, family conflicts, coping with grief, & coping with loss. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey. I have experience working as a social worker in a medical environment. I worked for over six years in our local trauma center in the Acute Rehab Unit (ARU). Through this experience I worked with individuals and families in acute crisis. Individuals dealt with immediate life changes impacting income, living arrangements, supportive relationships and possible altered physicality short and/or long term. Depression, anxiety, and dealing with interpersonal relationships were all part of the process of processing the life altering event. This experience gave me the opportunity to work with all ages, socioeconomic levels, education levels, ethnicities, cultures and back grounds while using Cognitive Behavioral Therapy (CBT), Systems Theory, Cultural Competency (client as expert) and an individual client focused approach to assist the client with their goals. I now work as a hospice social worker. Working with individuals and families dealing with end of life challenges, loss, grief and hopefully acceptance. Compassion, empathy, advocacy and listening are all pieces to assist individuals and families to cope with the end of life. It is not so different than working with any other client, I meet the client and families where they are. Assess one's needs and establish goals for client centered work. All the skills that are learned through my experiences are transferred to working with individuals whether it is life questions, road blocks to achieving goals or trauma to be worked through, the approach is met with companion, non judgement, support and open communication.
Esteban Avila
I am licensed in California and have 13 years of professional experience. I have experience helping clients with LGBTQ+ issues, relationship issues, and coping with grief. I also have experience working with people who have overcome loss. I believe you are the expert on your own story and possess many strengths that will help you overcome challenges. Taking the first step toward a more fulfilling and happy life takes courage. I am here to support you in that process.
Javier Gonzalez
I am a Hispanic Licensed Clinical Social Worker based in California, originally from Mexico, and I am deeply committed to supporting the mental health and well-being of the Latino/Hispanic community. My therapeutic work is grounded in cultural understanding, respect, and lived experience. I specialize in helping individuals navigate relationship challenges, cope with stress and anxiety, and overcome struggles with addiction. Growing up in poverty and surrounded by the very real risks of gang involvement and community violence, I understand firsthand the complex pressures many in our community face. Through resilience, support, and education, I was able to forge a different path—becoming a U.S. citizen, completing my college education, and earning my master’s degree in social work. These experiences shape the way I practice therapy today: with authenticity, empathy, and a deep belief in each person’s capacity for healing and change. For many years, I have worked closely with Latino/Hispanic individuals and families, providing therapy from a culturally attuned perspective that honors our shared values, challenges, and strengths. My goal is to create a safe and welcoming space where clients feel understood—where they can explore their experiences openly and build healthier relationships with themselves, their partners, and their families. I bring real-world insight, professional training, and cultural connection to every session. Whether you’re struggling with addiction, stress, relationship conflict, or simply feeling stuck, I’m here to help you move forward with compassion and clarity.
Bertha Banuelos
As a licensed therapist in California, I specialize in supporting individuals through complex life transitions and personal challenges. My practice centers on women's mental health, with a deep understanding of multicultural experiences and family dynamics. I bring expertise in addressing communication challenges, body image concerns, postpartum experiences, and immigration-related stress. My bilingual background in English and Spanish allows me to connect authentically with diverse communities. I am committed to creating a compassionate, affirming therapeutic space where clients can explore their experiences of guilt, shame, and personal growth. My approach honors each individual's unique cultural context and lived experiences. Drawing from evidence-based practices, I support clients navigating family of origin issues, codependency, eating-related challenges, and complex interpersonal dynamics. My goal is to empower individuals to develop healthier relationships, stronger self-understanding, and meaningful personal transformation.
Find a Therapist Near You in San Marcos , California
Finding a licensed therapist near you in California can be an important step toward improving your mental health and overall well-being. Whether you’re dealing with anxiety, depression, relationship challenges, stress, or major life changes, working with a qualified mental health professional can offer meaningful support.
California is home to people with diverse mental health needs across urban, suburban, and rural communities. Online therapy makes it easier to connect with a therapist near you without being limited to nearby offices. BetterHelp connects you with licensed therapists authorized to practice in California, allowing you to attend sessions online from the comfort of your home.
Why work with a licensed therapist near you?
Working with a licensed therapist near you ensures that your provider meets state licensing requirements and professional standards in California (CA). Licensed therapists use evidence-based approaches to help individuals manage emotional challenges, develop coping skills, and work toward personal goals.
People seek therapy for many reasons. Some are navigating ongoing mental health concerns, while others want guidance during stressful periods or major life transitions. You do not need a mental health diagnosis to work with a therapist. Many individuals seek therapy to improve communication, strengthen relationships, manage stress, or gain greater self-awareness.
Online therapy can be especially helpful for people living across California, where access to in-person mental health care may vary by location.
What concerns can therapists help with?
Therapists on BetterHelp support adults across California with a wide range of mental health concerns and life challenges, including:
- Anxiety and stress
- Depression and mood-related concerns
- Trauma and post-traumatic stress disorder (PTSD)
- Grief and loss
- Relationship and family challenges
- Life transitions and adjustment concerns
- Self-esteem and confidence
- Job stress and burnout
- ADHD-related challenges
- Sleep concerns
- Parenting stress
- Eating disorder support
Therapists use approaches such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and other evidence-based methods tailored to individual needs.
Online therapy vs. in-person therapy in California
When searching for a therapist near me in California, many people compare online therapy with traditional in-person care. Online therapy offers several potential advantages:
- Greater accessibility: Attend sessions from anywhere with an internet connection
- Reduced wait times: Many people are matched in as little as 24-48 hours, faster than typical in-person availability
- Flexible scheduling: Sessions that fit around work, family, or school commitments
- Expanded provider options: Access licensed therapists across California, not just nearby offices
Research shows that online therapy can be effective for many mental health concerns. Online therapy may also reduce barriers such as transportation challenges, long commutes, or limited local availability, especially in larger or more rural counties across California.
Finding a therapist near me that accepts insurance
Many people looking for a therapist near me in California want to know whether insurance is an option.
Many providers on BetterHelp now accept major insurance carriers in select states. In many states, certain therapists on BetterHelp may be in-network with specific insurance plans. Coverage depends on your plan, provider, and therapist availability.
When sessions are covered, insured members typically pay an average copay of about $19 per session. Coverage varies by state and provider availability, so it’s important to check your in-network status directly on the BetterHelp site.
If insurance coverage is not available, BetterHelp’s flexible subscription model remains an option, with online therapy typically costing $70 to $100 per week, billed weekly or monthly. Additional discounts or financial aid may also be available for a lower price.
How BetterHelp helps you find the right therapist in California
BetterHelp simplifies the process of finding a therapist near you in California without requiring you to search through tons of profiles on your own.
Here’s how it works:
- Complete a brief questionnaire about your needs, preferences, and goals
- Get matched with a licensed therapist authorized to practice in California (CA)
- Begin online therapy sessions through video, phone, or live chat
BetterHelp works with one of the world’s largest networks of licensed therapists, with over 30,000 qualified providers globally. Many members are matched in as little as 24 to 48 hours, and 93% of user preferences are met during the matching process.
You can request a new therapist at no additional cost if your needs or preferences change.
Therapists near you in California
Below, you’ll find licensed therapists authorized to provide online therapy to adults across California, including residents in San Marcos.
Each provider meets state licensing requirements and has experience supporting clients with a wide range of mental health concerns using evidence-based therapeutic approaches.
Please note: Therapists on BetterHelp in California do not provide psychiatric medication management or formal diagnoses.
Frequently asked questions about finding a therapist near me
How much does therapy cost near me?
Therapy costs vary depending on provider and location. In-person therapy sessions may cost $100 to $200 or more per session. BetterHelp offers online therapy subscriptions that typically range from $70 to $100 per week, billed weekly or monthly, depending on factors such as location, source, preferences, and therapist availability. Additional discounts or financial aid may also be available for a lower price. BetterHelp now accepts major insurance plans in select states and members pay an average copay of $19 per session. Coverage varies by plan, provider, and therapist availability. You can check coverage on the BetterHelp site.
Does BetterHelp accept insurance?
Yes. Many providers on BetterHelp now accept major insurance carriers in select states. In many states, certain therapists on BetterHelp may be in-network with specific insurance plans. When sessions are covered, insured members typically pay an average copay of about $19 per session. Coverage varies by plan, provider, and therapist availability. You can check coverage on the BetterHelp site.
Is online therapy effective?
Yes. Research shows that online therapy can be effective for many mental health concerns, including anxiety, depression, stress, and relationship challenges. Online therapy allows you to connect with a licensed therapist without commuting to an office.
Do I need a diagnosis to see a therapist?
No. You do not need a mental health diagnosis to seek therapy. Many people work with a therapist for stress management, relationship concerns, grief, life transitions, or personal growth.
How quickly can I start therapy?
Many people are matched with a licensed therapist in as little as 24 to 48 hours after completing the initial questionnaire. Match times may vary based on preferences and therapist availability.
Can I switch therapists if it’s not the right fit?
Yes. If you feel your therapist is not the right match, you can request to be matched with another licensed provider at no additional cost. You are able to do so through the BetterHelp user portal and select switch therapists if needed.
Is online therapy private and secure?
Online therapy through BetterHelp allows you to communicate with your therapist in a discreet setting through video, phone, or messaging tools.