Dr. Ayli Carrero Pinedo

My clients are people who have spent most of their lives being strong for everyone else. They're the ones who figured out early how to navigate systems, meet expectations, and carry more than their share, often without anyone noticing the weight. Maybe they're first-generation, bicultural, or caught between the world they came from and the one they're building. Maybe they've experienced trauma, loss, or a life transition that quietly unraveled something inside them. On the outside, things look fine. On the inside, they're exhausted, disconnected, or wondering why they still don't feel like enough.

Many of my clients speak Spanish as their first language, or grew up holding two cultures at once and have never had a therapist who truly got that. I do. Not just professionally, but personally.

People come to me when something has shifted and they can't quite get back to themselves. Sometimes it's depression that's been quietly building for years. Sometimes it's anxiety that's gotten harder to outrun. Sometimes it's something specific: a relationship ending, a career change, an immigration experience, a trauma, or the loss of a loved one. And sometimes it's harder to name than that. Just a persistent feeling of being stuck, heavy, or like you're going through the motions.

A lot of my clients have tried to push through on their own for a long time before reaching out. Some have been in therapy before but never felt fully seen, like they had to translate themselves, leave parts of their story out, or explain things that shouldn't need explaining. You deserve a space where your whole story gets to be heard. That's what I'm here for.

Therapy with me is honest, warm, and grounded in what actually works. I use evidence-based approaches, including specialized trauma treatments, but I'm less interested in applying a rigid method than I am in understanding you: what shaped you, what's keeping you stuck, and what a different life could actually look like.

We'll work at a pace that feels right. Some sessions we'll go deep. Others we'll focus on practical tools you can use right now. I'll challenge you when it's useful and sit with you when that's what's needed. The relationship we build is part of how change happens, and I take that seriously.

I offer therapy in both English and Spanish. For many of my clients, that isn't a small thing. Being able to name your experience in the language you feel it in changes everything.

If any of this sounds like you, you don't have to have it figured out before you reach out. You don't need the right words or a clear sense of what you want to work on. You just have to be willing to start.

I offer a free consultation so we can talk, get a sense of each other, and see if working together feels right.

You've been holding a lot. You don't have to keep doing it alone.