LGBT therapists in Costa Mesa, CA

Hello, my name is Tamra Smith. I am a licensed clinical social worker (LCSW) in Sacramento, CA. I have over 20 years of experience in the field of Mental Health Services, especially providing therapy and consultation. My practice name is Path to Wellbeing Therapy Services, and I truly lead each person on a path to their own emotional health and wellbeing.

I work with children, adolescents, and adults navigating anxiety, depression, trauma, grief, and life transitions! I am also experienced in supporting individuals facing relationship challenges, identity development, and difficulties with emotional regulation. As a Queer therapist, I'm passionate about working with the LGBTQ+ population. I am drawn to this work because I value the depth and resilience within each person’s story. My approach is grounded in attachment-based theory and informed by evidence-based practices, including Cognitive Behavioral Therapy.

I am a Licensed Clinical Social Worker and PhD with 25 years experience working with adults, children and youth. My goal is to help you in your path towards feeling better, and experiencing an improved sense of confidence, self-esteem and functioning in your life. My specialties include adoption issues, LGBTQ issues and women's issues. I also specialize in depression, anxiety, elderly issues, disability, and stress reduction.

I’m Thomas Moore, LPCC, a licensed professional clinical counselor providing therapy for individuals navigating anxiety, trauma, emotional overwhelm, identity development, and complex relational patterns. Many of the people I work with feel stuck in repeating cycles such as overthinking, people pleasing, emotional shutdown, intense reactions, or difficulty maintaining stable relationships even when they logically understand what they should do. My goal is to help you translate insight into real change.

My approach is structured and compassionate. I integrate evidence based methods including cognitive restructuring, emotional regulation training, interpersonal effectiveness skills, and trauma informed therapy. Sessions focus on understanding why your brain reacts the way it does and building practical tools you can actually use outside the therapy room. This is not only about talking through problems but learning how to respond differently when they show up in real life.

I work well with clients who want more than passive support and are ready to build skills, increase self awareness, and interrupt patterns that no longer serve them.

What clients should know before starting

Therapy with me is collaborative and active and you will learn strategies rather than only venting. We will work on understanding both the emotional and neurological side of your reactions. Sessions focus on present day functioning while also addressing past experiences that still affect you. I may gently challenge patterns when it supports growth while maintaining a supportive and respectful space. Progress often comes from small repeated changes rather than sudden breakthroughs.

If you are looking for therapy that combines validation with practical change, we will likely work well together.

Welcome, and thank you for considering me as a partner in your wellness journey! My therapeutic style is warm, gentle, and supportive, while also being direct and accountability focused. I believe meaningful change happens when compassion and honesty work together. In our time together, we will explore what’s getting in the way of your well-being and identify practical, sustainable ways to improve your daily functioning and overall quality of life.

With over a decade of experience in the mental health field, I bring a grounded, steady presence to the therapeutic space. I support clients through life transitions, emotional challenges, and periods of feeling stuck, always meeting you where you are while helping you move toward where you want to be. Therapy with me is collaborative, intentional, and centered on your goals, your values, and your lived experience. Together, we’ll work toward clarity, resilience, and growth at a pace that feels both supportive and empowering.

I have 40 years experience in the mental health field in multiple roles, I believe listening and believing in the person is the most important way to practice therapy.