Book a therapist or psychiatrist in San Marcos, CA covered by United Healthcare

Many people come to me feeling overwhelmed, anxious, burnt out, or simply “not like themselves.” Whether the root is mental health, hormones, or a mix of both, my goal is to help you understand what’s happening in your body and mind — and create a plan that actually helps you feel better.

I am a Family Nurse Practitioner with over 13 years of experience treating complex chronic conditions, acute medical issues, and a wide range of mental health concerns. My background in the emergency room strengthened my ability to stay calm, think clearly, and support patients through some of their most difficult moments.

I am double board‐certified as an FNP‐BC and PMHNP‐BC, which allows me to integrate medical and psychiatric expertise. This means I look at the full picture — hormones, sleep, stress, mood, lifestyle, and physical health — to understand what’s driving your symptoms.

My approach is compassionate, practical, and evidence‐based. I take time to listen, explain things clearly, and work with you to create a treatment plan that fits your life. You deserve care that feels supportive, personalized, and focused on long‐term wellness.

If you’re ready to feel more balanced, focused, and in control again, I’m here to help you get there.

I know how heavy life can feel when you’re carrying pain, uncertainty, or self-doubt. But I believe, as a wise old wizard once said, “Happiness can be found even in the darkest of places, if one only remembers to turn on the light.” My role is to help you find that light again. I work with Gen Z and Millennial adults facing anxiety, depression, trauma, bipolar disorder, ADHD, and more. Through integrative, culturally responsive care, I combine evidence-based psychiatry with holistic strategies to help you feel heard, supported, and empowered to create a life that aligns with your true self.

Dr. Neal has practiced counseling and psychotherapy in various clinical and hospital settings since 2007. Dr. Neal has a Bachelor of Arts degree from the University of Washington, a Master of Arts degree from Argosy University in Counseling Psychology, and a Doctor of Education degree from Argosy University in Counseling Psychology. She has successfully worked with children, adolescents, and adults struggling with a wide range of emotional and psychological issues such as anxiety, depression, bipolar, schizophrenia, eating disorders, relationship and attachment issues, parenting difficulties, stress, grief, and trauma. Additionally, Dr. Neal is a certified DBT and trauma therapist, and both a Level 1 Gottman couples therapist and certified Prepare Enrich therapist for couples seeking assessment and counseling. Dr. Neal has successfully helped improve others relationships, marriages and families through multi-modal approaches including Gottman couples therapy, Family Systems, Emotion-focused and Structural Family Therapy.

Another focus area to address in therapy is career counseling and development. Whether you need to change careers or need help with your career path or dynamics, Dr. Neal can assess and assist you with finding the best fit.

I am a board-certified Psychiatric mental Health Nurse Practitioner (PMHNP) with over 9 years of experience in mental health care as a Psychiatric Registered Nurse. I graduated with honors and am passionate about providing compassionate, evidence-based care to individuals across the lifespan. My clinical experience includes working with patients experiencing depression, anxiety, mood disorders, and severe mental illness in both inpatient and outpatient settings.

I am licensed in California with 3 years of professional work experience. My name is Marissa Ruiz and a Licensed Marriage and Family Therapist. Some of my other titles include mother, wife, ex-wife sister, daughter, niece, grandmother and friend. Sharing these titles are important to me because they represent current relationships and past relationships. My past relationships include grief, trauma and growth. I survived obstacles in my life with the help of a therapist.

I work with individual adults and certain families who are feeling stuck, overwhelmed, sad, lonely, sensitive, anxious, or defeated. If you're feeling heavy by everything going on, or feeling frantic, or having conflict in your relationships or are just feeling lost in any way, I would love to see if I can help! I also work with family units going through transition or strain, such as conflict between a parent and their adult child, or supporting parents who are experiencing difficult things with their child or teen.

I have a lot of experience helping people through loss, whether it's a breakup, losing a job, or a loved one - including loss of a pet, which is a specialty of mine. I have special interest in supporting other therapists, and also community organizers and activists who are engaged in social justice work. Many of my clients are trans or NB, and others are gay, lesbian, or queer. Poly and kink affirming.

I offer telehealth services to clients in California, Idaho, Washington, or Virginia.

I believe therapy works best when it feels real, collaborative, and even a little lighthearted at times. Using Cognitive Behavioral Therapy (CBT), I help teens and adults understand the connection between their thoughts, emotions, and actions — and how to shift them in a healthier direction. My goal is to create a safe, supportive space where you can explore, grow, and start feeling more like yourself again.