

Santa Barbara's LGBTQIA community deserves mental health support from providers who truly understand. Headway offers flexible virtual and in-person sessions with 2,309 empowering, solution-oriented providers who create nonjudgmental spaces for exploring identity, with many appointments available within days.
Melissa is a Licensed Clinical Social Worker (CA LCSW #130126) who is passionate about helping individuals find better alignment with their values to create a life worth living. Melissa has experience working with trauma (she is trained in EMDR), substance use, anxiety, depression and life transitions. Melissa has worked in the outpatient, intensive outpatient and residential settings since becoming a social worker in 2020. Melissa employs an individualized, eclectic approach including interventions from Acceptance and Commitment Therapy and Dialectical Behavior Therapy to meet the needs of each client. Melissa is passionate about social justice and uses a systems approach that views individual clients in the context of interconnected systems like family, community and society.
I have been a licensed Marriage and Family Therapist, working with individuals and couples for over 25 years. I believe strongly in the benefits of processing the challenges of life with a supportive and open-minded "witness" in order to get perspective and make hard decisions. I worked with families at Children's Hospital and PsyCare Inc. in San Diego, before opening my private practice in 2003.
My name is Geno Creese, I am a Licensed Marriage and Family Therapist and Registered Drama Therapist (#942) accepting virtual clients in California. Regardless of presenting issues, I like to meet my clients where they are at; whether you are new to mental health support or are a seasoned veteran there is space for you here. We will work to identify what is getting in the way of you meeting your goals and address these challenges together. That said, we will work together each session with whatever you bring to the room.
The focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. I help individuals focus on the Solution.
I believe healing begins with meaningful connection. My work with cancer patients and their families has deeply shaped my understanding of pain, loss, resilience, and the complexities that relationships face during times of crisis. I support adults of all ages in navigating challenges such as anxiety, depression, loneliness, grief, and relationship concerns, offering both compassionate guidance and practical, effective tools for growth and healing.
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.
Making the decision to start therapy is a profound investment of your time, energy, and vulnerability. If you are looking for a blank-slate clinician who simply nods and listens, we might not be the best fit. I offer a highly engaged, malleable, and unflinching partnership.
My approach is rooted in the belief that while the work of untangling our lives is deeply structural, the room itself doesn't always have to feel heavy. I bring a grounded warmth to my practice—which means knowing how to sit quietly in the gravity of a difficult truth, but also knowing when to break the tension, exhale, and find the light in the sheer complexity of being human. I won’t just sit in silence while you do all the heavy lifting; I am an active collaborator who adapts to exactly where you are.


Headway makes it easier to connect with affirming therapists who understand your identity — from finding the right therapist, to understanding costs, to scheduling with ease.
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