Addiction therapists & psychiatrists in Sierra Madre, CA

I have had the privilege of doing this work for more than 30 years, learning along the way and stopping only to learn more.

I’m Emmanuel Garcia, a Mexican American therapist, first-generation college graduate, and founder of Radiate Hope Therapy. I specialize in supporting adults and adolescents navigating trauma, substance use, identity struggles, anxiety, depression, and life transitions. Many of the people I work with feel weighed down by emotions or uncertain about their direction, especially during sobriety or recovery.

Growing up, I witnessed how mental health was often stigmatized and silenced, especially for men in Latino communities. I know how isolating that silence can feel. My own journey through therapy and recovery taught me that true strength isn’t in staying quiet, it’s in showing up for yourself and beginning to heal. That lived experience shapes the empathy, understanding, and care I bring to every session.

Richard Perez is a Board Certified Psychiatric-Mental Health Nurse Practitioner. For over 15 years, he has dedicated his career to serving the healthcare needs of Long Beach and Los Angeles County. Richard wants to continue improving the lives of each patient by providing professional, compassionate, and person-centered care.

Richard has spent the last two years providing mental health care to underserved populations. This experience has significantly sharpened his clinical skills, which he now aims to bring to the general patient population.

Dr. Bacher is a holistic, trauma-informed psychologist with over 15 years experience working at many of the top residential treatment centers in the U.S. and Europe. He specializes in working with individuals who struggle with anxiety, depression, trauma, ADHD, relationship issues, and addiction. Dr. Bacher completed his undergraduate work in Psychology at Georgetown University, and his Masters and Doctorate in Clinical Psychology at Pepperdine University. His dissertation research focused on Positive Psychology--specifically meaning making--and how to cultivate positive strengths in individuals.

Let me help you with anxiety, depression, grief recovery, trauma, post-traumatic stress disorder, obsessive-compulsive disorder, addictive/co-dependence issues, self esteem, and other serious life issues. I hold an MA Degree in marriage, family and child counseling. I conducted my LMFT practicum at Loma Linda Behavioral Medical Center.

All roads lead to Rome! It doesn't matter where we jump in, if you’re ready, we’ll get there. My POV is through a Neurodiverse lens and incorporates Attachment Theory and C-PTSD with the idea that much of our conflict and distress stems from old wounds & unmet needs that can often be traced back to necessary adaptations needed to survive not only our families of origin but also societal norms and expectations. The gig of being human is hard and de-coding this blueprint can provide a path toward understanding, healing and, fulfillment. I utilize a variety of therapeutic modalities including Ketamine Assisted Psychotherapy.

One of my joys in life is making a positive difference in my client's lives. Maybe you’ve tried everything; talking to friends/family, reading self-help books, ignoring the problem hoping it will go away, or just accepting how things are and yet you are feeling unhappy and stuck. I believe there is hope for you, a life filled with love, fulfillment and fun. I've had a variety of life experiences (good, not so good) that's given me wisdom and insights about people/life. I work with couples, women/men issues, trauma, depression, anxiety, ADHD. I'll travel with you on your journey of healing/growth with understanding and compassion.

When working with clients, I strive to make the therapy experience respectful and genuine. Everyone's journey to personal resilience is unique and there is no one size fits all solution. My approach is flexible and client centered. I often explore childhood attachment issues which can assist the client in achieving sustained emotional growth.

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.

Mental health and physical health impact each other profoundly. I have a keen understanding of that with years of experience as a Psychiatric Mental Health Nurse Practitioner and a Family Nurse Practitioner at the same time. I specialize in depressive, mood, anxiety disorders, and ADHD. I am fascinated with integrative medicine and oriental philosophy and their utility in current evidence-based psychotherapy.

Hello! My name is Melanie Lapeyrolerie, and I am a Licensed Clinical Social Worker (LCSW) based in Los Angeles, California. I offer in-person therapy in West Los Angeles and telehealth services to clients throughout the state. I work with a diverse range of individuals, from young adults to seniors aged 18 to 71. My specialties include treating anxiety, depression, stress, trauma, and alcohol and substance use disorders. To support my clients in enhancing their daily lives and overall well-being, I utilize a variety of therapeutic approaches, including Cognitive Behavioral Therapy, Trauma Focused CBT, Psychodynamic Therapy, and Mindfulness, among others.