Addiction therapists & psychiatrists in Vista, CA

Since 2010, I have worked with children to older adults from many different backgrounds, cultures, lifestyles and careers. Before dedicating my life to psychology, I worked in medicine and multiple other professions. Along with my California Doctoral education, I was also educated in England, Austria, France, Switzerland and New Zealand. I am originally from Wisconsin.

Hello, I'm Gerrald Angeles, a psychiatric nurse practitioner. I provide psychiatric medication management for adults throughout California. I’m here to help you feel heard, understood, and supported in your mental health care. Whether you’re dealing with anxiety, depression, bipolar disorder, or navigating mental health challenges alongside chronic conditions, I’m here to help you find balance and feel your best.

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 delivering mental health treatment and resources to incarcerated patients. Serving this vulnerable, complex population demands highly precise and attentive care. This experience has significantly sharpened his clinical skills, which he now aims to bring to the general patient population.

Demetric “Dee” Marsh, LCSW, JD, is a dedicated behavioral health professional with over 25 years of experience in the mental health field. She is a multistate licensed Licensed Clinical Social Worker and holds a Juris Doctor degree from the Jacob D. Fuchsberg Law School in New York. She earned her Master’s degree in Social Work from Adelphi University, with a specialization in mental health and addictions, and holds a Bachelor’s degree from Hofstra University in Sociology with a minor in Political Science and French Language/Culture.

Dee has extensive experience working in a variety of roles, including psychotherapist, program director, clinical supervisor, adjunct professor, and consultant. She also provides LCSW clinical supervision. Her practice includes working with individuals, families, couples, and groups.

She specializes in a wide range of areas, including anxiety, depression, trauma, stress management, addictions, grief and loss, workplace and employment issues, women’s issues, diversity and cultural concerns, spirituality, and court-related assessments and recommendations, as well as foster care and adoption-related services.

Dee believes in meeting each client where they are and tailoring treatment to their unique needs. She is committed to creating an inclusive, safe, and supportive environment that fosters trust, healing, growth, and a strong therapeutic alliance.

Are you doing the same thing over and over again and expecting different results? Have you tried countless times to change a your behavior? Have you recently left inpatient rehabilitation or a psychiatric ward and need additional support? Do you feel like your mood, anxiety, and depression are running your life? Making these changes can be extremely difficult and cannot be done alone. My name is Lauren Debski. I am a dual board-certified family and psychiatric-mental health nurse practitioner.

I believe therapy should feel like a space where you can finally exhale. I strive to create an environment that is supportive, honest, and free of judgment; a place where you feel truly seen and emotionally safe. My approach is collaborative and practical. I don’t just help you understand why you feel the way you do; I help you build real tools to navigate it.

I earned my degree from Cal State Fullerton and have extensive experience working in addiction treatment, eating disorder recovery, and women’s issues. Supporting women is especially meaningful to me. I am deeply passionate about helping women navigate challenges related to self-worth, body image, relationships, boundaries, life transitions, and identity. I understand how trauma, societal expectations, and relational dynamics can shape how women see themselves, and I approach this work with both compassion and clarity.

Together, we focus on strengthening mindfulness, emotional regulation, distress tolerance, and communication skills in ways that feel realistic and sustainable. I blend insight-oriented exploration with concrete strategies, because meaningful change happens when insight meets action. My goal is to help you better understand your patterns, feel more confident managing your emotions, and move forward with greater clarity, self-trust, and resilience.

Welcome!

As a licensed Marriage Family Therapist (LMFT), I believe in prioritizing out mental health as a way to live a happy and balance life. Reaching out for help can be one of the hardest things a person can do, great job on taking that step! I’ve been practicing for 10 years, but in the field for 20 plus years. In the last 6 years I have shifted my main focus to adults 18 plus who are struggling with trauma and substance use.

I have been described as a “down to earth” and “real” therapist. I like to believe these are accurate descriptors. I bring a plethora of experience to my therapy room; however, I recognize, acknowledge, and celebrate the client being the expert on their life. I provide a safe environment which allows my clients to be transparent without judgment. It takes a lot of courage to reach out for help and it is definitely a risk. We need to remember there is no growth without risk!

I'm a Licensed Marriage and Family Therapist with experience working in community mental health, co-occurring substance use treatment, and residential care settings. I work with adults experiencing anxiety, depression, trauma, substance use challenges, mood disorders, relationship stress, and major life transitions.

I believe therapy works best when clients feel heard, respected and supported without judgement. My approach is collaborative, trauma-informed, and tailored to each client's unique needs and goals. I draw from CBT, motivational interviewing, and strengths-based approaches to help clients build insight, emotional stability, and healthier coping strategies.