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Welcome!

I specialize in treating women and couples experiencing anxiety, depression, perfectionism, co-dependency, as well as those with relationship and marriage difficulties.

I work with adults 55 and older who are dealing with big life changes — illness, caregiving, grief, retirement, or simply finding themselves in a chapter they didn’t plan for.

A lot of my clients come in because something has shifted. A diagnosis. A loss. The exhaustion of caring for someone else. Or that feeling of, “This isn’t the life I pictured.”

I’ve worked for many years alongside palliative care teams and with people living with serious illness. I understand how overwhelming medical decisions, uncertainty, and anticipatory grief can be.

I also know loss personally. My husband died after a battle with cancer, and rebuilding my own life changed how I sit with others. I don’t just understand this work professionally — I’ve lived parts of it.

Most of the people I see aren’t looking for years of therapy. They want a place to sort through what’s happening, get steadier, and figure out what comes next. We usually work together for a focused stretch — anywhere from a few sessions to a few months.

We meet by telehealth. It’s simple and private, and I’ll handle the logistics.

I have been working in the mental health field for over 13 years in various roles. I have worked with individuals of all ages, stages, and experiences of the world. I especially feel equipped to work with people with substance use and chronic illnesses. Life is tough and feeling heard is tougher. My job is to support someone in reaching their goals.

I enjoy working with people who would like to explore their thoughts, feelings, and behaviors related to their perceptions along with past and current experiences.

I focus my work on building a therapeutic relationship to support someone to work towards their goals.

My path into this work didn’t come from one place—it came from a deep curiosity about what truly helps people change.

Early on, I was trained to support others through talk therapy, and I saw how powerful it could be to be witnessed, understood, and held in difficult moments. But over time, I began to notice that insight alone wasn’t always enough. People could understand their patterns, yet still feel stuck.

That led me to explore the body—how we carry emotion, how we hold tension, and how healing often requires more than words. Through movement, breath, and presence, I saw people begin to shift in ways that felt more real, more lasting.

And still, something felt incomplete.

There was a deeper layer—something connected to meaning, to transition, to the parts of us that don’t always have language. As I followed that thread, I found myself drawn to ceremonial and shamanic practices that honor the unseen and help give shape to profound inner change.

The Threshold Process grew out of this journey.

It’s the integration of everything I’ve come to trust: that real transformation happens when we engage the mind, the body, and the deeper parts of ourselves—within a space that is intentional, grounded, and safe.

I’m a Licensed Clinical Social Worker (LICSW) with over 20 years of experience helping individuals restore balance, build resilience, and reconnect with purpose. My approach blends evidence-based therapy with a compassionate, person-centered style that supports clients in navigating stress, anxiety, life transitions, and relationship challenges.

As a bilingual (English/Spanish) and bicultural therapist, I provide a space where every client feels seen, understood, and empowered to create meaningful change.

Kokoro—a Japanese word meaning “mind, heart, and spirit”—reflects my belief that healing begins when the whole self is engaged with authenticity and intention.

Are you feeling overwhelmed, lost, or emotionally stuck? I want to hear your story and assist you in your journey towards healing. Currently I am providing therapy to children (4 years and older), adolescents, and adults.

Hi there, my name’s Ephraim and I'm a licensed Marriage and Family Therapist with 20+ years of experience. My specialties consist of relationships, men’s issues, career counseling, and psychosomatic illnesses.

Whether it's individuals or couples, I'm happy to get to work with whomever comes my way. I do my best to facilitate a warm, trusting environment. I received my Bachelors degree in Child Psychology, working initially with the adolescent population before transitioning over to adults. I then received my Masters in Marriage and Family Therapy. Looking forward to meeting with you soon!

Are you feeling overwhelmed or disconnected from the people and things you care about? It can be difficult to know where to begin when you're facing changes or persistent challenges. My role is to meet you exactly where you are, whether you are facing grief and loss, relationship conflict, professional stress, or a major life transition. These hardships often bring about cycles of anxiety and depression. Life transitions can be overwhelming. I’m an LCSW, here to walk alongside you as you break through limiting beliefs and move toward a more expansive self. I also have a deep passion for supporting the creative community—understanding the specific emotional highs and lows that come with being an artist, performer, or creative.