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In-Person and Tele-Therapy Counseling Services 

Melissa Barsotti, LCSW

EMDR Trauma Therapist & Harm OCD Specialist

Licensed in the states of California and Virginia

Welcome to my website.

I currently am not accepting new clients.

Former clients are always welcome to schedule.

If you would like to email me to be placed on my wait-list, you can email me at:

Sliding Scale sessions are full at this time. 


Individual & Group therapy for adults 18+

Offered in English and Spanish


Complex Trauma/Developmental Trauma (CPTSD)


Post-Traumatic Stress Disorder (PTSD)


includes Other Specified Dissociative Adaptations and Dissociative Identity Adaptation, otherwise known as OSDD and DID

Obsessive Compulsive Disorder (OCD)

Other Issues

Addiction / Alcohol Abuse / Anxiety / Codependency / Coping Skills / Complex Developmental Trauma/ Depersonalization / Depression / Derealization / Dissociation / Divorce /

Drug Abuse / Dual Diagnosis / Emotional Disturbance / Grief /

Harm -Obsessive-Compulsive Disorder (OCD) / Life Transitions / Peer Relationships / Women's issues /

Racial Identity / Self Esteem / Self-Harming / Sexual Abuse / Sexual Identity / Sexuality / Stress / Substance Abuse / Suicidal Ideation / Trauma, Posttraumatic Stress Disorder (PTSD), and Complex PTSD

Mental Health

Mood Disorders

Personality Disorders

Treatment Approach

Cognitive Behavioral Therapy(CBT)

Culturally Sensitive

Dialectical Behavior Therapy (DBT)

Ego State Therapy

Experiential Therapy

Exposure Response Prevention (ERP)

Certified in Eye Movement Desensitization and Reprocessing Therapy (EMDR)

Mindfulness-based Cognitive Behavioral Therapy (MBCT)

Motivational Interviewing





Teletherapy Available




Image by Faye Cornish

Individual Consultation for Therapists

I have finally found my niche after working in nonprofits for 10 years and private practice for the past 5 years.

My specialties include depression, anxiety, and trauma on the entire spectrum.

Specifically, developmental trauma and dissociation.

I have found that trauma often is the culprit for the symptoms our clients present with.

Having this trauma perspective is important because it informs the way you obtain assessment information, and the way you treat suicidality, obsessions, fears, addictions, and the list is endless.

I once met  Dr. Janina Fisher, author of Healing the Fragmented Selves of Trauma Survivors, and learned that she rarely hospitalized her clients.

At the time I was working with acute depression and was fearful of suicidality; however, through important contributions from Dr. Fisher and others, I have learned to use a parts approach when assessing suicidality.

There are so many nuggets that I can offer, including addressing countertransference as a clinician. 

Invest in yourself, invest in your practice, and reach out for consultation and ongoing advanced learnings. 

Our field can be intimidating, as neuroscience continues to inform clinical practice. You are not alone. There are seasoned therapists like myself that can get you to where you want to be professionally, faster and more smoothly.  

BIPOC female therapist

About Me

I believe it takes strength to be vulnerable and open to change.  Finding a therapist  can feel overwhelming.  It is so important to find the right match of personalities and education.  Someone who understands what you have experienced in your life or has the strength to listen without judgement and to walk by your side during this new journey of growth. 


Wait-List Request

Thank you for visiting this website.

Please visit my resource page for resources

on how to access therapy if yous require it urgently. 

Please note that all low-fee/Sliding scale slots are full.

I am an out of network therapist. Full fee for 50-60 minute session is $175.

90 minute EMDR sessions are $261/session.

Sincerely grateful,


Melissa Barsotti direct phone:

(626) 893-0480



6994 El Camino Real

UNIT 205-G, Carlsbad, CA 92009


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Mondays, Fridays: 9:00am - 3pm 

In -person/in-Office sessions available in Carlsbad, California

Mondays, Fridays 


Virtual sessions are available Mondays, Wednesdays, and Fridays for residents of California or the state of Virginia


Only VIRTUAL/Teletherapy sessions are available in the state of Virginia.

Weekend hours are not available.

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