DR. JOSH
MIRMELLI

you belong here.

You’re smart, successful, and self-aware—and still stuck.

You’ve done the therapy. Read the books. You understand your patterns with precision. Yet the same loops keep running: people-pleasing, emotional reactivity, compulsive coping, quiet dissatisfaction.

You grew up in complexity. You learned to function, adapt, perform. Now you’re high-achieving and privately exhausted, carrying a constant fear of losing control.

If this feels uncomfortably accurate, you’re in the right place. The work we do won’t just give you more insight—it will change how you live.

If you’re ready for real movement, I’m here to walk with you.

HOW I WORK

we get honest

Not harsh, but real.I name the patterns you’re living inside of, including the ones you’ve learned to hide behind.

we go deep

This is trauma-informed and relational We’re looking under the hood and addressing what’s actually driving the problem.

you really evolve

You’ll practice new behaviors between sessions. We build a version of you that’s actually livable.

is this the right fit?

My approach works best for individuals and couples ready to dig deep. I’m not for everyone — and that’s intentional. This space is built for people looking to create lasting change, not just temporary relief.

Who I’m most effective with

High-achievers who look composed but feel internally chaotic
LGBTQ+ clients navigating identity, belonging, or complex family systems
People stuck in self-sabotage, emotional dysregulation, or compulsive loops
High-profile clients who need discretion, structure, and containment
Those who’ve done years of therapy that helped but didn’t transform

If you’re looking for a therapist who just nods and validates, that’s not me.

feelings are meant to be felt

Feeling your emotions isn’t optional—it’s essential for living authentically. Suppressing them doesn’t protect you; it distances you from truth. You’ll be challenged to face what’s uncomfortable, because that’s where clarity, growth, and real choice begin.

emotions are data, not distractions