you belong here

You’re smart, capable, and self-aware—and still stuck. You’ve done the therapy, read the books, named the patterns. Yet the same loops persist: people pleasing, reactivity, compulsive coping, quiet dissatisfaction. You learned to adapt early.

Now you perform well and feel exhausted. This isn’t an insight problem. It’s a change problem. If you want real movement—not more analysis—I’m here to do the work 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.

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.

If you’re looking for a therapist who sits there and nods, I’m likely not for you.
— Dr. Josh Mirmelli

WHO I LOVE TO WORK 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

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

TOPICS I’VE COVERED

The role of family support in recovery outcomes

Discrepancy between behaviors and future goals

Healthy support versus codependency

Coping with a loved one’s mental health

Research on mindfulness-based practices

Enhancing emotional intelligence

Evidence-based parenting tips

collaborations

podcasts

podcasts