D R. J O S H M I R M E L L I
you belong here
You’re smart, capable, and self-aware—and still stuck. You’ve done the therapy, read the books, named the patterns. You can articulate your attachment style and trace your triggers back to childhood. And yet the same loops persist: people pleasing, reactivity, compulsive coping, quiet dissatisfaction. You learned to adapt early—became perceptive, strategic, high-functioning. You learned to read the room, regulate others, and suppress yourself.
Now you perform well and feel exhausted. Your insight is intact. Your nervous system is not. This isn’t an insight problem. It’s a repetition problem. A relational and identity-level change problem. You don’t need more analysis—you need disruption, accountability, and a space where your adaptations are respected but no longer allowed to run the show. Real change requires tolerating discomfort without retreating into old strategies. It requires grief, boundaries, and risk. If you want reassurance and endless processing, I’m not the right fit. If you want structural, behavioral, and relational movement, I’m here to do the work with you.
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, and one that you absolutely love.
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.
W H O I T R E A T
THE OVER-RESPONSIBLE FIXER
THE SUCCESS-ADDICTED PERFORMER
FAMILIES STEWARDING GENERATIONAL WEALTH
HIGH-ACHIEVERS WHO LOOK COMPOSED BUT FEEL INTERNALLY CHAOTIC
THE ADULT NAVIGATING ESTRANGEMENT OR LOW-CONTACT FAMILY DYNAMICS
HIGH-VISIBILITY CLIENTS WHO NEED DISCRETION, STRUCTURE, AND CONTAINMENT
THOSE WHO’VE DONE YEARS OF ANALYSIS THAT HELPED BUT DIDN’T TRANSFORM
LGBTQIA+ CLIENTS NAVIGATING IDENTITY, BELONGING, OR COMPLEX FAMILY SYSTEMS
PEOPLE STUCK IN SELF-SABOTAGE, EMOTIONAL DYSREGULATION, OR COMPULSIVE LOOPS
F E E L Y O U R F E E L I N G S
Feeling your emotions isn’t optional; it’s essential for living authentically and with intention.
Suppressing them doesn’t protect you; it distances you from within.
In our work, you’ll be challenged to face what’s uncomfortable because that’s where clarity, growth, and real change begin.
S P E A K I N G T O P I C S
THE PSYCHOLOGY OF WEALTH
EVIDENCE-BASED PARENTING TIPS
ATTACHMENT-INJURIES IN ADULTHOOD
ENHANCING EMOTIONAL INTELLIGENCE
HEALTHY SUPPORT VERSUS CODEPENDENCY
COPING WITH A LOVED ONE’S MENTAL HEALTH
RESEARCH ON MINDFULNESS-BASED PRACTICES
THE ROLE OF FAMILY SUPPORT IN RECOVERY OUTCOMES
DISCREPANCY BETWEEN CURRENT BEHAVIORS AND FUTURE GOALS
p o d c a s t s
p o d c a s t s
PODCAST APPEARANCES
Superconscious
Mom’s Moving On
Look Ma’ No Hands
Coping with Ghosting
Showing Up With Asher
The Eating Disorder Trap
The Risen Fallen Podcast
How To Destroy Everything
You Good?
Just Do You
How To Be Human (1)
How To Be Human (2)
Sober Daughter Podcast
Something for Everybody
Normalize the Conversation
Getting Better w/ Dr. Adam
Important Notice
Therapy with Dr. Josh is an outpatient private practice and does not provide emergency services. If you are in crisis, call 911, go to the nearest emergency room, or contact the 988 Suicide and Crisis Lifeline. Do not wait for a response from this office in an emergency.
Submission of information through this website does not create a doctor patient relationship.