Portrait of a man wearing round glasses and a black sweater, seated indoors with his hand resting near his neck.
Portrait of a man wearing round glasses and a black sweater, seated indoors with his hand resting near his neck.

Depth, with direction

JOSH MIRMELLI, PsyD
Licensed Clinical Psychologist · Beverly Hills, CA

Most people who come to see me already know a great deal about themselves. They can trace a pattern back to where it began and still find themselves repeating it. My work begins there, where understanding has to become a different way of living, relating, and choosing.

I work with individuals, couples, and families who want to understand not only what is happening in their lives, but what makes it so difficult to change. Sometimes that means confronting uncomfortable truths about yourself. Other times, it means recognizing how the very things that once protected you have begun to limit you.

I’m an active presence in the room. I won’t simply listen and nod. I’ll ask the questions others tiptoe around, name what’s hard to see from the inside, and say it with care, so it can actually be heard.

The real measure of the work is outside the room: how you handle conflict, sit with difficult feelings, hold a boundary, and follow through on the changes you want. Insight matters, but only when it changes something.

Understanding yourself is where we begin. Living differently is where we’re headed. The work in between is honest, unhurried, and yours.

Is this the right fit?

People often find their way here when they…


Find that success hasn’t resolved what they hoped it would.


Want honest feedback, not just reassurance.

Keep arriving at the same place in life or in relationships.



Are surrounded by people and still feel profoundly lonely.

Have come to define who they are by what they achieve.



Find that the ways they once avoided discomfort no longer bring relief.

The work

  • Individuals

    A private space to understand your patterns and change what isn’t working.

  • Couples

    For when the same argument keeps returning, and what’s underneath it needs attention.

  • Families

    Helping families understand one another, not just manage one another.

  • Intensives

    Concentrated days of work, for moments that need more than a weekly hour.

How we begin

It starts with a private consultation, a chance to talk about what’s bringing you in, and for both of us to sense whether this is the right fit. You don’t need to have it all figured out beforehand.

If we decide to work together, the first few sessions are about getting the full picture: your history, what’s happening now, and what you’d most like to be different. From there, we shape the work around you, including how often we meet and where we focus.

Most people meet weekly. Some need more during a demanding stretch, and others need less as things settle. The rhythm can change as your life does.

Professional reflections

The architecture of change

Monthly notes on how people change.

I’m here when you’re ready.

Begin with a private consultation.

Facade of the Roxbury Medical Building at 436, with a brick exterior, ornate entrance, trees, and landscaped shrubs.