DR. JOSH
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.Joshua L. Mirmelli, Psy.D. | Licensed Psychologist | Lic. No. PSY31895 (CA)
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 chaoticLGBTQ+ clients navigating identity, belonging, or complex family systemsPeople stuck in self-sabotage, emotional dysregulation, or compulsive loopsHigh-profile clients who need discretion, structure, and containmentThose 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
keynote speaker
topics i’ve covered
The role of family support in recovery outcomesDiscrepancy between behaviors and future goalsHealthy support versus codependencyCoping with a loved one’s mental healthResearch on mindfulness-based practicesEnhancing emotional intelligenceEvidence-based parenting tips