Dr Josh Mirmelli - A man with glasses and short dark hair sitting on a gray sofa with patterned pillows, in front of white shelves filled with books and decorative objects.
Dr Josh Mirmelli - A man with glasses and short dark hair sitting on a gray sofa with patterned pillows, in front of white shelves filled with books and decorative objects.

A calm space to begin

You don’t have to be in crisis to want support. Many of the people I work with are capable, insightful, and outwardly successful while privately feeling stuck, overwhelmed, disconnected, or simply ready for change. This is a space for not only understanding yourself more deeply, but for creating meaningful, actionable shifts in how you live, relate, and move through the world. Together, we’ll build practical tools, deepen self-awareness, and help you move toward a life that feels more grounded, aligned, and sustainable.

Stack of books on a white shelf, with titles including 'Treating Alcohol and Drug Problems in Psychotherapy Practice,' 'The Domestic Violence Sourcebook,' 'Bill Bryson,' and a book about DSM-5.

A collaborative, clinically focused approach

Best fit for those who:

  • Understand their behaviors intellectually yet struggle to change them

  • Maintain a strong external presence while quietly navigating instability, pressure, or self-criticism

  • Lead others confidently but cannot apply the same steadiness to their own emotional life

  • Are not looking for quick fixes, but for deeper insight into the systems and patterns driving their experience

  • Seek clarity, honesty and meaningful clinical work, even when it’s uncomfortable

  • Are ready to actively engage and participate in the internal shift they seek

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The Work

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    Individuals

    A one-on-one opportunity to understand and analyze the patterns that shape how you think, feel, and respond.

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    Couples

    We examine the underlying emotional and behavioral patterns that each partner brings to the relationship.

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    Families

    Understand the relational system as a whole rather than isolated individuals.

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    Intensives

    Clarify patterns, repair ruptures in trust, and support the development of healthier communication.

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The Process

Timeline Steps
Step One

We identify the behavioral and thought patterns shaping your life, uncover how they developed and why they persist.

Step Two

We focus on changing those patterns where they matter most: in relationships, decision-making, boundaries, and mindset.

Step Three

You develop the ability to stay present with discomfort, respond intentionally, and make choices that align with who you want to be.

Dr Josh Mirmelli - A man sitting on a gray chair, wearing glasses and a blue polo shirt, with a short hairstyle and a watch on his left wrist, resting his face on his hand in a room with artwork on the wall behind him.

Professional Reflections

  • “I am a clinical psychologist and have had the opportunity to know and collaborate with Dr. Josh Mirmelli professionally for over a decade. In my experience, he is a thoughtful and skilled clinician who approaches his work with care, seriousness, and strong clinical judgment. He is attentive to the therapeutic relationship and works collaboratively with individuals in support of meaningful clinical growth. I have appreciated his professionalism, integrity, and commitment to the work.”

    Jason Levine, Ph.D. 
    Licensed Psychologist

  • “What stands out to me about Dr. Mirmelli is his ability to bring both clinical thoughtfulness and genuine human presence to his work. He approaches people with seriousness, care, and authenticity.”

    Michael Pezzullo, LMFT
    Licensed Marriage and Family Therapist

  • “I have been consistently impressed by Dr. Mirmelli’s commitment to collaborative care. In cases where appropriate releases are in place, he communicates thoughtfully with other members of the care team and approaches collaboration with clarity, sound judgment, and professionalism. I have appreciated his integrity and clinical perspective.”

    Nick Nissen, MD
    Adolescent and Adult Psychiatrist

  • “I’ve had the opportunity to collaborate with Dr. Mirmelli on several cases and have valued his clinical judgment. He approaches complex situations with clarity, care, and professionalism.”

    Doug Rosen, LMFT 
    Adolescent/Family Therapist

  • “Dr. Josh Mirmelli is an insightful and thoughtful psychologist who brings professionalism, intelligence, and careful attention to detail to his clinical work. He is a pleasure to collaborate with and offers a considered, clinically grounded perspective.”

    Bita Tebyani, Psy.D.
    Licensed Psychologist 

  • “Dr. Josh Mirmelli brings a balance of warmth, directness, and clinical thoughtfulness to his work. In my professional experience, he is collaborative, grounded, and focused on helping individuals engage meaningfully with the challenges they are facing. I hold his clinical work in high regard.”

    Asher Gottesman
    Philanthropist, Rabbi, Thought Leader

The Architecture of Change

Dr Josh Mirmelli - A man sitting on a gray couch with patterned pillows, holding a book, in a living room with shelves filled with books and decorative items in the background.

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I’m here when you’re ready.

Ready to begin?

Get in touch

Telehealth available for clients located in California.