DR. JOSH MIRMELLI

You Belong Here.

You’ve done therapy. You’ve read the books. You can articulate your patterns with surgical precision—and still feel stuck in the same loops.

You’re accomplished on paper but privately overwhelmed, restless, or chronically dissatisfied. You’ve mastered self-analysis… and it hasn’t moved the needle.

You’re exhausted by people-pleasing, compulsive behaviors, or emotional reactivity you “should” be past by now. You grew up navigating complex family dynamics and still feel their fingerprints on your adult relationships.

You’re high-functioning, successful, and silently terrified of losing control. If any part of this feels uncomfortably accurate, you’re in the right place. And the work we do together will finally move you forward in the ways insight alone never could.

If you are prepared to engage in this work, I am here to walk alongside you.

HOW I WORK

We get honest—fast

Not harsh, but real. I name the patterns you’re living inside of, including the ones you’ve learned to hide behind competence, charm, or emotional self-sufficiency.

We work at depth

This is trauma-informed, relational, and psychodynamically grounded. We’re not rearranging deck chairs; we’re going after the engine.

You change in real time

You’ll practice new behaviors between sessions, not just insight. We build a version of you that’s actually livable—with boundaries, clarity, and emotional steadiness.

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 Especially Effective With

High-achievers who feel internally chaotic
LGBTQ+ individuals navigating identity, belonging, or complex family histories

People stuck in cycles of self-sabotage, emotional dysregulation, or compulsive behaviors

High-profile clients needing discretion, structure, and a protected therapeutic ecosystem

Individuals who’ve had 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