Do you feel a persistent sense of unease? Exhausted from the pressures of life? Frustrated with how your past is impacting you? Overwhelmed by the thought of starting therapy? Often our struggles alone feel unbearable, and the idea of addressing them only adds more stress. But you can get to where you'd like to be. It just takes learning to endure the discomfort of the growth and healing process. I am dedicated to helping you walk through the discomfort —to gain self insight, to make changes in your life, to feel more at ease, and attain your goals.

I am in network with Regence and Premera.

My passion is working with the LGBTQ community and with couples. I have worked in many settings and in my own LCSW counseling and consulting practice since 1987. I am originally from the East Coast and came to California, originally the Bay Area for 30 years and San Diego for the past 9, and have worked in medical, acute rehabilitation and outpatient psychiatry for the majority of my career.
I am trained in the Gottman model of couple's therapy, in DBT, CBT, ACT, Trauma resiliency, Prolonged Exposure therapy and CPT.
My most extensive training in the last 7 years has been with gender affirming care.

Cara is a Licensed Professional Counselor - Mental Health Service Provider and National Certified Counselor. Along with her licensing and training, she is certified in both the Grief Recovery Method ® and the SYMBIS Pre-Marital Assessment. Cara is a graduate of the University of Georgia. After completing her Bachelor’s degree, she completed her Master’s at Richmont Graduate University in Atlanta, GA.

Cara works regularly with individuals and couples experiencing a variety of struggles including anxiety, depression, grief, low self-worth, relational challenges, life transitions, trauma, affair recovery, emotional regulation and feelings of intense shame.

Cara believes the most important element in therapy is the relationship between the therapist and client. Because of this, she works hard to understand each individual as their unique self and create a safe and open space for growth and healing. While she works with a variety of therapeutic approaches, Cara finds most of her work centers around the Psychodynamic theory, recognizing that we all believe and inevitably behave the messages we narrate unconsciously. By understanding these beliefs and messages and how they originated, we can ultimately change and heal in all aspects of our lives.

Starting therapy can be scary, overwhelming, frustrating, and/or exhausting. There are so much options.. and if you're not a therapist yourself, many of the terms and specialties are new for you and probably don't mean anything yet. If you're not sure what exactly you're looking for, but know you want help and support, you're in the right place. I'll explain the process, walk through what next steps are and work with you along the way to answer questions and make sure what we are doing continues to feel supportive of your needs.

I offer my clients a safe space to explore questions and thoughts that they may not feel comfortable sharing with others. We will look at the feelings that come up for you in difficult situations and also share the wins together. We can keep things in the moment and focus on what's currently happening, or explore how past experiences have shaped you.

Everyone's needs are different, and there is not a one size fits all to therapy. I believe the relationship is the most important part of this process, and with a strong connection to your therapist (hopefully me!) real change and understanding can happen. If you're ready to start, please reach out and we can walk through this together.

Regardless of what's happening in your life right now you deserve to feel understood, supported, and equipped. Maybe you've noticed you're anxious more than you're not, or you just don't enjoy life the way you used to. Maybe you've been through something awful, or are grieving the loss of someone you love. I can help.

I love working with people from all stages of life including, teens, young adults, and couples. I specialize in anxiety, depression, grief, life transitions, self-esteem, and relationship issues.
No matter what's going on in your world I would love to help you navigate life's challenges and pursue growth and wellness in your life.

My mode for counseling stems from the desire to find the place of compassion within everyone’s story. We are all broken people in need of healing, but often our own judgements of ourselves prevents us from seeing the places we need love and insight. Therapy offers a safe space to process emotions and thoughts. Here, we are all able to uncover the root cause for the issues in our lives.
I work from a trauma-informed perspective, working through current issues and the deeper beliefs, thoughts and emotions that influence our choices. I specialize in boundary work, anxiety, depression, relationships, life transition, death and grief, spirituality issues, substance use, adjustment to change and changing cultures. I enjoy working with clients of all ages and approach counseling from a multicultural perspective. I also provide counseling with christian values and provide counseling without based on client’s preference and value system. I look forward to meeting you!

I have a diverse professional and personal background which allows me a unique perspective. I love earning the trust of my clients and walking through those things in life that have led us into the people we become. Whether sensitively processing to trauma, or tackling unintentional habits, I take great care to prioritize the clients’ goals and collaboration is key! I work with individuals, couples and families on issues ranging anxiety, depression, parenting, marriage, or other relationships issues, and life transitions.

Sexual Misbehavior Absolute Expert.
I bring 28 years of Expert, Elite, Speciality, Highly Trained, Experience in clinical treatment of Sexual misbehavior, affairs, and other behaviors, to help you stop creating painful consequences.

My preeminent expert status had "The Adam Friedland Show” put me on 1st episode of 2nd season re: sexual addiction behaviors, I was interviewed by Rolling Stone Magazine on "virtual companions". I enjoy being the go to clinician and thought leader on high functioning men acting out sexual misbehaviors such as Infidelity, Prostitution use, Sugar Babies, etc

SEXUAL MISBEHAVIOR TELEHEALTH TO
New York
New Jersey
Connecticut
California
Texas
Ohio
Utah

$400 per full one hour session/no insurance

I have an elite, non-insurance, self pay practice, a higher quality sexual misbehavior treatment for clients who want the much higher level of skills, knowledge and sexual misbehavior specialist insight that only decades of my experience can offer.

My clients are often high functioning successful men accustomed to superior services and results. With over a quarter century & 40k hours of expert treatment for all types of sexual misbehaviors provided.

I give you an evidence based, research oriented treating of...
“sex addiction”
Out of Control Sexual Behavior
App Hook-Ups
Strip Clubs
Massage Parlors
sexual compulsivity
Professional Sexual Misconduct
serial affairs
illegal porn

....as a Certified sexual misbehavior professional.
My unique level of insight in this specific issue brings skills that have clients create lasting change, faster improvements in self management, improved mood, and reduced recidivism.

I have been studying and treating this from when persons would still seek illegal deviant material via US Mail. I have done program development, clinical assistance to other agencies, complex case consultation, development of theory, and the training and clinical supervision of other highly skilled sexual behavior experts.

I developed and oversaw a Government psychiatric outpatient sexual misbehavior program. I and my subordinates used “Good Lives Model”, a deep level of understanding of these behaviors, and a culturally informed perspective took into account the disorder, and culture that enabled it.

There is no sexual misbehavior I have not seen a great many times, and no consequence that I have not seen many times.

Although most “certifications” in so called sex addiction or sex therapy held by other clinicians are not issued by Universities or government, mine in fact are issued by Universities.

Sexual Misbehavior is NOT at all under the umbrella of “sex therapists”.

“Coaches” are NOT , ever, in any way qualified for clinical matters, as hype is not skill and confidence is not education.

Sexual Misbehavior is NOT to be treated with “Marriage” therapy. One person acted out, one person created this, one person is where most of the work is needed.

Brick and mortar Fordham University trained, licensed psychotherapist, certified Ohio University also certified University of Louisville, in this issue.

That is, I am a highly trained, non judgmental, clinician that will use my superior insights to help you improve faster.

$400 per session no insurance.

I can see you with TELE-HEALTH to
California
New York
New Jersey
Texas
Connecticut
Utah
Florida
Ohio

CALL ME at 718-208-6135 FOR FREE 20 MINUTE PHONE CONSULT TO SPEAK WITH THIS EXPERT $400 per one hour session, sorry-no insurance.

*Appointments available, I can see you within three days, sometimes even see you the same day you call, giving you very fast access to the expert level treatment for sexual misbehavior.

Call me at 718-208-6135 for a free twenty minute evaluation to see if I am the right sexual misbehavior expert for you or your loved one, I would love to help

www.sexuallycompulsive.com

https://www.youtube.com/channel/UCnNNehrVYzn2mgMNgSV7Ndg

https://www.linkedin.com/in/james-foley-psychotherapist-clinical-consultant-t-0004607b/

Life can get overwhelming sometimes, and everyone has an opinion on how you should manage it. No matter what you’re dealing with, someone always suggests a quick fix— anxiety: “just calm down;” depression: “just be happy;” or disordered eating: “just eat.” The reality is, if it were that simple, we would all be perfect people and never struggle with anything in our entire lives. That’s just not human nature. So if that’s not the answer, how do we grow and change? How do we resolve the deepest, most wounded parts of ourselves?

There’s a quote by Christine Langley-Obaugh that I love, which says, “We repeat what we don’t repair.” We have to sit with those uncomfortable parts of ourselves—our anxiety, depression, disordered eating, grief—and figure out when and why it showed up. What is it trying to tell us about ourselves and our experience?

That’s what the therapeutic space is for. We put other pieces of our lives on hold for an hour, to sit and listen and process. From there, we can establish a different way for the brain and body to communicate with one another; a way that allows for expression without overwhelm. It’s a process that can take some time, but it is oh so worth it.

I specialize in evidence-based practices, including CBT, DBT, and mindfulness-based theories, to help clients explore difficult emotions, challenge harmful thought patterns, and better manage stress and anxiety. As a proud two-time HBCU graduate (Spelman College and Howard University), I bring a wealth of experience from working in diverse settings such as hospitals, outpatient clinics, and virtually-based mental healthcare.

My expertise includes supporting individuals with eating disorders, developmental challenges like Autism and ADHD, and those navigating life’s complexities. I am especially passionate about uplifting and empowering Black women, considering it a true privilege to amplify our greatness and nurture healing and growth.