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- Addictions
- Relationship work
- Mindfulness and CBT
About Patrick
Patrick O'Leary, Licensed Marriage and Family Therapist (LMFT), practices in California and has 41 years of clinical experience. He focuses on addictions, relationship and intimacy concerns, mood disorders, trauma and related issues. His stated methods include client-centered work, cognitive behavioral techniques, mindfulness, narrative approaches, and solution-focused strategies.
Patrick emphasizes straightforward, practical work. He listens to a person's story and helps them identify patterns that cause distress. He uses simple behavioral tools and mindful awareness to reduce anxiety and manage stress. He also helps people name and change unhelpful thinking that fuels mood problems.
In sessions Patrick often traces how past attachment experiences affect current relationships. He helps with communication problems, codependency, and the challenges of parenting and fatherhood. He also supports people dealing with grief, illness such as cancer, and recovery from abuse or addiction.
He brings a problem-solving stance for life transitions. That includes work on career stress, midlife shifts, and coping after natural or human-caused disasters. He can assist with anger, shame, guilt, and compassion fatigue that sometimes follow caregiving or first responder work.
Patrick integrates short-term solution-focused steps with longer narrative and client-centered work. That mix lets people test small changes and also reframe their life stories. Sessions aim to leave people with practical skills they can use between meetings.
Sessions are conducted in English. Prospective clients should confirm current session formats and scheduling details before booking.
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Therapeutic approaches and online sessions
Client-centered therapy focuses on listening carefully to a person's experience and building understanding. It helps people feel heard and supports exploration of personal goals and values. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors that keep problems going and teaches concrete skills to change them; it is often used for anxiety, depression, and stress. Mindfulness therapy trains focused awareness and simple exercises to reduce reactivity and improve emotional regulation; it can help with anxiety, addiction triggers, and chronic stress.Finding the right approach is part of the work. The therapist will review goals and test methods together. Clients and the therapist decide which mix of approaches best fits the presenting issues and daily life demands. This collaborative process may include short solution-focused steps and deeper narrative or client-centered exploration.
Confirm current session options before booking since formats are not specified here. Online sessions can make it easier to fit therapy into work and family schedules, require less travel time, and allow for brief check-ins when needed. Different approaches lend themselves to different rhythms - CBT often uses between-session exercises, while narrative or client-centered work may move at a slower pace. Discuss scheduling and practical needs with the therapist when arranging the first session.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
41+ years
Listed in
California
Languages
English
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Frequently asked questions
What concerns does Patrick work with?
He addresses addictions, relationship and intimacy issues, mood disorders, trauma, grief, stress, ADHD, and related areas such as parenting and career problems.
What is his therapeutic style?
He uses a mix of client-centered conversation, cognitive behavioral techniques, mindfulness practices, narrative work, and solution-focused steps to identify patterns and make practical changes.
How much experience does he have?
He has 41 years of clinical experience working with a wide range of personal and relational concerns.
Where is he licensed and based?
He holds a California LMFT license and practices in California.
Which languages are supported?
Sessions are offered in English.
Are international clients accepted?
He does not accept international clients at this time.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, call 911, or call or text 988.