Concierge Care

For clients navigating demanding careers, public visibility, or complex personal circumstances, I offer discreet, flexible care tailored to the realities of their lives. My approach combines personalized support with clear professional boundaries and a strong commitment to confidentiality.

Services May Include

  • Individualized therapy addressing professional pressure, leadership, relationships, and personal challenges.

  • Additional sessions during periods of significant stress, transition, or difficult decision-making.

  • In-home or on-site sessions when clinically appropriate.

  • Pre-arranged after-hours support for non-emergency needs.

  • Collaboration with authorized members of your care or support team.

  • A private, confidential space to address sensitive or complex personal concerns.

Confidentiality and Team Coordination

Your privacy is a priority. When helpful to your treatment, I can collaborate with other professionals involved in your care, with your written authorization. All communication follows applicable confidentiality laws, ethical standards, and the boundaries of your consent.

After-Hours Availability

Additional support may be arranged outside regular office hours when appropriate. This does not include 24/7 availability or emergency services. For immediate danger, call 911. For mental health crisis support, call or text 988.

Telehealth

Virtual sessions are generally available to clients physically located in California. Your location must be confirmed at each session. Services outside California depend on applicable licensing regulations.

External Support for Inner Stability

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Early Practice Support

Assisting in the establishment and growth of new clinicians.

Starting a practice can feel both energizing and overwhelming as you move from training into independent work. I offer consultation for master’s and doctoral level clinicians who are in the process of establishing their professional identity. This service includes:

  • Guidance on creating sustainable systems and navigating the day-to-day logistics of private practice.

  • Foundations of ethical and legal decision-making (i.e. boundaries, documentation, scope of practice, and risk management).

  • Establishing strong clinical frameworks to best support your clients.

  • Supporting you in moving forward with clarity, confidence, and a structure that aligns clinical integrity with long-term sustainability.

Consultation is educational and does not constitute legal advice, clinical supervision, or assumption of responsibility for the consultee’s clients unless separately agreed to in writing.

Dr Josh Mirmelli - A man with dark hair, wearing glasses, a light blue shirt, and a black jacket, standing indoors with framed certificates and papers on the wall behind him.
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I’m here when you’re ready.

Begin with a private consultation.