Support that fits your needs

My approach is individualized and integrative, drawing on tools, techniques, and interventions from several evidence-based therapeutic frameworks. Rather than adhering rigidly to one model, I thoughtfully adapt the work to your history, needs, and goals, combining deeper psychological exploration with practical strategies that help create meaningful change in your everyday life.

Dr Josh Mirmelli - a man with glasses, wearing a light blue button-up shirt, sitting on a gray armchair in an indoor setting, with framed artwork on the wall behind him and decorative objects in the foreground.

The Work

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    Individuals

    Individual therapy provides a one-on-one opportunity to understand and analyze the patterns that shape how you think, feel, and respond. I will challenge you to take risks, explore your emotions, be honest with yourself, and achieve the personal growth that lies beyond discomfort.

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    Couples

    Couples therapy offers a focused space to examine the underlying emotional and behavioral patterns that each partner brings to the relationship. By working through conflict, attachment, disconnection, and unmet needs, we’ll foster a more secure and intentional bond.

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    Families

    Family therapy seeks to understand the relational system as a whole rather than isolated individuals. We will address deeper patterns of interaction, communication, and emotional response to build healthier points of connection and understanding.

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    Intensives

    I offer couples and family intensives for those ready to address complex relational dynamics in a focused, immersive format. Over the course of a few days, this work can help clarify patterns, repair ruptures in trust, and support the development of healthier communication. Intensives are designed to create meaningful insight and momentum toward change.

Treatment Approaches

  • CBT (Cognitive Behavioral Therapy)

    CBT uses practical tools to shift the negative patterns of thinking associated with anxiety, depression and stress.

  • DBT (Dialectical Behavioral Therapy)

    DBT builds skills in mindfulness and emotional regulation to help people manage intense feelings, improve relationships, and build healthier ways of coping.

  • Psychodynamic therapy

    Psychodynamic therapy explores unconscious emotional and relational patterns. By examining deep-rooted experiences, we gain insight that creates meaningful change.

  • Contextual Trauma Theory

    Contextual Trauma Theory explores how trauma shapes emotional, relational, and behavioral patterns over time, helping people understand and shift survival strategies that no longer serve them.

  • MI (Motivational Interviewing)

    A collaborative approach that helps people resolve ambivalence, strengthen motivation, and make meaningful, self-directed change.

  • Psychological Assessment

    Uses standardized tools and clinical interviews to better understand cognitive, emotional, and behavioral functioning, helping clarify concerns and guide treatment.

  • Collaborative Care

    Includes consultation with trusted specialists across disciplines. This coordination strengthens outcomes and creates a steadier, more informed therapeutic experience.

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I’m here when you’re ready.

Begin with a private consultation.

Get in touch