LGBT therapists in Atascadero, CA

I’m Elba Alvarado, Licensed Marriage and Family Therapist. My work is rooted in the belief that healing begins in relationships — with ourselves, with others, and with the stories we carry. I hold space for people navigating the quiet weight of expectations, the complexity of identity, and the patterns that shape how we show up in the world.

I earned my Bachelor’s degree in Psychology from Vanguard University and my Master’s in Clinical Psychology from Azusa Pacific University and I have been providing therapy since 2018.

I veiw the path of a human life span, as each of us interact and peerceives the environment around us in our own unique way. My goal is to help clients look at their options, evaluate choices towarda healthier outcome. My work has involved in helping clients toward building better communication between couples, family members, and individual relationships. It is my belief that counseling / psychotherapy can provide a safe place where personal challenges can be processed, and finding choices toward enhancing the quality of life and improve relationships.

Before earning my Masters in Counseling, I earned a PhD in social and personality psychology. This background deeply informs how I show up as a therapist. I help clients address unresolved trauma and grief, anxiety and OCD, address relationship issues, as well as "problems of everyday living." My style is active, engaged, and practical.

I'm Josiah — a licensed marriage and family therapist (LMFT) practicing via telehealth across California. My work centers on three communities I care deeply about: veterans navigating the often-invisible work of coming home, LGBTQ+ individuals and couples looking for a therapist who genuinely gets it, and parents who are doing their best while carrying more than they show. I'm Transgender Allied, trained in trauma-informed and multicultural frameworks, and I work with individuals, couples, and families. Before anything else, I work hard to make sure you feel like yourself in the session — not a diagnosis, not a file.

I specialize in helping clients navigating trauma, anxiety, panic disorder, depression, LGBTQ+ issues, grief, & much more. I earned my MSW from New York University in 2011 and have worked as a forensic social worker in NYC at The Legal Aid Society & have also worked with Gay Men's Health Crisis, Services for the Underserved, Footsteps & Office of the Appellate Defender. I moved to Los Angeles in 2017 and have been in private practice since 2018.

It takes real courage to take this first step toward prioritizing your mental health, and I want to honor that. Beginning therapy can feel vulnerable, unfamiliar, or even intimidating, and I understand that. Maybe you’ve spent a long time in survival mode, developing ways of coping that helped you get through hard experiences but may no longer serve you. That can show up as disconnecting from yourself or others, struggling with boundaries, or carrying a story about yourself shaped by cultural or relational expectations. Wherever you are, we can start exactly where you are.

I am a multi-state licensed therapist across California, Colorado, Iowa, Nebraska, and Texas, specializing in helping adults navigate deep-seated mental health challenges alongside intense personal and professional transitions.

With vast clinical experience, I have served as a university career counselor, a specialist for healthcare professionals, and a dedicated clinician within both the US Navy Family Advocacy Program and the Department of Veterans Affairs.

My practice provides a highly supportive, practical space for college students, working adults at all career stages, healthcare workers, service members, Veterans, and the LGBTQIA+ community.

I blend empathetic listening with deep clinical insight to help you manage and heal from:

Core Mental Health & Neurodivergence:

Anxiety, depression, ADHD, autism, and identity exploration.

Trauma & Life Impact:

Complex trauma, PTSD, grief, loss, and managing chronic medical conditions.

Daily Survival:

Severe career burnout, relationship problems, and navigating life's overlapping pressures.