Anxiety and depression therapists and psychiatrists in La Mesa, CA

I specialize in working with individuals, couples, and families to navigate the challenges related to anxiety, depression, communication, and relationship dynamics. Mental health influences every part of our lives—how we think, feel, and connect with others. When something feels off, it can ripple through our well-being and relationships. Therapy offers the space to identify what’s not working and develop tools for balance, clarity, and lasting change through an engaging and supportive process.

I support teens, adults, and families who are navigating life transitions, emotional overwhelm, relationship challenges, grief, identity exploration, anxiety, depression, and the lasting impact of difficult or traumatic experiences. Whether you are feeling disconnected from yourself, struggling to break painful relational patterns, or simply trying to find steadiness during a difficult season of life, therapy can become a space where healing and clarity begin to emerge.

Hi, I'm Jamie Plaxco, a board-certified Psychiatric Mental Health Nurse Practitioner with a passion for helping individuals find healing and balance in their mental health journey. I earned my Master of Science in Nursing from Vanderbilt University, graduating summa cum laude, and have dedicated my career to providing compassionate, evidence-based psychiatric care.

My areas of expertise include treating OCD, eating disorders, depression, PTSD, and substance use disorders. This breadth of experience has taught me to meet people where they are and tailor treatment to their unique needs.

Throughout my career, I've had the privilege of working with individuals facing serious mental illness, those in crisis situations, and people seeking preventive care and wellness optimization. My training at UCLA's Department of Neurology and Riverside County Department of Mental Health provided me with a strong foundation in both the neurological and psychological aspects of mental health. I understand that mental health challenges often have complex origins, and I explore all aspects of your wellbeing.

I believe in treating the whole person, not just symptoms, and I value building therapeutic relationships with my clients. I work with clients across the lifespan and take pride in creating a safe, non-judgmental space where we can collaborate on your path to wellness. My approach combines traditional psychiatric medication management with innovative, integrative treatments. Whether you're struggling with a long-standing condition, navigating a difficult transition, or facing new challenges, I'm here to support you with expertise, empathy, and evidence-based solutions. I stay current with the latest research and treatment modalities to provide you with the highest quality care. My practice is grounded in mutual respect and shared decision-making, ensuring your voice remains central throughout treatment. Together, we'll work toward lasting wellness.

I offer a compassionate, welcoming space for children to work through challenges and build confidence. If your child is having a hard time with emotions, behavior, or school, you’re not alone, I’m here to help! With five years as a school-based therapist, I value working closely with families and schools to support the whole child, so they feel supported in all areas of their life.

I'm Saby Kirpal, a Psychiatric Mental Health Nurse Practitioner dedicated to providing comprehensive mental health care. I hold Master's degrees from Chamberlain University and Walden University, graduating with Presidential Honors, reflecting my commitment to clinical excellence. My diverse professional background spans inpatient psychiatric hospitals, residential treatment centers, and outpatient clinics, giving me insight into mental health treatment at every level of care. I specialize in treating depression, anxiety, autism spectrum disorders, eating disorders, and substance use disorders across age groups. My experience includes working with children as young as eight through adults in crisis stabilization, residential treatment, and ongoing medication management.

What makes my practice unique is the integration of my nursing background with psychiatric expertise. I understand how physical health, medications, lifestyle factors, and mental health interconnect. Being trilingual in English, Hindi, and Punjabi, with conversational Spanish, allows me to serve diverse communities and appreciate how culture shapes mental health experiences.

I've worked from UCSF Health to community clinics, teaching me that excellent care isn't about the setting—it's about the relationship. Whether you're seeking help for the first time, between providers, or managing ongoing conditions, I'm here to partner with you. My approach centers on listening first, explaining clearly, and making decisions together. Mental health treatment should never feel like something done to you, but rather something we navigate together. I'm committed to creating a space where you feel respected, understood, and genuinely supported.

I am a dedicated mental health professional who supports children and adults through life’s challenges. I currently provide individual therapy only and do not offer couples counseling. My background in behavioral health and social services, along with hands-on community experience, has shaped my practical, compassionate, and solution-focused approach.

I have worked with individuals involved in the justice system, people living with serious mental illness, children in foster care, and families navigating behavioral or developmental concerns. My experience includes case management, crisis support, employment readiness, behavioral coaching, and coordinating care with medical providers, mental health facilities, and community programs to ensure consistent, long-term support.

I help clients facing depression, anxiety, trauma, life transitions, behavioral challenges in children and teens, parenting and co-parenting concerns, and reintegration after legal involvement. My approach is strengths-based, trauma-informed, and client-centered. I believe everyone has resilience and the ability to grow with the right support.

My style is warm, honest, and structured. I value accountability while always leading with empathy and respect. I focus on building coping skills, improving communication, setting clear goals, and developing practical strategies that support emotional balance and independence.

I am a Licensed Marriage and Family Therapist supporting individuals as they navigate life’s challenges and work toward meaningful, lasting change. My approach is warm, collaborative, and grounded in evidence-based practices. I strive to create a safe space where individuals feel genuinely heard, understood, and supported.

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.

After graduating from New York University with a BFA in drama, I moved to Los Angeles and taught drama and English literature at an L.A. public high school for nearly 20 years. My experience working with teenagers and their families taught me that, all too often, kids' barriers to learning are not academic in nature, but rather emotional challenges stemming from adversity and trauma. I became more and more interested in learning how to help teenagers and adults alike navigate these obstacles and come out stronger in the long run. So, I went back to graduate school to pursue a new career as a therapist so that I could help in a different way. My training and experience has focused on treating anxiety disorders (including OCD), PTSD and Complex-PTSD, and also couples - helping them to navigate challenges and triggers so that they can reset and reconnect.