Obsessive-compulsive disorder therapists & psychiatrists in San Marcos, CA

Marsi specializes in working with children, teens, young adults, and women who are struggling with anxiety, trauma, life transitions, relationship challenges, and the lingering effects of difficult life experiences. She is passionate about helping clients understand not only what they're experiencing, but why—because insight creates the foundation for lasting healing.

Her approach is warm, collaborative, and grounded in the latest research in neuroscience and trauma treatment. Marsi integrates evidence-based therapies including EMDR, attachment-based therapy, Polyvagal Theory, somatic interventions, cognitive and behavioral approaches, and play therapy to help clients regulate their nervous systems, process painful experiences, strengthen relationships, and develop greater resilience.

Whether someone is healing from childhood wounds or abuse, breaking generational patterns, navigating a major life transition, or simply feeling overwhelmed by the demands of everyday life, Marsi believes lasting change is possible. She considers it a privilege to walk alongside each client as they rediscover hope, deepen self-understanding, and create meaningful, lasting change.

I am a Licensed Marriage & Family Therapist, and Lead Clinician. I received my Master of Arts from Western Kentucky University have been a licensed Marriage and Family Therapist since 1996 and provided services in child welfare settings involving abused and neglected children and parents who experienced addiction, trauma, PTSD, depression, and anxiety. I also have years of experience working in a private practice setting, working with teens, adults, couples and active duty military. I also specialize in treating trauma and PTSD using EMDR.

I received my undergraduate degree in Psychology from West Chester University and my master's degree in Clinical Social Work from San Diego State University. I have worked in community mental health providing mental health services to those suffering from severe and persistent mental illness, as a program manager for community mental health clinics.I currently have a private practice where I provide psychotherapy to individuals 18 and over utilizing an eclectic approach.

I run Unscripted Therapy, a practice focused on helping people break out of stuck patters.

I work with individuals who are tired of having the same conversations and somehow ending up right back where they started. Whether it’s anxiety, stress, or relationship patterns that keep repeating, something isn’t working and at this point, that’s pretty clear.

My approach is direct, collaborative, and focused on actually changing what’s not working. I’m not going to just sit there nodding while you vent and then ask how that made you feel for the tenth time. We’ll figure out what’s keeping you stuck and start doing something different about it.

Therapy with me is honest, practical, and yes, sometimes a little blunt. But it’s also real. If you’re looking for something that actually helps you move forward (not just talk about why you’re stuck), we’ll probably be a good fit.

Please note: Insurance is accepted for individual therapy only. Couples and family therapy are private pay and are not billed through insurance.

My name is Joey Ritkes (he/him). I have been working as a mental health therapist for over five years. My practice has primarily been specialized in working with LGBTQ+ youth. However, I have worked with couples, families, emerging adults, and adults from all backgrounds. I am a client-centered therapist who enjoys working collaboratively with my clients to meet their goals.

I work with adults facing ADHD, anxiety, trauma, PTSD, sleep issues, and substance use, offering clear, practical help—no guesswork. You might feel overwhelmed, stuck, have trouble sleeping, or struggle to focus. We follow a structured approach to understand your situation and develop a treatment plan that progresses. I provide psychiatric evaluations, medication management, and focused follow-up using evidence-based and trauma-informed strategies. The process is simple, with clear steps and adjustments based on your progress. If you're ready to proceed, reach out.

I know how heavy life can feel when you’re carrying pain, uncertainty, or self-doubt. But I believe, as a wise old wizard once said, “Happiness can be found even in the darkest of places, if one only remembers to turn on the light.” My role is to help you find that light again. I work with Gen Z and Millennial adults facing anxiety, depression, trauma, bipolar disorder, ADHD, and more. Through integrative, culturally responsive care, I combine evidence-based psychiatry with holistic strategies to help you feel heard, supported, and empowered to create a life that aligns with your true self.