Online Therapy in California
Personalized online therapy for California residents navigating anxiety, burnout, trauma, and low self-esteem.
If you're in California and seeking personalized support, online therapy could be the perfect solution for you. I'm Sage Grazer, a Licensed Clinical Social Worker, LCSW 76690 (CA), based in Los Angeles, offering virtual therapy for adults across the state. I specialize in helping individuals manage anxiety, trauma, burnout, relationship challenges, and life transitions. In secure telehealth sessions, I help clients build emotional resilience, make meaningful changes, and reconnect with their inner authentic self.
Effectiveness of Online Therapy vs. In-Person Sessions
If you're wondering whether virtual therapy can be as successful as meeting face-to-face, you're not alone. The great news is that decades of research confirm that teletherapy is just as effective for a wide range of concerns, including anxiety, burnout, and navigating life transitions. Therapy relies on feeling connected, safe, and understood, and these crucial qualities are readily built and maintained in a virtual setting. While minor differences exist in the rhythm of sessions, most people quickly settle into a comfortable routine, finding the experience highly personalized and professional.
What are the benefits of online therapy vs. in-person therapy?
The primary advantage of online therapy is unparalleled accessibility and flexibility, especially when navigating a busy schedule in Los Angeles or San Francisco. Since I offer online therapy across all of California, you eliminate travel time, making it easier to be consistent with sessions. For many, attending sessions from a private, familiar, and confidential space at home creates a sense of safety that facilitates vulnerability and deep, meaningful work. This format offers you the greater choice to work with a specialist who perfectly fits your needs, regardless of where they are physically located.
In-person therapy, on the other hand, offers the unique benefit of a dedicated, physical therapeutic space separate from the stressors of your home or office. For some individuals, this clear boundary is essential for mentally transitioning into and out of the session mindset.
Ultimately, we know the strongest predictor of therapeutic success is the quality of the connection you feel with your therapist. We will prioritize open communication about your preferences to ensure we find a consistent format that allows you to feel secure, understood, and ready to engage in the process of growth.
For more information on virtual therapy, see my guide on how to get the most out of your teletherapy session.
-
Anxiety can show up as constant worry, trouble sleeping, feeling on edge in social situations, or a sense that your mind never really turns off. In online therapy for anxiety, we’ll slow things down and get curious about what sets your anxiety off, how it shows up in your body, and what helps it settle. We might use practical tools for coping in the moment while also exploring the experiences and patterns that have shaped the way you respond to stress. The goal is to help you feel more grounded and to have a little more space between you and your anxiety, so it isn’t running the show.
-
Burnout often looks like being exhausted all the time, feeling checked out, or noticing that you’re going through the motions without much joy or energy. In online therapy for burnout, we’ll look at what is draining you, the pressures you’re under, and the beliefs that make it hard to rest or say no. Together, we can experiment with different ways of setting limits, caring for yourself, and reconnecting with a sense of purpose. Over time, we’ll work toward a life that feels more sustainable, instead of one that constantly asks you to push past your limits.
-
Many people notice the effects of trauma through things like feeling on guard, getting flooded by emotions, or finding themselves in the same painful patterns again and again. In online trauma therapy, we move at a pace that feels safe as we make space for what happened and how it continues to affect you now. We’ll pay attention to your thoughts, emotions, and body, and practice ways of feeling a bit more grounded and resourced in the present. My role is to offer a steady, nonjudgmental place to bring what you’ve been carrying, so you don’t have to hold it alone.
-
Low self-esteem can sound like harsh self-criticism, difficulty making decisions, or a quiet feeling that you’re never quite enough, no matter what you do. In online therapy for self-esteem, we’ll notice the stories you tell yourself, where they came from, and how they show up in your relationships, work, and daily life. We’ll gently challenge patterns like perfectionism, comparison, or people-pleasing, and make room for more flexible, realistic ways of seeing yourself. The hope is to build a steadier sense of worth that doesn’t rise and fall with every piece of feedback or external achievement.
-
If you’re a founder or in a high-pressure role, you might be used to holding a lot together while privately feeling anxious, overwhelmed, or alone with the weight of it all. Online therapy for entrepreneurs gives you a place to step out of performance mode and be honest about how you’re really doing. Drawing on my experience in startup culture, we’ll look at patterns like overworking, difficulty setting boundaries, and tying your worth to achievement. Together, we’ll explore what it could look like to stay ambitious while also feeling more supported and human in your work and life.
My Specialties
I work with adults across California who are navigating:
Generalized anxiety, social anxiety, and panic
Low self-esteem and persistent negative self-talk
Overwhelm related to transitions or performance pressure
Exploring the relationship patterns impacting your life
Tools for calming the nervous system, shifting thought patterns, and regaining clarity
Emotional exhaustion, cynicism, or detachment from work
High-achievers and entrepreneurs facing perfectionism or imposter syndrome
Support in identifying limits, setting boundaries, and restoring a sense of purpose
Redefining productivity through self-compassion and nervous system regulation
Childhood trauma, relational trauma, and chronic stress
Somatic symptoms, hypervigilance, or emotional shutdown
Building emotional safety, body awareness, and healing through relational connection
What’s the Difference Between Online Therapy, Telehealth, and Virtual Therapy?
These terms are frequently used interchangeably, and for good reason. They all describe mental health services provided remotely via a secure video platform. Whether you encounter telehealth therapy, online anxiety therapy, or virtual therapy for adults in California, the important aspect is that a licensed therapist conducts the sessions using encrypted, HIPAA-compliant tools to protect your privacy and confidentiality.
Begin Online Therapy in California
Schedule a free 15-minute consultation with me to learn more about how we can work together.
Common Questions and Concerns around Online Therapy in California
-
We’ll meet one-on-one through a secure video platform for 50-minute sessions. The process is similar to in-person therapy, with the added flexibility of joining from wherever you feel most comfortable. My approach is collaborative and attuned to your pace, drawing from psychodynamic therapy, somatic practices, mindfulness, and trauma-informed care. We’ll work together to explore what’s beneath the surface, build emotional resilience, and support lasting change.
-
That’s a completely valid concern, especially if this is your first experience with therapy. Many clients are surprised by how safe, connected, and emotionally engaged online therapy can feel. With presence, consistency, and a focus on relationship, it’s possible to create a deeply supportive space—even across screens.
-
Yes. You can use whichever device feels most convenient and private—whether that’s your phone, tablet, or computer. What matters most is that you have a quiet space where you can show up fully for yourself.
-
Many PPO insurance plans offer partial reimbursement for online therapy in California, even when the provider is out-of-network. I provide superbills, detailed invoices that you can submit to your insurance company for potential reimbursement. Coverage varies by plan, but clients often receive 50–80% back. It's a good idea to call your insurance provider and ask about your out-of-network mental health benefits for telehealth services. I’m happy to guide you through the process and help clarify what to expect.
-
Attend sessions from the comfort and safety of your own home
Maintain consistency even with travel or a changing schedule
Access care that aligns with your lifestyle, values, and emotional needs