Anxiety & Depression Therapy in San Clemente

Anxiety and depression are the two most common reasons people call us, and they often travel together. Anxiety is the racing mind, the tight chest, the 3 a.m. replay of every conversation, the avoidance of things you used to do easily. Depression is the heaviness, the loss of interest, the exhaustion that sleep doesn't fix, the sense that nothing you do will matter. Both are treatable, and both respond well to the evidence-based approaches we use at Brain Repair.

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How we treat anxiety

Most anxiety is kept alive by avoidance: the more you steer around the thing you fear, the bigger it gets. We use Cognitive Behavioral Therapy (CBT) to identify the thoughts that fuel your anxiety and test them against reality, and gradual, planned exposure to help you take back the situations you've been avoiding. DBT skills, especially mindfulness and distress tolerance, give you something concrete to do when a panic attack or a wave of worry hits. We work with generalized anxiety, panic attacks, social anxiety, health anxiety, OCD-type worry, and the anxiety that shows up alongside trauma or substance use.

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How we treat depression

Depression shrinks your life, and therapy works by carefully expanding it again. Behavioral activation (a core part of CBT) helps you rebuild the routines, relationships and activities that depression has stripped away, starting small enough that it's actually doable. We also work on the self-critical thinking that keeps depression going, and on sleep, movement and daily structure, because the body and the mood are not separate. If medication might help, we'll talk about it honestly and coordinate with your prescriber or help you find one.

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What a first session looks like

Your first session is free. It's a full-length session, not a quick screening, so you can get a feel for your clinician and we can get a clear picture of what's going on. After that, we usually meet weekly to start. Most people notice a difference within the first several sessions, and we check in on progress regularly rather than assuming therapy should go on forever.

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Who you'll work with

Every Brain Repair clinician treats anxiety and depression, and all of us are trained in CBT and DBT. Visit our Meet the Team page to learn more about each of us.

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Practical details

• In person at 3551 Camino Mira Costa, Suite K, San Clemente, or by telehealth anywhere in California

• Evening and weekend appointments available

• $150–250 per session after your free first session; superbills provided for PPO plans

• Also see our Teen & Young Adult Therapy, Individual Therapy and DBT Skills Group pages

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Common questions

Do I need a diagnosis to start therapy? No. Many people come in simply because they've felt off for a while. We'll figure out together what's going on.

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How long does therapy for anxiety or depression take? It varies, but CBT-based treatment is usually time-limited. Many people see meaningful change in 8–16 weekly sessions; some stay longer to work on deeper patterns.

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Do you offer telehealth for anxiety and depression? Yes. All of our clinicians see clients by video as well as in person.

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Take the first step

Call or text (949) 415-4204, email info@brain-repair.com, or send us a message below. We'll get back to you within 24 hours. Our office is at 3551 Camino Mira Costa, Suite K, San Clemente, CA 92672.

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If you or someone you love is in crisis, call or text 988, or call 911.

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Reviewed by Doug Pleiman, LCSW, LAADC, Clinical Director. Last updated October 2026.