I’m Patty Fiore, a licensed marriage and family therapist in Los Angeles with 20 years of practice. I work with adults, couples, and families on anxiety, depression, trauma, relationships, and the big transitions in between — by secure video anywhere in California, in English and Farsi.
Individual, couples, and family therapy, a safe space to find clarity and address what matters most to you.
Support for depression, anxiety, trauma, grief, self-esteem, and major life changes.
Learn more →Rebuild trust and communication, from repairing the relationship to parting well.
Learn more →Navigate parental disagreements, connection, and healthier family dynamics.
Learn more →Confidential support for performance anxiety, stress, and high-pressure demands.
Learn more →I’ve been a therapist for 20 years, and I still think the first session is the most important one — it’s where you decide whether you can be honest with me.
My family left Iran in 1986, during the war, so that my sisters and I could grow up with more freedom. We lived in Denmark, then settled in Toronto, where I earned my bachelor’s degree at York University. I came to Los Angeles for my master’s in clinical psychology at Phillips Graduate Institute and never left.
Before private practice I worked in the school system and with children with disabilities, which taught me to meet people where they are rather than where a textbook says they should be. Since then I’ve worked with hundreds of individuals and couples, supervised associate therapists toward their own licenses, and trained in EMDR for trauma.
My approach is practical. I use CBT to change the patterns that keep you stuck, EMDR when trauma is in the way, and systems and psychodynamic work when the problem lives in relationships or in history. You’ll leave sessions with something to try, not just something to think about.
Who I work with: adults 18+, couples, and families. Sessions are available in English and Farsi. I have particular experience with the Persian and Iranian community, with young adults navigating school and early careers, and with professionals under performance pressure. Next Step Counseling is based in Los Angeles and provides confidential, HIPAA-compliant telehealth to clients throughout California.
Change grows one small step at a time. When you’re ready, we’ll take the next one together.
I don’t believe in one-size-fits-all therapy. My work is integrative. I draw on several proven methods and weave together the ones that best fit your goals, your history, and your pace. My focus is on providing real relief from pain while building lasting awareness. In practice, that often looks like this, blended and adjusted as we go:
We look closely at the connection between your thoughts, feelings, and behaviors, noticing the patterns that keep you stuck and building practical, everyday tools you can use to shift them.
Learn more →A well-researched, structured approach that helps your brain reprocess painful or traumatic memories, so they lose their emotional charge and no longer run your daily life. Private EMDR intensives are also available.
Learn more →Especially with couples and families, we explore the relationships and family structure around you, because the systems we live in shape how we think, feel, and relate to the people we love.
Learn more →Together we gently explore past and childhood experiences to understand how they echo in the present, bringing the kind of awareness that opens the door to lasting change.
Learn more →Start your sessions from the comfort of home or on your lunch break. Sessions are secure, HIPAA-compliant, and confidential, available to anyone residing anywhere in California.
Sessions are 50 minutes. Individual therapy is $250 per session; couples, family, and EMDR sessions are $280 per session. A free 15-minute phone consultation comes first. I do not offer a sliding scale, but I provide superbills for out-of-network reimbursement.
Cancellations need 24 hours’ notice; late cancellations and no-shows are billed the full session fee.
Now accepting the following plans:
Not covered? I provide a superbill for out-of-network reimbursement; many PPO plans cover 50–80% after the deductible. Call the number on your insurance card and ask about “outpatient mental health, out-of-network, CPT 90837” to find out what yours pays.
Yes. I offer therapy in English and Farsi by telehealth anywhere in California, and I have particular experience with the Persian and Iranian community. Read more about therapy in Farsi.
Book the free 15-minute call. I’ll ask what’s bringing you in, you can ask me anything, and we’ll both know by the end.
We go over your history, what you want to change, and how I work. Most people leave with a rough plan and one thing to practice before we meet again.
$250 per 50-minute session for individual, couples, or family therapy. I’m in network with Optum and Cigna and provide superbills for other plans. There is no sliding scale.
My practice is fully online. Video sessions are available to anyone in California through a secure, HIPAA-compliant platform, so you can meet from wherever you are most comfortable.
Weekly to start, then spaced out as things improve. Focused work on a specific problem often takes 8–16 sessions; deeper or relationship work takes longer. We check progress together regularly.
Yes, with the legal exceptions every therapist in California must follow: risk of serious harm to yourself or others, and suspected abuse of a child, elder, or dependent adult. I explain these fully in the first session.
No. If medication might help, I coordinate with your doctor or refer you to a psychiatrist.
Eye Movement Desensitization and Reprocessing is a structured, well-researched therapy for trauma and distressing memories. It helps the brain reprocess experiences so they stop triggering the same reactions. I offer it in weekly sessions or as a private intensive.
Reaching out takes courage. When you’re ready, I’d be honored to help you find clarity and relief.