I’m Patty Fiore, a licensed marriage and family therapist in Los Angeles and a teen and parenting specialist with 20 years of practice. I help teenagers with anxiety, school pressure, screens and the hard parts of growing up, and I help parents get through it with their relationship intact. I also work with adults and couples on anxiety, trauma and relationships — by secure video anywhere in California, in English and Farsi.
Teen, parent and family work is the heart of my practice. I also see adults and couples, online across California.
Teen therapy in Los Angeles for ages 13+, practical coaching for parents, and family sessions when you need to talk it through together.
Learn more →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 →EMDR-trained (EMDR Institute). Reprocess painful memories so they stop running your life. Weekly sessions or private intensives.
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.
Alongside my work with teens and parents, I see individual adults and couples. With individuals, that is usually anxiety, depression, a painful past that keeps resurfacing, or a transition such as a career change, a divorce, or a new chapter of life. With couples, it is communication that has broken down, trust that needs rebuilding, the strain of parenting together, or deciding whether to stay. In both cases the work is honest and practical: we name what is actually happening and change it.
Teens and parents are where I started and where I do my best work. Before private practice I worked inside the school system and with children with special needs, which taught me to meet young people where they are rather than where a textbook says they should be, and to work with the adults around them, not just the kid in the room. Since then I’ve worked with hundreds of teenagers, parents, individuals and couples, supervised associate therapists toward their own licenses, and completed EMDRIA-approved EMDR training through the EMDR Institute. I speak to parent groups and schools on teen anxiety, substance use, social media and screen time.
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: teens 13+ and their parents, young adults, individuals, couples, and families. Sessions are available in English and Farsi. I have particular experience with the Persian and Iranian community, with teens and young adults navigating school, college 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 or bill insurance; superbills are available for out-of-network reimbursement.
Cancellations need 24 hours’ notice; late cancellations and no-shows are billed the full session fee.
I do not bill insurance. Sessions are $250 (individual, teen or parent coaching) and $280 (couples, family or EMDR), paid by card at the time of the session; HSA and FSA cards are welcome.
If you have a PPO plan, I can provide a superbill to submit for out-of-network reimbursement; many 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.
Yes. Teens 13 and up are a core part of my practice, alongside coaching for their parents and family sessions. Teen sessions are confidential; parents get the big picture and practical steps for home. Read more about teen therapy and parenting support.
Yes. Many families start with parent coaching alone. Changing how the adults respond often shifts things at home, and a teen who sees a parent doing their own work is far more willing to try. When they are ready, the free 15-minute call lets them meet me with no commitment.
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 individual, teen or parent-coaching session; $280 for couples, family and EMDR sessions. I don’t bill insurance; my practice is private pay, and I provide a superbill for possible out-of-network reimbursement. 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.