About Patrick
Patrick O'Leary is a Licensed Marriage and Family Therapist (LMFT) practicing in California with 41 years of clinical experience. He focuses on helping people navigate difficult changes and painful emotions. He works with common problems like addiction, anxiety, depression, and relationship and intimacy concerns.
Patrick keeps things straightforward in sessions. He listens closely to each person's story and helps them identify what gets in the way of feeling better. He uses practical strategies to manage stress, cope with grief, and reduce anger, while also attending to underlying patterns such as attachment or codependency.
How Patrick works
People see him for a wide range of issues including parenting stress, career setbacks, mood disorders, bipolar disorder, and challenges after separation or loss. He also supports those facing trauma and abuse, compassion fatigue, first responder stress, and the ripple effects of medical issues like cancer.
His approach blends client-centered care with techniques drawn from cognitive behavioral therapy, mindfulness, narrative work, and solution-focused methods. That mix lets him tailor sessions to the problem at hand - sometimes focusing on skills, sometimes on changing the story a person tells about themselves. Sessions aim to improve communication, increase self-esteem, and develop healthier coping tools.
Patrick helps people set realistic goals and practice new ways of responding. The overall goal is clearer thinking, fewer destructive reactions, and stronger relationships.
Patrick lists 6 ways of working on the entry:
What Patrick works with
The areas below are the ones Patrick selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Addictions
- Relationship issues
- Intimacy-related issues
Also listed
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Cancer
- Career difficulties
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Midlife crisis
- Mood disorders
- Parenting issues
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Stress, Anxiety
- Trauma and abuse
- Workplace issues
- Young adult issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 41 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | California |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online care
Client-Centered Therapy focuses on listening and understanding each person's experience, helping them feel heard and supported while they explore goals and choices. Cognitive Behavioral Therapy, or CBT, teaches practical skills to change unhelpful thoughts and behaviors and is useful for anxiety, depression, and mood regulation.Choosing the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and preferences. Sessions can shift over time from skills practice to deeper narrative or reflective work as needs change.
Online therapy offers flexibility with multiple formats. Video calls allow face-to-face interaction for deeper conversation and visual cues. Phone sessions can be easier when bandwidth or motion is limited. Live chat and text-based messaging work well for shorter check-ins, homework support, or when writing helps someone process thoughts. These options make it easier to fit therapy into a busy life and continue care across different settings.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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