Laura Lien-Mitobe , LMFT

Laura Lien-Mitobe is a licensed marriage and family therapist with thirty years of experience. She helps people cope with stress, anxiety, grief, relationship and family problems, eating concerns, addiction, and issues related to identity and intimacy. Her work also addresses parenting strains, career pressure, compassion fatigue, and ADHD. She practices in California and conducts sessions in English.

Laura offers a calm and respectful presence in sessions. She uses a client-centered style so people set the pace and goals. She listens for patterns that get in the way and helps clients try practical, manageable steps to change those patterns.

Her approach pulls from several methods, including Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. She also uses Attachment-Based and Emotionally-Focused ideas to understand how relationships affect feelings and choices. Techniques are chosen to fit each person rather than applied the same way to everyone.

Clients can expect direct conversation, gentle reflection, and concrete tools to practice between sessions. Laura also provides coaching for motivation and life transitions when that is helpful. She has worked with many different lifestyles and cultural backgrounds over her career.

For people facing loss, caregiving stress, or the special strain of helping professions, Laura brings particular attention to compassion fatigue and pet loss. She encourages small experiments and steady progress toward clearer values and more manageable daily routines.

Approaches you can use in online sessions

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to you and taking steps that match those values, even when difficult feelings show up. It helps with anxiety, depression, and life transitions by teaching flexible ways to respond to thoughts and emotions. Cognitive Behavioral Therapy (CBT) helps people notice unhelpful thinking and try different behaviors to reduce distress and improve daily functioning. It is often useful for anxiety, depression, and problem-focused goals. Attachment-Based Therapy pays attention to how past and current relationships shape how you relate to others and yourself, and it can help with intimacy, trust, and family patterns.

Finding the right approach is part of the work together. The therapist will talk with the client about goals, preferences, and what feels most useful. Then she will mix methods and try things collaboratively, adjusting over time based on what helps most.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make scheduling easier. Video is useful for face-to-face conversation and relational work. Phone sessions need less bandwidth and can fit into a work break. Live chat or text messaging can support quick check-ins and ongoing encouragement between longer appointments. These options provide flexibility so therapy can fit into busy days and different routines.