Maria Cusimano-Carl, LMFT

Maria Cusimano-Carl is a Licensed Marriage and Family Therapist (LMFT) practicing in California who brings two decades of clinical experience to her work with adults and families. She has been licensed in the state of California since 2003 and has developed a practice that includes both individual and family-focused care. Her clinical background includes leading groups on relapse prevention and on rebuilding trust in relationships after recovery, and she has worked with families and individuals affected by these concerns.

Maria also has training in Internal Family Systems theory and practice, which informs her work alongside other therapeutic methods. She currently sees clients ages 18 and older and draws on her LMFT training to address issues such as stress, anxiety, relationship and family challenges, self-esteem, and depression. Her approach integrates group and individual experience to help clients navigate change, repair relationships, and manage recovery-related challenges.

Throughout her career Maria has supported people in building practical skills, improving communication within families, and exploring patterns that affect emotional well-being. Her practice emphasizes thoughtful collaboration with adults seeking therapy in California.

Therapeutic Approaches and Online Care

Maria uses client-centered therapy to create a supportive, nonjudgmental space where the client's own goals and values guide the work. This approach helps people feel heard and empowered while addressing issues such as relationship concerns, low self-esteem, and life transitions.

She also draws on Cognitive Behavioral Therapy (CBT), which focuses on identifying and changing unhelpful thoughts and behaviors. CBT is often used to reduce symptoms of anxiety and depression and to teach practical coping skills for stress and everyday challenges.

Dialectical Behavior Therapy (DBT) is another tool in her practice when clients need help with emotional regulation, distress tolerance, and improving interpersonal effectiveness. DBT offers concrete skills that can be useful for managing strong emotions and improving communication in relationships.

Finding the right approach is part of the therapeutic process, and Maria works collaboratively with each client to determine which methods best fit their needs, goals, and preferences. She tailors interventions over time so the work remains responsive and practical.

Online therapy with Maria is offered via video calls, phone sessions, live chat, or text-based messaging, providing flexibility for busy schedules, limited mobility, or geographic distance. These options make it easier to access consistent care while fitting therapy into everyday life.