About David
David Pecoraro is a licensed marriage and family therapist (LMFT) with 37 years of clinical experience. He helps people who are anxious, stressed, or dealing with relationship and family problems. He works with individuals and couples on addictions, mood concerns, trauma, and communication problems.
He focuses on practical ways to reduce anxiety and improve day-to-day coping. In sessions he helps people spot patterns that keep problems going and then try different, concrete skills to change them.
Background and approach
Many clients come for help with parenting strain, intimacy concerns, or managing anger. David uses a mix of approaches so treatment fits the person and the issue. He draws on Cognitive Behavioral Therapy to identify unhelpful thoughts and behaviors.
He incorporates the Gottman Method when couples want to repair communication and rebuild trust. He also brings a psychodynamic perspective to understand how past relationships and family history shape current choices. That background helps when issues tie to family of origin, attachment, or long-standing relationship patterns.
Treatment plans are made together and adjusted as goals change. David practices in California and offers video calls, phone sessions, live chat, and text-based messaging. Sessions can address addictions, depression, bipolar symptoms, coping with major life changes, and a range of intimacy and commitment issues.
Approaches that translate well to online therapy
David often uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and try new behaviors. CBT sessions are goal-oriented and work well over video or phone when people want concrete tools to manage anxiety or mood symptoms.He also uses the Gottman Method to help couples improve communication and repair trust. Gottman techniques involve specific exercises and guided conversations that can be practiced during video appointments and supported through follow-up messaging.
Finding the right approach is part of the work. He collaborates with each person to choose or combine methods based on their goals, history, and what feels most useful. That process may shift as progress is made and needs change.
Online sessions offer practical flexibility. Video calls let therapists observe interactions and body language, phone sessions are useful when bandwidth is limited, live chat supports brief check-ins, and text-based messaging helps keep momentum between meetings. These options make it easier to fit therapy into work, parenting, or recovery schedules while using methods that match the problem at hand.
Questions people ask
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What this therapist works with
Most often
- Addictions
- Relationship issues
- Family conflicts
Also listed
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Codependency
- Commitment issues
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Impulsivity
- Infidelity
- Intimacy-related issues
- Jealousy
- Life purpose
- Men's issues
- Mood disorders
- Parenting issues
- Self esteem
- Stress, Anxiety
- Trauma and abuse
Therapeutic approaches
- Experience
- 37 years
- Licensed
- California
- Languages
- English
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