About Louis
Dr. Louis Buchhold is a licensed marriage and family therapist with more than two decades of clinical experience in California. He holds a doctorate in counseling psychology and brings practical, down-to-earth help to people feeling overwhelmed by anxiety, stress, grief, or recovery from addiction.
He identifies as a gay cisgender man and uses that life experience to inform a respectful, nonjudgmental approach. He draws on a variety of methods to meet each person's needs.
Background and approach
Sessions often include conversational work, brief goal-focused exercises, and creative techniques such as art and play. He describes his overall stance as existential - helping people find meaning and direction - while also using cognitive behavioral tools to change unhelpful thoughts and behaviors. People come for help with relationships, intimacy questions, sexual concerns, LGBT issues, chronic health challenges, and social anxiety.
He also works with concerns such as codependency, process addictions, and issues tied to aging or long-term illness. His practice includes work around trauma, grief, and low self-esteem. Dr.
Buchhold favors practical assignments between sessions. These are tailored to the person and often aim to build skills, test new behaviors, or clarify values. He emphasizes collaboration and treats the person as the expert in their life while offering guidance and structure.
Sessions are available via a range of online formats. Prospective clients complete a short matching questionnaire to get started and then schedule according to availability.
How therapy approaches translate to online care
Client-Centered Therapy focuses on listening, acceptance, and helping the person clarify their own goals. It can be useful for people who want a supportive space to understand feelings and make choices. Cognitive Behavioral Therapy, or CBT, helps identify unhelpful thinking patterns and then tests changes through practical exercises. CBT is often used for anxiety, depression, and habit-related difficulties.Choosing an approach is a collaborative process. The therapist will talk with the person about goals, preferences, and what feels most helpful. Together they decide whether to use conversational, CBT-style tasks, or creative and experiential exercises, and will adjust as the work progresses.
Online therapy here is offered through video calls, phone sessions, live chat, and text-based messaging. Video is helpful for in-depth conversations and interactive exercises. Phone sessions can be a simpler option when bandwidth is limited. Live chat and text messaging work well for quick check-ins, short reflections, or ongoing support between sessions. These options make it easier to fit therapy into a busy life and to continue work even when in-person visits aren’t convenient.
Questions people ask
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What this therapist works with
Most often
Also listed
- Aging and geriatric issues
- BDSM, kink, and alternative sex culture
- Chronic pain, illness, and disability
- Codependency
- Depression
- Drug and alcohol addiction
- Forgiveness
- Grief
- HIV / AIDS
- Intimacy-related issues
- Isolation / loneliness
- Men's issues
- Polyamory / non-monogamous relationships
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sex addiction
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
Therapeutic approaches
- Experience
- 22 years
- Licensed
- California
- Languages
- English
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