About Octavia
Octavia Macklin is a licensed marriage and family therapist (LMFT) based in California. She has three years of clinical experience and more than a decade of background in addiction recovery. Octavia focuses on anxiety along with relationship strain, self-esteem, depression, and major life changes.
Her style is direct and down-to-earth. She favors honest conversation and real-world exercises that help people practice new habits between sessions. The goal is to make progress feel useful and achievable rather than abstract.
Background and approach
Octavia mixes several approaches to match each person’s needs. She draws from cognitive behavioral techniques to address thinking patterns and from psychodynamic ideas to look at how past experiences shape current behavior. Motivational interviewing helps when people want to strengthen their drive for change.
She aims to build a respectful, nonjudgmental space where someone can talk through hard topics. Octavia treats clients as partners in the process and focuses on practical steps toward clearer goals. Sessions often include focused conversation, experiments to try outside sessions, and planning for next steps.
People often reach out for help with addiction recovery, grief, trauma, intimacy issues, career concerns, and stress. Octavia also supports those working through attachment issues, body image, codependency, gender dysphoria, and questions around kink and alternative sex culture. She helps people move from feeling stuck to making manageable changes.
Approaches you can use online
Existential Therapy looks at meaning and values in everyday life and helps people facing emptiness, life transitions, and big questions about purpose. It encourages honest reflection and practical choices about how to live more deliberately.Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and trying different behaviors to reduce anxiety and depression. It typically includes short exercises and homework to practice new ways of thinking and acting between sessions.
Motivational Interviewing helps people who feel stuck or unsure about change by strengthening their own reasons for moving forward. It uses guided conversation to increase motivation and set achievable steps toward goals.
Finding the right mix of approaches is part of the process. The therapist will work with each person to decide which methods fit their needs, goals, and preferences. That collaboration helps shape session pace and focus over time.
Online formats available include video calls, phone sessions, live chat, and text-based messaging. Video calls let you use visual cues and interactive exercises. Phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and text messaging are useful for short updates, coaching-style check-ins, or when written reflection feels most comfortable. These options make therapy more flexible and can fit into busy schedules.
Questions people ask
What kinds of concerns does this therapist help with?
How would you describe the therapy style here?
What is her clinical and professional background?
Where is the therapist located and licensed?
Which languages are supported for sessions?
What session formats are available online?
How are costs and payments handled?
How do I begin working with this therapist?
What this therapist works with
Most often
- Addictions
- Relationship issues
- Self esteem
Also listed
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Body image
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
Therapeutic approaches
- Experience
- 3 years
- Licensed
- California
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.