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In recent years, the landscape of mental health care has undergone a profound transformation with the emergence of telehealth therapy. Fueled by technological advancements and a growing recognition of the importance of mental well-being, telehealth therapy has forever changed the way individuals' access and engage with mental health services.

What is Telehealth Therapy?

Telehealth therapy, sometimes referred to as telehealth video therapy, is a modern approach to mental health care. Telehealth therapy leverages telecommunication technology to facilitate therapeutic interactions between clients and mental health professionals. All of the therapists at Positive Change Counseling Center are able to provide telehealth sessions for their clients. The following therapists ONLY provide telehealth sessions and do not offer in-person sessions.
*Clients must physically be in the state of CA during telehealth session*

Telehealth Therapist

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Sarah Kouzi, MFT

MFT #145518 (Telehealth Video Sessions Only)

Sarah Kouzi is a Licensed Marriage and Family Therapist who is very passionate about serving the community. Especially given her cultural background as the daughter of Lebanese immigrants, she is interested in making mental health services more accessible and catered towards diverse cultural backgrounds. Sarah also speaks Arabic fluently and has experience conducting therapy in Arabic. 


In 2018, Sarah graduated from UC San Diego with a Bachelor’s degree in Clinical psychology, where she was involved in some research in anxiety and eating disorder labs. Sarah then completed her Master’s degree in Marriage and Family Therapy at San Diego State University in 2021. Since then, Sarah has worked with children, adolescents, young adults, parents, and families in various therapeutic contexts, including domestic violence, abuse, mood disorders such as anxiety and depression, family conflicts, parenting challenges and life transitions. 


Sarah views mental health struggles via relationships: our relationships with ourselves, our families, our social circles, our cultural worlds, and our contexts. She believes that relationships have an impact on the stories we tell about ourselves and the identities we create from them, all of which impact our well-being. Sarah takes a collaborative and client-centered approach in therapy, where she enjoys working with clients to help them sort out the pieces, support them through the struggle, and help them find their own strength and resiliency to lift themselves up. Sarah views her clients as experts of their own lives, and herself as a collaborator, like a supportive co-pilot on the journey. She takes her client’s lead and supports them in whatever way they believe to be helpful. She works with their strengths, while also gently offering  tools and strategies. Sarah’s therapeutic approach is informed by Narrative therapy, Solution-Focused therapy, trauma informed practices, and mindfulness strategies.


Kelly Pacheco-Gagner, APCC

Registered APCC #5939 (Supervised by Jennifer Haggerty, MFT #99313, Telehealth Video Sessions Only)

Kelly is an Associate Clinical Counselor and a San Diego native who adventured around living in different states before returning home to California to become a counselor. She completed her undergraduate degree from the University of California, Irvine in Psychology and Social Behavior, and her Masters in Clinical Mental Health Counseling from Capella University. Kelly prefers to create a specialized treatment approach to work with each person holistically to address their mental and behavioral health which creates valuable opportunities for growth in individual, couples and family therapy.


 Kelly utilizes an eclectic methodology to provide mental/behavioral health counseling through the art of trauma-informed and empathetic relationship building, information gathering, goal setting and treatment planning. She will incorporate integrative aspects of Cognitive Behavioral, Solution Focused, Dialectical Behavioral, Adlerian and Existential theories and their interventions. Kelly has experience working with individuals from a vast variety of multicultural backgrounds including those from indigenous cultures, individuals suffering from PTSD, substance abuse, victims of abuse, eating disorders, co-occurring disorders, life stage transitions or many others in residential, partial hospitalization, intensive outpatient patient settings.


Kelly enjoys helping clients by striving to understand their unique process and creating innovative ways to connect with clients enabling them to take initiative for growth and healing towards positive outcomes thus allowing healing to occur at your own pace. 


Cassie Weinhold, MFT

MFT # 139716 (CA) and #4733-R (NV) (Telehealth Video Sessions Only)

Cassie is a Licensed Marriage and Family Therapist who understands that the therapeutic relationship is essential for one to reflect, explore and heal themselves within the therapeutic space. By utilizing mindfulness skills, breathwork and behavioral activation, Cassie creates a safe place to help you navigate the mind/body connection to make more mindful decisions in your life. She uses evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing (MI), Acceptance and Commitment Therapy (ACT), and Family Systems Theories while integrating holistic and strength-based principles to facilitate change.


Cassie obtained her Bachelor's Degree in Psychology from San Diego State University and went on to receive her Master of Arts in Clinical Psychology, specializing in Marriage and Family Therapy from The Chicago School of Professional Psychology. She has implemented her approach in an array of settings including inpatient psychiatric hospital, outpatient services, individual/group work and in-home services. Her clinical interests include working with individuals, couples/families and children and strives to work alongside you in the ebbs and flows of life's uncertainties, challenges and accomplishments.


Ianne Nahiely Castro, LPCC

LPCC #15103 (Telehealth Video Sessions Only)

Ianne Nayeli is a Licensed Professional Clinical Counselor who is bilingual in English and Spanish. Ianne Nayeli has experience working with children, adolescents and adults, and utilizes a client-centered, trauma-informed lens, cultural humility, and a strength-based approach to collaborate with clients to help them meet their mental health goals. She utilizes multiple evidence-based approaches, such as cognitive behavioral therapy, motivational interviewing, narrative therapy, play therapy, and art-based approaches.


Ianne Nayeli is passionate about helping clients to explore their attachment styles, love languages, cultural and generational components, and family dynamics to gain insight on their relationship with themselves and others. She helps clients to manage their symptoms of anxiety, depression, trauma, self-esteem, and stress, and to navigate adjustments, transitions, and parenting concerns. Additionally, she likes to provide structure during sessions, assign homework that is relevant to the client’s goals as needed, and also encourages clients to 'go with the flow'. She received her Bachelor of Science degree in Child Development, and Master of Science degree in Child Development with an emphasis in early childhood mental health. Ianne Nayeli is ready to support you in your journey to wellness at any stage in your life!

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Victoria Sarmiento, MFT

MFT #80843 (Telehealth Video Sessions Only)

Victoria Sarmiento is a bilingual Licensed Marriage and Family Therapist with over 12 years of experience working with adults, children, adolescents and families with ADHD, Anxiety, High Functioning Autism Spectrum Disorder, Depression, Trauma and related diagnoses.

Victoria received her Bachelor’s Degree in Psychology from Boston University and her Master’s Degree in Marriage and Family Therapy from the University of San Diego.


Victoria began her career working for a non-profit organization that serves adult survivors of sexual assault, sexual abuse and domestic violence. After several years she transitioned her career to serving children, youth and their families inside the educational system working for San Diego Unified School District. Over the past four years Victoria has focused on working with adolescents in the high school setting and adolescents with high-functioning Autism in a specialized school setting. Each work location provided Victoria with an opportunity to work with diverse populations from a variety of socio-economic, religious, sexual orientation, gender identity, cultural and ethnic backgrounds.


Victoria is often described as a welcoming, kind, attentive and attune therapist. She values the importance of creating a warm and safe environment for individuals to focus on themselves and address the issues that bring them to therapy.  She utilizes a strength-based approach and works closely with clients to identify what they do well and help them identify the answers they are looking for from within. Victoria has extensive training and experience utilizing a variety of therapeutic modalities including Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT (TF-CBT), Prolonged Exposure, Relaxation Therapy, Mindfulness, Motivational Interviewing, Play Therapy, Solution-Focused Therapy, and Imago Therapy. She is also a certified Youth Mental Health First Aid trainer.


S. Giovanna Carr, MFT

MFT #99196 (Telehealth Video Sessions Only)

Giovanna is a Licensed Marriage and Family Therapist who offers a supportive and trauma informed approach and is excited to work with clients in need. Giovanna has experience treating individuals, couples and families living with chronic illness, Trauma and Stress Disorders, Depressive Disorders, Anxiety Disorders, Adjustment Disorders, relationship issues and mood disorders.

Giovanna completed her Bachelors degree in Communication Arts from Regis University, her Master’s Degree in Sociology from Humboldt State University and her Master’s Degree in Psychology from Chapman University. After completing her Masters degree in Sociology, Giovanna worked in skilled nursing for over 10 years, helping clients adjust to and deal with grief and loss, as well as, adjustment issues associated with physical and mental health. After completing her Masters degree in Psychology, Giovanna has worked to assure that each of her clients has received the care that they need. Giovanna has experience working with individuals with varying mental health concerns, including chronic long-term health issues. 

Giovanna is trained in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Narrative Therapy, Motivational Interviewing and Solution Focused Therapy. Giovanna believes in a strength-based approach that is holistic, eclectic and guided by the individual needs of the client.

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