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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

S. Giovanna Carr, MFT
Licensed Marriage & Family Therapist #99196 (Telehealth Video Sessions Only)
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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.
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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.
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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.

Ianne Nahiely Castro, LPCC
Licensed Professional Clinical Counselor #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!

Victoria Sarmiento, MFT
Licensed Marriage & Family Therapist #80843 (Telehealth Video Sessions Only)
Victoria Sarmiento is a bilingual Licensed Marriage and Family Therapist with over 17 years of experience working with adults, children, adolescents and families. Some of the areas she has focused on treating including ADHD, Anxiety, Autism Spectrum Disorder, Depression, trauma, relationship loss, family planning/pregnancy/post-partum, (in)fertility journey, same-sex relationships and significant life transitions. 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. Her fourteen year career with SDUSD has generated vast experience working in the special education system and supporting students with co-occurring disorders. Victoria began working at Positive Change Counseling Center in July of 2020 as a part time clinician focusing her skill set and enhancing her career by working solely with adult individuals and couples. Her passion for psychotherapy has grown over the course of her career and inspires her to explore the latest techniques and interventions in an effort to support her clients. Each work environment has 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 warm, attentive, attune and goal-oriented therapist. She values the importance of creating a safe environment where individuals can fully express themselves, identify their needs and wants, create the change they are seeking and experience being seen and heard. 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, Solution- Focused Therapy, the Gottman Approach, Emotion Focused Therapy and Imago Therapy.