- Stress and anxiety
- Relationship patterns
- Family of origin
About Paula
Paula Rosenfeld is a California-licensed Marriage and Family Therapist (LMFT) with 29 years of clinical experience. She works with adults dealing with stress, anxiety, relationship strain, trauma and abuse, mood concerns including bipolar disorder, and life transitions.
Paula helps people who notice patterns from their family of origin affecting their current relationships. She talks through attachment issues, feelings of emptiness, shame and guilt, and challenges such as abandonment or blended family tensions. Practical problems like communication breakdowns, caregiver stress, and managing the fallout of divorce are also within her focus.
Her style centers on a client-centered, affirming way of working. Sessions tend to focus on building clearer communication, identifying recurring roles people play in relationships, and developing coping skills for anxiety and panic. Paula supports clients exploring forgiveness, self-acceptance, and changing long-standing emotional patterns.
She also offers care for people facing aging and geriatric questions, hoarding concerns, dissociation, and fatherhood issues. Paula is explicit that she provides a secular, progressive perspective and welcomes LGBTQ+ individuals and older adults.
Paula draws on evidence-based therapeutic techniques to guide sessions while collaborating with each person on realistic goals. To start, she asks about current struggles, relevant family history, and immediate coping needs so work can be practical and focused.
How her approaches translate to online work
Paula uses evidence-based therapeutic techniques that focus on understanding current behavior and relationship patterns. One common approach she uses helps identify attachment styles and how early family roles affect adult relationships; this involves talking through examples from daily life and practicing new ways to communicate. Another technique focuses on anxiety and stress management with practical skills such as breathing, grounding, and step-by-step exposure to situations that cause panic or avoidance.Finding the right approach is part of the work. Paula collaborates with each person to figure out which methods fit their goals and preferences, and she adjusts plans as progress is made. That means discussing what feels helpful, trying specific tools in sessions, and checking in about how things are going between meetings.
If you are considering remote sessions, confirm which formats are currently offered before booking. Online therapy can make it easier to fit sessions into busy schedules, allow shorter check-ins when needed, and let conversations happen from a location that reduces travel time. Discussing format options early helps match session length and style to practical needs and therapy goals.
Areas of expertise
Primary focus
Additional focus areas
Experience
29+ years
Listed in
California
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, relationship strain, trauma and abuse, bipolar mood concerns, and coping with life changes including divorce and caregiving stress.
What is her therapeutic approach like?
She uses a client-centered, affirming approach and evidence-based techniques to address attachment patterns, communication, and anxiety symptoms.
How much experience does she have?
She has 29 years of clinical experience working with adults on relationship and emotional concerns.
Where is she licensed and based?
She is a California LMFT and practices in California.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She is not accepting international clients at this time.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time; specific rates should be confirmed before booking.
How do I begin working with her?
Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.