Macarena Santelices
Calm practical support for family and parenting challenges
- Credentials
- MD, LCPC, LPCC
- Experience
- 14 years
- Licensed in
- California, Maryland
- Languages
- English
- Format
- Online sessions
About Macarena
Macarena Santelices is a licensed clinician with 14 years of experience. She holds an MD and is licensed as an LCPC and LPCC. She practices in California and focuses on family and parenting concerns alongside stress, anxiety, relationships, self-esteem, and coping with life changes.
She treats practical problems in straightforward language. Sessions concentrate on what is happening now and on small steps a person can try between meetings. The therapist encourages clients to use their existing strengths while working toward clear goals.
Background and approach
She emphasizes meeting people where they are without judgment. Her approach blends methods from Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness practices. That means sessions often include learning new skills for emotion regulation, identifying unhelpful thought patterns, and practicing present-moment awareness.
These tools are used to address mood concerns, communication problems, and parenting stresses. Macarena aims to create a collaborative space. She works with each client to decide which techniques to try and adjusts plans based on what helps.
Progress tends to be practical and measurable, focusing on coping strategies and clearer communication within family life. She asks people to take the first step when ready. New clients complete a short matching questionnaire and schedule sessions according to therapist availability.
Sessions can include video calls, phone sessions, live chat, or text-based messaging.
Evidence-Based Approaches Through Online Care
Macarena uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and test small behavior changes. CBT is useful for anxiety, low mood, and patterns that get in the way of daily life.She also uses Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and clearer communication. DBT techniques can be helpful when feelings feel overwhelming or when relationships are strained.
Choosing the right approach is collaborative. The therapist will talk with each person about goals, preferences, and what feels most useful. Together they decide whether to focus on thought work, DBT skills, mindfulness exercises, or a mix of techniques.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging. These formats make it easier to fit help into busy family schedules and to practice skills between meetings. The variety of options supports flexible scheduling and ongoing contact in ways that suit different routines and needs.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Mindfulness Therapy
Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also works with
- Abandonment
- Attachment issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Communication problems
- Coping with life changes
- Depression
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Parenting issues
- Self esteem
- Self-love
- Sexuality
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 14 years
- Licensed
- California, Maryland
- Languages
- English
Next step
Talk to Macarena
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point