PuttingFamilyFirst

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MC Portrait of Maria Cusimano-Carl
Online therapist

Maria Cusimano-Carl

Practical, experienced therapy for family and parenting needs

Credentials
LMFT
Experience
22 years
Licensed in
California
Languages
English
Format
Online sessions

About Maria

Maria Cusimano-Carl is a licensed marriage and family therapist with over two decades of clinical experience. She has provided counseling in California since 2003 and works with adults age 18 and older. Her practice focuses on family and parenting concerns alongside issues such as stress, anxiety, relationships, self esteem, and depression.

Maria keeps sessions straightforward and practical. She listens first, then helps clients identify small, concrete steps they can try between sessions.

Background and approach

She draws on several approaches to match what feels right for each person rather than following one fixed method. Over 22 years in practice, Maria has worked with people affected by addiction recovery, separation and divorce, and complex family histories. She also addresses attachment concerns, adoption and foster care questions, and caregiver stress.

Her background includes leading groups on relapse prevention and on rebuilding trust after recovery. Her training includes internal family systems ideas and a mix of cognitive and behavioral methods. She blends these with a psychodynamic view when exploring long-standing patterns and with motivational interviewing to support change.

Sessions are offered in English and are available by video call, phone, live chat, or text-based messaging. Fees vary by location and availability and use a subscription that can be canceled at any time.

How therapeutic approaches translate to online care

Client-Centered Therapy focuses on understanding each person without judgment and helping them find their own solutions. It is useful when someone needs space to talk through parenting stress, relationship worries, or feelings of low self worth.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and behaviors and teaches practical skills to change patterns. It often helps with anxiety, depression, and everyday stress by offering concrete tools to try between sessions.

Dialectical Behavior Therapy, or DBT, emphasizes emotional regulation and clear communication skills. It can be helpful for managing strong emotions and improving how people handle conflict and stress.

Finding the right approach is part of the work together. Maria will discuss these methods and tailor them to a client's needs, goals, and preferences so therapy fits the person's life and parenting role. The choice is collaborative and can shift as progress is made.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy easier to fit into a busy schedule. These formats allow parents and adults to meet from home, try short check-ins by message, or use phone or video when deeper conversation is needed. The variety supports flexibility while maintaining the ongoing relationship with a licensed professional.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

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.

Frequently asked questions

What kinds of concerns does she address?
She works with stress, anxiety, relationship and family issues, self esteem, and depression. Additional focuses include adoption and foster care, attachment issues, caregiver stress, substance recovery topics, and fertility concerns.
What is her therapy style like?
Sessions are practical and down-to-earth. Maria listens, helps set clear goals, and suggests small steps clients can try between sessions.
How long has she been practicing?
She has 22 years of experience and has been licensed in California since 2003.
What credential does she hold and where does she practice?
She is a Licensed Marriage and Family Therapist - CA LMFT 39420 and practices in California.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the U.S. work with her?
She does not accept international clients at this time.
What session formats are available?
Sessions may be scheduled as video calls, phone sessions, live chat, or text-based messaging.
How is cost handled and how do I begin?
Fees vary with location and therapist availability and use a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Next step

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