Patrick O'Leary, LMFT

California · 41 years in practice

Patrick O'Leary is a California-based licensed marriage and family therapist with 41 years of clinical experience.

License and registration

LMFT, California: 27408 · expires March 2026
NPI: 1538209572 · national provider identifier
Years in practice: 41
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Patrick

Patrick O'Leary is a California-based licensed marriage and family therapist with 41 years of clinical experience. He focuses on helping people navigate difficult life changes, relationship strain, and struggles with mood and addiction. Patrick aims to make therapy straightforward and practical for people feeling overwhelmed or stuck.

He draws on Systemic Therapy to look at patterns in relationships and family life. He also uses Client-Centered approaches to create a respectful, non-judgmental space where clients guide what matters most to them.

Background and approach

Cognitive Behavioral Therapy ideas are used to tackle unhelpful thoughts and build new coping habits. Patrick works with a wide range of concerns including anxiety, depression, bipolar struggles, grief, trauma and abuse, and problems with substance use. He also supports people facing parenting stress, career transitions, eating issues, and compassion fatigue.

Common themes he addresses are communication problems, codependency, control issues, and attachment difficulties. Sessions focus on clear goals and practical steps. Patrick helps people notice recurring patterns, try small changes, and track progress between meetings.

He prefers simple language and concrete techniques that fit everyday life. People who come to him often want a steady, experienced presence and straightforward tools for coping. Patrick provides thoughtful guidance and attention to the whole context around a person’s struggles, rather than treating issues in isolation.

Focus areas and approaches

Everything Patrick lists on their public professional profile, in their own terms.

Addictions
Relationship issues
Intimacy-related issues
Stress, Anxiety
Family conflicts
Trauma and abuse
Grief
Eating disorders
Parenting issues
Anger management
Self esteem
Career difficulties
Bipolar disorder
Depression
Coping with life changes
Compassion fatigue
ADHD
Attachment issues
Cancer
Codependency
Communication problems
Control issues
Coping with natural or human-caused disaster
Divorce and separation
Drug and alcohol addiction
Family problems
Fatherhood issues
First responder issues
Forgiveness
Guilt and shame
Midlife crisis
Mood disorders
Post-traumatic stress
Seasonal Affective Disorder (SAD)
Self-love
Sex addiction
Workplace issues
Young adult issues

Approaches Patrick names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How therapeutic approaches work online

Patrick uses a few complementary approaches that translate well to online work. Systemic Therapy focuses on patterns between people and how those patterns affect daily life; online sessions let clients describe interactions and try new ways of relating between meetings. Client-Centered Therapy centers the client's priorities and experience, giving space for the person to lead the conversation while the therapist follows and reflects back what matters. Cognitive Behavioral Therapy (CBT) targets specific thoughts and behaviors and breaks them into manageable steps to practice between sessions.

Finding the right approach is part of the process. Patrick will collaborate with each person to choose methods that match their goals, needs, and preferences. He checks in regularly and adjusts techniques so they fit the client’s pace and situation.

Online therapy offers practical benefits like scheduling flexibility and easier access from different locations. Video calls allow face-to-face interaction, phone sessions work well when bandwidth is limited, live chat can suit short check-ins, and text-based messaging supports ongoing reflection between meetings. These options make it easier to keep therapy consistent around work, parenting, or other commitments.

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Questions people ask

What kinds of problems does Patrick help with?

He works with many concerns including addictions, relationship and intimacy issues, anxiety, depression, grief, trauma and family problems.

How would you describe his therapy style?

Sessions combine a systemic view of relationships with client-centered listening and practical CBT techniques to build new coping skills.

How much experience does he have?

Patrick has 41 years of clinical experience working with a broad set of emotional and life-transition concerns.

What are his credentials and where is he based?

He is a California LMFT and practices in California.

Are sessions available in other languages or internationally?

Sessions are offered in English and he does not accept international clients.

What session formats does he offer?

Sessions can be held by video calls, phone sessions, live chat, or text-based messaging.

How does pricing work for sessions?

Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time.

How do I begin working with him?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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