Currently accepting patients at our new location in Mission Valley, San Diego


Carl H Gregory LMFT
San Diego Psychotherapy & Counseling | Individual & Couples Therapy
As a Licensed Marriage and Family Therapist in San Diego, I provide evidence-based psychotherapy for adults, first responders, and military personnel. Specializing in neuropsychotherapy, I help people navigate trauma, chronic stress, and identity disruption through proven behavioral modification and pattern-breaking strategies.
My Methods

EMDR Therapy in San Diego for Trauma & PTSD
Reprocess painful memories and find relief from chronic stress
Eye Movement Desensitization and Reprocessing (EMDR) is a powerful, evidence-based therapy designed to help you move past the "stuck" points of your history. As an EMDR therapist in San Diego, I help clients reprocess:
PTSD and Complex Trauma: Healing from critical incidents and distressing incidents.
Anxiety & Emotional Reactivity: Calming the nervous system responses that trigger
"fight or flight."
Addiction & Dissociation: Addressing the underlying trauma that drives addictive behaviors.
CPT for PTSD
Cognitive Processing Therapy in San Diego
Identify and challenge the stuck beliefs keeping you in the past
Cognitive Processing Therapy (CPT) is a leading evidence-based trauma treatment for PTSD. As a trauma therapist in San Diego, I use CPT to help clients navigate the guilt, shame, and self-blame that often follow traumatic events. The goal of CPT is not to erase your history, but to help you reclaim your life and stop letting past trauma dictate your future.
Couples Therapy & Marriage Counseling in San Diego
Break the cycle of conflict and rebuild your connection.
Effective relationship counseling requires more than just "venting" it requires a roadmap. As a San Diego couples therapist, I use a direct, structured approach informed by Gottman Method training to help partners:
Improve Communication: Move away from blame and defensiveness.
Rebuild Trust: Address deep-seated patterns that damage the relationship.
Manage Conflict: Transition from shutdown and repeated cycles to productive dialogue and understanding.
Neuropsychotherapy in San Diego
Science-Based Healing
Understanding your brain to change your behavior.
Neuropsychotherapy-informed treatment explores the intersection of the brain, nervous system, and emotions. As a San Diego therapist, I help you understand how your biology influences your reactions. By focusing on the "why" behind your nervous system responses, we can effectively regulate stress, break deep-seated behavioral patterns, and create lasting change that extends far beyond the therapy room.


Why work with me?
This work is about more than "feeling understood." While empathy is the foundation, it is not the finish line. This is about facing what is real, deconstructing the survival strategies that no longer serve you, and creating meaningful, lasting change from the inside out. If you are ready to stop managing symptoms and start addressing the source, let’s get to work.
A Different Kind of Clinical Partnership
I am not your typical therapist. I am not here to help you gain superficial insights or collect a list of "coping skills" that look good on paper but never get applied. If you are looking for a space to stay emotionally comfortable while your life remains unchanged, we are likely not a good fit.
I focus on the patterns that are actually costing you: your peace of mind, your relationships, and your sense of self. My approach is direct, trauma-informed, and evidence-based, forged by years of clinical expertise and a professional background in high-stakes crisis response. I understand the weight of functioning under pressure because I’ve operated in those environments myself.
Who I Work Best With
I work with individuals who are tired of "performing stability." You’ve spent years keeping it together on the outside while redlining on the inside, and you’re finished with surface-level therapy that doesn't move the needle. I work with people who are ready to get honest about the mechanics driving their distress:
The Trauma Responses that feel like they’ve taken the wheel.
The Survival Roles that kept you safe in the field but are now sabotaging your home life.
The Emotional Shutdown that has become your default setting.
I focus on the patterns that are actually costing you: your peace of mind, your relationships, and your sense of self. My approach is direct, trauma-informed, and evidence-based, forged by years of clinical expertise and a professional background in high-stakes crisis response. I understand the weight of functioning under pressure because I’ve operated in those environments myself.
Real Change Over Theoretical Insight
My approach
No single modality works for every person, every nervous system, or every type of trauma. Some clients need structure and cognitive processing. Others need trauma reprocessing, nervous system stabilization, behavioral intervention, emotional regulation work, or identity reconstruction after years of survival-based adaptation.
My work is integrative and fluid, meaning I combine evidence-based approaches tailored to clinical needs rather than forcing clients into a rigid model.

"Carl is straight to the point, genuinely funny, and full of fresh perspectives. His distinct, open-minded style cuts through the noise and gets clients to their goals, with a few good laughs along the way.”
- Alexa LCSW
“Carl provides structured evidence-based trauma care for high performing individuals and couples Carl has strong skill in addressing stress, relational patterns, and trauma with clarity precision and clinical effectiveness.“
— Kathryn, LMFT, CCM, CCFP
TESTIMONIALS
Take the next step
If you are ready to stop performing the same patterns and start confronting what is actually driving them, I invite you to reach out for a free consultation. Therapy is not weakness; it is a decision to take your life, your relationships, and your mental health seriously.
I work with adult individuals, couples, first responders, and military personnel who may look steady on the outside but are carrying stress, trauma, disconnection, anxiety, depression, or patterns that keep repeating. My approach is direct, structured, and evidence-based, using EMDR, CPT, trauma-focused therapy, couples work, and Neuropsychotherapy to help you understand the nervous system, process what has been stuck, and build real change.
Whether you are dealing with complex trauma, PTSD, relationship strain, professional pressure, anxiety, depression, or the cost of always having to hold it together, you do not have to keep carrying it the same way.

Have any questions?
If you have any questions about the therapies, feel free to contact me.
Tools for wellbeing
BLOG
My Office
4025 Camino Del Rio South, Ste 300,
San Diego, CA 92108
Carl H Gregory, LMFT
© Copyright 2026 Carl H Gregory Therapy