Therapy for Men & Veterans in Carlsbad, CA | Rise Beyond Symptoms
I provide therapy for men and veterans in Carlsbad, California, supporting individuals impacted by military service, leadership stress, and major life transitions. I work with veterans and military-connected men navigating trauma, emotional regulation challenges, and identity shifts shaped by years of responsibility and service. My role within the Carlsbad community is to offer grounded, evidence-based therapy that is steady, respectful, and practical.
Carlsbad offers a quieter coastal environment that often contrasts with the high structure and intensity many men carry from military or leadership backgrounds. With its family-focused neighborhoods, outdoor lifestyle, and proximity to military bases and veteran communities across North County, many men here try to adapt to a slower pace while still carrying internal pressure. This local context shapes how stress, burnout, and emotional strain surface over time.
Many men and veterans in Carlsbad struggle with lingering trauma, emotional containment, and difficulty slowing down after years of service-driven expectations. Clients often choose to work with me because I understand these patterns and provide therapy that is calm, direct, and grounded. My approach supports emotional regulation, clarity, and stability without adding more pressure or overwhelm.
Here’s what’s included
Step 1: Grounded Intake & Shared Mapping
We start with a collaborative intake session where we slow down together, map what’s happening in your body and life, and name the systems, histories, and power dynamics that have shaped how you respond. This isn’t a checkbox assessment, it’s a Freirean dialogue where your story is treated as real knowledge, not a problem to be fixed.
Step 2: Freirean Praxis Sessions (Reflection + Action)
In ongoing 1:1 sessions, we practice praxis: we reflect critically on your patterns, triggers, and environments, and then translate that insight into small, concrete actions that honor your values and your nervous system. You’ll leave each session with 1–3 grounded experiments or practices, no perfectionism, no overwhelm, just doable steps toward more dignity, choice, and ease.
Step 3: Integration, Reclaiming, and Future Alignment
As we work, we regularly pause to reflect on what’s shifting: how you’re feeling in your body, how your relationships and boundaries are changing, and what freedom looks like for you now. Together, we refine your practices, celebrate what’s working, and craft a sustainable way of living and leading that’s aligned with your values, so the transformation isn’t just a session experience, but part of your everyday life.
Explore my services
Therapy for Veterans
READ MOREVeteran therapy in Carlsbad is for service members who feel stuck in survival-mode patterns or emotional shut-down long after service ends. Many veterans carry trauma exposure, anger, anxiety, or emotional numbness while trying to maintain family life and stability in a quieter coastal setting. The pressure to stay mission-ready often continues beneath the surface.
Over time, clients often experience improved emotional-regulation and a greater sense of presence. Reactions soften, relationships feel less strained, and there is more capacity to rest without guilt. Many veterans begin to reconnect with themselves beyond constant vigilance and control.
Sessions explore how military experiences continue shaping the nervous system, emotional responses, and self-trust. Therapy is offered in-person or virtually in a steady, respectful way. For veterans seeking local support near you in Carlsbad, the focus is on relief, grounding, and sustainable change.
Speaking & Organizational Consulting
READ MOREIn Carlsbad, many organizations are growing fast and start feeling the strain between values and execution. Leaders are committed, but coordination and follow through begin to slip.
This work supports teams in slowing down enough to create shared language and realistic structures. The focus is not on motivation, but on making leadership and collaboration easier to sustain day to day.
Military Transition Counseling
READ MOREIf you are a veteran in Carlsbad, transition may look settled on the outside while feeling unfinished on the inside. You may be working, supporting a family, and handling responsibility, yet still feel ungrounded without the structure that once organized your days and decisions.
Military transition counseling helps you slow down enough to see what is actually happening beneath the surface. We begin by stabilizing daily life so stress and burnout do not keep running the show. This includes addressing routines, boundaries, and the nervous system patterns that were necessary in service but may now be draining you.
As the work deepens, we focus on identity beyond the uniform. Instead of forcing a new version of yourself, we clarify what parts of your leadership still serve you and what needs adjustment in civilian life. The goal is not to erase discipline or drive, but to apply them in ways that support balance and long term stability.
Trauma Therapy for Veterans
READ MOREFunctioning well does not mean your system is at ease. In Carlsbad, many veterans hold demanding roles at work and home while their nervous system stays tense, guarded, or shut down. Trauma often shows up as exhaustion, irritability, or a constant sense of being on edge, even when life looks stable.
Trauma therapy begins by treating those responses as meaningful information, not problems to eliminate. We start by stabilizing first so your body is not operating from constant urgency. That means working with stress patterns, sleep, and daily rhythms before asking you to go anywhere you are not ready to go.
As therapy continues, we focus on how trauma shapes everyday decisions and relationships. We look at where hypervigilance, emotional shutdown, or overfunctioning take over and how to create more flexibility in those moments. Insight is useful, but change happens when awareness turns into practical support that shows up daily.
PTSD treatment for Veterans
READ MOREIn this work, we do not treat those reactions as problems to eliminate. We treat them as information. PTSD treatment starts by helping your system feel enough safety in the present so it does not have to keep scanning, controlling, or bracing. Stability comes before exploration.
Rather than focusing only on what happened, we focus on how PTSD shapes your daily life now. How you make decisions. How you relate to authority, responsibility, and rest. How quickly your system moves into urgency or shutdown. The work is practical and paced so change shows up outside the therapy room.
My role is not to push you through recovery or tell you how to cope better. As a U.S. Army veteran and licensed clinical social worker, I work with you to build clear structures and supports that allow your nervous system to reorganize. PTSD treatment here is about restoring dignity, grounded calm, and self trust so leadership replaces survival in real time.
Anxiety Therapy for Veterans
READ MOREAnxiety connected to VA systems often shows up as mental overdrive rather than panic. In Carlsbad, you may notice that your mind stays busy tracking appointments, paperwork, follow ups, and timelines, even when you want to rest.
This anxiety is not a personal issue. It is what develops when support systems feel inconsistent and you learn that things only move if you stay on top of them. Over time, your nervous system stays engaged by default, which affects sleep, patience, and concentration.
Anxiety therapy here focuses on interrupting that pattern. We work on reducing background stress, organizing external demands, and building enough predictability that your system no longer has to stay alert to feel safe.
Depression Therapy for Veterans
READ MOREIf you are a veteran in Carlsbad, you might notice low motivation, mental fatigue, or a sense that your days blur together even when life looks stable from the outside.
This is not about weakness or lack of discipline. When responsibility has defined your life for years, the absence of clear direction can drain energy and purpose. You keep moving, but something inside feels slowed down or disconnected.
Depression therapy here focuses on restoring forward motion without pressure. We work on rebuilding daily rhythm, energy, and decision making so progress does not rely on forcing yourself through exhaustion. Structure comes before motivation.
Anger Therapy for Veterans
READ MORELiving with anger does not always mean explosive outbursts. In Carlsbad, you may notice irritability, impatience, or tension that lingers after interactions. Anger control counseling helps you understand what your anger is responding to and how to interrupt automatic reactions before they damage relationships or leave you feeling regret.
Sex and Intimacy Therapy for Men
READ MOREIf you are in Carlsbad and noticing changes in desire, confidence, or presence during sex, this service helps you address what has shifted rather than pushing through frustration. Many veterans experience sexual difficulties that are tied to stress, identity changes, or medication rather than attraction or effort.
Sex therapy helps you map what is actually interfering with intimacy and build practical ways to restore connection that fit your real life, not unrealistic expectations.
I serve veterans in Carlsbad.
Veterans in Carlsbad often reach out from areas near Carlsbad Village, La Costa, and the I 5 corridor. I also serve veterans commuting from Encinitas, Vista, and San Marcos who are looking for therapy that fits the realities recognizes military service and leadership stress.
“Richard’s work reflects both intellectual depth and genuine care. He brings clarity, discipline, and empathy to every role, making him an exceptional clinician and consultant.”
— Academic & Clinical Reference
“Richard combines clinical skill with deep leadership. He brings clarity, compassion, and structure to complex environments, empowering individuals and families to move forward with dignity and accountability.”
— Keith D. Washington, LCSW, DCSW
“Richard’s leadership in high-pressure military systems stood out immediately. His ability to balance clinical judgment, teamwork, and mission readiness makes him a trusted guide in complex, real-world settings.”
— Senior Military Supervisor
“What sets Richard apart is his ability to connect systems, people, and purpose. He leads with integrity, cultural awareness, and a deep respect for lived experience.”
— Community Mental Health Colleague
“Richard creates spaces where growth feels possible. His approach is thoughtful, structured, and human—especially for those navigating leadership, identity, and high-stakes environments.”
— Professional Peer
“Richard’s work reflects both intellectual depth and genuine care. He brings clarity, discipline, and empathy to every role, making him an exceptional clinician and consultant.”
— Academic & Clinical Reference
“Richard combines clinical skill with deep leadership. He brings clarity, compassion, and structure to complex environments, empowering individuals and families to move forward with dignity and accountability.”
— Keith D. Washington, LCSW, DCSW
Testimonials

Hello, I’m Richard De La Garza, a U.S. Army veteran and licensed clinical social worker providing leadership centered therapy for veterans.
I’m Richard De La Garza, a veteran therapist providing trauma informed counseling to veterans in Carlsbad. I specialize in PTSD, anxiety, depression, and leadership related stress, offering structured therapy that supports real life follow through beyond the session.
Frequently Asked Questions
How does this work?
We start with a complimentary 15‑minute consultation to see whether we’re a good fit and to answer any initial questions. If we decide to work together, we’ll schedule your first full session and complete intake forms through a secure online portal.
In our sessions, we meet virtually (or in person if you’re in San Diego, CA and choose that option). We’ll slow down, map what’s going on in your life and body, and set goals together rather than imposing a one‑size‑fits‑all plan.
I draw from several approaches—including cognitive behavioral therapy (CBT), trauma‑informed care, Eye Movement Desensitization and Reprocessing (EMDR), strength‑based and compassion‑based practices—while centering intersectionality and cultural context. That means we look not only at your thoughts, feelings, and behaviors, but also at how identity, history, and systems shape your experience. Each session is a mix of reflection and concrete practices, so you leave with 1–3 grounded steps to try between sessions.
Therapy is typically weekly or bi‑weekly at first, and we’ll regularly check in about how it’s going, what’s shifting, and whether the frequency or focus needs to be adjusted.
Can I use insurance?
I do not accept insurance at this time. All services are self‑pay, and payment is due at the time of service.
Many clients choose to use HSA/FSA funds or speak with their insurance provider about any out‑of‑network benefits that might apply. I’m happy to answer questions about fees and payment so you can make an informed decision before beginning.
You also have the right to receive a Good Faith Estimate of the expected costs of your services, in line with the No Surprises Act.
What technology do I need?
Virtual sessions are held through a secure, HIPAA‑compliant video platform.
You’ll need:
- A stable internet connection
- A smartphone, tablet, or computer with a camera and microphone
- A private, quiet space where you feel comfortable speaking openly
- Headphones or earbuds (recommended for privacy and sound quality)
Before each session, you’ll receive a link by email; you simply click it at your appointment time—no special software is required beyond an up‑to‑date browser.
- A stable internet connection
What happens if I need to cancel?
Life happens, and sometimes you need to reschedule. I ask for at least 24 hours’ notice if you need to cancel or change an appointment.
- Cancellations or reschedules made more than 24 hours in advance: no fee.
- Cancellations, reschedules, or no‑shows within 24 hours of your appointment: you will be responsible for the full session fee.
This policy helps protect the time I set aside for you and ensures that appointments are available for others who may be waiting. If you’re unsure whether you’ll be able to attend, please reach out as soon as you can so we can explore options.
- Cancellations or reschedules made more than 24 hours in advance: no fee.
Good Faith Estimate
What is a Good Faith Estimate?
If you are paying out of pocket (not using insurance), you have the right to receive a Good Faith Estimate (GFE) outlining the expected cost of your therapy.
A Good Faith Estimate includes:
- Describes the type of services we’re planning (for example, weekly 50-minute sessions)
- Outlines the estimated total cost over a period of time (for example, 3–6 months)
- Is provided in writing before we begin ongoing therapy
This is an estimate, not a contract. If we adjust your treatment plan—such as meeting more or less often—I will update the estimate to reflect our new agreement.
Under the No Surprises Act, if your actual charges are significantly higher than the estimate, you may have the right to dispute the bill. This law is designed to promote transparency, so you can make informed decisions about your care.
