Therapy for Men & Veterans in El Cajon, CA | East County Leadership

I provide therapy for men and veterans in El Cajon, 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 El Cajon community is to offer grounded, evidence-based therapy that is steady, respectful, and practical.


El Cajon serves a diverse population with strong ties to military service, skilled trades, and hands-on professions across East County San Diego. Many men here balance demanding work, family responsibilities, and service-related identities while carrying pressure that is rarely spoken about. This local environment influences how stress, burnout, and emotional strain show up in daily life.


Many men and veterans in El Cajon struggle with unresolved trauma, emotional suppression, and the challenge of slowing down after years of responsibility-driven structure. Clients often choose to work with me because I understand these realities and offer therapy that is calm, direct, and grounded. My approach focuses on 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

    Veteran therapy in El Cajon is for service members carrying stress tied to hands-on work, family responsibility, and service-connected identity. Many veterans struggle with anger, emotional shut-down, or unresolved trauma. Clients often notice improved emotional awareness and regulation. Stress feels more manageable, and it becomes easier to slow down without losing control. Sessions explore how service shaped survival-mode responses. Therapy is offered in-person or virtually. For veterans seeking local therapy near you in El Cajon, the focus is on grounding and stability.

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  • Speaking & Organizational Consulting

    Organizations in El Cajon often seek support when stress shows up as turnover, miscommunication, or exhaustion. People are doing their best, but the system is not holding.


    Consulting and speaking engagements focus on reducing overload and improving clarity. The goal is to make work more manageable without lowering standards.

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  • Military Transition Counseling

    Long stretches of responsibility can change how your body handles stress. After years of service, pressure does not always shut off on its own. In and around El Cajon, many veterans notice that tension, irritability, or fatigue linger even when life has moved on.


    Military transition counseling addresses that strain at its root. We begin by stabilizing your nervous system and daily routines so you are not pushing through everything on effort alone. This includes paying attention to how stress shows up physically and emotionally, and what helps bring you back to baseline.


    As the work continues, we look at how responsibility has shaped your identity and decision making. We clarify what leadership looks like now, where boundaries are needed, and how to reduce overload without losing reliability or purpose.


    My role in this process is to work alongside you, not direct you from the outside. As a U.S. Army veteran and licensed clinical social worker, I help translate lived experience into clear practices that support steadiness and follow through in everyday life.

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  • Trauma Therapy for Veterans

    In communities where people are expected to carry a lot without complaint, trauma often goes unseen. Around El Cajon, many veterans learn to stay functional by tightening control, pushing through discomfort, and keeping emotions contained so life keeps moving.


    Trauma therapy here begins by naming that endurance is not the same as stability. Your nervous system adapted to real demands and real risk. Those adaptations helped you survive, but they can also keep you stuck in tension, anger, or exhaustion long after the danger has passed. We stabilize first so your system does not have to keep bracing just to get through the day.

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  • PTSD treatment for Veterans

    High responsibility environments tend to reward endurance, not recovery. Around El Cajon, many veterans learn to stay functional by tightening control, pushing through discomfort, and keeping emotions contained. PTSD often shows up as anger, exhaustion, or a short fuse rather than visible distress.


    PTSD treatment here starts by shifting the load off willpower. We stabilize first so your nervous system is not deciding everything from pressure or threat. That means working with sleep, pacing, and stress responses to create enough calm for thinking and learning to come back online.


    As we continue, we focus on how PTSD affects responsibility, authority, and boundaries in daily life. We identify where survival strategies like overcontrol or shutdown are still running and introduce practical supports that help you respond with more range, not suppression.

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  • Anxiety Therapy for Veterans

    Anxiety can turn into constant pressure when you are used to carrying responsibility without support. In El Cajon, VA related stress often shows up as physical tension, irritability, and the sense that you have to keep pushing just to stay on track.


    This kind of anxiety develops when systems require persistence but offer little clarity. Your nervous system learns that staying alert is the safest option, so rest starts to feel unproductive or even risky. Over time, that pressure affects sleep, patience, and your ability to slow down.


    Anxiety therapy here focuses on reducing that load. We work on creating predictability, clarifying what you are actually responsible for, and helping your body step out of constant bracing without ignoring real demands.

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  • Depression Therapy for Veterans

    If you are a veteran in El Cajon, you may feel worn down, irritable, or mentally checked out while still pushing yourself to meet obligations and keep things moving.


    This service is built for veterans whose depression developed from prolonged pressure, limited support, and the expectation to endure. When your system has been asked to carry load for too long, it often responds by slowing energy, motivation, and emotional range. That slowdown is not failure. It is a signal that capacity has been exceeded.


    Depression therapy focuses on restoring basic stability so effort no longer comes at such a high cost. We work on sleep, daily rhythm, and decision making to reduce depletion and help your system regain usable energy. The approach is structured and practical rather than abstract or motivational.

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  • Anger Therapy for Veterans

    In El Cajon, anger often becomes physical. You may notice tight muscles, agitation, restlessness, or a sense that your body is always braced. These reactions are common when pressure has been carried for too long.


    Anger control counseling addresses how anger lives in your body as well as in your thoughts. We work on regulating earlier in the stress cycle so reactions do not escalate or linger, helping you regain steadiness and control in daily situations.

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  • Sex and Intimacy Therapy for Men

    Chronic stress often shows up in the body before it is named. For veterans in El Cajon, sex therapy addresses how tension, frustration, or shutdown interfere with sexual functioning. We work on reducing physical and mental pressure so intimacy does not feel strained or unreliable. The goal is steadier access to connection and confidence over time.

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I serve veterans in El Cajon.

Veterans in El Cajon often reach out from East County neighborhoods near Lakeside, Santee, and La Mesa. I also serve veterans across East San Diego County who want support that understands long term service related 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 veteran mental health therapist supporting men navigating PTSD, anger, and military transition.

I’m Richard De La Garza, a veteran therapist working with men in El Cajon. I support veterans dealing with trauma, anger, anxiety, and the physical toll of long term stress using a structured and grounded approach.

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.

  • 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.

  • 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.