Therapy for Men & Veterans in La Jolla, CA | Clarity & Leadership
I provide therapy for men and veterans in La Jolla, 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 La Jolla community is to offer grounded, evidence-based therapy that is steady, respectful, and practical.
La Jolla is known for its coastal setting, high-performance culture, and proximity to military and professional communities across San Diego. Many men here carry pressure tied to leadership roles, career expectations, and long-standing responsibility, even in an environment that appears calm and successful from the outside. This local context often shapes how stress, burnout, and emotional strain are experienced and expressed.
Many men and veterans in La Jolla struggle with emotional containment, unresolved trauma, and the challenge of slowing down after years of operating in high-demand roles. Clients often choose to work with me because I understand these dynamics 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
READ MOREVeteran therapy in La Jolla supports service members navigating trauma and emotional containment within a high-performance environment. Many veterans experience anxiety, anger, or numbness beneath outward success while feeling disconnected from their internal experience. Clients often notice increased emotional-regulation and clarity over time. Stress responses become more manageable, relationships improve, and there is more room to slow down without feeling unsafe or exposed. Sessions explore how service shaped identity, self-worth, and survival-mode responses. Therapy is offered in-person or virtually with respect for military experience. For veterans seeking local therapy near you in La Jolla, the work centers on stability, clarity, and relief.
Speaking & Organizational Consulting
READ MOREOrganizations based in La Jolla often operate at a high level and expect the same from their people. Over time, that pressure can lead to reactivity, burnout, or unclear decision making.
Speaking and consulting engagements support leaders in strengthening clarity, responsibility, and communication. The goal is steadier leadership and fewer breakdowns under pressure.
Military Transition Counseling
READ MOREYou may be operating at a high level in your professional life while feeling internally strained. Discipline, competence, and responsibility often translate well into civilian roles, but they do not automatically bring clarity or calm after service.
Military transition counseling helps you step out of constant self monitoring and pressure to perform. We start by stabilizing your nervous system and daily rhythm so decisions are not driven by urgency, control, or burnout. This creates the conditions for clearer thinking and more grounded leadership.
As the work continues, we focus on identity beyond the uniform. We look at how leadership, authority, and responsibility have shaped you, and how those same patterns may need adjustment in civilian contexts. The goal is not to lower your standards, but to align them with a life that is sustainable and self directed.
I work from lived experience as a U.S. Army veteran and from clinical training grounded in dialogue and shared responsibility. This is not about advice or motivation. Together, we turn insight into structure so what we work on actually shows up in your daily life. The aim is steadiness, agency, and leadership that fits who you are now, not who you had to be then.
Trauma Therapy for Veterans
READ MOREHigh achievement environments can make trauma harder to recognize. In La Jolla, many veterans continue to perform, lead, and meet expectations while their nervous system remains under constant strain. Trauma does not always show up as crisis. It often shows up as control, emotional distance, or relentless self pressure.
Trauma therapy starts by slowing that internal pace. We do not assume something is wrong with you. We begin by stabilizing your nervous system so stress responses are no longer running your day. This allows your body to step out of constant monitoring and makes space for clearer thinking and choice.
As the work deepens, we focus on how trauma influences identity, leadership, and decision making. We look at where discipline and vigilance once protected you and where they now limit rest, connection, or flexibility. The goal is not to remove strength, but to give you more range in how you respond.
My approach is dialog based and grounded in shared responsibility. As a U.S. Army veteran and licensed clinical social worker, I work with you to turn insight into practical structures that hold outside the therapy room. Trauma therapy here supports steadiness, self trust, and leadership that no longer depends on constant survival mode.
PTSD treatment for Veterans
READ MOREIn high performing environments, PTSD often hides behind competence. You may be meeting expectations, leading, and staying composed while your nervous system stays tense, guarded, or shut down. In La Jolla, that pattern is common among veterans whose systems learned to function under pressure without pause.
PTSD treatment here does not start with revisiting memories. It starts with restoring enough calm in the present so your body is no longer operating from constant threat. We work on predictability, regulation, and pacing so thinking and choice become available again.
From there, we look at how PTSD shows up in real time. How quickly urgency takes over. How control, withdrawal, or irritability shape relationships and decisions. The focus stays on what is happening now and what helps your system respond with more flexibility.
Anxiety Therapy for Veterans
READ MOREAnxiety can sit quietly behind competence. In La Jolla, you may be handling work, family, and responsibilities well while your body stays tense and your mind rarely slows down, especially when VA related tasks are in the background.
This kind of anxiety is not about overreacting. It develops when systems require constant attention to function and you learn that letting your guard down can cost you time, care, or follow through. Your nervous system adapts by staying alert, even when you are exhausted.
Anxiety therapy here focuses on helping your system step out of that constant monitoring mode. We work on reducing background stress, creating clearer structure, and building predictability so calm does not feel risky.
Depression Therapy for Veterans
READ MOREDepression therapy here focuses on restoring internal structure before pushing for motivation. We work on stabilizing daily rhythm, rebuilding energy, and clarifying direction so movement forward does not depend on forcing yourself to care.
As we work together, we look at how depression has shaped your identity, follow through, and sense of agency. The goal is not just relief from symptoms, but helping you re engage with your life in a way that feels grounded, intentional, and sustainable.
Anger Therapy for Veterans
READ MOREIf you are a veteran in La Jolla, anger may show up as control, sharp communication, or emotional distance rather than visible explosions. This service helps you identify where responsibility and pressure are stacking in your system and gives you practical tools to respond firmly without escalation or shutdown.
Sex and Intimacy Therapy for Men
READ MOREIf you are a veteran in La Jolla and sex feels disconnected even when everything else appears functional, this work helps address that split directly. Performance may still be there while desire, enjoyment, or emotional presence has dropped.
Sex therapy focuses on reducing internal pressure and control so intimacy feels grounded rather than mechanical. The goal is not to fix you, but to restore access to connection without forcing outcomes.
I serve veterans in La Jolla.
I work with veterans in and around La Jolla, including areas near UC San Diego, Torrey Pines, and the coastal neighborhoods of North County. Many clients also come from nearby communities such as University City, Del Mar, and Mira Mesa.
“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 trauma therapist for veterans focused on PTSD, military transition, and life after service.
I’m Richard De La Garza, a licensed therapist and U.S. Army veteran serving veterans in La Jolla. My work focuses on trauma therapy, PTSD treatment, and helping military connected men regain clarity, regulation, and leadership in daily life.
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.
