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Your Trusted Partner for Mental Health & Therapy Services
Therapy Changes is a mental health practice dedicated to guiding individuals through life's most challenging transitions. Our mission centers on empowering clients to achieve positive change through personalized, action-oriented therapy. With a team of licensed Clinical Psychologists, we specialize in Cognitive Behavioral Therapy and related evidence-based approaches, addressing concerns ranging from anxiety and depression to trauma and relationship conflicts. Our values of compassion, authenticity, and empowerment shape every interaction, ensuring clients feel seen, heard, and supported. We serve diverse populations, including individuals, couples, families, and emerging adults, with specialized expertise in perinatal mental health, LGBTQ+ services, and teletherapy.

Located in San Diego's Mission Valley, we prioritize accessibility, offering flexible scheduling and a client-centered approach to care. Our commitment to racial justice and inclusivity fosters a safe space for intersectional identities and experiences. By combining clinical excellence with personalized attention, we help clients develop practical tools to navigate life's complexities and achieve meaningful, lasting growth.
Services
Cognitive Behavioral Therapy Couples Therapy Family Therapy Individual Therapy LGBTQ+ Services Perinatal Services Teletherapy Trauma Services Emerging Adults Imago Relationship Therapy
Highlights and features
  • Our team consists of licensed Clinical Psychologists with specialized training in evidence-based therapies
  • We offer personalized treatment plans tailored to individual needs and life transitions
  • Specialized expertise in perinatal mental health, LGBTQ+ services, and trauma recovery
  • Convenient San Diego location with flexible appointment scheduling options
  • Commitment to racial justice and inclusive care for diverse identities and experiences
Services
Cognitive Behavioral Therapy
Cognitive Behavioral Therapy at Therapy Changes focuses on transforming negative thought patterns and behaviors through evidence-based techniques. Our licensed psychologists help clients develop practical tools to manage anxiety, depression, OCD, and PTSD. This action-oriented approach empowers individuals to achieve measurable improvements in emotional well-being and daily functioning while maintaining a supportive therapeutic environment.
Couples Therapy
Our couples therapy services address relationship conflicts and enhance intimacy through research-backed approaches like Imago Relationship Therapy. Therapists create safe spaces for partners to resolve conflicts, improve communication, and rebuild trust. Specialized support is available for LGBTQ+ couples and those navigating major life transitions while maintaining a non-judgmental therapeutic atmosphere.
Trauma Services
Trauma-informed care at Therapy Changes utilizes specialized therapies including Prolonged Exposure and Cognitive Processing Therapy. Our clinicians help clients process traumatic experiences, manage symptoms, and regain emotional stability. Services address various trauma types including PTSD, childhood trauma, and complex grief while emphasizing safety and empowerment throughout the healing journey.
Perinatal Services
Specialized perinatal mental health support addresses emotional challenges during pregnancy and postpartum periods. Therapists provide evidence-based interventions for perinatal mood disorders, parenting transitions, and reproductive health concerns. The program emphasizes creating a supportive environment for expectant and new parents while promoting emotional well-being during critical life stages.
Teletherapy
Teletherapy services deliver accessible mental health care through secure virtual platforms. This option maintains therapeutic continuity for clients preferring remote sessions while preserving the same evidence-based approaches as in-person therapy. Services include individual, couples, and family therapy sessions conducted with strict confidentiality and professional standards.
People
Rochelle Perper
Founder
Licensed Clinical Psychologist Rochelle Perper established Therapy Changes to provide accessible, evidence-based mental health care. With extensive experience in cognitive behavioral therapy and trauma recovery, she leads a multidisciplinary team committed to personalized treatment approaches and client empowerment.
Sheila Allameh
Licensed Clinical Psychologist
Dr. Sheila Allameh specializes in treating anxiety disorders and life transitions using evidence-based therapeutic approaches. Her practice focuses on helping clients develop coping strategies while maintaining a compassionate, client-centered therapeutic environment that prioritizes individual needs and treatment goals.
Lisa Card Strong
Licensed Clinical Psychologist
Dr. Lisa Card Strong brings expertise in trauma recovery and family therapy to Therapy Changes. Her clinical focus includes helping clients navigate complex emotional challenges through integrative approaches that combine cognitive behavioral techniques with trauma-informed care principles.
Demet Ek
Licensed Clinical Psychologist
Dr. Demet Ek specializes in working with diverse populations experiencing anxiety, depression, and cultural identity challenges. Her therapeutic approach emphasizes cultural sensitivity and empowerment, utilizing evidence-based practices to support clients through personal growth and emotional healing.
Lisa Fune
Director of Operations
Lisa Fune oversees Therapy Changes' administrative operations, ensuring seamless client care coordination. With extensive experience in mental health practice management, she focuses on optimizing client access to services while maintaining the practice's commitment to quality care and operational excellence.
Questions
What therapy approaches do you specialize in?
We specialize in Cognitive Behavioral Therapy (CBT) and related evidence-based approaches including Acceptance and Commitment Therapy (ACT), Exposure Response Therapy (ERP), and Prolonged Exposure Therapy.
Do you offer teletherapy services?
Yes, we provide secure teletherapy options for individual, couples, and family therapy sessions while maintaining the same high standards of care as our in-person services.
How do I schedule an appointment?
You can request an appointment through our website or contact us directly at (619) 275-2286. Our Client Care Coordinator will help match you with the appropriate therapist.
What insurance plans do you accept?
We are in-network with Aetna, Cigna, Evernorth, and MHN/Health Net. We also offer self-pay options and out-of-network reimbursement assistance for other insurance providers.
Do you provide specialized services for LGBTQ+ individuals?
Yes, we offer affirming therapy services specifically tailored to LGBTQ+ clients, addressing unique mental health needs and supporting gender identity exploration in a safe, inclusive environment.
What is your cancellation policy?
We require 24-hour advance notice for appointment cancellations to avoid full session charges. Please contact our office directly to reschedule or cancel appointments.