Karen Lese-Fowler, Ph.D.
Mindful Growth Psychology, APC
EMDR, Trauma, Anxiety & Grief Therapy for Adults in Old Town, San Diego and Online Throughout California
619-764-6516
Currently accepting new clients
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Welcome. I'm so glad you're here. I’m Dr. Karen Lese-Fowler, a licensed psychologist (PSY16282) and EMDRIA-certified therapist. I offer in-person sessions in Old Town, San Diego and online therapy for adults throughout California, with a focus on trauma and PTSD, anxiety, grief and loss, relationship concerns, and life transitions. I’m LGBTQIA+ affirming, culturally responsive, and in network with Cigna and Lyra Health, and I provide superbills for out-of-network clients. Call 619-764-6516 or leave a secure message through the contact page to request a free 15-minute consultation.
You may look like you're managing everything on the outside, while inside things feel heavy, overwhelming, or harder than they should be. Perhaps you find yourself worrying too much, struggling in relationships, feeling disconnected from yourself, or carrying the effects of experiences that remain difficult to understand or move beyond.
With more than 30 years of experience, I work with adults navigating trauma, anxiety, grief and loss, relationship concerns, and significant life transitions. I aim to help you understand patterns that may be keeping you stuck while developing new ways of responding to life's challenges.
Therapy is a collaborative process. Together, we explore your experiences, strengths, relationships, and values to help you move toward a life that feels more meaningful and aligned with who you want to be.
I am committed to creating an affirming, culturally responsive, and inclusive therapeutic space for people of diverse backgrounds and identities, including LGBTQIA+ individuals.
Psychotherapy in Old Town, San Diego, and online to adults throughout California.
How I Can Help
How I Can Help
Trauma and PTSD: Explore the lasting effects of difficult experiences and consider approaches that support processing and recovery.
Anxiety and stress: Understand patterns of worry, self-criticism, and avoidance while building greater flexibility in responding to difficult thoughts and feelings.
Grief and loss: Make space for painful emotions and navigate changes that affect your sense of self, relationships, and future.
Relationship concerns: Explore recurring patterns, boundaries, connection, and the influence of earlier experiences on current relationships.
Life transitions: Find perspective and direction during periods of uncertainty, change, or questioning.
A Thoughtful, Individualized Approach
A Thoughtful, Individualized Approach
There is no single approach that fits everyone. I draw from several therapeutic traditions and tailor our work to your goals, circumstances, history, and preferences.
My aim is to balance insight with practical change: understanding how you arrived at this point while identifying ways to live with greater self-compassion, flexibility, and purpose.
Taking the First Step
Taking the First Step
You don't need to have everything figured out before reaching out. I offer a brief initial phone consultation so we can discuss what brings you to therapy and whether working together might be a good fit.
Contact me to discuss a consultation.
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