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LA Portrait of Leslie Patricia Acoca

Leslie Patricia Acoca

Experienced, practical therapy for relationships and life changes

LMFT California

Experience
20 years in practice
Focus areas
Stress, Anxiety, Trauma and abuse, Grief
Approaches
Gottman Method, Attachment-Based Therapy
Languages
English

About Leslie

Leslie Patricia Acoca is a California licensed marriage and family therapist with 20 years of experience. She creates a calm, direct space where people can talk about what feels hard and take practical steps forward.

Background and approach

She focuses on worry, stress, and anxiety, and on the impact of trauma and loss. She also helps with intimacy and relationship problems, parenting concerns, addiction, and self-esteem struggles.

Issues around grief, hospice and end-of-life concerns, and complicated loss are part of her work. Leslie draws on approaches that include the Gottman Method, attachment-based ideas, cognitive behavioral therapy, dialectical behavior therapy, and client-centered work.

She uses these methods to help people build clearer communication, manage strong emotions, and change patterns that cause pain. Leslie has particular experience supporting people affected by suicide loss and with veterans and armed forces issues.

She also pays attention to multicultural factors and LGBT concerns when they matter to the person in front of her. Her sessions aim to be practical and compassionate.

She helps people set small goals, try new ways of relating, and practice skills between meetings. The work is collaborative and paced to each person's needs.

Using relationship and skills work in online therapy

Leslie uses the Gottman Method to help people learn practical communication skills and reduce destructive patterns in close relationships. She pairs that with attachment-based work that focuses on how early and current bonds shape feelings and behavior, helping people feel understood and safer in relationships.

She believes choosing the right approach is a team effort. The therapist will talk with the client about goals, try methods that fit their needs, and adjust the plan as progress is made. That collaborative process helps match skills-based tools and relational insight to what the person wants to change.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls let people practice communication and read nonverbal cues. Phone sessions can be a good lower-bandwidth option or fit a short break at work. Live chat and text messaging support quick check-ins, ongoing coaching, or times when writing feels easier than talking. These options make therapy more flexible and easier to fit into daily life.

Frequently asked questions

What kinds of problems does she help with?
She helps people with stress, anxiety, trauma and abuse, grief, intimacy-related issues, parenting concerns, addictions, LGBT issues, self-esteem, career challenges, coping with life changes, and compassion fatigue.
What is her therapeutic style?
Her style blends client-centered listening with practical techniques from CBT and DBT and relationship-focused work like the Gottman Method to improve communication and emotional regulation.
How much experience does she have?
She has 20 years of clinical experience working with individuals and people in relationships, and with those who have faced complicated grief and trauma.
Where is she licensed and based?
She is a licensed marriage and family therapist - LMFT - practicing in California.
Can I work with her if I live outside the United States?
Yes, she accepts international clients and offers sessions to people outside the U.S.
What session formats are offered?
Sessions are offered by video calls, phone sessions, live chat, or text-based messaging to give flexible ways to connect.
How much do sessions cost?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Gottman Method

Experience

20+ years

Licensed in

California

Languages

English