Therapists in Lafayette, California

Culturally responsive therapy for Lafayette adults, couples, teens, and families.

Lafayette and the East Bay — therapy in person nearby Orinda or online across California

Therapy in Lafayette, CA: a calm space to slow down

Tonalli Therapy & Consulting serves Lafayette and the wider Lamorinda community with bilingual, trauma-informed, culturally responsive therapy. We work with adults, couples, teens, and families navigating anxiety, life transitions, identity, school pressure, intergenerational patterns, and the kind of high-functioning overwhelm that often goes unspoken in this part of the East Bay.

Our team — Adriana Martínez, LCSW, Tet Salva, AMFT | APCC, and Sal Avila, AMFT | APCC — sees Lafayette clients in-person at our nearby Orinda office (about 10 minutes away) and virtually anywhere in California via secure telehealth.

Marriage counseling in Lafayette

When the day-to-day starts running the relationship — competing schedules, parenting load, work pressure, the slow drift of years — couples therapy is a place to slow down and reconnect.

Our couples work supports Lafayette partners navigating:

  • Communication breakdowns

  • Recurring conflict and resentment

  • Loss of emotional or physical intimacy

  • Major transitions (new baby, empty nest, career pivots, illness, loss)

  • Repair after rupture

  • Cultural and bicultural relationship dynamics

We offer bilingual couples therapy in English and Spanish. Sessions are warm, structured, and grounded in real life — not advice-giving, not taking sides

Couples therapy in Lafayette
Teen therapy in Lafayette and Lamorinda

Therapy for teens and families in Lafayette

Lafayette teens carry a lot. Lamorinda school district’s academic pressure, college-prep stress, social comparison, identity exploration, and the quiet weight of family expectations all add up.

At Tonalli, we offer teen and adolescent therapy that meets young people where they are — without pathologizing normal development. Sessions can include academic stress, anxiety, identity work, family communication, and processing trauma.

For younger children, Sal specializes in working with kids and pre-teens. For older teens and young adults, Adriana, Tet, and Sal all see clients depending on fit.

EMDR (Eye Movement Desensitization and Reprocessing) is a research-supported approach for trauma, anxiety, and unresolved past experiences. Adriana is EMDR-certified, and we offer EMDR both in-person in Orinda and online for clients anywhere in California.

If you've felt like talk therapy alone isn't quite shifting something — old patterns, body-level anxiety, things that "should" feel resolved but don't — EMDR may be a good fit.

EMDR and trauma therapy for Lafayette residents

Bilingual therapy in Spanish and English

Tonalli is one of the few practices in the Lamorinda area offering true bilingual care. Adriana and Sal both provide therapy in Spanish and English, especially for first-generation, Latina/e/x, and bicultural adults and families. Therapy is offered in the language that helps you express yourself most fully — including code-switching, when that's what feels honest.

Lamorinda communities we serve

Beyond Lafayette, we work with clients across Lamorinda and the East Bay:

  • Lafayette: Burton Valley, Happy Valley, Reliez Valley, Springhill, downtown Lafayette

  • Orinda: Tonalli's home office

  • Moraga: including the Saint Mary's area

  • Berkeley and Oakland: in-person nearby; full California reach for telehealth

How sessions work

  • Our office is in Orinda, about 10 minutes from downtown Lafayette via Highway 24 or Pleasant Hill Road.

  • Secure HIPAA-compliant telehealth available anywhere in California.

  • We don't directly bill insurance, but we accept HSA/FSA and can provide a superbill for out-of-network reimbursement. We are also in the process of credentialing with Aetna, Blue Shield of California, Optum, and Medi-cal

You don't have to have everything figured out before reaching out. We offer a free 15-minute consultation so you can get a feel for the fit.