David Pecoraro, LMFT

David Pecoraro is a licensed Marriage and Family Therapist (LMFT) practicing in California. He brings 37 years of clinical experience to sessions and works with people facing relationship strain, addictions, mood changes, and trauma. He aims to help clients find clearer communication and more effective ways of solving problems.

In sessions he focuses on practical steps. He helps people learn conflict resolution skills and change patterns that keep problems repeating. He uses tools from Cognitive Behavioral Therapy, the Gottman Method, and psychodynamic ideas to guide conversation and homework.

David writes treatment plans together with each client so goals match real life needs. He addresses stress, anxiety, depression, bipolar concerns, anger, and self-esteem in straightforward language. He also supports people coping with separation, blended family challenges, and fatherhood issues.

He has particular experience with addiction and substance concerns, including drug and alcohol issues. He works with intimacy-related problems, infidelity, codependency, and commitment concerns in a step-by-step way. He also helps people process past trauma, domestic violence impacts, and family of origin patterns.

Sessions aim to be collaborative and goal-focused. David combines short-term problem solving with exploration of deeper relationship patterns when useful. He offers both practical skills and space to understand how the past influences present choices.

How therapeutic approaches translate to online care

David commonly uses Cognitive Behavioral Therapy and the Gottman Method in online work. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and trying out new behaviors to reduce anxiety, depression, or impulsive reactions. The Gottman Method concentrates on improving communication and rebuilding trust in close relationships through structured exercises and skill practice.

Choosing the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most useful, then tailor methods to the client's needs. That collaborative process helps decide whether to emphasize skill-building, exploration of past patterns, or both.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs. Video calls enable face-to-face interaction for communication work, phone sessions can be easier when bandwidth is limited, and shorter check-ins work well over chat or messaging. These options make it simpler to fit therapy into a busy life and keep momentum between sessions.