Online Therapy for Adults and Couples in California
Shai Larsen Therapy offers online therapy for adults and couples across California. Sessions are held over secure video, so you can get support from home or anywhere in the state. Many clients come in dealing with anxiety, depression, grief, trauma, or a relationship pattern that keeps repeating. Others come because life feels stuck, even when nothing is clearly wrong. As a Registered Associate Marriage and Family Therapist, Shai works with individuals and couples who want real change, not just coping skills. If you want a therapist in California who works online, this is a good place to start.
Shai Larsen Therapy
Online therapy for adults and couples across California.
"If you’ve found your way here, perhaps some part of you is longing for more. More freedom. More connection. More meaning. More aliveness. Or simply a deeper relationship with yourself, the ones you love, and the life that is uniquely yours to live. Wherever you are, I would be honored to meet you there." ~ Shai
Let's Live Alive.
It's What We Can Do.

I'm so glad you're here.
Being human can be beautiful, complicated, joyful, mundane, and painful, often all at once. There is so much more to us than our symptoms, our wounds, or the ways we have learned to survive. I believe that even when we feel lost or disconnected from ourselves, something within us still longs for meaning, connection, growth, and aliveness.
I have always been drawn to the questions that do not have easy answers: What happens when the life we have built no longer feels like the life we want to be living? What do we hold onto because it is right for us, and what do we hold onto because we are afraid to let go? How do we remain open to love, loss, uncertainty, and change without losing ourselves in the process? And what becomes possible when we begin listening more closely to the life within us that is asking to be lived?
My path to becoming a therapist has taken me through very different worlds. I hold a Master’s degree in Clinical Psychology from Antioch University Los Angeles and a Master’s degree in Environmental Policy from Columbia University. Before becoming a therapist, I worked as an analyst with the Environmental Protection Agency, spent more than a decade supporting technology executives and boards in the Bay Area, taught English to Tibetan monks in India, and volunteered in hospice care with the Zen Hospice Project and Threshold Choir.
Travel has also been an important part of my life, allowing me to encounter different cultures, spiritual traditions, landscapes, and ways of understanding what gives life meaning. Moving between boardrooms, monasteries, hospice bedsides, and communities around the world has shaped the way I see people. While our lives may look very different, we are remarkably alike in our longing to be known, to belong, to make sense of what we have lived through, and to live in a way that feels true.
Those experiences have taught me to look beyond the problem and toward the whole person. I want to understand not only what hurts, but what has shaped you, what has sustained you, what matters to you, and what in you may be asking for something different now.
My approach is warm, relational, active, depth-oriented, and trauma-informed. I draw from attachment theory, Emotionally Focused Therapy, psychodynamic therapy, parts work, somatic awareness, mindfulness, ACT, and strengths-based approaches. My work is also shaped by questions of meaning, freedom, responsibility, loss, and what we choose to do with the life we have.
Therapy, to me, is about more than feeling less anxious, overwhelmed, or stuck. It is about becoming more fully yourself, more able to trust what you know, honor what you need, be honest about what you want, and live with greater freedom, connection, meaning, and aliveness.




The relationship as a place for change
As a relational therapist, I see our relationship as part
of the work. Your experience of me matters, and I
welcome your honesty about it. When you feel
understood, when I miss something, or when we
see things differently, we can explore that together.
These moments can become opportunities to speak
openly, feel heard, and discover that connection can
hold through disagreement.
Understanding your inner world
Together, we might slow down and stay with a feeling,
notice what is happening in your body, or become curious
about a part of you that has learned to protect you. We
explore how your experiences have shaped the ways you
relate to yourself and others, paying attention to what
you need now.


Space to be as you are
You can come as you are and begin with whatever
feels important that day. I bring warmth, curiosity, and
an active presence: listening closely, asking questions,
offering perspective, and challenging you with care.
Our sessions have room for reflection, emotion, humor,
and discovery.
Therapy as a path back to yourself.

Online Therapy for Adults
Many of the adults I work with are thoughtful, capable, and remarkably good at carrying on. They may also be exhausted.
You may find yourself overthinking, questioning your worth, staying too long, or saying yes when something in you means no. You may be used to caring for others while finding it harder to recognize or express your own needs.
Perhaps anxiety, grief, relationship difficulties, or a major life transition has brought you here. Or perhaps nothing is obviously wrong, but some part of your life no longer feels fully yours.
Together, we explore what keeps you stuck, tend to what hurts, and help you build greater trust in your own needs, desires, and voice, so you can make choices that feel true to you.

Online Couples Therapy
Most couples who come to therapy still care deeply about one another. The problem is that, when it matters most, they can no longer seem to reach each other.
The same fight returns in different forms. One reaches harder while the other retreats. Hurt becomes criticism. Overwhelm becomes distance. The ways each person tries to protect themselves begin to keep them apart.
Together, we slow this cycle down to understand what lies beneath it and how each partner can respond differently. Compassion matters here, and so does responsibility.
My work draws from Emotionally Focused Therapy (EFT) and Relational Life Therapy (RLT). We strengthen what helps love endure: honesty, friendship, affection, and the ability to repair hurt, creating more room for trust, intimacy, and play.
