- Anxiety and depression
- Relationship communication
- Body image and sexuality
About Cassandra
Cassandra Topete is a California licensed marriage and family therapist (LMFT) with four years of clinical experience. She focuses on young adult issues and helps people facing anxiety, depression, stress, relationship strain, family conflict, and intimacy-related concerns.
She works with clients who are navigating the early-adult years - leaving home, first jobs, school transitions, and relationship changes. Cassandra addresses common worries like feeling behind, loneliness, body image, and sexual questions with direct, practical conversation rather than clinical jargon.
In sessions she talks through patterns that keep problems repeating, like communication breakdowns, jealousy, or guilt and shame. She also helps people process infidelity, sexual dysfunction, and concerns around BDSM, kink, and alternative sex culture when these topics are relevant.
Cassandra uses evidence-based therapeutic techniques to build skills people can use between sessions. She focuses on clear goals, experiments you can try in everyday life, and checking progress together. The work is collaborative and oriented toward concrete changes in relationships, mood, and daily functioning.
She practices in California and conducts therapy in English. Practical next steps are completing a short matching questionnaire and scheduling a first session to begin addressing the issues that brought someone in.
How evidence-based methods translate to online sessions
Many evidence-based approaches focus on skills you can practice between meetings. One common technique involves identifying unhelpful thought patterns and testing them with small experiments to reduce anxiety and improve mood. This helps with worry, low mood, and negative self-talk.Another approach centers on communication skills and behavioral experiments to change relationship patterns. It teaches specific ways to express needs, set boundaries, and repair conflict, which can help with jealousy, infidelity issues, and intimacy concerns.
Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose methods that match their goals, preferences, and real-life constraints, and then adjust as progress is tracked.
Session formats are not specified in the biography, so confirm current session options before booking. Online work can make it easier to fit therapy into a busy schedule, shorten commute time, and allow sessions during work or school breaks. It can also enable shorter check-ins when time is limited, or conversations without being on video if that helps someone focus.
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
California
Languages
English
Frequently asked questions
What common concerns does she help with?
She helps people with stress, anxiety, depression, relationship and intimacy-related issues, and young adult challenges like career and school transitions.
What is her approach in sessions?
She uses evidence-based techniques and works collaboratively to set clear goals and practice skills between sessions.
How much clinical experience does she have?
She has four years of experience as a licensed marriage and family therapist.
Where is she licensed and where does she practice?
She is licensed in California as an LMFT and practices in California.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the US work with her?
International clients are not currently accepted.
How are sessions paid for and what does it cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.