Grieving Still
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Therapy Services

A Space for Healing, Growth, & Connection Your story matters, and you deserve a space where it can be heard. Life can bring unexpected challenges, moments of grief, changes in relationships, and questions about who we are and who we hope to become. Sometimes, finding our way forward means having a space to pause, reflect, and explore those experiences with someone who will listen without judgment. At Grieving Still, I approach therapy as a collaborative journey grounded in compassion, curiosity, and respect for each person’s unique experiences. My goal is to create an affirming environment where you can explore challenges, recognize your strengths, and develop meaningful ways of navigating life. Whether you’re experiencing grief, relationship difficulties, questions of identity, or a period of personal transition, therapy can offer space for reflection, connection, and growth. Healing doesn’t require us to forget our experiences. Sometimes, it begins with learning how to carry them differently.
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Individual Therapy

Couples & Relationships

Life doesn’t always unfold the way we imagined. Sometimes we experience challenges that leave us feeling overwhelmed, uncertain, disconnected, or simply unsure of what comes next. Individual therapy offers an opportunity to slow down, explore your experiences, and better understand the thoughts, feelings, and patterns that may be influencing your life. My approach is collaborative. Together, we explore what brought you to therapy, identify what you would like to work toward, and develop tools that reflect your needs and goals. Along the way, there may be moments of discomfort, discovery, laughter, or relief. All of these experiences can be part of the therapeutic process. Whether you’re navigating anxiety, depression, trauma, relationship difficulties, or questions about your identity and personal growth, my goal is to create a space where you feel supported in discovering what meaningful change looks like for you.
Relationships can be among the most meaningful parts of our lives, but they can also bring challenges, misunderstandings, and moments when we struggle to feel connected to one another. Couples and relationship therapy provides an opportunity to explore the ways we communicate, respond to conflict, express our needs, and understand the experiences we bring into our relationships. My role is not to decide who is right or wrong, but to support each person in feeling heard while helping identify patterns that may be affecting the relationship. Together, we work toward developing greater understanding, healthier communication, and shared goals. Whether you’re working through a difficult period, rebuilding trust, navigating life changes, or hoping to strengthen your connection, therapy can provide a space to explore what you want your relationship to become.
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Grief & Life Transition

Affirming & Culturally Responsive Care

Grief is not always limited to the death of someone we love. We may also grieve the ending of a relationship, changes in our health, the loss of opportunities, or the life we once imagined for ourselves. Sometimes grief arrives unexpectedly. Other times, it remains with us long after the people around us believe we should have moved forward. I believe grief is a deeply personal experience, and there is no single way or timeline for navigating it. Therapy provides space to acknowledge what has been lost, explore the emotions that accompany change, and begin making meaning of what comes next. Healing does not necessarily mean forgetting, moving on, or leaving someone or something behind. Sometimes it means learning how to carry our experiences differently while making room for new connections, possibilities, and hope. At Grieving Still, your grief deserves to be heard, honored, and understood.
Who we are, where we come from, and the communities we belong to can shape how we experience the world, our relationships, and our emotional well-being. For many individuals, navigating life also means navigating expectations, discrimination, stigma, and the complexities of living at the intersections of multiple identities. As a Black transgender woman and therapist, I recognize the importance of having spaces where our experiences are not minimized, questioned, or overlooked. My approach to therapy honors the role that culture, identity, community, and lived experiences play in our lives. I am especially passionate about supporting Black, LGBTQIA+, transgender and nonbinary individuals, while welcoming people from a diversity of backgrounds and experiences. Together, we can explore questions about identity, relationships, belonging, self-acceptance, and the ways our experiences influence how we see ourselves and connect with others. You deserve a therapeutic space where your identity is respected and your voice matters.
(858) 461-8718
3344 Fourth Avenue, Suite 200San Diego, CA 92103
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Receive occasional updates about upcoming books, reflections on storytelling and healing, and news from Grieving Still.
pamuela@grievingstill.com

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