Rancho Bernardo

Our team is comprised of independent practicing and associate-level providers. Unlike specialists who hone their skills in one aspect of the human experience, we are generalists. Our specialty is the combined and overlapping layers of say anxiety, depression, strengths and formative experiences, as you yourself are comprised by in everyday life. Being generalists, our experience is in taking you as exactly and cohesively and comprehensively as we find you. All providers are registered with the state of California at the appropriate levels of registration and subject to the rules and requirements therein.

Karly Worth, APCC

Rancho Bernardo / Pacific Beach

Karly holds a Master’s degree in Clinical Mental Health Counseling from Northwestern University. She specializes in working with motivated couples and adults aiming to foster deeper connections with themselves and their partners. Karly embodies a nonjudgemental approach, and she has experience working across diverse cultural backgrounds and identities. 

Karly approaches her clients with compassion and warmth, acknowledging her capacity to offer a nurturing and secure environment while also challenging them when necessary and beneficial. She believes in customizing her approach for each client, adapting it based on their individual needs, preferences, and desired outcomes. Drawing from methodologies such as The Gottman Method and Emotion Focused Therapy (EFT), Karly is dedicated to helping couples overcome obstacles and deepen their emotional bonds. Recently completing an intensive EFT training program, she employs research-backed techniques to facilitate meaningful breakthroughs.

Karly also works one-on-one with adults dealing with anxiety, depression, life transitions, and relationship issues. She integrates approaches from Psychodynamic therapy, Internal Family Systems (IFS), and solution-focused models to help clients understand and navigate the unique parts of themselves. Karly looks forward to helping guide you on your journey towards self-compassion.

APCC License Number 13866

Esther Flores, LCSW

Rancho Bernardo

I approach therapy with warmth and understanding, tailoring my methods to fit your unique needs and aspirations. I draw from a variety of therapeutic techniques—such as Psychodynamic Therapy, Cognitive Behavioral Therapy, Solution-Focused therapy, and trauma-informed care—to ensure that our sessions are as effective as possible for you. I also recognize the importance of BIPOC representation in mental health, and I strive to offer a space that promotes comfort and helps reduce the stigma surrounding mental health services.

You deserve support on your journey to healing and growth, and I’m here to walk alongside you.

Hello! I’m Esther, and it’s a pleasure to have you here. Choosing to seek therapy is a courageous step that reflects your strength, and I would be honored to listen to your story. My goal is to cultivate a warm and supportive environment where you can feel completely comfortable being your true self. I genuinely believe that everyone possesses the ability to create meaningful change in their lives, and sometimes, we simply need a bit of guidance along the way.

As a Licensed Clinical Social Worker with over eight years of experience, I have devoted my career to supporting adults who are navigating difficult challenges such as severe & persistent mental illnesses, substance abuse recovery, depression, anxiety, and trauma-related issues. I understand that these struggles can feel overwhelming, and I am here to provide a compassionate and understanding presence. I hold a Bachelor of Arts in Social Work from California State University, Long Beach, and a Master’s Degree in Social Work from Boston University. My journey has taken me through various clinical settings, including mental health outpatient programs, community-based mental health services, and nonprofit organizations, all of which have deepened my commitment to fostering healing and resilience in those I serve.

Romaine Desclos (she/they)

Telehealth/Rancho Bernardo

Welcome! I'm Dr. Romaine Desclos, a dedicated psychological associate committed to creating a warm, inclusive, and empowering space where individuals can heal, grow, and thrive. With over a decade of experience across forensic, healthcare, non-profit, and private sectors, I bring a unique blend of expertise to my practice.

I earned my Doctorate in Forensic Psychology and a Master’s in Forensic Psychology from Alliant International University, and hold a Bachelor of Science in Criminal Justice and Sociology from San Diego State University. My diverse background allows me to provide holistic, integrative therapies tailored to each person's unique needs. Whether you are navigating trauma, relationship challenges, or mental health concerns, I aim to meet you with compassion and understanding.

I specialize in trauma-informed care, mind-body connection techniques, and crisis intervention. My approach combines evidence-based practices such as CBT, EMDR, and mindfulness strategies to promote well-being and resilience. I have extensive experience working with individuals navigating chronic pain, PTSD, lifestyle differences, and adjustment and/or relational challenges. I am especially passionate about supporting LGBTQIA+ individuals, Neurodivergent people, and those exploring various spiritual paths.

Beyond clinical practice, I am deeply engaged in community advocacy and education. I also enjoy organizing outdoor activities, helping individuals build meaningful connections through nature and wellness practices.

Having spent much of my career in California's Central Valley, I am thrilled to return to my San Diego roots and support my local community. I invite you to reach out and explore how we can work together to foster growth, healing, and empowerment in your life.