About Lou
Dr. Lou Bordisso is a licensed marriage and family therapist with 35 years of clinical experience.
Background and approach
He focuses on practical strategies that help people manage stress, anxiety, depression, grief, and addiction. Dr.
Bordisso also supports clients with identity and intimacy-related concerns, body image, and questions about career or life transitions. He uses a client-centered style that starts with listening closely.
Sessions aim to clarify what matters most and to find small, useful steps a person can try between meetings. Cognitive behavioral tools are used to spot unhelpful thinking and test new behaviors.
Mindfulness practices are offered to help calm the body and steady attention. Dr.
Bordisso draws on psychodynamic and existential ideas to help people understand long-standing patterns and the meanings they make of life events. That helps when problems tie back to attachment, abandonment, or persistent emptiness.
He also addresses practical relationship and communication problems and intimacy-related concerns in straightforward terms. His work includes issues often linked to health and caregiving, such as chronic pain, cancer, and caregiver stress.
He also supports people alongside concerns about addiction, co-morbidity, and avoidant or dependent personality traits. Discussions about kink, BDSM, and alternative sex culture are handled without judgment.
Clients can expect clear goals, gentle challenge, and a focus on what will change daily life. Dr.
Bordisso practices in California and works in English. He combines decades of experience with a down-to-earth approach to problem solving.
Therapeutic approaches you can use online
Client-centered therapy focuses on understanding the person's experience and building a respectful relationship. It helps people feel heard and clarifies what they want to change in their lives.Cognitive behavioral therapy (CBT) looks at patterns of thought and behavior that keep problems going. It teaches tools to test new thinking and try different actions, which is useful for anxiety, depression, and stress-related concerns.
Existential therapy helps people explore meaning, choice, and life transitions. It can be useful when someone faces big questions about identity, purpose, or midlife shifts.
Choosing the right approach is part of the work. The therapist will collaborate with each person to identify goals, try methods that fit those goals, and adjust the plan as needed. That collaborative process helps match techniques to what feels most useful.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video works well for longer sessions and face-to-face conversation. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and messaging are helpful for brief check-ins, paced reflection, or when someone needs flexible timing. These options make it easier to fit therapy into work, caregiving, or travel schedules.
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Addictions
- Aging and geriatric issues
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Coping with life changes
- Dependent personality
- Depression
- Emptiness
- Family conflicts
- Family of origin issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexuality
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 35 years
- Licensed
- California
- Languages
- English