About Octavia
Octavia Macklin is a California-based therapist who uses practical, person-centered methods to help people move through difficult moments. She holds a Licensed Marriage and Family Therapist credential, and brings three years of clinical practice plus long experience in addiction recovery to her work.
Background and approach
She focuses on relationship struggles, low self-esteem, depression, anxiety, and life transitions. She also helps with addiction concerns, grief, career uncertainty, and issues tied to intimacy and identity.
Her list of interests includes body image, attachment questions, codependency, and gender dysphoria among others. Her style is direct and grounded.
Sessions are straightforward and experiential, with an emphasis on listening and honest feedback. She blends several approaches to fit what each person needs rather than using a single method for everyone.
Clients can expect a collaborative tone. The therapist treats people as the experts on their own lives and works alongside them to find practical steps forward.
Conversations often center on clear goals, small experiments, and learning new ways to cope. Octavia aims to help people build clarity, resilience, and more satisfying connections.
She frames therapy as a process of steady change instead of quick fixes, and supports clients as they try new strategies in everyday life.
Therapy approaches and online options that fit your life
CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and trying different behaviors to change how you feel. It can be useful for anxiety, depression, and managing stress by teaching simple exercises and coping skills.Existential Therapy looks at meaning, choice, and personal values. It helps people facing big life questions, emptiness, or transitions by encouraging honest reflection and clearer direction.
Motivational Interviewing is a short, goal-focused approach that helps people find their own reasons for change. It is often used when motivation feels stuck, including with substance use or lifestyle shifts.
Choosing the right approach is part of the work. The therapist will collaborate with each person to pick methods based on goals, needs, and preferences. Early sessions often involve trying a few strategies and adjusting what’s most helpful.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which let people fit therapy into busy days. Video works well for deeper conversations, phone can be simpler when bandwidth is limited, chat is good for quick check-ins, and messaging supports brief updates and ongoing reflection between sessions.
Frequently asked questions
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Specialties and expertise
Top specialties
- Addictions
- Relationship issues
- Self esteem
Also works with
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Body image
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
Therapeutic approaches
- Experience
- 3 years
- Licensed
- California
- Languages
- English