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Howard Acosta

Howard Acosta

LCSW

Experienced LCSW focused on practical change

Areas of expertise

Primary focus

Stress, AnxietyAddictionsLGBTParenting issuesAnger management

Additional focus areas

Adoption and foster careAging and geriatric issuesCo-morbidityDomestic violenceDrug and alcohol addictionFatherhood issuesForgivenessGender dysphoriaHospice and end-of-life counselingImpulsivityIsolation / lonelinessMen's issuesVeteran and Armed Forces IssuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPhobiasPost-traumatic stressPrejudice and discriminationSexualitySmoking / vaping cessationSocial anxiety and phobia

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

24+ years

Credentials

California

Languages

English

Licenses listed

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

  • Mindfulness approaches
  • CBT informed work
  • Support for life changes

About Howard

Howard Acosta is a licensed clinical social worker with 24 years of experience in California. He focuses on helping people manage stress, anxiety, addiction, depression, and major life changes. He uses straightforward, practical methods and listens for each persons goals before deciding what to try next.

Howard works in a way that aims to be affirming and culturally aware. He helps people who are wrestling with grief, anger, low self-esteem, or parenting strains. He also supports those facing issues related to adoption and foster care, aging, veterans' concerns, and substance use, among other challenges.

In sessions Howard mixes techniques from Cognitive Behavioral Therapy and Mindfulness Therapy with solution-focused strategies and Motivational Interviewing. That means clients learn skills to manage difficult thoughts and feelings, build small changes that matter, and connect to their motivation for healthier choices.

He pays attention to each person's life story and practical needs. Sessions typically involve talking through current problems, practicing manageable skills, and setting clear, short-term goals. Howard aims to make therapy something that fits into everyday life, not a list of abstract tasks.

Howard offers services in English and accepts international clients. If you want to explore therapy, he asks people to start by completing a short matching questionnaire and then schedule according to availability.

How mindfulness and practical therapy work online

Mindfulness Therapy helps people notice thoughts and bodily sensations without getting driven by them; it can reduce reactivity and help with stress, anxiety, and mood concerns. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviors, which is useful for anxiety, depression, obsessions, and mood regulation. Motivational Interviewing supports people who are considering change by clarifying their own reasons and strengthening commitment to new choices.

Finding the right approach is part of the work. Howard treats the choice as a collaboration and will adapt methods based on a person's goals, preferences, and how they respond in early sessions. Together they decide whether to emphasize mindfulness practice, skill-building from CBT, or motivational conversations to support change.

Confirm current session options before booking to know which online formats are offered. Online therapy can make it easier to fit sessions into busy schedules, reduce travel time, and allow shorter check-ins when needed. It also lets people try exercises and mindfulness practices in real-life settings and then talk about what happened in the next session.

These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.

Frequently asked questions

What concerns does Howard commonly address?

He helps people with stress, anxiety, depression, addiction, grief, anger, self-esteem, parenting strains, and coping with life changes.

What is his general therapy style?

Sessions are practical and problem-focused, combining skills practice with goal setting and reflective conversations to address daily challenges.

How much experience does he have?

Howard has 24 years of experience working with a wide range of concerns and life stages in California.

What credentials and region should I know about?

He is a Licensed Clinical Social Worker - LCSW - practicing in California.

Which languages are sessions offered in?

Sessions are offered in English.

Can people outside the U.S. work with him?

He accepts international clients; confirm any regional or regulatory considerations when you book.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

What are the first steps to start therapy?

Click the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

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