What we treat
Support Through Life Transitions in Sorrento Valley
For adults 18 and older in a hard stretch, with or without a diagnosis attached to it. Call (858) 567-4246.
Clinically reviewed by Amy Evans, MA, LPC, LPCC & Dr. Vahig Manugian, DO — October 2026
Not every hard season has a name
A marriage ending. A parent who now needs looking after. A career that stopped meaning anything, or stopped existing. A move that changed more than the address. A diagnosis — yours or someone else's. A house that got quiet when the children left.
None of these is a disorder. All of them can take someone apart, and a lot of people spend a year deciding whether they are allowed to ask for help because what they are going through sounds, written down, like ordinary life.
You do not need a label to make the call. Working out what is going on is our job, not a prerequisite for getting in touch.
How we work with it
Start with a conversation, not a program
The honest answer for a lot of people here is weekly therapy. We would rather say that than sell you nine hours a week.
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Usually this is where to start
Individual therapy — a private hour with the same clinician each week, at your pace. For most people in a transition that is the right level of care, and it is where the conversation usually lands.
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When weekly is not holding
If it has gone past what an hour a week can carry — sleep gone, work slipping, the days shrinking — the Intensive Outpatient Program runs three mornings a week with a weekly individual session included.
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What matters now
Our curriculum draws on acceptance and commitment therapy and motivational interviewing, which is the work of rebuilding around what you value when the circumstances have changed underneath you.
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And the practical end of it
Behavioral activation for the withdrawal, sleep health led by a nurse practitioner, and compassion-focused therapy — which earns its place here, because people in this position are usually harder on themselves than on anyone else.
What we do not do
Worth saying clearly on this page in particular, because the events that bring people here often involve other people.
We work with adults 18 and older, individually. We do not offer couples therapy, family therapy or therapy for children — so a separation or a struggling family is something we can support you through, but not something we can treat as a unit. We also do not provide substance use treatment, detox, eating disorder treatment, or residential and inpatient care.
Where any of that is what is needed, tell us on the first call and we will provide appropriate referrals, so you get the care that fits rather than the care we happen to offer. See how admissions works, or everything we work with.
If you are in crisis, do not wait for an appointment.
Call or text 988 for the Suicide and Crisis Lifeline, available 24 hours a day. In San Diego County the Access & Crisis Line on (888) 724-7240 is also staffed around the clock. If there is immediate danger to life, call 911. Strata Outpatient is a scheduled outpatient clinic — not an emergency service, a crisis line, or a 24/7 provider.
Questions
Frequently asked questions
If what you want to know is not here, call (858) 567-4246 and ask.
Do I need a diagnosis to be seen?
No. A lot of people arrive knowing something is wrong without a name for it. Establishing what is going on, and what level of care fits, is what the initial assessment is for.
Does insurance cover this if it is not a diagnosis?
Coverage depends on your plan and on what the assessment establishes clinically — which is one of the reasons the assessment comes before a start date. We verify your benefits during admissions and walk you through what your plan covers, what it does not, and what your out-of-pocket costs look like, before you begin.
If you are paying for care yourself, you are entitled to a written estimate first — see what your care costs.
My partner and I are both struggling. Can we come together?
Not here — we work with adults individually and do not offer couples or family therapy. If that is what would help most, say so on the call and we will provide appropriate referrals.
What if I only need a few sessions?
Then that is what we would recommend. How long you attend is decided with your clinician rather than set in advance, and nobody is signed up to a program because it is the biggest thing on the menu.
See the full range of programs and therapies.