Therapy for Black, Latinx, and Communities of Color — including immigrant, first-generation, and veteran communities. LGBTQ+-affirming care. Welcoming and inclusive of all identities.
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I see you — managing responsibilities, meeting expectations, and carrying the weight of past and present experiences. Maybe you are feeling stuck, wondering why life keeps happening to you. Perhaps you are struggling to set boundaries, battling self-doubt, or feeling like a burden. It is overwhelming. You do not have to figure it out alone.
Something brought you here. Maybe it is the weight you have been carrying so long you forgot it was not supposed to be yours. Maybe it is the exhaustion of succeeding in spaces that were never designed with you in mind. Maybe it is grief, or numbness, or the quiet sense that you have been surviving when you wanted to be living.
Or maybe you are the one who holds everyone else together while quietly falling apart. The one who made it — first in the family, across borders, through things no one fully knows — and still wonders why it does not feel like enough. The one who is tired in a way that sleep does not fix.
Whatever brought you here, you do not have to earn your way into healing. You do not have to explain your culture, translate your pain, or make yourself smaller to be understood. Your whole story is welcome here. The history, the culture, the things that happened before you were even born.
Your pain makes sense. Not because something is wrong with you, but because of everything that has been asked of you. By family, by systems, by a world that expected your resilience before it ever offered you rest. That context is not separate from your mental health. It is your mental health. And it belongs in the room.
This is where we heal from the inside out. From the roots up.
Who I Work With
Holding strength that the world demands while processing racial trauma, hypervisibility, and the weight of navigating systems that were not built with your wellbeing in mind.
Navigating life between cultures, languages, and generations — carrying the stories of your family alongside your own, in a world that often asks you to choose.
Processing acculturation, displacement, documentation stress, and the grief of lives lived across borders — with a therapist who understands what that costs.
Carrying the weight of being the first — in the family, in the room — while managing self-doubt, guilt, and the quiet loneliness of upward mobility.
Reintegrating into civilian life, processing loss and identity after service — with a therapist who treats your experience with the seriousness it deserves.
Burned out from giving everything to others — carrying the weight of vicarious trauma and compassion fatigue while privately struggling.
What Can Change
You begin to understand the anxiety — where it came from, what it is protecting, and how to work with it rather than against it.
The grief finds language — for what was lost in migration, in family, in the version of yourself you had to set aside to survive.
You stop shrinking in rooms where you have always felt like an outsider and begin to take up the space you have earned.
You build insight into the patterns that have been holding you back — and start making decisions from a clearer, more grounded place.
Your culture becomes a source of strength in the healing process, not something to translate or explain away.
You reconnect with yourself in a deeper, more compassionate way — and that changes how you show up in every relationship.
What to Expect
In your first session, we will explore what brought you to therapy and how your mind and body are being impacted by your lived experiences. Together, we will begin to understand what is beneath the surface and decide the most meaningful ways to help you move forward.
Therapy here is relational and collaborative. You will be met as a whole person, with a whole history, and we will build from there. It is never too late to change the trajectory of your life.
Clinical Approach
Every method used in this practice is evidence-informed and adapted to your specific history, culture, and goals. The clinical and the cultural are not separate here — they work together.
Colleague Endorsements
Endorsements from licensed colleagues in the field.
"Dr. Ayli is an exceptional therapist providing compassionate and effective care for adult clients navigating depression, anxiety, and trauma. Their culturally responsive approach ensures clients feel truly understood and supported."
"Dr. Ayli Carrero Pinedo is an exceptional, warm, and culturally-informed clinician, skilled in providing culturally affirming care to those in need of support with anxiety, depression, and relational concerns."
"Dr. Ayli Carrero Pinedo is a passionate advocate for culturally and evidence-informed care. Through her collaborative work with clients, she empowers people to overcome daily challenges and adjust to all the changes life throws at us."
"Dr. Carrero Pinedo's clinical work and her mental health advocacy are rooted in justice and empowerment. She has a deep respect for cultural knowledge and infuses that into the care she provides for her clients."
Training and Recognition
Trained and recognized by the federal agency that sets national behavioral health standards — bringing a policy perspective into every clinical hour.
A distinction awarded to fewer than a handful of psychologists nationally, recognizing sustained and transformative contributions to the field.
PhD in Counseling Psychology, University of North Dakota. Licensed in the State of California (PSY34224). Verified by Psychology Today.
Has informed federal and state policies that shape how mental health care is funded and delivered — especially for immigrant and underserved communities.
You speak the language that feels truest in the moment. Sessions adapt to you — no translation required, no cultural distance.
Accessible, private, and on your schedule. No commute, no waiting room. Available to adults and elders (65+) statewide.
Investment
This work takes time and intention. The investment reflects both.
Insurance: In-network with Aetna. For all other insurance, a superbill is provided for out-of-network reimbursement. Questions about coverage are always welcome — the goal is to make this as accessible as possible.
Accepted payment: American Express · Discover · Health Savings Account (HSA) · Mastercard · Visa
A limited number of sliding scale spots are available for those who qualify. Please mention this when you reach out.
(562) 576-9993