01 · Who Pascale works with

Pascale works with stress, Anxiety, relationship issues and bipolar disorder

Pascale lists 18 specialisms and 45 further focus areas. Specialisms are the subjects Pascale chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Pascale's own words

What Pascale says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a Licensed Marriage and Family Therapist in California and have been licensed since 2006, with over 24 years of professional experience in the mental health field.

I work with adults, couples, and individuals from diverse cultural, ethnic, and life backgrounds who may be struggling with anxiety, depression, grief and loss, emotional overwhelm, relationship difficulties, life transitions, compassion fatigue, trauma, identity concerns, or challenges related to emotional regulation and coping. My clinical background also includes working with crisis situations, homelessness, schizophrenia, schizoaffective disorder, bipolar disorder, personality disorders, and severe mental illness across a variety of treatment settings.

Throughout my career, I have worked with individuals, couples, veterans, military families during deployment, older adults, LGBTQIA+ clients, and group therapy populations. I have experience supporting clients through both emotional crisis and personal growth, helping individuals reconnect with meaning, stability, resilience, and healthier relationship patterns.

My approach is warm, compassionate, heart-centered, mindfulness-based, and deeply individualized. I believe therapy should never feel “cookie-cutter.” I strive to truly understand each client’s unique experiences, strengths, personality, cultural background, and goals while tailoring treatment to meet their specific needs.

I integrate mindfulness, meditation, Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and insight-oriented approaches into my work. I also believe that reading, reflection, skill-building exercises, and practical coping tools can be powerful additions to the therapeutic process.

I speak English, French, Lebanese Arabic, and some Spanish, although I conduct therapy sessions exclusively in English. Having lived across multiple countries and experienced war and major life transitions personally, I bring a multicultural perspective and deep respect for resilience, cultural identity, immigration experiences, spirituality, and the many ways people adapt and heal through adversity.

In addition to my clinical work, I am also the author and illustrator of Being With Heart: How to Thrive in Life With a Tender Heart, a project that reflects many of the themes of compassion, healing, resilience, mindfulness, and emotional growth that I value in therapy.

I believe in treating every client with dignity, sensitivity, compassion, and respect. Taking the first step toward healing and meaningful change takes courage, and I feel honored to support clients throughout that journey.

Thank you for reaching out. I look forward to working together.

Pascale Dellefield, on the BetterHelp listing · read 9 Oct 2026

03 · How Pascale works

The 6 approaches Pascale lists, in plain English

These are the clinical methods Pascale lists. The descriptions are Maker Therapy's, not Pascale's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Pascale runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Pascale practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Pascale's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Pascale at this point.

2. Naming Pascale specifically

   BetterHelp matches algorithmically by default, so asking for Pascale is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Pascale.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Pascale

Built from what Pascale actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Pascale's - Pascale has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 24 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMFT

Licensed in

California

Licence

CA LMFT 43638

Licence number

43638

Licence expires

29 Feb 2028

NPI

1265571699

Years in practice

24

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Pascale's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Pascale. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.