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Denise Alfaro, M.A., LMFT
Licensed Marriage and Family Therapist #141014
Licensed Professional Clinical Counselor #17767
children, teens, adults, EMDR, play therapy, anxiety, trauma
I am committed to providing a compassionate and welcoming environment where children, teens, adults, and families can feel supported as they explore emotions, build stronger relationships, and work through life’s challenges.
I work with clients experiencing anxiety, depression, trauma, and life transitions, using a culturally responsive, strengths-based, and trauma-informed approach. As a bilingual clinician in English and Spanish, I strive to honor each client’s culture, identity, experiences, and individual goals. I have extensive experience working with survivors of trauma and violence, and understand how essential a safe and trusting therapeutic relationship is to the process. I work collaboratively and at a pace that feels comfortable and manageable for youl, while supporting you in developing healthy coping skills, processing difficult experiences, and recognizing your strengths. When helping children and adolescents, I use developmentally appropriate strategies to encourage emotional expression, self-understanding, confidence, and healthy relationships.
I earned my Master of Arts in Counseling Psychology from Santa Clara University and came to Ivy Creek Therapy after years in a nonprofit setting. My approach is individualized and may incorporate Talk Therapy, Person-Centered, Play Therapy, Cognitive Behavioral Therapy (CBT), Trauma-Informed Care, and Eye Movement Desensitization and Reprocessing (EMDR). I feel honored to support you through challenges and in discovering your inner strengths.






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Our Preferred Evidence-Based Treatments
Cognitive Behavioral Therapy (CBT) is an empirically supported treatment that helps change distressing thought patterns that contribute to anxiety and depression. Through CBT, you'll learn to identify and challenge negative thoughts, reframe irrational beliefs, and replace them with healthier, more realistic perspectives. CBT also focuses on breaking patterns of self-doubt and worry by learning how to re-evaluate situations and adopt more constructive thinking. These tools empower you to make lasting changes in how you think and respond.
ERP is a structured therapy that helps reduce distress from obsessive thoughts and compulsive behaviors. It involves gradual, guided exposure to feared situations or thoughts without doing the habits or rituals you usually do to feel better. This process helps decrease anxiety over time and breaks the cycle of obsessions and rituals. You remain fully present and supported throughout, learning new ways to tolerate discomfort and regain control. ERP is especially effective for OCD, skin picking, hair pulling, and related anxiety challenges. Sessions are available in person and via telehealth throughout California.
Dialectical Behavior Therapy (DBT) combines cognitive-behavioral techniques with mindfulness principles to help individuals manage emotions, navigate challenges, and improve relationships. It focuses on four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. By building these skills, DBT empowers individuals to replace destructive patterns with practical, lasting strategies that promote resilience, balance, and a greater sense of control in daily life.
EMDR helps your brain reprocess stuck memories so they no longer feel overwhelming or intense. Unprocessed experiences can trigger or worsen anxiety, shame, distress, and physiological reactions. After EMDR, difficult experiences often feel neutral, distant, or easier to manage. We use techniques like eye movements or handheld tappers to activate both sides of the brain, supporting your brain’s natural ability to heal and make sense of the distressing experiences. Sessions follow a structured 8-phase protocol to help you build resilience and process memories, while fully awake and alert. EMDR is effective for distress related to loss, illness, trauma, childhood wounds, and relationship pain.
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1870 Olympic Blvd
Walnut Creek, CA 94596
925-830-7900
