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What to
expect

Starting therapy can feel like a significant step into the unknown. Understanding what the process actually looks like can make that first call a little easier to make.

"No matter what you may believe, you have the capacity to grow and create a more meaningful life."

Getting help from a psychologist is an act of courage. You may have struggled on your own for years, or only recently discovered your need for help. Either way, partnering with a licensed psychologist is a meaningful first step.

Entrusting yourself and your feelings to another person is not easy. Some worry they won't find the help they need. Some fear being judged and made to feel worse. These concerns are understandable - and they are worth addressing directly.

The Process

Four steps toward
meaningful change

Treatment begins with a conversation and builds from there. Each step is shaped around your specific needs - not a predetermined program.

01

Initial Consultation

The first session is a chance to get acquainted. You share what has brought you here, what you're hoping to address, and any questions you have. Dr. Cutler listens carefully, asks questions, and begins to understand your situation.

No commitment required - the first session is exploratory
Available in-person in La Jolla or via secure video
A brief phone call often precedes the first session
02

Setting Goals Together

Based on the initial consultation, you and Dr. Cutler identify what you would like to work on and agree on a therapeutic approach suited to your needs. Goals may be specific or broad - and they can evolve over time.

Goals are agreed upon together - not prescribed
Practical constraints like schedule and budget are taken into account
Treatment length is discussed openly from the start
03

Ongoing Work

Regular sessions - typically weekly - where you explore thoughts, feelings, and patterns with Dr. Cutler's guidance. Over time, the work deepens, insights accumulate, and change becomes possible.

Weekly sessions provide continuity and build momentum
Sessions are 45 minutes in length
Telehealth available for flexible scheduling
04

Seeing Results

Over time - sometimes quickly, sometimes gradually - most patients find relief from painful symptoms, a greater understanding of themselves, and a clearer path ahead in their relationships and their lives.

Progress is reviewed and discussed openly
Treatment length is matched to your needs and goals
Many benefits continue long after treatment ends
"

Years before the advent of psychotherapy, a young woman met with her doctor over many occasions. Gradually, she noticed that she began to feel better and do better. During one such meeting, she suddenly looked up and exclaimed, "I know what this is! This is the 'talking cure!'"

And so it was.

From the history of psychotherapy
The
Talking
Cure

Why it works

There is something
helpful about
talking

The idea that conversation could heal is older than formal psychology itself. What that young woman stumbled upon - long before anyone had a name for it - is that the act of putting experience into words has its own power.

Words clarify. They help us step back from our feelings and see them more clearly. They allow us to share our inner life with another person and feel understood. And in the presence of a skilled, attentive listener, they open pathways to change that simply thinking alone cannot.

Dr. Cutler's goal is to help you find words for your thoughts and feelings - to assist you in understanding yourself in deeper ways, and to aid you in discovering the answers you need.

Setting Goals

Finding words
for what
matters

As you begin therapy, you and Dr. Cutler will work together to identify what you want to pursue. Goals give the work direction - and they can take many forms.

Perhaps you want to overcome feelings of hopelessness tied to depression. Perhaps you want to understand why certain relationships keep going wrong. Perhaps there is simply a persistent sense that something needs to change, even if you can't yet name what it is.

"I have words for all I know."

- Ludwig Wittgenstein, philosopher

Wittgenstein understood that if he couldn't put something into words, he didn't really know it. Finding language for thoughts and feelings is clarifying and expanding. Words cut feelings down to size and prepare the way for action.

What therapy can help you achieve

Relief from painful symptoms

Reduce the grip of anxiety, depression, and emotional distress on your daily life.

Deeper self-understanding

Make sense of feelings and behaviors that have been difficult to understand.

Stronger relationships

Improve how you relate to the people who matter most - partners, family, colleagues.

Freedom from old patterns

Recognize and break self-defeating patterns that have shaped your life for too long.

Greater control over your life

Prevent the past from interfering with the present and find a clearer path forward.

Common Concerns

Worries people
have before starting

It's normal to have hesitations. Here are the ones Dr. Cutler hears most often - and why they don't have to stand in the way. More detailed answers are available in the FAQ.

"I'm not sure it will help me."

Uncertainty is understandable, especially if you've never tried therapy before. Research consistently shows that psychotherapy helps the vast majority of people who engage with it. The first session carries no commitment.

"I'm afraid of being judged."

Dr. Cutler's role is to understand, not to evaluate. Everything shared in session is held in confidence. Therapy is one of the few relationships in life specifically designed to be free of judgment.

"I don't want to be in therapy forever."

Treatment length is always discussed openly. Some patients benefit from a focused few months of work. Others choose longer-term therapy. The duration is decided together - not predetermined.

"I've tried before and it didn't work."

Outcomes in therapy are strongly influenced by the fit between patient and therapist. A prior experience that wasn't helpful doesn't predict the next one. It's worth discussing what worked and what didn't.

"I'm not sure my problems are serious enough."

You don't need to be in crisis to benefit from therapy. Many people come simply because something isn't working and they want to understand why. There is no threshold of suffering required to seek help.

"I don't know where to begin."

You don't need to have your thoughts organized before reaching out. The initial consultation is exactly the place to begin sorting things out - you simply show up, and the conversation starts from there.

Length of Treatment

Short-term or longer-term - tailored to you

There is no one-size-fits-all answer to how long therapy takes. Dr. Cutler works with patients to find the approach that fits their situation, their goals, and the practical realities of their lives.

Short-Term

Focused work on a specific concern

Short-term psychotherapy - typically three to six months - is well suited to patients who are dealing with a specific, delimited problem. A difficult life transition, a particular relationship conflict, or a period of acute stress may all respond well to focused, time-limited work.

The goals are clear, the scope is defined, and progress can be seen and measured along the way.

Typically 3–6 months of weekly sessions
Focused on a specific problem or goal
Well-suited to acute stress, transitions, defined concerns
Long-Term

Deeper exploration of persistent patterns

For issues that are more persistent, more pervasive, or more deeply rooted - longstanding depression, recurrent relationship difficulties, a sense that the same problems keep returning - longer-term therapy allows for a different kind of work.

It creates space to explore the patterns beneath the surface, to understand not just what is happening but why, and to make changes that are durable rather than temporary.

Open-ended - length determined by need and progress
Addresses persistent, pervasive, or recurring concerns
Benefits tend to deepen and endure over time

A final word

"The best way out is always through."

Whatever has brought you to this page - anxiety, depression, a relationship that isn't working, or simply the feeling that something needs to change - you don't need to have it all figured out before you reach out. The conversation begins with a single step.

Get Started

Ready to take
the first step?

Dr. Cutler welcomes new patients and responds personally to every inquiry. Reaching out is the hardest part.

Charles M. Cutler, Ph.D.

About Dr. Cutler

Helping people find their way for over three decades

Charles M. Cutler, Ph.D. is a licensed clinical psychologist based in La Jolla, California. With training at Purdue University, a postdoctoral fellowship at Harvard Medical School, postgraduate training at the Minnesota Psychoanalytic Institute, and decades of private practice, he brings exceptional depth to every patient relationship.

He is a faculty member of the San Diego Psychoanalytic Center, where he teaches and supervises the next generation of clinicians - a reflection of his enduring commitment to the field.

Ph.D. · Purdue University Harvard Medical School Minnesota Psychoanalytic Institute SDPC Faculty Lic. PSY27353