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Open Pacific water at first light off the Long Beach coast, low swell and soft haze
Long Beach, California, and telehealth statewide

Finding the path between your values and your sexuality.

Therapy for men and couples dealing with compulsive sexual behavior, broken trust, and deep shame. Restoring long-term connection—without treating your sexuality as the problem.

Mateo Leonardo, MA, LMFT, CSAT, Se habla español

Mateo Leonardo, MA, LMFT, CSAT
Why you might be here

Most men arrive with one of three things, and a lot of shame about it.

Sexual behavior that has gotten out of hand and is carried with excessive guilt. Difficulty being assertive or holding a boundary. Trust that has broken in a relationship, including the partner living with betrayal trauma. Often two or three at once.

Shallow water rippling over pale sand in low afternoon light
Nothing here is a diagnosis

Is this you?

Six of the most common ones. There are more.

The mission

“My mission is to help men struggling with intimacy become more confident and less isolated. I want to provide an antidote to the loneliness epidemic we are currently living through.”

Mateo Leonardo, MA, LMFT, CSAT
A low swell moving under soft dusk light off the Long Beach coast
Past the break, Long Beach

What that means in the room

Three ways in

Individual work, couples work, and a room full of men doing the same thing.

Compare the three without leaving the page. Pick one to see who it is for, how it runs and what it costs.

Private pay. Sliding scale available.

Daylight reaching down through deep, clear ocean water
One to one

Individual Therapy

For the man who is tired of managing a private life he never chose. We work at the roots, lower the shame, and build the skills that make real closeness possible.

Naming the cycle: conditions, behavior, costLowering shame enough to tell the truthAssertiveness: knowing your own yes and noRebuilding a sexuality that matches your values

Who it is for

Men working on compulsive sexual behavior, shame, assertiveness and intimacy skills

Format

Telehealth across California or in person in Long Beach

Fee

$185

How I work

What the first month looks like

Structured, but not rigid. I say out loud what we are doing and why, and you are allowed to push back on any of it. Move through the four weeks below.

  • CBT
  • Psychodynamic
  • Gottman Method
  • Acceptance and Commitment Therapy
  • Nonviolent Communication
  • Attachment Theory
Early morning light on a quiet pier over calm water01: The call

A free 15-minute phone consultation

You tell me as much or as little as you want. I tell you how I work, what I would likely focus on first, and what it costs. If I am not the right fit, I will say so. Nothing is written down as a clinical record on this call.

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The practical part

Plain facts, so you are not guessing before you call.

In practice
over five years
License
California LMFT #154119
Certification
Certified Sex Addiction Therapist
Sessions
In person in Long Beach or telehealth statewide
Languages
English and Spanish, se habla español
First step
Free 15-minute phone consultation

Fees are listed in full on the Rates page, including the sliding scale. The practice is private pay.

Next step

You do not have to explain the whole thing to start

Fifteen minutes on the phone, at no cost, is enough to know whether this feels workable. Bring one sentence about why you are calling. That is plenty.