Therapy Trek

Therapy Trek Therapy Services by Licensed Psychotherapist Marsinah Ramirez: Online and in Person

Don't Get Discouraged Finding A Therapist: It's The System (read story below) Also read my blog on Therapy Trek to see w...
16/09/2025

Don't Get Discouraged Finding A Therapist: It's The System (read story below)

Also read my blog on Therapy Trek to see what you can do to find a therapist. I provide tips on how to get through the system.

Those who need therapy often have to pay out of pocket or go without care, even if they have health insurance. Hundreds of mental health providers told us they fled networks because insurers made their jobs impossible and their lives miserable.

Back in the day, if you got a diagnosis for Post Traumatic Stress Disorder (PTSD), it was considered a severe, chronic m...
28/05/2025

Back in the day, if you got a diagnosis for Post Traumatic Stress Disorder (PTSD), it was considered a severe, chronic mental health condition that was virtually untreatable. Today, this is no longer the case since the development of Eye Movement Desensitization and Reprocessing, otherwise known as EMDR. This treatment was endorsed by the World Health Organization as the gold standard for reducing PTSD symptoms, and has been validated by the U.S. Veterans Administration.

If you, or someone you know has been diagnosed with PTSD, please have them consider EMDR from a qualified licensed therapist, whether it be with a local provider, such as Therapy Trek, or through a licensed therapist connected with your insurance.

People with trauma injuries can get help by asking for EMDR treatment.

Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.

How We Can Manage The Fuego Within UsWith the Democrat Fire in the Kern River Valley marking the ongoing threat of Calif...
20/05/2025

How We Can Manage The Fuego Within Us

With the Democrat Fire in the Kern River Valley marking the ongoing threat of California's fire season, it's essential to be mindful of how this current blaze can be triggering for folks who have survived past wildfires.

As a licensed psychotherapist living in the Kern River Valley (KRV) who specializes in trauma, I have experienced numerous incidents (Borel, Erskine, French, etc), and understand how these disasters not only devastate our physical land, property, livestock, and structures, but may also ignite emotional turmoil within ourselves. Therefore, I am re-publishing my article that provides tips from the American Psychological Association about how to start the healing process. Please consider these guidelines if you or someone you know is affected by the current fires. If you need resources beyond this article, please seek professional services.

When disaster hits, a sense of community emerges, cutting across all racial, economic, social, and political lines. For example, many residents in our Valley helped each other during the Borel Fire, supporting their neighbors whichever way they could. Acts of giving are psychologically therapeutic because when a natural disaster strips us of our power, we can help restore this imbalance by doing something within our control. (Incidentally, that's how I got my dog, Fuego. During the Borel Fire, KRV residents, including myself, went to the shelter to help displaced animals.)

Fuego is a Carolina Dog. This unique breed has been described as undomesticated because man did not breed it. Instead, the dog evolved naturally in the United States' Southern and Eastern plains/prairies, retaining its wild characteristics of its extreme pack mentality and hunting instinct. Sorry for the digression, but it is difficult to curb my enthusiasm for discovering an obscure dog ideally suited for the KRV. Now, back to the fires.

So, whether you are a victim of the fire or a resident who just wants to assist those affected by the fire, it may be helpful to recognize that recovery extends beyond our physical landscape into the terrains of our minds.

-Understanding The Emotional Impact-

Fires can alter people's perceptions, as they may think, feel, and act in ways that are outside their character. Understanding the human emotions and behaviors that follow a disaster is helpful.

According to the American Psychological Association (APA), "it is common for people who have experienced disaster to have strong emotional reactions." The APA states it's normal for people to feel stunned, disoriented, or unable to integrate distressing information. After the shock wears off, people can experience intense or unpredictable emotions and feel overwhelmed, anxious, grief-stricken, or moody.

If you or somebody you know affected by the fire is acting unusual, please remember their response is typical for an abnormal incident (fire). The APA states that it is common for natural disaster victims to experience:

-- Repeated and vivid memories of the event. These memories may occur without reason, leading to physical reactions such as rapid heartbeat or sweating.

-- It may be difficult to concentrate or make decisions.

-- Sleep and eating patterns also can be disrupted—some people may overeat and oversleep, while others experience a loss of sleep and appetite.

-- Sensitivity to environmental factors. Sirens, loud noises, burning smells, or other environmental sensations may stimulate memories of the disaster, creating heightened anxiety. These "triggers" may be accompanied by fears of a repeated firestorm.

-- Strained interpersonal relationships. Increased conflict can occur, such as frequent disagreements with family members and coworkers.

-- People often become withdrawn, isolated, or disengaged from social activities.

-- Stress-related physical symptoms. Headaches, nausea, and chest pain may occur and could require medical attention.

-- Preexisting medical conditions could be affected by disaster-related stress.

According to the APA article, "research shows that most people are resilient and, over time, can bounce back from tragedy." But if you, or someone you know, is experiencing these symptoms, it can be helpful to use these APA tips below:

-- Give yourself time to adjust. Anticipate that this will be a difficult time in your life. Allow yourself to mourn the losses you have experienced and try to be patient with changes in your emotional state.

-- Ask for support from people who care about you and who will listen and empathize with your situation. Social support is a key component of disaster recovery. Family and friends can be an essential resource. You can find support and common ground from those who survived the disaster.

-- You may also want to reach out to others who are not involved and may be able to provide greater support and objectivity.

-- Communicate your experience. Express what you feel in whatever ways feel comfortable to you, such as talking with family or close friends, keeping a diary, or engaging in a creative activity (e.g., drawing, molding clay, etc.).

-- Find a local support group led by appropriately trained and experienced professionals. Support groups are frequently available for survivors. Group discussion can help you realize you are not alone in your reactions and emotions. Support group meetings can be constructive for people with limited personal support systems.

-- Engage in healthy behaviors to enhance your ability to cope with excessive stress. Eat well-balanced meals and get plenty of rest. If you experience ongoing sleep difficulties, you may find some relief through relaxation techniques. Avoid alcohol and drugs because they can be a numbing diversion that could detract from as well as delay active coping and moving forward from the disaster.

-- Establish or reestablish routines, such as eating meals regularly, sleeping and waking on a regular cycle, or following an exercise program. Build in some positive routines to have something to look forward to during these distressing times, like pursuing a hobby, walking through an attractive park or neighborhood, or reading a good book.

--Avoid making major life decisions. Switching careers or jobs and other vital decisions tend to be highly stressful in their own right, and can compound the stress.

By understanding how disaster can impact us, a family member, or a friend, we can better manage the embers that a wildfire leaves behind.

In case you missed this it tells you why it's difficult to find a therapist
12/05/2025

In case you missed this it tells you why it's difficult to find a therapist

Getting mental health care covered by insurance can be really tough. Reporters spoke to hundreds of therapists who left their insurance networks to find out why.

Guidelines for Emotional Recovery From A Wild Fire (Reprinted and Edited for Los Angeles 2025 Wildfires)As a licensed ps...
12/01/2025

Guidelines for Emotional Recovery From A Wild Fire
(Reprinted and Edited for Los Angeles 2025 Wildfires)

As a licensed psychotherapist living in the fire-prone mountainous area of Kern River Valley (KRV), I have experienced numerous past fire incidents (Borel, Erskine, French, etc), so I understand how such disasters not only devastate our physical land, property, livestock and structures, but equally ignite emotional turmoil within ourselves.

Portions of this article, sourced from the American Psychological Association, is a general guideline of how to begin the recovery process from the traumatic imprint that may be left on our psyche from a wildfire.

Please consider these guidelines, and if you feel you need resources beyond this article, please contact this resource https://mayor.lacity.gov/news/compiled-resources-available-impacted-angelenos

When disaster hits, there is a sense of community that cuts across all racial, economic, social and political lines. So whether you are a victim of the fire or a local resident who just wants to assist those affected by the fire, it may be helpful to recognize that recovering extends beyond our physical landscape into the terrains of our minds.

--Understanding The Emotional Impact--

When folks are hit by a natural disaster, they may think, feel and act in ways that are outside their character, so it is helpful to understand the human emotions and behaviors that follow a disaster.

According to the American Psychological Association (APA), “it is common for people who have experienced disaster to have strong emotional reactions.” The APA states it’s normal for people to feel stunned, disoriented or unable to integrate distressing information. After the shock wears off, people can experience intense or unpredictable feelings, and feel overwhelmed, anxious, grief-stricken or moody.”

If you or somebody you know who has been affected by the fire is acting unusual, please remember their response is a normal response for an abnormal incident (fire).

The APA states this it is common for natural disaster victims to experience:

--Repeated and vivid memories of the event. These memories may occur for no apparent reason and may lead to physical reactions such as rapid heartbeat or sweating.
--It may be difficult to concentrate or make decisions.
--Sleep and eating patterns also can be disrupted—some people may overeat and oversleep, while others experience a loss of sleep and loss of appetite.
--Sensitivity to environmental factors. Sirens, loud noises, burning smells, or other environmental sensations may stimulate memories of the disaster creating heightened anxiety. These “triggers” may be accompanied by fears that the stressful event will be repeated.
--Strained interpersonal relationships. Increased conflict, such as more frequent disagreements with family members and coworkers, can occur.
--You might also become withdrawn, isolated, or disengaged from your usual social activities.
--Stress-related physical symptoms. Headaches, nausea, and chest pain may occur and could require medical attention.
--Preexisting medical conditions could be affected by disaster-related stress.

According to the APA article, “research shows that most people are resilient and over time are able to bounce back from tragedy.” But if you, or someone you know is experiencing these symptoms, it can be helpful to use these APA tips below:

--Give yourself time to adjust. Anticipate that this will be a difficult time in your life. Allow yourself to mourn the losses you have experienced and try to be patient with changes in your emotional state.

--Ask for support from people who care about you and who will listen and empathize with your situation. Social support is a key component to disaster recovery. Family and friends can be an important resource. You can find support and common ground from those who've also survived the disaster. You may also want to reach out to others not involved who may be able to provide greater support and objectivity.

--Communicate your experience. Express what you are feeling in whatever ways feel comfortable to you—such as talking with family or close friends, keeping a diary, or engaging in a creative activity (e.g., drawing, molding clay, etc.).

--Find a local support group led by appropriately trained and experienced professionals. Support groups are frequently available for survivors. Group discussion can help you realize that you are not alone in your reactions and emotions. Support group meetings can be especially helpful for people with limited personal support systems.

--Engage in healthy behaviors to enhance your ability to cope with excessive stress. Eat well-balanced meals and get plenty of rest. If you experience ongoing difficulties with sleep, you may be able to find some relief through relaxation techniques. Avoid alcohol and drugs because they can be a numbing diversion that could detract from as well as delay active coping and moving forward from the disaster.

--Establish or reestablish routines. This can include eating meals at regular times, sleeping and waking on a regular cycle, or following an exercise program. Build in some positive routines to have something to look forward to during these distressing times, like pursuing a hobby, walking through an attractive park or neighborhood, or reading a good book.

--Avoid making major life decisions. Switching careers or jobs and other important decisions tend to be highly stressful in their own right, and can compound the stress.

Therapy Trek, has online coaching services for residents affected by the fires in Altadena, Los Angeles or Pacific Palisades and is offering them free for a limited number of clients. Therapy Trek encourages you to contact our office at www.therapytrek.com if you feel you or a family member needs emotional support.

Think of panic attacks as a short-circuit in your brain, like a wire (your neural pathway) that is bent. To restore to n...
20/11/2024

Think of panic attacks as a short-circuit in your brain, like a wire (your neural pathway) that is bent. To restore to normal functioning, like the way you were before you had panic attacks, we have to unbend the wiring through training the brain to no longer respond to false alarms. It's the metaphorically bent wire--the false alarm--that is convincingly telling your mind and body that danger is imminent. Through exposure response prevention, an evidence-based practice and gold standard for treating panic disorder, you learn how to de-activate the false alarm, and hence panic attacks decrease or subside. Interested in getting back control of your life? Connect with me today at

Get Help Now | Online & In-Person Therapy by LMFT

If you are frustrated with the mental health system and finding a therapist is difficult, please read this. Before you a...
25/08/2024

If you are frustrated with the mental health system and finding a therapist is difficult, please read this. Before you auto enroll in a healthplan, see if your therapist takes that insurance or if you can find a therapist in your network. If you are having difficulties getting treatment or finding a therapist, this article will explain why.

Those who need therapy often have to pay out of pocket or go without care, even if they have health insurance. Hundreds of mental health providers told us they fled networks because insurers made their jobs impossible and their lives miserable.

Guidelines for Emotional Recovery From A Wild FireAs a licensed psychotherapist living in the Kern River Valley (KRV), I...
07/08/2024

Guidelines for Emotional Recovery From A Wild Fire

As a licensed psychotherapist living in the Kern River Valley (KRV), I have experienced numerous past fire incidents (Erskine, French, etc), so I understand how such disasters not only devastate our physical land, property, livestock and structures, but equally ignite emotional turmoil within ourselves.

Portions of this article, sourced from the American Psychological Association, is a general guideline of how to begin the recovery process from the traumatic imprint that may be left on our psyche from a wildfire.

Please consider these guidelines, and if you feel you need resources beyond this article, please connect with the Local Assistance Center, a one-stop-shop” for survivors of the Borel Fire at https://www.kerncounty.com/Home/Components/News/News/3202/34810

When the Borel fire erupted, it posed a significant threat to our neighbors in Havilah and Bodfish. The outpouring of community support is what makes small towns small, as exemplified in the Erskine Fire.

When disaster hits small towns, there is a sense of community that cuts across all racial, economic, social and political lines. Rural living creates the connection that we are all in this together. So whether you are a victim of the fire or a local resident who just wants to assist those affected by the fire, it may be helpful to recognize that recovering extends beyond our physical landscape into the terrains of our minds.

--Understanding The Emotional Impact--

When folks are hit by a natural disaster, they may think, feel and act in ways that are outside their character, so it is helpful to understand the human emotions and behaviors that follow a disaster.

According to the American Psychological Association (APA), “it is common for people who have experienced disaster to have strong emotional reactions.” The APA states it’s normal for people to feel stunned, disoriented or unable to integrate distressing information. After the shock wears off, people can experience intense or unpredictable feelings, and feel overwhelmed, anxious, grief-stricken or moody.”

If you or somebody you know who has been affected by the fire is acting unusual, please remember their response is a normal response for an abnormal incident (fire).

The APA states this it is common for natural disaster victims to experience:

--Repeated and vivid memories of the event. These memories may occur for no apparent reason and may lead to physical reactions such as rapid heartbeat or sweating.
--It may be difficult to concentrate or make decisions.
--Sleep and eating patterns also can be disrupted—some people may overeat and oversleep, while others experience a loss of sleep and loss of appetite.
--Sensitivity to environmental factors. Sirens, loud noises, burning smells, or other environmental sensations may stimulate memories of the disaster creating heightened anxiety. These “triggers” may be accompanied by fears that the stressful event will be repeated.
--Strained interpersonal relationships. Increased conflict, such as more frequent disagreements with family members and coworkers, can occur.
--You might also become withdrawn, isolated, or disengaged from your usual social activities.
--Stress-related physical symptoms. Headaches, nausea, and chest pain may occur and could require medical attention.
--Preexisting medical conditions could be affected by disaster-related stress.

According to the APA article, “research shows that most people are resilient and over time are able to bounce back from tragedy.” But if you, or someone you know is experiencing these symptoms, it can be helpful to use these APA tips below:

--Give yourself time to adjust. Anticipate that this will be a difficult time in your life. Allow yourself to mourn the losses you have experienced and try to be patient with changes in your emotional state.
--Ask for support from people who care about you and who will listen and empathize with your situation. Social support is a key component to disaster recovery. Family and friends can be an important resource. You can find support and common ground from those who've also survived the disaster. You may also want to reach out to others not involved who may be able to provide greater support and objectivity.
--Communicate your experience. Express what you are feeling in whatever ways feel comfortable to you—such as talking with family or close friends, keeping a diary, or engaging in a creative activity (e.g., drawing, molding clay, etc.).
--Find a local support group led by appropriately trained and experienced professionals. Support groups are frequently available for survivors. Group discussion can help you realize that you are not alone in your reactions and emotions. Support group meetings can be especially helpful for people with limited personal support systems.
--Engage in healthy behaviors to enhance your ability to cope with excessive stress. Eat well-balanced meals and get plenty of rest. If you experience ongoing difficulties with sleep, you may be able to find some relief through relaxation techniques. Avoid alcohol and drugs because they can be a numbing diversion that could detract from as well as delay active coping and moving forward from the disaster.
--Establish or reestablish routines. This can include eating meals at regular times, sleeping and waking on a regular cycle, or following an exercise program. Build in some positive routines to have something to look forward to during these distressing times, like pursuing a hobby, walking through an attractive park or neighborhood, or reading a good book.
--Avoid making major life decisions. Switching careers or jobs and other important decisions tend to be highly stressful in their own right, and can compound the stress.

Therapy Trek, with offices in Bakersfield and the KRV, encourages you to explore these resources or contact our office at www.therapytrek.com if you feel you or a family member needs emotional support. In addition, the County of Kern encourages anyone impacted by the Borel Fire to call 661 873-2660 to access local, state, federal or non-profit resources.

KERN FAMILY HEALTH MEMBERS -- If you are struggling with anxiety, depression, work problems, relationship issues, or rac...
26/04/2024

KERN FAMILY HEALTH MEMBERS -- If you are struggling with anxiety, depression, work problems, relationship issues, or racial discrimination, please visit my confidential, secure website for help. Sorry, but therapist can not respond to Facebook inquiries for confidentiality reasons.

Get Help Now | Online & In-Person Therapy by LMFT

06/02/2024

Get Help Now | Online & In-Person Therapy by LMFT

If you are seeking therapy, visit my website www.therapytrek.com Specialized Treatment in Work Problems, Codependency, P...
07/03/2023

If you are seeking therapy, visit my website www.therapytrek.com Specialized Treatment in Work Problems, Codependency, PTSD, Depression, and Racial Trauma, Couples Counseling for Adults, LGBTQIA+, Families, and Adolescents (13 years and up). If you are challenged in one of these areas I specialized in, visit my website. Due to confidentiality restrictions, I only respond to inquiries through my official website, which has a secure, HIPAA-compliant communication portal.

Get Help Now | Online & In-Person Therapy by LMFT

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6200 Lake Ming Road
CA
93306

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Monday 08:00 - 21:00
Tuesday 08:00 - 21:00
Wednesday 08:00 - 21:00
Thursday 08:00 - 21:00
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Sunday 08:00 - 21:00

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(562) 366-6079

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