- Cognitive Behavioral Therapy
- Motivational Interviewing
- Attachment focus
About Octavia
Octavia Macklin is an LMFT - Licensed Marriage and Family Therapist in California with three years of clinical experience and more than a decade of prior work in addiction recovery. She works with people dealing with relationship struggles, motivation and self-esteem concerns, depression, stress and anxiety, and life transitions. Guilt and shame are listed among her focus areas and she addresses these feelings alongside issues like trauma, grief, and substance concerns.
Her approach is straightforward and experiential. She combines ideas from several therapies and picks methods that match what each person needs. Sessions tend to be direct and relational, with attention to practical steps people can try between meetings.
She uses Cognitive Behavioral Therapy tools to identify and shift unhelpful thoughts and behaviors. Motivational Interviewing appears in work on change and substance concerns, helping people find reasons to stick with new choices. Psychodynamic ideas inform deeper attention to early family patterns and attachment dynamics that influence current relationships.
Octavia also draws from solution-focused and existential ways of working to help people clarify values, set small goals, and face questions about meaning. Her background in addiction recovery informs how she talks about cravings, relapse risks, and rebuilding trust with oneself. She supports people navigating gender, sexual identity, kink and alternative sex culture matters without assuming a single path forward.
People interested in starting are invited to use the site process to match and schedule an initial session. She works in English and accepts international clients; confirm the session options before booking.
How her approaches translate to online work
Octavia integrates Cognitive Behavioral Therapy and Motivational Interviewing into her online work. CBT in plain terms means identifying the thoughts and habits that keep someone stuck and practicing different behaviors. It is often used for anxiety, depression, body image, and guilt-related thinking. Motivational Interviewing focuses on what matters to a person and helps strengthen their own reasons for change, which is helpful for addictions and making life changes.She views approach selection as a collaborative process. Early sessions are used to learn what the client wants and to try methods that fit their goals and preferences. The therapist and client check in together and adjust the work over time rather than sticking to a single plan from the start.
The original biography does not specify which session formats are offered online, so confirm current options before booking. In general, online work can make it easier to fit appointments into a busy life, allow shorter check-ins when needed, or remove travel time. Licensed professionals can use conversation-based exercises, behavioral homework, and focused goal-setting in remote sessions to keep progress moving forward.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
3+ years
Listed in
California
Languages
English
Frequently asked questions
What concerns does she address related to guilt and shame?
She lists guilt and shame among her focus areas and works with these feelings alongside trauma, grief, relationship and addiction issues.
How would she approach feelings of deep shame?
Her style is direct and experiential. She uses psychodynamic ideas to look at early family and attachment patterns and CBT tools to change unhelpful thoughts and behaviors.
What background informs her work?
She has three years of clinical experience as an LMFT plus over a decade working in addiction recovery before becoming a clinician.
What are her credentials and where is she based?
She is an LMFT licensed in California and practices from that state.
Does she work in other languages or internationally?
Sessions are offered in English and she accepts international clients.
What session formats does she offer?
The original biography does not list specific session formats; confirm the current online and in-person options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.