- Substance use help
- Trauma and abuse
- Self esteem work
About Iisha
Iisha Toombs is an LCSW licensed in California and New Mexico with 16 years of experience. She helps people who are coping with substance use concerns, LGBTQ+ related issues, trauma and abuse, low self-esteem, and depression. Her work often also touches on abandonment, body image, chronic illness and pain, communication problems, and isolation.
Iisha keeps sessions straightforward and practical. She asks about what feels most difficult and what someone wants to change. Conversations focus on manageable steps and on understanding patterns that keep problems repeating. Clients can expect a direct, respectful approach rather than vague reassurance.
She draws on evidence-based therapeutic techniques to address trauma, mood, and addictive behaviors. That means applying methods with clear goals, such as reducing shame, improving coping skills, and increasing motivation. Progress is tracked through real tasks and conversations rather than vague promises.
Iisha is used to talking about gender identity, sexual orientation, and the ways past hurts affect present relationships. She also supports people dealing with grief around separation, long-term illness, or difficult family dynamics. Sessions cover both immediate concerns and the longer-term patterns that underlie them.
People considering work with her are encouraged to think about what they most want to change and to bring that to the first meeting. The first session is an opportunity to set clear goals and decide what the next steps will look like together.
How evidence-based methods translate to online work
Many clients find brief, structured approaches helpful for social anxiety, trauma symptoms, and substance use concerns. One common method focuses on gradual exposure - it breaks feared social situations into smaller steps and practices them until they feel more manageable. Another approach teaches coping skills such as breathing, grounding, and behavior experiments to reduce avoidance and improve everyday functioning.Choosing the right approach is a collaborative process. The therapist will review what has or has not worked before, discuss goals, and try methods that match the client’s preferences and needs. Adjustments are made as progress and feedback come in so the plan stays practical and relevant.
Confirm current session options before booking because formats were not specified in the biography. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It also lets people try sessions from familiar surroundings and focus more on specific skills practice during the appointment.
Areas of expertise
Primary focus
Additional focus areas
Experience
16+ years
Listed in
California, New Mexico
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She helps people with addictions, LGBTQ+ related issues, trauma and abuse, self-esteem concerns, and depression, plus related topics like isolation and communication problems.
What is her therapy style like?
She uses a direct, practical approach that focuses on concrete goals and steps. Conversations aim to identify patterns and build skills rather than offering only reassurance.
How much clinical experience does she have?
She has 16 years of professional experience working in clinical settings and community care.
What credentials and location are listed?
She is an LCSW licensed in California and New Mexico and practices from California.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions paid for and what does cost look like?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin if I want a first session?
Select the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.