Spencer MacDonald


Spencer MacDonald

Spencer MacDonald


Professions: Life Coach, Marriage & Family Therapist
License Status: I'm a licensed professional.
Primary Credential: Licensed Marriage and Family Therapist - 96998
Billing and Insurance:

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: $150-200hour. Free 15 minute over the phone consultation.
Evening Availability


Costa Mesa, California 92626

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My Approach to Helping

Welcome. The focus of my practice is about working with men of all ages. Many of my clients report their goals for treatment are support with addiction issues (alcoholdrugs, sex, pornography, internet) loss of identify, acting out, falling out with family members or intimate partners, lack of motivation, difficulty communicating, trauma and run-ins with the law. My approach is based on creating a genuine relationship between me and my clients that encourages honesty, respect, humor and transparency.

For 10 years, I’ve provided therapy and coaching to boys, teens, college age and professional adults and their families. Every individual is different, and I honor that by addressing you or your family needs specifically. Sometimes that requires traditional "talk therapy", but sometimes it's just about a change in perception or alternative behavior.
I promise my clients that I’ll be straight-forward with them and what I believe is the path to a successful treatment outcome. I offer free over-the-phone assessment and I lower my first session intake fee to 12 my hourly rate to be sure we're a good fit for each other. For more information, please visit my website at SpencerMacMFT.com. Talk to you soon

What I Say to People Concerned about the Therapy Process

I strongly believe in the use of transparency and openness about treatment planning and giving my clients as much information as possible from the moment they meet me. If all I provide are possible answers to questions for people about their presenting issue, how to address it and how long it will take, I feel satisfied. There's enough evidence based treatment out to show that therapy works for most issues. Research has shown that there a few main drivers of successful treatment: 1) relationship to the therapist 2) belief by the client that therapy will work. However, some people just aren't ready to change. Usually, there's a good reason why they don't. If you've been in and out of treatment and feel discouraged, don't be. Often times clients have blind spots as to why therapy hasn't worked or, frankly, they haven't received good treatment.

Services I Provide

  • Family Therapy
  • Group Therapy
  • Individual Therapy & Counseling

Ages I Work With

  • Teens
  • Adults


  • English

Groups I Work With

    Teenagers and Adults with co-occurring substance abuse, depression, anxiety, and trauma. Persons of all ages interested in learning about meditation and mindfulness interventions to find peace in their lives.

Client Concerns I Treat

  • Abuse / Abuse Survivor Issues
  • Addictions and Compulsions
  • Adjusting to Change / Life Transitions
  • Agoraphobia
  • Anger
  • Anxiety
  • Attachment Issues
  • Behaviorism
  • Breakup
  • Bullying
  • Career Choice
  • Child and/or Adolescent Issues
  • Chronic Pain
  • Codependency / Dependency
  • Depression
  • Divorce / Divorce Adjustment
  • Drug and Alcohol Addiction
  • Emotional Abuse
  • Emotional Overwhelm
  • Family Problems
  • Gambling Addiction
  • Grief, Loss, and Bereavement
  • Internet Addiction
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Life Purpose / Meaning / Inner-Guidance
  • Men's Issues
  • Midlife Crisis / Midlife Transition
  • Oppositional and Defiant Behavior in Children and Teen
  • Parenting
  • Perfectionism
  • Self-Actualization
  • Self-Care
  • Self-Compassion
  • Self-Confidence
  • Self-Criticism
  • Self-Doubt
  • Self-Esteem
  • Self-Harm
  • Self-Love
  • Sensitivity to Criticism
  • Sex Addiction
  • Shame
  • Social Anxiety / Phobia
  • Spirituality
  • Stress
  • Workplace Issues
  • Worry
  • Worthlessness
  • Young Adult Issues

Types of Therapy

  • Anger Management
  • Applied Behavior Analysis (ABA)
  • Attachment-Based Family Therapy (ABFT)
  • Cognitive Behavioral Therapy (CBT)
  • Eye Movement Desensitization and Reprocessing Therapy (EMDR)
  • Holistic Psychotherapy
  • Mindfulness-Based Cognitive Therapy (MBCT)
  • Mindfulness-Based Interventions
  • Person-Centered Therapy (Rogerian Therapy)
  • Psychodynamic
  • Self-Acceptance Training
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
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