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

My practice focuses on helping men, young men and boys identify and overcome barriers to becoming the best version of themselves. These include
- Behavior and compliance issues with teens. - Addiction
- Trauma - Anger management
- Anxiety and Depression

Being a man presents it's own unique sets of benefits and challenges. Men of all ages face different opportunities for growth:
- A teenager navigating peer pressure, dating, sports or family rulesboundaries
- A father working on their relationship with their wife or children
- A professional finding better ways to lead, manage or achieve greater levels of financial success.
- An athlete having difficulty performing

I feel uniquely qualified to work with men, not only because I am a man, but because I have experienced challenges related to each of these scenarios and aforementioned barriers to success and learned to overcome them. The truth is, I've come to embrace them as an integral part of continuing to grow as a man.

As a therapist, I believe strongly in integrity, openness, a sense of humor and working myself out of a job. During the intake, I will leave you with an assessment of the presenting problem and how we will overcome it. I also believe that fit between my clients and I is critical to success. This is why I only charge 12 my hourly rate for the first session. If you'd like to discuss more, please call, email, text or find me on my website at www.SpencerMacMft.com

When parents call me to discuss behavior and or emotional concerns about their son or daughter, I always preface that before I do any work individually with them, I generally recommend that we start with family therapy. Without fail, they will tell me about the ways they don\'t feel as connected to one another and how it\'s been replaced with worry, fear or anger. Family therapy with young people is some of the most rewarding work because it offers the ability to make significant shifts that affect their long term growth and development. My approach to family work takes 8-12 sessions and can be much more impactful than just individual counseling.

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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