Therapy for Chronic Illness | Mosaic Counseling Group

Your Body Changed. Your Life Doesn't Have to Stop.

You don't have to explain everything from scratch. We already understand what you're carrying.

Free 15-minute call · No commitment
Licensed in California 20+ Years in Chronic Illness Published Author ACT · EFT · CBT
★★★★★ Trusted by individuals, couples, and caregivers across California

We work with anyone whose life has been reshaped by illness — and the people who love them.

People living with chronic illness Couples navigating a diagnosis Caregivers & partners Long COVID Autoimmune conditions Anyone exhausted by their illness

Living with a chronic condition means carrying something invisible most of the time.

Your medical team manages your symptoms. But nobody is managing what happens to the rest of you — the fear that flares after a bad week, the grief of losing the life you expected, the exhaustion of explaining yourself to people who just don't get it.

Person sitting alone, quietly carrying the weight of chronic illness

Anxiety tied to your illness

Every new symptom sends your mind somewhere dark. The fear and the physical have become inseparable.

Grief for invisible losses

Your old job, your social life, your sense of what your body could do. Nobody told you it was okay to grieve those.

Feeling like a burden

Even when the people around you say otherwise, you carry guilt about what your illness costs them.

A relationship quietly strained

Your partner is trying. But you're not sure they understand what this is like from the inside.

Couple together but emotionally distant

The emotional weight of chronic illness compounds when it goes untreated.

Anxiety grows louder without support Grief hardens when it's never processed Relationships quietly fracture under the strain

You deserve to feel like your experience is fully understood — not filtered through someone who's never worked with chronic illness before. That's what we do here.

Chronic illness is not a side note here. It's the center of everything we do.

With over 20 years focused specifically on chronic illness, you don't have to spend your sessions educating us. We use evidence-based approaches chosen for this work specifically.

ACT

Acceptance & Commitment

Clarify what genuinely matters to you and build a life around those values — even inside the real constraints of your health.

EFT

Emotionally Focused Therapy

When illness is straining your relationship, EFT helps both partners understand what they're each carrying and find their way back to each other.

CBT

Cognitive Behavioral

Practical tools for the thought patterns that amplify fear and avoidance — so your mind stops making the hard days harder.

Grief

Grief-Focused Work

Chronic illness brings losses that don't look like losses. We make space to process the grief that rarely gets acknowledged.

Partners

Caregiver Support

Both sides of this dynamic are carrying something real. Caregivers and partners deserve their own support — not just the person with the diagnosis.

Integrative

Tailored to You

We don't follow a fixed script. We draw from each approach based on what's most useful for where you are right now.

Sessions are virtual. We work with individuals, couples, and caregivers across California — all online, from wherever you are.

A sense of deep experience and care at Mosaic Counseling Group

Two Decades Focused on This Work

Mosaic Counseling Group was founded by Lisa Gray, LMFT — author of Thriving in a Relationship When You Have a Chronic Illness — with one purpose: to build a practice where this work is done at the highest level.

Our therapists were brought in intentionally. We specialize in chronic illness. We don't ask you to start from scratch or explain what a flare is. You arrive as someone who already gets it — and so do we.

Both the person with the diagnosis and the people around them deserve real support. We work with all of them.

20+ Years in chronic illness
2 Published books on this topic
CA Licensed statewide · 100% online
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What this work actually looks like.

1

The first session is a real conversation.

We want to understand how your illness is affecting your daily life, your relationships, and what you most need right now. No intake script — just where you actually are.

2

The work follows what's coming up for you.

Some weeks it's anxiety spiking after a bad stretch. Others it's grief or a hard conversation with your partner. Progress isn't a straight line — but it builds.

3

What changes isn't your diagnosis — it's your relationship to it.

Less alone in your experience. More capable of communicating what you need. More grounded in what still matters to you.

Three Steps to Building a Life That Feels Like Yours Again

1

Reach Out for a Free Consultation

Schedule a free call so we can hear what's going on. No commitment — just a conversation to see if we're the right fit for where you are right now.

2

Work With Someone Who Gets It

Your first session starts where you actually are. No explaining context from scratch — we're already here.

3

Build a Life That Feels Like Yours Again

The goal isn't to ignore your illness. It's to stop letting the hardest parts of it run everything.

FAQ

Do I have to explain my diagnosis before we can do any real work?

No — and that's one of the things that makes working with us different. Our therapists have worked with chronic illness long enough that you don't have to spend your sessions educating us. We start from the work itself.

I'm the partner of someone with a chronic illness. Is therapy useful for me?

Yes. We work with caregivers and partners regularly. What you're going through is real — and it's different from what your partner is going through, even if you love them deeply. Having your own space to process that matters.

What is ACT and why do you use it for chronic illness?

ACT — Acceptance and Commitment Therapy — helps you identify what genuinely matters to you and build a life around those values, even when your body is making things harder. It's not about positive thinking — it's about learning to live fully alongside the reality of your situation.

I've tried therapy before and it didn't help. Why would this be different?

It may not be — and we'd never promise you that. What we can tell you is that working with a therapist who specializes in chronic illness is different from working with a generalist. If previous therapy felt like you were explaining context the whole time rather than doing the actual work, that's often why.

Do you work with people who have long COVID?

Yes. Our group includes therapists who have worked extensively with people navigating long COVID — the uncertainty, the loss of function, and the way it strains every relationship. If that's your situation, we can match you with someone who has real depth here.

Do you accept insurance?

We are an out-of-pocket practice. We can provide documentation you may be able to submit for possible reimbursement — check with your provider about out-of-network benefits. Sessions range from $130–$190.

You've Been Handling the Hard Part Alone Long Enough.

If you're living with chronic illness and you haven't had a therapist who truly understands what that's like, this is worth a call. No pressure — just a conversation.

Book a Free Consultation