At Mindful Couch Therapy, we help guide people toward self-compassion, psychological flexibility and interpersonal wellness. We know this looks different for each person and relationship. That’s why we work with the understanding that patients are the experts on their own lives. Our patients need and deserve unconditional positive regard, congruency and empathy. We collaborate with our patients to create meaningful therapeutic processes and therapy outcomes.
What We Do
Based out of Sacramento, California, we provide mental health therapy via phone and telehealth video for adults who are California residents.
New to online psychotherapy? Here’s what to expect.
Who We Are
Mindful Couch is a mental health cooperative consisting of Erin Carl LMFT, Lourdes Medina LMFT, and Kira Schetter LMFT, all of whom are sole proprietors of their own psychotherapy practices. Meet your new therapist below!

Lourdes E. Medina, LMFT
Latinx Bilingual Licensed Marriage and Family Therapist in California
– Pronouns: she/her and they/them
– Therapist since 2011
– License: LMFT 111326
Hi, I’m Lourdes.
I am passionate about helping individuals at different phases of life to break cycles associated with generational trauma and unhealthy patterns in order to find their voice, set boundaries and develop a better version of themselves. My philosophy is to provide an open, friendly and non-judgmental stance with each patient I meet. I appreciate getting to know my patient as a human being.
I have experience in utilizing various therapeutic approaches such as Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy and Dialectical Behavior Therapy (DBT). I understand everyone is different, which is why treatment should also be individualized and tailored to each patient’s needs. I have had the privilege to support individuals with various diagnoses such as Depression, Trauma, Anxiety, Personality Disorders, Schizophrenia, Bipolar Disorder, adjustment problems, problems with life stages and relational issues.
I specialize in therapy for: adult individuals suffering with difficulties with depression, anxiety, grief, childhood trauma, intergenerational trauma, emotional attachments, codependency, emotional dysregulation, adjustment problems and life stressors.
Types of sessions I offer: Individuals, Spanish-speaking Individuals
Hola soy Lourdes.
Terapeuta matrimonial y familiar bilingüe con licencia en California desde 2011. Mis pronombres son ella/ella y ellos/ellos. Me apasiona ayudar a las personas en diferentes etapas de la vida a romper los ciclos asociados con el trauma generacional y los patrones poco saludables para encontrar su voz, establecer límites y desarrollar una mejor versión de sí mismos. Mi filosofía es brindar una postura abierta, amistosa y sin prejuicios con cada paciente que conozco. Aprecio llegar a conocer a mi paciente como un ser humano.
Tengo experiencia en la utilización de varios enfoques terapéuticos, como la terapia conductual cognitiva (TCC), la terapia centrada en soluciones y la terapia conductual dialéctica (DBT). Entiendo que cada persona es diferente, por lo que el tratamiento también debe ser individualizado y adaptado a las necesidades de cada paciente. He tenido el privilegio de apoyar a personas con diversos diagnósticos, como depresión, trauma, ansiedad, trastornos de la personalidad, esquizofrenia, trastorno bipolar, problemas de adaptación, problemas con las etapas de la vida y problemas relacionales.
Me especializo en terapia para personas adultas que sufren de depresión, ansiedad, duelo, trauma infantil, trauma intergeneracional, vínculos emocionales, codependencia, desregulación emocional, problemas de adaptación y factores estresantes de la vida. Ofrezco sesiones para adultos individuales y adultos de habla hispana.

Erin Leigh Carl, LMFT
Licensed Marriage and Family Therapist in California
– Pronouns: she/her and they/them
– Therapist since 2013
– License: LMFT 110443
Hi, I’m Erin.
I am an affirmative therapist and am LGBTQIA+ allied, BLM allied, Indigenous/native allied, API allied, Latinx allied, Disability allied, Deaf allied, Vegan allied, and polyamory allied. I specialize in serving patients suffering suicide loss at any stage of the loss. I also hold particular interest and experience in serving adults with ASD, ID or DD, adult children of narcissists, those who have suffered brainwashing and those who have suffered paranormal trauma.
I have years of experience in serving patients with a multitude of mental health and relational difficulties. I consider my orientation as a therapist to be first and foremost client-centered and strength-based. Although I utilize various therapeutic approaches, I chiefly consider myself to be a narrative therapist. This means that I work to help my patients take back the power and control over their own stories and assist them by co-authoring a narrative that truly witnesses and respects their traumas, tragedies, injustices, achievements, triumphs, milestones, strengths, and resiliency.
I specialize in therapy for: adult individuals suffering depression, anxiety, interpersonal/relational difficulties, traumatic grief, suicide loss, relational and attachment traumas, victims of psychological torture/emotional abuse/brainwashing, adult children of narcissists, sufferers of paranormal traumas, military and first-responder trauma, vegans, LGBTQIA+, adults with Autism spectrum disorder (ASD), Intellectual Disability (ID), Developmental disabilities (DD), people struggling with life stressors, and those struggling with identity.
Types of sessions I offer: Individuals, Couples, Polyamorous/Open Relationship Counseling, Families (adult members only)
Upcoming Groups: I currently creating a waitlist so that I can begin a process group for Women in Male-Dominated Work Environments. If you are interested, I would love to hear from you.

Kira Schetter, LMFT
Licensed Marriage and Family Therapist in California
– Pronouns: she/her and they/them
– Therapist since 2017
– License: LMFT 120584
Hi, I’m Kira.
Throughout my career, I have witnessed the extraordinary power and strength we all possess to overcome whatever obstacles or trials we are presented in life. When we’re faced with crisis, trauma, transition, or stress, we naturally seek comfort and support to get us through. While we often find this from family or friends, sometimes we need extra support and guidance to help us work through these complex issues.
It is my belief that therapy is a partnership, and if you’re ready for help, together we can make strides in achieving your goals. Real and enduring change requires fresh thinking and different approaches to your old problems. I’m an eclectic therapist, meaning I use different tools from multiple treatment modalities to fit your unique circumstances and needs. My ultimate goal is to work in partnership with you to build the skills you need to achieve your objectives for yourself or for your family, and to help you make new and better choices. If I sound like a good fit for you, it would be a privilege to support you during your journey of overall wellness.
I specialize in therapy for: couples issues, communication, anxiety, adjustment issues, conflict resolution, stress management, grief and loss, parenting, family issues, and work/career issues.
I have completed level two training in Gottman method couples therapy and I use Gottman method couples therapy in my therapy work with couples.
Types of sessions I offer: Couples, Individuals, Families (teen & adult members only)
“The gentle and sensitive companionship of an empathic stance provides illumination and healing. In such situations, deep understanding is, I believe, the most precious gift one can give to another.”
~ Carl Rogers, American Psychologist
