Leila Pirnia
LMFT, LPCC
She/her
Center for Twice Exceptional Counseling
Accepting new clients
Contact provider
Licensed states
California
At a glance
Services Provided
Couples Therapy
Family Therapy
Individual Therapy
Parenting Therapy
Teen Therapy
Family Therapy
Individual Therapy
Parenting Therapy
Teen Therapy
Ages Served
Adults (18+)
Older Adults (65+)
Teens (13-17)
Young Adults (18-25)
Older Adults (65+)
Teens (13-17)
Young Adults (18-25)
Languages Spoken
English
Farsi (Persian)
Spanish
Farsi (Persian)
Spanish
About this provider
Clients I Work With
I work with twice-exceptional (2e) teens, young adults, and adults who are both gifted and neurodiverse. Many of my clients have ADHD, autism, anxiety, OCD, or struggle with executive functioning, while also being deeply thoughtful, creative, and driven. I also work with neurodiverse couples, including AuDHD relationships, who feel stuck in patterns of misunderstanding or disconnection. My clients often come in feeling frustrated or unseen. Together, we make sense of their experiences, build practical tools for regulation and focus, and create more ease, confidence, and connection in their lives and relationships.
Approach
My approach is insight-driven and practical. I help clients understand how their brain works, including patterns shaped by neurodiversity, early experiences, and learned coping strategies. I integrate parts work, attachment-based therapy, and practical skills to build both awareness and actionable change. Rather than pathologizing differences, I focus on helping clients work with their wiring. This includes developing emotional regulation, improving communication, and creating systems that support executive functioning. For couples, I translate differences so partners can move out of blame and into understanding. The goal is not just insight, but meaningful, sustainable change in how clients experience themselves and their relationships.
Beliefs & Lived Experience
I believe that many high-functioning, neurodiverse individuals have learned to adapt to environments that do not fit them, often at the cost of burnout, anxiety, or disconnection. What is often labeled as dysfunction is frequently a mismatch between the individual and their environment.
My work is grounded in the belief that insight alone is not enough. Real change happens when understanding is paired with practical shifts in behavior, systems, and relationships.
I approach therapy with curiosity, respect, and a willingness to challenge unhelpful patterns. The goal is to help clients move toward a way of living that is more aligned, sustainable, and true to how they are wired.
More About My Practice
In addition to individual and couples therapy, I offer parent consultations, clinician consultation, and specialized support for neurodiverse relationships. I work with clients virtually and offer limited in-person sessions when appropriate.
My practice is designed for high-functioning individuals and couples seeking a more nuanced, tailored approach. I focus on helping clients move beyond insight into practical, sustainable change. I also collaborate with schools, psychiatrists, and other providers when helpful to support continuity of care.
Specialties & approaches
Specialties
AddictionADHDAnxietyAutismBehavioral IssuesExecutive CoachingObsessive-Compulsive Disorder (OCD)Parent-Child Bonding & AttachmentPerfectionism
Therapy approaches
Cognitive Behavioral (CBT)Discernment CounselingEmotion Focused Family Therapy (EFFT)Exposure Response Prevention (ERP)Internal Family Systems (IFS)Parts Work
Specialized Experience
Entrepreneurs & ExecutivesNeurodiversity-affirming
Fees & insurance
Session Fees
$300
$300