Coming in January 2027

A new way to begin, with a series for every service. Through December 31, the 5-Day EMDR Intensive is $6,295.

See What's Changing

Mcayla Sarno, Psy.D, LMFT | EMDR Intensives + Private work 

The thing you haven't been able to change is exactly what I do.

Schedule Your Session

The anxiety that appears out of nowhere. The relationship patterns that keep repeating. The self-doubt that shows up right when you need to be at your best. The thoughts you can't turn off. The reactions you can't explain. The version of yourself you keep almost becoming.

All of it has a source. These patterns were formed early and run quietly in the background, and changing them means working at the level where they began.

That is exactly what I do. I'm Dr. Mcayla, a trauma therapist and identity specialist with nearly two decades in private practice. I'm EMDRIA-Certified, and when the work calls for it, I bring in EMDR to move things at the deepest level possible.

Dr. Mcayla Sarno

Dr. Mcayla is a licensed psychotherapist, EMDRIA-Certified clinician, and identity specialist with nearly two decades of private practice experience. Her work sits at the intersection of neuroscience, psychology, and spirituality, centered on what most people never examine: who they appear to be versus who they believe they are at their core.

The people she works with are capable and used to handling things. They come to her for the one pattern that hasn't moved, or at a turning point where they want real clarity about what comes next.

Her approach is direct, deep, and grounded in nearly two decades of clinical work.

Read More About Dr. Mcayla

Private Sessions

80 minutes, one to one, with EMDR or the ShiftWave chair on request. In person in Mission Viejo or by Zoom.
$315

Learn More

5-Day EMDR Intensive

Five consecutive days, with a session before and after.
$6,295 through December 31

Learn More

The ShiftWave Reset

Up to an hour in the chair, on its own or paired with EMDR or ketamine-assisted work.
From $250

Learn More

Every service, what it's for, and what it costs, is on one page. Not sure which fits? A consultation is the place to start.

See All Services and Fees

Behind the Story: Redefining Who You Are

The mental block before the thing you are most qualified to do. The pattern you keep repeating in relationships you chose with open eyes. The imposter feeling that survives every success, the anxiety with no obvious cause, the low that arrives after the win. These are treated as separate problems. They share one origin: a sense of self formed in childhood, built on what it took back then to be safe, valuable, and enough, and still running every decision now.

That is why the finish line keeps moving. Behind the Story explains the mechanism, and what it takes to get out of survival mode and learn how to live.

Get Your Copy Now

Collaborations

Stay connected

Private notes from Dr. Mcayla, sent only when there's something worth reading. Subscribers hear about intensive openings first.