In a town where the pharmacist knows your mother and your coworker sits two pews over, asking for help can feel like publishing it. I offer virtual couples therapy in Carson City, NV for first generation Latinas, multicultural partners, and professionals who want real support without running into their therapist at the grocery store. Every session happens online, privately, from wherever you feel safest.
Life here circles the capitol dome, the state offices, the historic west side with its Victorian porches, and the trails along the Carson River and up into the Sierra. Some residents commute north past Washoe Valley to Reno, others work session years at the legislature, and many belong to families who have ranched, built, and worshipped in Eagle Valley for generations.
Small city life offers belonging and demands composure. Reputations are long, memories are longer, and struggling quietly can seem safer than being seen struggling. Couples choose this practice because the virtual format protects their privacy while the work itself goes deeper than anything they could keep up appearances through.
How it works
Step 1
A thorough intake session where we explore your relationship history, cultural backgrounds, and current struggles so we can understand the deeper patterns behind the disconnection.
Step 2
Emotionally focused sessions to help you with clarity, begin repairing trust, and rebuild emotional safety.
Step 3
Ongoing, guided sessions with personalized homework, where we break unhelpful cycles, strengthen connection, and practice healthier ways of relating so your relationship feels more like a true partnership.
Explore my therapy services and specializations
When your world is small and interwoven, relationship problems feel radioactive. Who could you even tell, when your friends are her friends, your families share holidays, and the whole town seems to have an opinion on marriages that falter.
Virtual couple therapy near you solves the privacy problem completely. From your own living room, with no waiting room encounters, the two of you can finally say the unsaid.
We slow down the escalations, name the distance, and rebuild the friendship underneath the roles. What happens in session stays in session, and what changes shows up quietly at home.
Being known by everyone is not the same as being understood by anyone. In a town this connected, many people perform a lifelong role: the reliable one, the strong one, the one who never needs anything.
Individual therapy near you is where the role ends. Online sessions give you a protected hour to be honest about the anxiety, the resentment, the grief, or the numbness that the town never sees.
The work explores where the performing began, what it costs you now, and how to live with more authenticity without upending the life you have built. Change can be quiet and still be real.
Anxiety in a small capital can attach itself to visibility. Every mistake feels witnessed, every choice discussed, every bad day potentially remembered. The mind starts managing an audience that never fully goes home.
Through virtual anxiety therapy near you, that imagined audience loses its power. Clients often describe finally distinguishing between real expectations and inherited ones, and feeling their chest unclench.
Sessions work with the worry loops, the perfectionism, and the body's alarm system, building calm that holds whether you are at the legislature, the school pickup line, or Sunday dinner.
Marrying in a town where both families are known quantities means the wedding is partly a community event and the marriage is partly a public record. The pressure to get it visibly right can crowd out the private conversations that matter most.
Premarital counseling near you, held virtually, gives you both a space no one else attends. Money, faith, family boundaries, children, and culture all get discussed honestly before they get tested.
Couples leave with sturdy agreements and the early habit of turning toward each other first, before the town weighs in.
In a close community, grief is public for a week and private forever after. The casseroles stop, the town moves on, and you are left carrying a loss that everyone knows about and no one mentions.
Virtual grief counseling near you gives the mourning somewhere to continue. The complicated parts, the guilt, the anger, the missing that ambushes you at the post office, all of it is welcome.
Together we honor what was lost, tend what remains, and find a rhythm where remembering becomes gentler with time.
Immigration Evaluations are available virtually for individuals and families in Carson City, NV and throughout the state who need psychological documentation for asylum, hardship waivers, VAWA, or cancellation of removal. If you are searching for immigration evaluations near you, this process is discreet, thorough, and prepared to the standard your attorney and your case deserve.
I serve first-generation women of color in Carson City, NV
I provide virtual therapy to individuals and couples throughout Carson City and the surrounding valleys, including Dayton, Minden, Gardnerville, and the commuter corridor through Washoe Valley toward Reno. While my physical office is located in Irvine, California, all Nevada sessions take place online, a format that many clients in smaller communities specifically choose for its privacy. I support first-generation professionals, state employees, and multicultural families who want substantive care without small town visibility.
This capital community values steadiness, history, and knowing your neighbors, and those same strengths can make vulnerability feel risky. My approach is emotionally focused, culturally responsive, and grounded in attachment work, giving Eagle Valley residents a consistent, confidential space for the conversations they cannot have anywhere else.
Testimonials
Dama's approach to therapy is marked by empathy, insight, and a profound commitment to fostering positive change. I can confidently attest to her exceptional skills and unwavering dedication to the well-being of her clients.
Depression/Anxiety ~ Hyland & Associates
Dama is a colleague & a professional that truly cares about her clients & their therapeutic journey. She is highly skilled in Emotionally Focused Therapy helping individuals & couples navigate & strengthen their emotional connections within relationships.
Jan Covyeau
As a former US military officer, I can see Dama being a great therapist for active-duty members, families, and veterans. I confidently recommend clients to Dama because she cares and has clients' best interests in mind.
Angela Chwe
I'm Dama Perez, founder of Casa Therapy offering therapy in Carson City, NV
I support first-generation women of color who hold their families and communities together while quietly running on empty. From the west side Victorians to Washoe Valley, I offer online therapy that is private, culturally fluent, and unhurried.
Frequently asked questions
Can I use insurance for therapy?
I am currently an out-of-network provider. However, I can provide a superbill for you to submit to your insurance for possible reimbursement. Many PPO plans offer partial reimbursement checks with your provider to confirm your benefits.
Do you offer a sliding scale?
Yes! I offer two sliding scale spots for clients with financial need. If cost is a concern, please reach out. I'm happy to discuss options during your consultation.
What does the therapy process look like?
We start with an intake session to explore your relationship history, communication patterns, and goals. From there, we’ll meet regularly to uncover deeper emotional patterns, build new tools for connection, and work toward the relationship you want to create. Therapy is always tailored to your unique story and pace.
What if I need to cancel or reschedule a session?
Life happens! I ask for at least 48 hours’ notice for cancellations or reschedules. Sessions canceled with less than 48 hours’ notice may be subject to the full session fee. No-shows or missed appointments without prior notice will be charged the full session rate, as that time is reserved specifically for you.
How does virtual therapy work?
Sessions are held through a secure, HIPAA-compliant video platform. You’ll receive a private link before each session. All you need is a quiet and confidential space, a reliable internet connection, and a device with a camera and microphone.
What if I don’t feel like we’re a good fit?
It’s completely normal to wonder if therapy is the right match for you. Building trust and feeling comfortable with your therapist is essential for meaningful growth. If at any point you feel unsure about our connection or approach, please let me know. We can talk openly about it and decide together whether to adjust our work or explore other options. Your comfort and progress are my top priorities, and I’m here to support you every step of the way whether that means continuing together or helping you find the best path forward.
Good Faith Estimate (No Surprises Act)
This Good Faith Estimate shows the costs of services that are reasonably expected for the expected services to address your mental health care needs. The estimate is based on the information known to us when we did the estimate.
The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.
You may contact the contact listed above if billed charges are higher than the Good Faith Estimate. You can request an update to the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
To learn more and get a form to start the process, go to: www.cms.gov/nosurprises or call CMS at 1-800-985-3059.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call CMS at 1-800-985-3059 .
This Good Faith Estimate is not a contract. It does not obligate you to accept the services listed above.
