Online Therapy and Virtual Outpatient Care for Monterey and Carmel

Blackburn Clinical Services provides therapy and the Concierge Outpatient Program, an individualized alternative to IOP, to Monterey, Carmel, Pacific Grove and Salinas adults by secure video for clients located in California. Our only office is in Los Angeles, so Monterey County care is online. Call (888) 870 7405.

What does Blackburn offer Monterey County by video?

• Location: we do not have an office in Monterey or Carmel; care is by secure video. Our Mar Vista office is about 265 miles from downtown Monterey in a straight line.
• Therapy: one-on-one sessions shaped around your goals.
• Concierge Outpatient Program: generally 3 to 5 individual hours a week, no groups. Delivered by video: therapy, psychoeducation, coaching and case management.
• Psychiatric care can be arranged.
• Brainspotting stays in our Los Angeles office.

Who calls us from the Monterey Peninsula?

Monterey County had about 436,755 residents on January 1, 2026, with about 27,504 in the city of Monterey and about 3,102 in Carmel-by-the-Sea, according to the California Department of Finance. Those numbers hide very different lives.

On the Peninsula, many clients are retirees, second-home owners and older couples in Carmel, Pebble Beach and Pacific Grove, facing loss, a spouse’s illness, adult children far away, or drinking that crept up in a beautiful but quiet place. Others work the hospitality economy: hotels, restaurants, golf and the big August event weeks, when everyone works double shifts and nobody sleeps. Military families and graduate students cycle through on assignments of a year or two, often far from their own support.

Salinas, the county seat, keeps a different clock from the Peninsula. Produce harvest runs from spring into fall, field and packing-shed shifts start before dawn, and many families have worked the valley for generations. Growers, crew supervisors, truckers and the office staff who keep it all moving tell us the season leaves little room for anything else, including their own health.

Along the coast, Big Sur residents live with Highway 1 closures after storms and slides that can cut them off from the rest of the county for months. Isolation is the common thread, and video is one of the few kinds of care that reaches all of these places.

What public help does Monterey County offer?

The county’s Behavioral Health ACCESS line, 1-888-258-6029, is answered 24 hours a day, 7 days a week, in English and Spanish, by representatives who help you find the right service for you or someone you care about (County of Monterey Behavioral Health). People who want private, one-on-one care paid for themselves often call us too.

How do you choose between weekly therapy and the program?

If this is you	Consider
Retired, grieving, still managing day to day	Weekly therapy
Drinking more since retirement or a move here	Concierge Outpatient Program
Hospitality worker burning out in peak season	Weekly therapy, stepping up if needed
Military spouse or student far from family	Weekly therapy by video
Home from residential treatment	Concierge Outpatient Program

The program is an alternative to IOP, built one-on-one, never a group. Read more on our virtual outpatient program page, or about outpatient help for drinking.

Is video practical for older adults and Big Sur residents?

Usually, yes. A tablet or laptop with a camera is enough, and a family member can help set it up the first time. In Big Sur and Carmel Valley, connections vary, and some households rely on satellite or fixed wireless internet. Sit near the router, and test the room you will use before the first session. We meet clients on weekdays between 9 AM and 5 PM, and on some Saturdays for therapy. Each session requires that you are in California at the time, which matters for snowbirds and second-home owners who split the year.

How does payment work?

We are private pay and never bill insurance directly. Reimbursable services come with a superbill you can file for out-of-network benefits. The private pay FAQ and fees and insurance page have details; telehealth therapy in California gives the statewide picture.

Questions from Monterey and Carmel clients

Do you have an office in Monterey or Carmel?

No. We do not have an office in Monterey or Carmel; care is by secure video. Our only office is in Mar Vista, Los Angeles.

I split the year between Carmel and another state. Can I still work with you?

Yes, for sessions held while you are physically in California. When you are out of state, we pause or reschedule.

Can an older adult with little tech experience do therapy by video?

Usually. A tablet or laptop with a camera works, and a family member can help with setup the first time.

Is the Concierge Outpatient Program an IOP?

No. It is an alternative to IOP: one-on-one, typically 3 to 5 hours a week, with no groups.

Can psychiatric care be arranged?

Psychiatric care can be arranged and coordinated with your therapist. We explain how when you call.

What is the Monterey County ACCESS line?

1-888-258-6029, answered 24/7 in English and Spanish.

How do I get started?

Call (888) 870 7405 or email info@blackburnclinical.com. Nearby: Santa Cruz, Fresno, and the Northern California hub.

In an emergency, call 911. For crisis support, call or text 988.

Sources

• California Department of Finance, E-1 estimates, January 2026
• County of Monterey Behavioral Health: Access Services
• 988 Suicide and Crisis Lifeline (988lifeline.org)