Natalie Hilts

Hi there, I'm Natalie!

I am a board-certified LCSW based in San Diego. I work with adults navigating anxiety, depression, body image concerns, substance use, relationship challenges, and major life transitions. I offer compassionate, individualized care in a safe space where we can explore what’s bringing you in and move toward meaningful change.

My focus

I work with adults who feel overwhelmed, disconnected, or at an important turning point in their lives. Many are navigating relationship stress, body image concerns, substance use, identity exploration, or questions about values and direction. I support clients in clarifying what matters most and making intentional, aligned changes.

My approach

My work is guided by an integrative approach grounded in CBT, DBT, psychodynamic therapy, and motivational interviewing. I value collaboration--whether you’re looking for structured guidance or space to process more freely, we’ll work in a way that fits your needs while building insight and practical coping skills.