Natalie Hilts, LCSW — Therapist in San Diego, California

Hi there, I'm Natalie!

I am a Licensed Clinical Social Worker (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 where we can explore what’s bringing you in and work toward meaningful change.

My focus

I work with adults who feel overwhelmed, disconnected, or at a turning point in their lives. Many are navigating relationship stress, body image concerns, substance use, identity exploration, or questions about their direction. I help clients clarify what matters most and make intentional choices aligned with their values.

My approach

My work is guided by an integrative approach grounded in CBT, DBT, psychodynamic therapy, and motivational interviewing. Whether you’re looking for structured guidance or room to process more freely, we’ll tailor our work to your needs while developing insight and skills to help you manage life’s challenges.

My communication style

My style is warm, collaborative, and direct. I balance thoughtful listening with honest feedback and guidance when helpful. I aim to create a space where you feel heard and supported, and when appropriate, I incorporate humor to foster connection and new perspectives.

My goals for you

I believe meaningful change begins with greater awareness and learning to trust yourself. Together, we’ll explore patterns, work through ambivalence, and identify what may be keeping you stuck. Depending on your needs, we may use structured goals or a more exploratory approach to help you feel confident and empowered moving forward.

Our first session

Starting therapy takes vulnerability. In our first session, we’ll go at your pace as we discuss what brought you in, relevant history, and what you hope to gain from therapy. I may ask more questions than usual, but you’re in control of what you’re ready to share. My hope is that you leave feeling heard, lighter, and hopeful.

I identify as...

Female

Expertise

Treatment approaches

Cognitive Behavioral (CBT)

Motivational Interviewing

Solution Focused Brief (SFBT)

Trauma Focused

+ 8 more

Focus populations

Body Positivity

LGBTQIA+

+ 2 more

Therapy types

Individual Therapy

Ages served

Adults

Practice

Accepted insurance providers

Cigna
Aetna
All Savers
Allegiance
Allied

+ 36 more

Languages spoken

English

Education

Master of Social Work (MSW) from San Diego State University.

Sessions

Video session

60 minutes

Natalie Hilts