for Peace of Mind… and Heart
(949) 393-8662
(949) 393-8662
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Casey Truffo

Licensed Marriage and Family Therapist
Specialties: ADHD (Adults)/Marriage/Couples/Anxiety Relief
Concerns: Couples, Relationships, Anxiety, ADHD
Types of Therapy: CBT, DBT, Internal Family Systems, Relational Counseling, Systems (for ADHD and Anxiety)
Insurances: Medicare/Out of Network
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Casey Truffo

Licensed Marriage and Family Therapist

Meet Casey Truffo – Someone who GETS Anxiety, ADHD, and Relationships

“My therapist told me the way to achieve true inner peace is to finish what I start. So far, I’ve finished two bags of M&Ms and a chocolate cake. I feel better already.”

— Dave Barry

Hi there! I’m Casey Truffo. I’m a Licensed Marriage and Family Therapist with over 30 years of experience and the founder of OC Relationship Center. I specialize in anxiety, adult ADHD, relationships, and grief — but mostly, I work with smart, high-functioning adults who are secretly exhausted from trying to hold their relationships and their lives together.

My Story and Background

Anxiety and ADHD

I’ve lived with both anxiety and ADHD myself, so I know what it’s like to constantly overthink, over-function, and still feel behind. I became a therapist to help people stop spiraling and start building a life that actually works for their brain and their nervous system — not just everyone else’s expectations.

Couples Counseling

Most couples aren’t failing because they don’t care — they’re failing because they care deeply but keep missing each other. The frustration, the hurt, the loneliness that creeps in… it’s rarely about love being absent. It’s about two people trying really, really hard — and still somehow not quite hearing what the other is actually trying to say.

I work with couples to slow down those moments of misunderstanding — to help each partner feel genuinely heard, and to discover what’s really being communicated beneath the surface. When couples learn to do that, something shifts. Not just in the relationship, but in each person individually.

I’ve spent 28 years figuring this out alongside my own husband. Trust me — it’s a practice, not a destination. And that’s exactly why I do this work.

My Unique Approach

My work is integrative, honest, and tool-rich. I won’t just nod and ask how you feel — I’ll help you find language, systems, and strategies that reduce anxiety and get you through hard days with more ease. I’m known for being direct (but kind), and clients often say I help them see things clearly — especially when they’re stuck in relationships or overwhelmed by perfectionism.

I believe therapy should give you something you can use on Tuesday — not just insight. My goal is to help you have more good days and fewer mental fire drills.

Techniques I Use

In helping clients feel less anxious and more at ease, I often incorporate the following methods:

DBT (Dialectical Behavior Therapy)

DBT techniques can be very helpful for building emotional regulation skills and reducing anxiety spirals. (And help us get past that fear of rejection!)

Cognitive-Behavioral Therapy (CBT):

CBT helps us to manage the fear of something bad happening – you know that fear that ‘another shoe is going to drop?’ Yep, CBT can help.

IFS (Internal Family Systems):

IFS is gentle approach that helps you understand the “parts” of yourself that are overworking, overachieving, or overthinking. (You can thank that part of you that needs everyone to be happy – and perhaps assign her another job.)

Systems + Strategy Coaching:

This is especially useful for ADHD clients — I help you create structures that work for your actual brain (not just Pinterest or TikTok).

What Clients Say About Me

“Casey just gets it. She helped me stop overthinking and start making real progress. Her tools actually work — even when my anxiety is at a 10.”

“She’s direct in the best way. I never felt judged — just understood. And she helped me make sense of people in my life that I’d been spinning about for years.”

“I always felt like I had to be perfect just to stay afloat. Working with Casey helped me breathe again and start liking myself a little more.”

“She doesn’t waste your time. Casey gives you stuff that works, calls out your inner critic, and still somehow makes you laugh.”

More About Me

I’ve been married for 28 years to Bob, a retired accountant and devoted cat dad who finally understood my ADHD wasn’t flakiness — just how my brain works. That moment of clarity changed our marriage more than a dozen “I-statements” ever could. It’s also a big part of why I believe so deeply in couples work — because when two people finally get each other, everything gets easier.

When I’m not in session, I’m lifting weights, covered in cat hair (thanks to Parker and Riley), or building systems that keep me sane-ish. I’m also a clinical supervisor and love mentoring therapists who want to work with clients the way I do: with brains, heart, and a little irreverence.

Ready for therapy that makes sense for your brain and your life? Schedule a session.

If you’re looking for a compassionate, experienced therapist who truly understands anxiety, ADHD, relationships, and the pressure to be perfect — I’d love to help. Contact OC Relationship Center today to book your session and start creating more ease, clarity, and good days.

Not sure which therapist is right for you?

Give our Client Ambassador a call at (949) 393-8662, or text us, or click here to schedule an appointment today if you are ready to get started now.

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