Joshua Otani

Josh Otani, LMFT, is a licensed marriage and family therapist who works with individuals and couples using an attachment-based, trauma-informed, and systemic approach. His clinical work is shaped by both professional training and lived experience, allowing him to meet clients with depth, nuance, and compassion. Josh understands that recovery—particularly from sexual compulsive behaviors and the relational impact of betrayal—is about far more than abstinence alone. Through personal recovery work, including participation in 12-step programs and structured recovery services such as the Life Changing Services: Men of Moroni program, he developed a deep understanding of how shame, attachment wounds, and nervous system dysregulation often drive behavior. This lived experience informs his clinical belief that sustainable change happens when underlying emotional pain, relational patterns, and trauma responses are addressed—not when behavior alone is targeted. Professionally, Josh pursued systemic training to work effectively with both individuals and couples, recognizing that healing often requires attention to relational dynamics as well as individual experiences. His clinical training includes EMDR and Accelerated Resolution Therapy (ART), supporting clients in processing trauma, betrayal injuries, and deeply held emotional wounds. Josh completed his graduate research at Utah State University, where his thesis examined The Relationship Between Blame, Maladaptive Guilt/Shame, Couple Communication, and Relationship Satisfaction in Pornography Users. This research continues to inform his work with couples navigating trust injuries, shame cycles, and disconnection. His therapeutic style is warm, grounded, and collaborative, with a strong emphasis on emotional safety, authenticity, and helping clients access their true Self beneath protective patterns.