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Therapy for High-Functioning Individuals & Couples

Who’ve Outgrown Insight Alone

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Rebuild embodied self-trust, nervous system steadiness, and relational safety

Virtual Therapy (PA & CA) • In-Person San Diego • Functional Nutrition Worldwide

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This is for you if…

 

You are high-functioning and self-aware, yet your system feels destabilized and overwhelmed. 

 

You understand your patterns intellectually, but react faster than you can regulate.

 

You’ve tried therapy, communication tools, or health protocols and feel stuck in the same loops.

 

You love your partner but feel alone potentially experiencing pursue-withdraw or escalation-shutdown cycles.

 

You want real repair and connectedness, not insight without change.

Three Pathways

1

Individual Therapy

For high-functioning adults who are insightful, capable, and tired of overriding themselves.
This work focuses on emotional regulation, nervous system capacity, and rebuilding embodied self-trust so you can stay connected to yourself under pressure

+ understanding why you struggle.

2

Couples Therapy

For partners who love each other but feel stuck in repeating conflict cycles.
We focus on restoring emotional safety, increasing regulation during conflict, and repairing attachment injuries so connection becomes steady rather than fragile.
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3

Body-Based Healing

For high-functioning adults who have “done everything right”  -therapy, labs, supplements - yet still feel dysregulated, inflamed, exhausted, or disconnected from their bodies.
This work integrates nervous system support and functional nutrition to help your internal systems stabilize so you can experience clarity, energy, and embodied coherence.

Understanding your patterns is only the beginning. Real repair happens when your nervous system, your relationships, and your body learn how to hold connection under pressure.

Arielle Manganiello, PhD, LPC, LPCC

California | Pennsylvania

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Functional Nutrition Practitioner

arielle@ariellemanganiellotherapy.com | (619) 839 - 9422

169 Saxony Road, Encinitas, 92024 

12625 High Bluff Drive, San Diego, 92130

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