Casey J Simon, MS, LMFT

Casey J Simon, MS, LMFT I specialize in the diagnosis and treatment of personality, affective, & psychotic disorders. I see At California Lutheran University I earned an M.S.

Background:

I began my professional life behind the camera, capturing images for directors who—whether they admitted it or not—were really staging their own unconscious dramas. Filmmaking taught me that every frame is a confession, every cut a defense mechanism. That realization pulled me from studio backlots into the far more volatile set of the human mind. in Counseling Psychology with an emphasis in Marriage and Family Therapy, learning how love, rage, and betrayal get spliced into the daily reel of family life. Still, I wanted to go darker—into the edits no one screens in public. So I completed a Psy.D. in Clinical Psychology at Pacifica Graduate Institute, specializing in Depth Psychology and psychoanalytic theory. There I traded storyboards for dreams, discovering how archetypes stalk our relationships and how unspoken desire can light up a room—or burn it down. In practice, I work psychoanalytically: we slow the film, study the frame, and listen for the lines you’ve never spoken aloud. Transference isn’t a clinical buzzword; it’s the projector beaming your past onto the present. Together we confront the shadow material you’d rather keep out of the shot, because only by facing it can the plot twist toward freedom. Whether you’re rehearsing old roles, drowning in someone else’s soundtrack, or wrestling with a villain you secretly wrote yourself, I’m committed to sitting in the darkness with you until we find the cut that rings true. Therapy should be transformational—less tidy montage, more raw director’s cut. Clinical Experience:

I specialize in personality disorders—borderline personality disorder in particular—where identity tilts on a knife-edge and emotions detonate without warning. Beyond that high-wire act, I traffic in the full spectrum of human undoing: psychosis that warps reality into a fun-house mirror, bipolar highs that flirt with the gods, OCD rituals performed like sacred liturgies, addictions that promise salvation but deliver annihilation, and the quiet famine of eating disorders. I’ve sat with autistic minds mapping their own galaxies, mourners crossing Styx, trauma survivors whose bodies still keep the score, and identities in flux over gender, grief, or existential vertigo. I’ve worked every clinical theater imaginable—school districts where recess hides ruptured attachments, county clinics where symptom management is triage, group homes buzzing with adolescent chaos, and psychoanalytic institutes where dreams sprawl across the couch like art- house cinema. At Roundtable Counseling, an intensive outpatient program, I guided patients emerging from the raw turbulence of recent hospitalization, helping them storyboard a narrative sturdy enough for everyday daylight. These days I run my own analytic studio in Westlake Village, California. Children, adolescents, adults, couples, families, and groups all take a seat. The setting is quieter, but the material never is: we screen the raw footage, trace the jump cuts, and confront the shadows that keep hijacking the script. The goal isn’t merely symptom relief—it’s a radical rewrite of the story you’ve been living on repeat.

🌀 The Homicidal–Suicidal Pathway: A Psychoanalytic PerspectiveWhen we talk about school shootings, the conversation ofte...
08/29/2025

🌀 The Homicidal–Suicidal Pathway: A Psychoanalytic Perspective

When we talk about school shootings, the conversation often polarizes around “mental illness” vs. “psychopathy.” But the picture is more complex.

One trajectory I’ve studied is the homicidal–suicidal pathway: where profound despair and suicidality collapse inward, then flip outward as retaliatory violence.

In psychodynamic terms, this is a fusion of self-destruction and object destruction. Su***de becomes meaningful only when tied to the annihilation of others:
“My death will matter only if yours accompanies it.”

This isn’t simply murder plus su***de — it’s a psychic script born from narcissistic injury, shame, rage, and the collapse of symbolization. Violence becomes the last, perverse form of communication.

Understanding this pathway doesn’t excuse the act. But it may help us better identify warning signs, interpret “leakage” of intent, and intervene before despair crystallizes into destruction.

** What are your thoughts on how clinicians, educators, and communities can work together to notice and disrupt these dangerous trajectories earlier?

***dePrevention

💡 Did you know ADHD medications do more than just help with focus?A large BMJ study shows they’re linked to major real-l...
08/27/2025

💡 Did you know ADHD medications do more than just help with focus?

A large BMJ study shows they’re linked to major real-life benefits:
✨ 17% fewer su***de attempts
✨ 15% less substance misuse
✨ 13% lower criminality
✨ 12% fewer transport accidents

This research highlights how ADHD treatment supports healthier, safer lives—not just symptom relief.

👉 Read more here: https://www.medscape.com/viewarticle/adhd-meds-offer-benefits-far-beyond-core-symptom-relief-2025a1000ly1?ecd=WNL_mdpls_250826_mscpedit_psych_etid7669302&uac=254751AK&spon=12&impID=7669302

What are your thoughts on how treatment impacts everyday life beyond the clinic?

📚 An insightful and important read! Shedler's 2010 article in The American Psychologist delves into the efficacy of  . C...
09/24/2023

📚 An insightful and important read! Shedler's 2010 article in The American Psychologist delves into the efficacy of . Contrary to some beliefs, the research indicates strong empirical support for this therapeutic approach. It's more than just a momentary fix; it has the potential to bring about lasting changes in individuals. For anyone interested in mental health research, this is a must-read! 📘

Psychodynamic therapy emphasizes understanding hidden aspects of oneself, with techniques focusing on emotional expression, confronting avoidance patterns, recognizing recurring themes, and understanding past experiences in relation to the present. The therapy, grounded in fostering interpersonal relationships and understanding fantasies, not only aims at symptom remission but also at nurturing holistic psychological growth.


Original Article:
Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American psychologist, 65(2), 98.

09/18/2023

Phrases such as 'triggered' and 'toxic' are actually taking us away from understanding our own psychology and that of other people, says psychoanalyst Dr Jonathan Shedler. "This is a language of social media and pop psychology and self-help, this isn't actually the language of psychotherapy," he tel...

09/13/2023

New Meta-Analysis Shows Promise for rTMS in Treatment-Resistant Depression

A recent meta-analysis led by Vida and colleagues reveals promising results for the use of repetitive transcranial magnetic stimulation (rTMS) as an adjunctive treatment for Treatment-Resistant Depression (TRD). The study included 19 randomized clinical trials (RCTs) published between January 2000 and March 2022.

📊 Key Findings:

1️⃣ Higher Response and Remission Rates: Active rTMS treatment yielded a response rate of nearly 40% and a remission rate of approximately 36%, compared to 13.7% and 8.4% in sham treatments, respectively.

2️⃣ Increased Likelihood: Patients undergoing active rTMS were more than 2 times more likely to respond and nearly 3 times more likely to achieve remission compared to those receiving sham treatment.

3️⃣ High-Quality Trials: The study included only trials with specific rTMS parameters, focusing exclusively on unipolar TRD and those who have failed at least two prior treatments.

Implications: The findings suggest that rTMS could serve as a beneficial adjunctive treatment for individuals struggling with TRD, giving hope to a population where traditional treatments often fail.

Limitations: The absence of data on remission for about half of the included studies and the exclusion of studies with more than 20% of participants with bipolar depression are notable limitations.

Source:
Vida RG, Sághy E, Bella R, et al. Efficacy of repetitive transcranial magnetic stimulation (rTMS) adjunctive therapy for major depressive disorder (MDD) after two antidepressant treatment failures: meta-analysis of randomized sham-controlled trials. BMC Psychiatry. 2023;23(1):545.

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1800 Bridgegate Street, Suite 108
Westlake Village, CA
91361

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