Home | Dr Thomas Miklusak

About Me

Dr. Thomas Miklusak is a psychotherapist and psychiatrist in solo practice in La Cañada, California, with decades of experience treating patients across the lifespan. He provides both psychotherapy and, when clinically appropriate, medication management. Dr. Miklusak treats a wide range of psychological concerns and diagnoses, with a focus on long-term, in-depth care. He works exclusively with patients who are engaged in regular therapy with him, whether or not medication is part of their treatment plan.

He often collaborates with other professionals, including neuropsychologists, sleep specialists, psychologists, neurologists, and endocrinologists, to support comprehensive care. After the evaluation process, sessions can continue either in person or by phone. Dr. Miklusak is available by landline or cell, and his office manager can assist when needed. A psychiatrist is also on call for urgent concerns.

Dr. Miklusak is committed to helping each patient move toward healing and personal growth with compassion, clinical insight, and care.

He no longer provides hospitalization or crisis management, and does not accept patients who are acutely suicidal, homicidal, psychotic, or severely cognitively impaired. His approach is rooted in psychodynamic principles, emphasizing the healing power of empathy, insight, and meaningful therapeutic connection. He offers individual, couples, and family therapy, and also provides more frequent, intensive psychotherapy when needed.

Dr. Miklusak accepts some PPO insurance plans but does not take Medicare or Medi-Cal. Patients with those plans are seen on a private-pay basis. All new patients begin with an extended initial session, usually two or more hours, followed by several evaluation sessions. If medication is appropriate, it may be started after the first appointment. If Dr. Miklusak is not the right fit, he offers referrals to other clinicians or specialists.

“…completely changed my life from a daily experience of deep sadness to now waking up almost every morning excited to live that day…”

Treatment

Areas of Psychological Support & Treatment

Mood & Emotional Well-Being

• Anxiety, panic, phobias

• Depression, sadness, hopelessness

• Low self-esteem, self-criticism

• Social isolation, loneliness

• Guilt, shame, regret

• Emotional numbness

Cognitive & Developmental Concerns

• Attention difficulties, distractibility

• Memory and cognitive challenges

• Decreased ability to think abstractly

• Learning difficulties

Behavioral & Impulse Control

• Impulsivity, hyperactivity (ADHD)

• Anger, frustration, arguing

• Lying, stealing, cheating

• Gambling, excessive spending

• Risk-taking behaviors

Physical & Physiological Health

• Sleep disturbances (insomnia, nightmares, apnea)

• Eating disorders, weight fluctuations

• Fatigue, decreased energy

• Sexual health concerns

• Psychosomatic symptoms (jerking, numbness)

Relationships & Social Challenges

• Codependency

• Social anxiety, shyness

• Avoidant behavior, withdrawal

• Performance anxiety

• Verbal and physical abuse history

Addictions & Compulsive Behaviors

• Substance use (alcohol, drugs, tobacco, caffeine)

• Excessive computer use

• Compulsive behaviors (repetitive habits, picking)

• Exercise extremes (too much or too little)

• Unusual sexual behaviors, fetishes

Contact