To Leave Or Not To Leave

To Leave Or Not To Leave. That’s been the big question since the end of last week. Our Country has been in social distancing mode for over six weeks. Depending on your start date some have been housebound for over eight weeks. I get it, it’s hard. This State of emergency has hit everyone’s joy and livelihood. It’s created a lot of anxiety and depression on all levels. My clients have added stressors due to the virus which adversely effects their already challenged set of circumstances. For some, this housebound situation has strengthened their relationships. For others, it is a wake up call to stop living a life that isn’t working for them. Never before am I working with people who ask the question…”Should I Stay Or Should I Go?

I am not immuned to the feelings of social distancing. I haven’t behaved like a functional adult and have acted out through being rather irritable and annoying to the ones I love. Despite my acting out behavior I have made a conscious effort to understand that it isn’t easy for the rest of my family either. My Facebook post may seem like I’m so together, but, I’m just like you and have good and bad days. As much as I want to liberate myself from this social distancing, I just can’t seem to do it until I think it’s safe. I’m taking the next two weeks to observe what is happening to make an informed decision about whether or not to resume sessions in my office. Until then I am video conferencing to help those in need. It isn’t ideal but it is an option. Better to be safe than sorry. I don’t want to get sick and have to manage those symptoms. I heard it’s a bitch to do that. So, let’s exercise a little more patience and see what the next two weeks looks like.

So, if you’re itching to go play golf, camping with your buddies, or have a motorcycle or bike ride with your buds, think twice about waiting a couple of weeks. The wives I work with would appreciate you keeping them and your children in high priority and being mindful to keep yourself safe during a pandemic without a vaccine.

If you want to talk and can’t wait a couple of weeks I am available for video counseling (teletherapy). Call me at (858) 735-1139 or email me at



What Is Teletherapy?

What Is Teletherapy?

Teletherapy refers to therapy that is provided by a licensed and certified therapist via a secure video connection. Modern-day technology can now connect pediatric speech, occupational, physical therapists and marriage and family counseling in the safety and comfort of your own home.

  • Teletherapy, also known as online therapy or video counseling, can be an accessible and convenient way to receive counseling.
  • It’s a great alternative for busy, on-the-go people who want the support of a psychotherapist but can’t make it to a therapist’s office. 
  • Enjoy the convenience of benefiting from therapy in the comfort of your home.
  • Teletherapy has been shown to be as effective as in-person therapy when using more directive modalities.

What Is Teletherapy?

Teletherapy with me is video calling using Zoom (HIPPA compliant for privacy) or Telephone consultations.

To arrange your personal telephone consultation with Sarah Ruggera please e-mail your request to or call: 858-735-1139

  • Relationship problems, extramarital affairs, infidelity,affair recovery, jealousy, abuse – sexual, verbal, physical
  • Feelings of stress, fear, worry, anger, or anxiety
  • Career and work issues
  • Feeling sad, down, moody, or depressed
  • Issues of Change, Loss, Death,

  • Stress and burnout
  • Medical problems
  • Elderly parents, dementia
  • Parenting strategies
  • Weight loss
  • Wishing “things” were different, self, relationships, employment


Do not hesitate to call me at (858) 735-1139 or email me at

Read more

Counseling Via Zoom

Counseling Via Zoom. Counseling In the Convenience of your own Home – Teletherapy. Most of us are locked down at home during this social isolation due to the COVID-19 virus. Anywhere from 2 weeks to 2 months we will be rearranging our lifestyles. Although being home bound for an unspecific time period can be frustrating, you can turn it into something productive. Spending time with your family is a given. But what about you as an individual? You may want support to be fully available to your family. Just like our automobiles running low on gas, we fill it up. How will you fill up your “emotional gas tank?” I’m offering Teletherapy so you don’t go stir crazy at home and/or “act out” in front of your partner/kids. Role model appropriate behavior so your kids know what to do to self-soothe and manage stressful times.

Counseling Via Zoom

I’m here at your convenience to talk about whatever is bugging you, worrying you, stressing you out. Teletherapy is provided via Google Chat, if you have a Google account and via Zoom or Facebook chat.

I can provide individual sessions or marriage/couples sessions that won’t break your bank account. I know things are already stressful. I’m here to help.

Please contact me at (858) 735-1139 or email me at


I will send you the necessary forms to get started.