Therapy Up in Carlsbad is a women-owned, LGBTQ+-affirming counseling practice on Palomar Airport Road led by Roxanne Pratt, a Licensed Professional Clinical Counselor holding credentials in five states: California, Florida, Georgia, Washington, and Utah. Specialization in children, adolescents, and young adults places the practice in the same pediatric behavioral health lane as The Child Psychology Center on Carlsbad's north side, though the LPCC scope centers on counseling rather than psychological testing. A BA in Psychology from the University of Michigan, an MS in Educational Psychology from Baylor University, and an MPH in Health Behavior from the University of Georgia anchor the clinical approach in both developmental research and public health methodology. Board certification as a National Certified Counselor (NCC) through the National Board for Certified Counselors adds a peer-reviewed competency standard beyond state licensure, and a Certified Health Education Specialist (CHES) credential bridges clinical counseling with health literacy and prevention programming. Parenting-focused sessions address behavioral management, academic pressure, and family system communication breakdowns, the same developmental concerns treated through therapeutic play and occupational frameworks at Innovative Therapy 4 Kids / IT4K in eastern Carlsbad. Multi-state licensure enables continuity of care for military and relocating families through secure telehealth sessions maintained across five state jurisdictions simultaneously.