Twin Rivers Therapy

Telehealth & Community Based Mental Health Services
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Offers Telehealth
Online Payments
Accepting New


Compassionate, Flexible, & Experienced Care

Welcome to my private practice! I am a licensed and skilled therapist who is dedicated to meeting you where you are at in life. With over a decade of experience supporting clients of all ages and backgrounds through nonprofits, schools, and agencies, I have developed a deep understanding of the challenges and struggles that people face. In October 2021, I started my private practice, where I offer individual or family therapy via videocall or in the community, primarily utilizing attachment and trauma-informed therapy. I am passionate about helping people process traumatic experiences and navigate frustrating systems and relationships that often seem to do more harm than good. I specialize in helping clients respond to crises and life's challenges, including divorce, and creating a safety plan in response to the experience of suicidal ideations. If your child is struggling at home or school, I am trained in several parenting approaches, have three kids of my own, and extensive experience providing services in schools. If you are struggling to find a relationship or having problems in the relationship you are already in, I can help you gain insight and security. If you are a parent, especially a father, I have personal and professional experiences I can leverage to your benefit. As a therapist, I understand that everyone's needs are different, which is why I do not have a traditional office. Care can occur in the community, such as a park, home visit, or walk and talk, or via videocall. I believe that this approach helps my clients feel more comfortable and supported, especially during challenging times. If you have any questions or concerns, please do not hesitate to reach out. I am committed to providing compassionate and effective mental health services that meet your unique needs. Thank you for considering me as your therapist. I look forward to supporting you on your journey towards healing and growth.
Joshua Keaney
Licensed Marriage and Family Therapist #121990


Adult, child, & family mental health services

  • Trauma
  • Parenting
  • Men's Issues
  • School Issues
  • Anxiety
  • Depression
  • Abuse Survivors
  • Bullying
  • Burnout
  • Career Counseling
  • Caregiver Issues
  • Child or Adolescent
  • College Mental Health
  • Communication Issues
  • Divorce
  • Family Conflict
  • Life Transitions
  • Peer Relationships
  • PTSD
  • Relationship Issues
  • Self-Harming
  • Spirituality and Religion
  • Stress
  • Suicidal Ideation


  • Cognitive Behavioral Therapy (CBT)
  • Family/Marital Therapy
  • Trauma Focused
  • Culturally Sensitive
  • Play Therapy
  • Strength-Based
  • Attachment-Based
  • Social Work
  • Family Systems


  • Individual: $150 - $225
  • Family/Couples: $175 - $250


Request a free consultation to learn more about meeting in the community.

Folsom Office

1024 Iron Point Rd
Folsom, CA 95630-8013

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3017 Douglas Blvd Unit 300
Roseville, CA 95661-3850

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Arden/East Sacramento

333 University Ave Unit 200
Sacramento, CA 95825-6540

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A street map for office location at Fair Oaks, CA 95628-4811


Fair Oaks, CA 95628-4811

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