Grace Sesma works methodically to set up her home office, lighting candles and cutting thorns from seven stemmed red roses for the day's first session as her client chatters nearby.
The man, 47, is talking fast — about the nice view of the area from Sesma's backyard, his connection to the San Diego area, and how he got the supplies at the last minute that Sesma told him they would need: roses, an egg and tobacco.
A survivor of childhood sexual abuse, he has used binge drinking as a coping mechanism. He's been seeing a therapist and was recently diagnosed with post-traumatic stress disorder. Therapy has helped him identify his behavior and triggering environments, but he still hasn't come to terms with the sexual abuse he suffered, he said; he wants to be at peace with himself.