• At Tip of the Spear Psychotherapy Group, our mission is to lead the charge in community mental health through intentional, high impact care. By blending clinical expertise and innovative treatments with a philosophy of compassionate accountability, we empower individuals, couples, and families to navigate their unique mental health needs and transition from surviving to thriving. We don’t just observe the journey; we equip our patients with the tools and the momentum to move forward with purpose. Let’s forge a path together.

  • To redefine the standard of psychotherapy by creating a world where mental health is met with clinical precision, authentic empathy, and measurable growth. Positioning Tip of the Spear as the premier partner in forging resilient lives and a stronger community.

  • Compassion

    Empathy in Action. We meet every individual with authentic understanding and a "no-judgment" stance. For us, compassion isn't just about listening; it’s about creating a safe, high-trust environment where people feel seen, heard, and supported as they do the difficult work of change.

    Patient Care
    Intentional & Precision-Driven. We prioritize measurable growth and clinical excellence. By integrating innovative treatments with evidence based practices, we ensure that every treatment plan is as unique as the person receiving it. We don't just provide therapy; we provide a high-caliber standard of care designed for lasting breakthroughs.

    Service

    A Commitment Beyond the Session. Rooted in our veteran-founded heritage, we view mental health as a form of community service. We are dedicated to being a reliable resource for individuals and families, ensuring accessibility, reducing wait times, and standing as a steadfast ally in our community’s pursuit of wellness.

Let’s Forge a Path Together.

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About our CEO

As the CEO of Tip of the Spear, Michael DeSena is actively redefining the landscape of modern mental health care. Driven by a relentless commitment to elevate the standard of treatment, he built the practice on a bold premise: that true mental wellness requires proactive, cutting-edge innovation rather than just reactive care.


With over 8 years of experience spanning clinical excellence and healthcare leadership, Michael DeSena has built a career out of challenging the status quo in behavioral health. Before taking the helm at Tip of the Spear, he served as Clinical Therapist at Loma Linda Behavioral Medicine Center (PHP/IOP), where he spearheaded the expansion of a premier clinical program, the integration of new therapeutic modalities, and educating future mental health providers.


Under his leadership, Tip of the Spear does exactly what its name implies: it operates at the absolute vanguard of mental health. By combining rigorous, evidence-based clinical practices with forward-thinking models of care, Michael DeSena empowers both his team of clinicians and the patients they serve to achieve breakthrough results and lasting resilience.
Beyond the practice, Michael DeSena is an outspoken advocate for destigmatizing mental health conditions, burnout, veteran wellness, and mental health equity and actively works to change how society understands and approaches psychological well-being.

Michael DeSena, Chief Executive Officer

Licensed Clinical Social Worker #108768