Bipolar disorder therapists & psychiatrists in Atascadero, CA

I’m April Madden, a Licensed Marriage and Family Therapist and the owner of Twisted Oaks Family Therapy.

If you are interested in services, please reach out to clerical at (805)721-6112 or visit our website at twisitedoakstherapy.com

As the owner of Twisted Oaks Family Therapy, I’ve also built a team of clinicians with diverse specialties so that clients can be matched with a therapist who best fits their individual needs. Our goal is to provide a welcoming, nonjudgmental environment where clients can feel comfortable doing difficult work while knowing they do not have to navigate it alone.

I hold a master’s degree in clinical psychology and have more than 20 years of experience in the helping profession, working with individuals and families facing a wide range of emotional, behavioral, relational, and life challenges.

My approach to therapy is compassionate, trauma-informed, and direct. I believe therapy should be a space where you feel heard and supported, but also a place where meaningful growth happens. I work collaboratively with my clients to identify patterns, build healthier coping skills, strengthen relationships, and create lasting change.

I have experience working with adolescents, adults, couples, and families, with particular focus on trauma and PTSD, anxiety, depression, relationship and family concerns, life transitions, addiction and recovery, communication difficulties, self-esteem, and rebuilding trust and connection. I am also a Certified Substance Use Disorder Counselor IV (SUDCC-IV), which provides me with specialized experience in substance use, addiction, and recovery.

Whether you are seeking support for yourself, your relationship, or your family, our goal is to meet you where you are and help you move toward greater understanding, healing, and meaningful change.

My path into psychiatry is both professional and personal. I moved to the U.S. alone at 17 while navigating complex PTSD and periods of misdiagnosis, which shaped how I understand mental health today. I began with a bachelor’s degree in psychology at Nankai University, then trained as a nurse and nurse practitioner at Charles R. Drew University and Purdue University.

Over the past 7 years, I’ve worked across medical and mental health settings, developing an approach that balances clinical precision with individualized care. I specialize in anxiety, depression, bipolar disorder, and complex PTSD, particularly for individuals who feel stuck or haven’t found relief in traditional treatment.

I’m licensed in California, Virginia, New York, Washington, and Oregon, and provide care via telehealth.

I believe deeply in the power of connection, healing, and human resilience. I’ve spent over 20 years walking alongside children, adults, and families through some of life’s hardest seasons.

What motivates me the most in this work is how meaningful change and healing can occur when a person feels truly seen, supported, and valued. I’ve witnessed incredible strength in the face of hardship. I’m continually inspired by the courage it takes to show up and do the work. It’s sacred work, and I’m grateful every day to be doing it.

For the past year, I've worked with adults facing serious mental health challenges at one of Los Angeles's largest public health systems, and what I've learned is that lasting change comes from relationships built on trust. Now I'm bringing that experience into private practice, where I can focus on what matters most: your individual progress. I work with people navigating anxiety, depression, and PTSD, and I offer flexible evening and weekend availability via telehealth throughout California. As a PMHNP, I'm here to support your whole mental health journey.

Stuck? In pain? Contemplating a life change, or just had one thrust upon you? Let's explore your options and make things easier.

I have 20+ years of experience helping demoralized adults back to high functionality. I specialize in helping develop motivational skills in those are dealing with depression, anxiety and adjustment issues (including relational and gender identity issues).

I work with teens, young adults, and families navigating ADHD, anxiety, depression, substance use, identity exploration, family conflict, relationship challenges, life transitions, and emotional overwhelm. Whether you're feeling stuck, disconnected, overwhelmed, or uncertain about what comes next, therapy can provide a space to better understand yourself and move toward meaningful change.

My approach is warm, collaborative, and nonjudgmental. I believe therapy works best when clients feel genuinely understood, supported, and accepted for who they are. Together, we build on strengths, develop practical coping skills, and explore the patterns that may be getting in the way of living a more fulfilling life.

I strive to create a safe and supportive environment where clients can be honest, reflective, and fully themselves without fear of judgment. My goal is not only to help clients navigate current challenges but also to foster greater resilience, self-awareness, confidence, and connection.