Anxiety and depression therapists and psychiatrists in Escondido, CA

I am a bilingual (Spanish & English) marriage and family therapist licensed in California with over 14 years of experience working in clinical practice. I am born and raised in San Francisco's Mission District. I am Salvarodan and Nicaraguan; and a native Spanish speaker. I have served clients experiencing multiple occurring conditions requiring some form of crisis stabilization service or intervention. I have counseled individuals and families dealing with an array of issues such as immigration/deportation, domestic and community violence, teen pregnancy, work – readiness, homelessness, substance abuse, and more. I use a client-centered and strengths-based approach when I work with clients. I believe that it is critical to collaborate with cleints in identifying and attaining what they are seeking. I believe that clients are experts in their lives and I am an expert my field.

It is my prayer to build a practice that helps you reach a place where your mental health is truly at the forefront. My hope is that with each appointment—and each day—you feel supported in moving closer to the best version of yourself.

My work centers on helping clients navigate difficult transitions, strengthen relationships, and reconnect with their capacity for growth and healing. As a social worker with five years of experience, I believe every person deserves to feel heard, supported, and empowered. I’m passionate about creating a space where clients can show up as they are and feel met with compassion, curiosity, and care.

Melinda Fay is a Licensed Marriage and Family Therapist with a specialty in Art Therapy. I received my MA in Psychology from Phillips Graduate Institute in 2002 and I have been licensed since 2008.

Shara Ally, DNP, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner providing evidence-based medication management for adults (18+) via telehealth. As an author and TEDx speaker, she translates complex research into clear, practical care plans that help patients feel informed and supported.

Shara specializes in mood and anxiety disorders, trauma-related conditions (PTSD), adult ADHD, OCD, bipolar spectrum disorders, and women's mental health across the reproductive lifespan—including perinatal and postpartum mood disorders, PMDD, and menopausal transitions. Her practice is medication-focused and highly collaborative, with education, skills coaching, and supportive check-ins integrated into visits. She coordinates closely with therapists, primary care providers, OB-GYNs, and other clinicians to ensure cohesive treatment.

Patients can expect a comprehensive evaluation reviewing history, symptoms, prior treatments, and goals. Shara practices thoughtful prescribing with transparent discussion of options, benefits, and side effects so decisions are truly shared. She uses measurement-based care—structured symptom tracking—to guide adjustments and reduce trial-and-error. Her whole-person approach integrates sleep, nutrition, movement, and stress management when relevant, with streamlined access through secure telehealth and clear after-visit summaries.

Shara's style is warm, direct, and person-centered, grounded in shared decision-making. Her care is trauma-informed, culturally responsive, and rooted in current clinical evidence. Beyond clinical practice, she serves as a nurse educator and academic mentor, shaping future psychiatric clinicians through evidence-based teaching. An international fellowship in India enriched her global perspective through research and teaching in hospital and university settings.

For up-to-date availability, please visit us or call/text us at 415-968-6515.

I am a board certified, doctoral prepared PMHNP. I completed my post graduate at National University in Adult, Child and Adolescent Psychiatry. I earned my DNP from Azusa Pacific University and graduated from CSUSB MSN program. I have been a faculty at CSUSB since 2014. Extensively trained and a certified Trauma-Informed specialist. I diagnose and treat mental disorders including medication-assisted treatment along with counseling for chemical dependency and substance use disorders.

Hi, I’m a Board-Certified Psychiatric Mental Health Nurse Practitioner with over 20 years of nursing experience. I provide thoughtful, personalized care for individuals dealing with anxiety, depression, ADHD, and other common mental health concerns. My approach is warm, respectful, and judgment-free — I believe real healing starts with feeling heard and understood. I work closely with each client to create a treatment plan that feels supportive, practical, and tailored to their unique needs.