ADHD therapists and psychiatrists in Fresno, CA

Is your cup feeling empty?

I'm Shahna Duerksen, M.A., LMFT, a California-licensed Marriage and Family Therapist providing therapy exclusively to women 18+ through California telehealth and in-person sessions in Fresno.

I work with women who spend much of their lives pouring into others and may eventually feel overwhelmed, anxious, burned out, disconnected, or unsure of who they are beyond their responsibilities. Sometimes everyone else is receiving our time, energy, and care while our own cups are running low.

I especially enjoy helping women navigate adult ADHD symptoms, anxiety, depression, people-pleasing, boundaries, relationship distress, betrayal trauma related to infidelity or problematic sexual behaviors in a partner, identity and life transitions, and family or cultural expectations.

I also support therapists and mental health professionals—from those in training to experienced clinicians—who are navigating burnout, compassion fatigue, vicarious trauma, professional boundaries, self-care, and the emotional demands of caring for others.

Another meaningful part of my work is supporting women navigating life between cultures, including South Asian and Indian women balancing their own needs and identity with family, cultural, spiritual, or relational expectations. Finding room for yourself doesn't have to mean abandoning the people or values that matter to you.

I earned my M.A. in Intercultural Studies and M.A. in Marriage and Family Therapy from Fresno Pacific University. My education and professional experience inform my interest in culturally responsive care and the ways culture, family, relationships, and life experiences shape how we understand ourselves.

And yes—funny, polite sarcasm and humor are fluently spoken. I also speak very basic conversational Hindi.

I’ve helped people work through trauma, burnout, ADHD, Bipolar mood concerns, Anxiety, Depression, OCD, and others, in ways that honor their pace and their story. Our work together is grounded in honesty, humor, and compassion.

As a therapist in Fresno and online in CA, I help people whose minds and bodies are tired of being on high alert. You might notice every possible threat around you, feel constantly on edge, or struggle to relax even in moments that should feel safe. You may carry guilt or shame from the ways you react when overwhelmed.

As therapy continues, you begin to notice small but real shifts. The mornings feel a bit lighter. You catch yourself laughing without effort. You start to sleep better. You find it easier to connect with family or friends, to be present, to breathe. These small moments build into something bigger

— a sense of belonging in your own life again.

Hi, I'm glad you're here.

I have a Master of Science in Marriage, Family, and Child Therapy and have spent the past several years working with children, parents, foster parents, and families involved in the child welfare system. Along the way, I've learned that people heal best when they feel safe, understood, and accepted.

I work with people of all ages and am especially helpful for those struggling with anxiety, depression, trauma, relationship challenges, and attachment-related concerns. People often tell me I'm easy to talk to. I'm a regular person first and a therapist second, and I believe some of the best therapy happens through a genuine human connection.

Hi, I am Beth, Licensed Marriage and Family Therapist in CA. Adoption and foster care require a different kind of heart and a specialized set of tools. With three decades of dedicated experience, I help families navigate the nuances of trauma and "blocked trust." My approach is deeply empathetic, rooted in the belief that healing happens through connection. I provide the seasoned perspective you need to understand your child’s needs—and your own—more deeply. You don't have to do this alone.

As a board-certified Psychiatric Mental Health Nurse Practitioner, I am passionate about providing compassionate, personalized care and building meaningful connections with the individuals I serve. I believe everyone deserves a provider who cares, hears, and truly listens. I believe seeking mental health care is a courageous and deeply personal decision, and you deserve a provider who genuinely listens. I strive to create a compassionate, inclusive, and judgment-free space where every person feels welcomed, respected, and valued. You are more than a diagnosis or a set of symptoms. My goal is to meet you where you are, understand what matters most to you, and provide a space where you feel safe being yourself.

I am a senior psychotherapist with more than 25 years of experience. Before becoming a therapist, I practiced law and accounting, experiences that gave me a broad understanding of the real-life challenges people face in their relationships, careers, and personal lives.

I bring this practical experience together with my psychological training to offer an integrated, thoughtful approach to therapy. I work to understand each client as a whole person—their history, relationships, current circumstances, strengths, and the challenges that brought them to therapy. My goal is to provide a supportive, experienced perspective while helping clients develop greater insight and make meaningful changes in their lives.

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! Are you curious about what therapy would be like? Or maybe you’ve gone before and are back for more? One of my first goals is to make sure you feel at ease with the therapeutic process. You don’t have to worry about what to say or where to start. It’s my honor and duty to ask the questions and listen intently. I’m here for you!

Hello! My name is Melanie Lapeyrolerie, and I am a Licensed Clinical Social Worker (LCSW) based in Los Angeles, California. I offer in-person therapy in West Los Angeles and telehealth services to clients throughout the state. I work with a diverse range of individuals, from young adults to seniors aged 18 to 71. My specialties include treating anxiety, depression, stress, trauma, and alcohol and substance use disorders. To support my clients in enhancing their daily lives and overall well-being, I utilize a variety of therapeutic approaches, including Cognitive Behavioral Therapy, Trauma Focused CBT, Psychodynamic Therapy, and Mindfulness, among others.

I am doing work I love whole-heartedly. I have always loved hearing people's stories, and getting to know what makes people feel most alive. My empathy, warmth and openness support people in feeling comfortable and held in session.

Hi, I'm Sandra! I'm a bilingual Latina therapist who is here to support you through life's stressors and challenges. Together, we can explore how to navigate loss, stress, change or the unknown, while also working towards the goals you have for yourself.