Anxiety and depression therapists and psychiatrists in Fresno, CA

I am an LMFT trained and experienced in a wide variety of health conditions and clinical disorders associated with Psychology providing the highest standard of patient care. I am a Registered Play Therapist (RPT).

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.

Hello, I'm Brettina. I have been helping people navigate their lives since 2021. I offer a warm, compassionate space where you feel truly heard and supported. As an empathetic listener with a nurturing presence, I bring a calm and nonjudgmental approach to therapy. I believe in the healing power of humor, authenticity, and connection, and strive to create a welcoming environment where growth can occur.

Chenda Dyck is a licensed Marriage and Family Therapist. She's in the final stretch of her PhD in Marital and Family Therapy, and she finished her master's at Fresno State back in 2016.

Chenda was born in Ratanakiri, in Cambodia's northern highlands. Families there hold together through a lot, and she watched how that works long before she had any language for it. She arrived in the U.S. in 2003, sponsored by an adoptive American family. What she learned in those years is the thing she still builds her practice on — that one safe relationship can redirect an entire life.

Her work centers on Emotionally Focused Family Therapy (EFFT), grounded in systemic and attachment theory and carried by a social-justice lens. Diverse, multiracial, and immigrant families are where she does her best work — families managing cultural pressure and emotional strain at once. In session and in supervision, she holds to the same standards: respect for culture, honesty about feelings, and the relationship kept at the center.

Life can feel unbearably heavy sometimes. Unjust, exhausting, overwhelming, and terrifying all at once. And asking for help in the middle of all of that takes more courage than most people give themselves credit for.

If you're here, you've already done something brave.

I'm Sara, a Licensed Marriage and Family Therapist and Associate Professional Clinical Counselor. My work is rooted in the belief that you are not broken. You are a person carrying real pain, and you deserve a space where you feel genuinely accepted, supported, and safe enough to actually exhale.

I'm invested in helping you find value and joy in your life!

For over the past decade in this field, I have assisted clients at all stages of life. I prefer to show up with humility, humor, and genuine humanity.

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.

I'm Saby Kirpal, a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner dedicated to providing comprehensive mental health care. I hold Master's degrees from Chamberlain University and Walden University, graduating with Presidential Honors, reflecting my commitment to clinical excellence. My diverse professional background spans inpatient psychiatric hospitals, residential treatment centers, and outpatient clinics, giving me insight into mental health treatment at every level of care. I specialize in treating depression, anxiety, autism spectrum disorders, eating disorders, schizophrenia/psychosis, and substance use disorders across age groups. My experience includes working with children as young as eight through adults in crisis stabilization, residential treatment, and ongoing medication management. As Associate Director of Nursing, I've provided clinical oversight across multiple facilities while maintaining patient care, keeping me grounded in real-world challenges.

What makes my practice unique is the integration of my nursing background with psychiatric expertise. I understand how physical health, medications, lifestyle factors, and mental health interconnect. Being trilingual in English, Hindi, and Punjabi, with conversational Spanish, allows me to serve diverse communities and appreciate how culture shapes mental health experiences.

I've worked from UCSF Health to community clinics, teaching me that excellent care isn't about the setting—it's about the relationship. Whether you're seeking help for the first time, between providers, or managing ongoing conditions, I'm here to partner with you. My approach centers on listening first, explaining clearly, and making decisions together. Mental health treatment should never feel like something done to you, but rather something we navigate together. I'm committed to creating a space where you feel respected, understood, and genuinely supported.