Anxiety and depression 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.

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. My name is Khamnga Sengmany, licensed clinical social worker. I have been working as a social worker for 30+ years and as a therapist for over seven years. I have experiences with assisting clients work through a range of problems including anxiety, depression, relationship conflicts, loss and grief, work-related stress, life transitions.

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.