Couples therapists 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.

Life brings experiences that one may not want to navigate alone and therapy can provide a space for sharing and working through them. My name is Paola, and I work with individuals experiencing anxiety, depression, and life changes that may feel difficult to navigate alone. My goal is to provide a safe and supportive space where you may process your thoughts and emotions, better understand your experiences, and work together to identify solutions.

I create a warm environment to work collaboratively on achieving your objectives. I've been a licensed Marriage and Family Therapist for over 20 years. I specialize in relationships, anxiety, depression, fears/phobias, couples work, creativity, career enhancement among other goals. I have an eclectic treatment modality including psychodynamic, self-psychology, cognitive-behavioral, hypnotherapy and NLP.

Are you feeling overwhelmed by anxiety, ADHD, depression, or the weight of past trauma? I work with adults who want to feel more grounded, understood, and confident in navigating their lives. Together, we can make space for what you’ve been carrying, better understand what may be holding you back, and reconnect with your strengths. I offer a warm, affirming, and collaborative space where your story matters and change can happen at a pace that feels right for you.

Do you ever wonder if you, a loved one, or a friend have ADHD or Autism? You deserve a therapist who truly gets it and I am the one for you. Neurodiversity has been the heart of my work for most of my 40 years in practice. I spent 15 years at Kaiser, where I helped create and lead autism programs across Southern California. Today I'm a Licensed Marriage and Family Therapist in California, and I focus on adults.

It takes real courage to take this first step toward prioritizing your mental health, and I want to honor that. Beginning therapy can feel vulnerable, unfamiliar, or even intimidating, and I understand that. Maybe you’ve spent a long time in survival mode, developing ways of coping that helped you get through hard experiences but may no longer serve you. That can show up as disconnecting from yourself or others, struggling with boundaries, or carrying a story about yourself shaped by cultural or relational expectations. Wherever you are, we can start exactly where you are.

Hi, I am Cheyenne, an LCSW who believes therapy doesn't have to feel stiff or clinical to be effective. With several years of experience supporting youth, parents and families, I help clients navigate trauma, maternal mental health challenges, ADHD, anxiety and the often overwhelming stress of everyday life. If you're in the thick of parenting, navigating your teen years or simply feeling stretched too thin, you don't have to figure it out alone.

My clients should know that I truly care about their well-being and take the time to listen. I want them to feel comfortable, respected, and never rushed. I believe in providing care that is compassionate, thorough, and personalized to their needs. I also value honesty, trust, and clear communication, so clients feel informed and supported every step of the way.