Grief counselors and 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.

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.

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.

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.

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.

Hi, I’m Natalie, a Licensed Marriage and Family Therapist passionate about helping individuals, couples, children, and families feel more connected, understood, and supported through life’s challenges.

Over the past 10 years working in the mental health field — including 5 years providing therapy — I’ve worked in a variety of settings providing crisis services, trauma-focused support, and ongoing therapy for individuals and families with diverse needs. These experiences have strengthened my belief that healing happens best in spaces where people feel emotionally safe, genuinely seen, and never judged.

I work with clients navigating anxiety, trauma, relationship difficulties, emotional disconnection, self-esteem concerns, life transitions, and family or parenting challenges. In couples work, I help partners better understand the patterns and cycles they can get stuck in, improve communication, rebuild trust, and strengthen emotional connection.

My name is Casey Subero. I am an LMHC in the state of New York and an LPCC in the state of California. I graduated with my master's in Mental Health Counseling from LIU Brooklyn. I specialize in Cognitive Behavioral Therapy and specialize in treating clients with Anxiety, Depression, communication challenges, and anger.

As an affirming therapist for the LGBTQIA community, I understand that navigating a world that wasn't built for us can be exhausting. Whether you are dealing with the weight of microaggressions, exploring your gender identity, navigating relationship dynamics, or working through historical trauma, you deserve a space where you don’t have to explain the basics of your identity. I strongly believe that mental health professionals should be gate-openers, not gatekeepers. If you need a referral letter for gender-affirming medical care (including top surgery, bottom surgery, HRT, or other procedures), I provide comprehensive, WPATH-compliant evaluations.

Hello! I'm Gurleen Hans, a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to supporting individuals on their mental health journey. I earned my Master of Science in Nursing from Walden University and have five years of nursing experience working with diverse populations and cultures. My passion for mental health care stems from a genuine love of caring for others and witnessing the transformative power of compassionate, evidence-based treatment.

I specialize in medication management for adults and adolescents experiencing a wide range of mental health conditions, including depression, anxiety, bipolar disorder, schizophrenia, schizoaffective disorder, and co-occurring substance use disorders. My experience spans both partial hospitalization programs and community-based outpatient settings, allowing me to understand the full spectrum of mental health needs—from acute crisis stabilization to ongoing maintenance care.

I have provided psychiatric services in various behavioral health settings, including work with interdisciplinary teams to deliver comprehensive, patient-centered care. I have particular expertise in serving individuals with severe and persistent mental illness (SPMI), and I'm committed to meeting clients where they are in their recovery journey.

My approach integrates holistic wellness principles with pharmacological interventions, recognizing that effective treatment addresses the whole person. I stay current with emerging research through ongoing professional development, ensuring you receive evidence-based care.

I prioritize open communication and actively involve you in treatment decisions. Whether you're seeking support for the first time or looking for medication optimization, I bring clinical expertise combined with cultural sensitivity and an understanding that each person's mental health story is unique. I'm honored to support you on your path toward wellness, and lasting hope.

I’m a Licensed Clinical Social Worker and integrative psychotherapist specializing in life transitions, grief, and personal growth. I hold space for people who want to better understand their emotions, heal past wounds, and feel more connected to who they really are. With experience at Stanford Hospitals and training in Psychedelic-Assisted Therapy, I offer a depth-oriented, high-caliber space for transformation and self-actualization.

My name is Paul Tran, and I am a Vietnamese-American Licensed Clinical Social Worker. Over the past 10 years, I have worked with various populations with diverse backgrounds and challenges including trauma, crisis, depression, anxiety, relationship problems, racial challenges, and immigration issues. My mission is to offer you a safe space for you to truly express and be seen as your whole self, and to bear witness to your growth and healing journey.

I’m a board-certified Psychiatric-Mental Health Nurse Practitioner with over a decade of experience in mental health. I provide care in both English and Spanish. I enjoy helping people better understand their mental health and find treatment that works for them.

I am a dedicated clinician with 10+years of experience working in mental health services. Therapy is the first step in your journey of self exploration and change.

I have been a Licensed Clinical Social Worker since 2016. I have been providing therapy since 2011.

Check out my YouTube, for short helpful videos:

www.youtube.com/@softenup