Grief counselors and therapists in Fresno, CA

I’m Saby Kirpal, a Psychiatric Mental Health Nurse Practitioner committed to providing thorough, well-rounded mental health care. I hold Master’s degrees from both Chamberlain University and Walden University, where I graduated with Presidential Honors, a reflection of my dedication to high clinical standards.

My professional experience spans inpatient psychiatric hospitals, residential treatment centers, and outpatient clinics, which has given me a clear understanding of mental health care at every level. My clinical focus includes depression, anxiety, autism spectrum disorders, eating disorders, and substance use disorders across all age groups. I care for children as young as eight, teens, and adults, and young people and their families are always welcome in my practice. My work has included crisis stabilization, residential programs, and ongoing medication management.

What makes my practice distinctive is the way I blend my nursing background with psychiatric expertise. I understand how physical health, medications, daily habits, and mental health all affect one another. I am fluent in English, Hindi, and Punjabi and speak conversational Spanish, which allows me to serve diverse communities and appreciate the many ways culture shapes how people experience mental health.

My work has taken me from UCSF Health to community clinics, and those experiences taught me that excellent care depends far more on the relationship than on the setting. Whether you are seeking help for the first time, transitioning between clinicians, or managing an ongoing condition, I am here to partner with you. I always listen first, explain things clearly, and make decisions with you rather than for you. Treatment should never feel like something done to you; it should be something we navigate together. I am dedicated to creating a space where you feel respected, understood, and truly supported, and every step forward, however small, is worth celebrating.

I’m a Licensed Clinical Social Worker with extensive experience in trauma-informed care, crisis intervention, and long-term psychotherapy. I work primarily with adults navigating anxiety, depression, relationship challenges, identity concerns, and the lasting impact of trauma.

My professional background includes service in military and veteran-support settings, as well as work in community mental health, medical and hospital-based environments, and outpatient therapy. This breadth of experience allows me to support clients across a wide range of life circumstances—from acute stress and major transitions to deeper, long-term personal growth.

My practice is grounded in a collaborative, nonjudgmental approach that integrates evidence-based and relational therapies. I believe therapy works best when clients feel supported, understood, and appropriately challenged, with the goal of not just symptom relief, but meaningful, lasting change in how clients relate to themselves and others.

I believe therapy works best when you feel safe, understood, and genuinely supported. My approach is warm, collaborative, and nonjudgmental, and I strive to create a space where you can be yourself. People often describe me as easy to talk to, and I believe that compassion—and even a little humor when appropriate—can make the healing process feel more comfortable. We'll work together to build on your strengths and help you create meaningful, lasting change.

As a board certified psychotherapist, I believe therapy should feel safe, collaborative, and empowering to individuals of all ages. I have 8 years of experience in the field in working with children, adolescents, and adults navigating through depression, anxiety, and everyday life stressors. I am passionate about supporting individuals through my multi-modal therapeutic approach which integrates CBT and solution-focused, reality-based strategies to support emotional regulation, self-awareness, and meaningful change.

Hey there! You being here is huge, and I am honored to partner with you on your journey toward wellness. I am a Licensed Clinical Social Worker (LCSW) and U.S. Navy veteran, having earned both my BA and Master of Social Welfare from UCLA. My professional background includes extensive experience with the Department of Veterans Affairs and Harbor-UCLA Medical Center, specializing in helping individuals navigate complex psychosocial needs, trauma, and substance use. Ultimately, I am deeply committed to helping you break down life's barriers, adapt to major transitions, and successfully reclaim your stability

Let's find the words together. You may be carrying more than people realize, whether that's ADHD, anxiety, depression, trauma, OCD, burnout, or ongoing stress. You don't have to have it all figured out before reaching out.

I'm a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC), Certified Case Manager (CCM), and ADHD-Certified Clinical Services Provider (ADHD-CCSP), with more than 15 years of nursing experience across behavioral health, case management, dialysis, and nephrology. That background helps me see the whole person, including how physical health, medical conditions, and life stressors affect your mental health.

I offer psychiatric evaluations, medication management, supportive therapy, and objective ADHD testing for adults. I also welcome clients living with chronic kidney disease or receiving dialysis. Insurance coverage varies by plan.

I am a clinical psychologist licensed in California and Illinois, and can see clients from both states. I support clients with variety of mental health conditions such as mood disorders, relationships issues, addictions, stress management, sport and performance psychology and health behaviors, trauma, insomnia and eating disorders. My therapy style is personable, connected, focused, and attuned.

I work with individuals, couples, and families who are navigating a variety of issues including depression, anxiety, trauma and healing, loss and grief, and relationship and parenting challenges. In addition to my training as a therapist, my practice is informed by my many years as a teacher, as well as by my life experience as a husband and father.