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LGBT therapists in Fresno, CA


Top LGBT-friendly therapists and psychiatrists in Fresno, CA
Finding an open-minded therapist who celebrates your authentic self matters. Headway serves Fresno's LGBTQIA+ community with culturally competent providers available within two weeks, many offering free consultations to help you find the right fit.
I'm Saby Kirpal, a 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, 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.
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.
Welcome! I am currently accepting client and I specialize in working with LGBTQ+ adolescents and young adults, providing affirming care through a solution‐focused and client‐centered approach. I utilize Cognitive Behavioral Therapy (CBT) to help clients identify and challenge unhelpful thought patterns, supporting effective and meaningful change. I also incorporate Narrative Therapy and Trauma‐Focused Cognitive Behavioral Therapy to address trauma and promote healing when appropriate.
Reaching out for support can feel overwhelming, especially when you are navigating the challenges you are facing. Many of my clients come to therapy wanting a space where they feel safe, accepted, and truly understood. I strive to provide this so we can work collaboratively to move toward greater clarity, resilience, and well‐being.
Some seasons of life ask more of you than you ever expected, and somewhere along the way you stopped feeling like yourself. I work with teens, parents, and adults who are moving through anxiety, depression, grief, relationship strain, and the heavy stretches that come with big life transitions. I care deeply about supporting LGBTQIA+ and transgender clients, and families who want to understand and show up for one another a little better. So much of this work is simply remembering that you do not have to carry any of it alone.
I’m a bilingual Licensed Marriage and Family Therapist who provides therapy in both Spanish and English, from colloquial to professional levels. My work has included supporting individuals facing HIV/AIDS-related challenges, domestic violence, substance use, loneliness, suicidal thoughts, dual diagnosis, sexuality-related concerns, aging-related issues, and the broader impact these experiences can have on families and support systems. Across community, academic, and clinical settings in Mexico and the U.S., I’ve built a strong foundation in helping people navigate both personal suffering and societal distress.
I help Gen Zers and Millennials to manage the overwhelming anxiety and stress that the fast-paced world of today causes. Whether the ever-evolving world is making it difficult for you to navigate the challenges of anxiety, depression, parenthood, work pressures, romantic partnerships, emotional trauma, or interpersonal relationships, I am prepared to aid in rebuilding your confidence and developing a powerful toolkit for combatting mental health blocks.
As a proud Mexican woman, it’s important to me to provide a space for marginalized groups to feel understood and validated. I am LGBTQIA+ affirming and deeply passionate about supporting the queer community with compassion and empathy. I am also sex-positive and have helped many of my clients overcome barriers and concerns regarding sex and physical intimacy.
I graduated from California State University Dominguez Hills with a Master’s Degree in Marital and Family Therapy in 2016. I began seeing clients in 2014, and in the years since, I have worked in substance abuse programs, behavioral health hospitals, intensive outpatient programs, and numerous group practices. Today, I enjoy managing my own practice and seeing my clients thrive as they tackle treatment goals. I am located in Los Angeles and am exclusively offering virtual therapy at this time, making it convenient for you to meet for your sessions in the comfort of your chosen space.
Hello, my name is Tamra Smith. I am a licensed clinical social worker (LCSW) in Sacramento, CA. I have over 20 years of experience in the field of Mental Health Services, especially providing therapy and consultation. My practice name is Path to Wellbeing Therapy Services, and I truly lead each person on a path to their own emotional health and wellbeing.
Hello! Thank you for considering me as a potential therapist. I have worked in social services related occupations for over thirty years. I am humbled daily and appreciate working with people wherever stage they are in their life.
I am a bilingual (Spanish and English) Marriage and Family Therapist with over 22 years of experience working with adolescents, adults, parents, and couples.
I hold a psychology degree from the Universidad Autónoma de Baja California since 1991 and earned a master's degree in Marriage, Family, and Child Therapy from the University of Phoenix in 2008.
My work focuses on strengthening relationships and addressing emotional or mental issues such as depression, anxiety, phobias, trauma, psychosocial factors, life challenges, and personal goals.
About our LGBTQIA+ affirming therapists in Fresno, CA



- 100%LGBTQIA+
- 98%Anxiety
- 94%Depression
- 89%Stress management
- 86%Trauma

- 98%Aetna
- 78%Carelon Behavioral Health
- 75%Cigna
- 73%Anthem Blue Cross California
- 64%Blue Shield of California

- 97%English
- 16%Spanish
- 1%Farsi
- 1%Mandarin
- 1%Assamese

- 90%Online only
- 10%In-person or online

- 74%Woman
- 23%Man
- 3%Non-binary

- 46%Licensed Marriage/Family Therapist
- 29%Licensed Clinical Social Worker
- 9%Nurse Practitioner
- 8%Clinical Psychologist
- 7%Licensed Professional Clinical Counselor

- 100%Individual therapy
- 40%Family therapy
- 28%Couples therapy
- 17%Child or adolescent therapy
Frequently asked questions


Find the right LGBTQ-friendly therapy provider for you
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