Obsessive-compulsive disorder therapists & psychiatrists in Fresno, CA

Ready to feel more connected, confident, and in control of your life? Whether you’re facing relationship struggles, overwhelming emotions, or challenges around identity, you deserve a space where you feel truly seen and supported.

I’m Rocio Vaca, a Licensed Clinical Social Worker with 17+ years of experience helping couples, individuals, children, and teens create meaningful, lasting change.

For couples, I help turn conflict and disconnection into stronger communication, deeper friendship, and emotional intimacy.

I provide an affirming, judgment-free space for those exploring identity, preparing to come out, building self-acceptance, or navigating gender-affirming care. Together, we can strengthen resilience and address anxiety, depression, and stress.

My path into psychiatry is both professional and personal. I moved to the U.S. alone at 17 while navigating complex PTSD and periods of misdiagnosis, which shaped how I understand mental health today. I began with a bachelor’s degree in psychology at Nankai University, then trained as a nurse and nurse practitioner at Charles R. Drew University and Purdue University.

Over the past 7 years, I’ve worked across medical and mental health settings, developing an approach that balances clinical precision with individualized care. I specialize in anxiety, depression, bipolar disorder, and complex PTSD, particularly for individuals who feel stuck or haven’t found relief in traditional treatment.

I’m licensed in California, Virginia, New York, Washington, and Oregon, and provide care via telehealth.

If you’ve ever felt rushed through an appointment, left with a prescription you didn’t fully understand, or wondered whether anyone was looking at the whole picture, I take a different approach.

As a psychiatric nurse practitioner, I’m thoughtful and thorough, but also down-to-earth. I want you to understand what I’m thinking, feel comfortable asking questions, and have a real say in your treatment.

My clinical interests include women’s mental health, ADHD, anxiety, depression, PMDD, and reproductive mental health. As a first-generation Afro-Latina, I also value working with people navigating cultural expectations, family roles, and the pressure of being the one who holds everything together.

I am a Psychiatric Mental Health Nurse Practitioner. I provide compassionate and evidence-based mental health care. My nursing background and graduate education have prepared me to assess, diagnose, and treat a range of conditions.

I work with clients who experience anxiety, depression, mood disorders, sleep problems, stress, and life transitions. I offer medication management, education, and practical support. My goal is to help you feel heard, informed, and hopeful about your care.

I have a bachelor's degree in human services, master's degree in nursing, and am currently licensed as a Psychiatric NP at a psychiatric urgent care, psychiatric inpatient, and psychiatric nursing home. I had been working in mental health field with various roles from crisis mental health coach, psychiatric residential RN, psychiatric emergency and urgent care RN. A majority of my patients have disorder of depression, anxiety, insomnia, bipolar, trauma, and psychosis.

I am a Licensed Clinical Social Worker with more than 25 years of experience providing mental health services in behavioral health, crisis intervention, community mental health, and medical settings. I work with children, adolescents, adults, and families navigating trauma, anxiety, depression, life transitions, family conflict, and other emotional challenges.

My approach to therapy is collaborative, compassionate, and trauma-informed. I believe healing happens when clients feel safe, understood, and empowered. I work alongside clients to build on their strengths, develop practical coping skills, and create meaningful, lasting change in a supportive and nonjudgmental environment.

Throughout my career, I have provided therapy and clinical support in outpatient, community-based, hospital, college mental health, and correctional settings. In my private practice, I provide bilingual psychotherapy to individuals and families experiencing trauma, stress, relationship challenges, parenting concerns, and behavioral health issues. I also have extensive experience supporting foster, adoptive, and biological families caring for children impacted by trauma and attachment-related difficulties.

My professional background includes crisis stabilization, risk assessment, treatment planning, wraparound services, and multidisciplinary care coordination for youth and families with complex needs. I am also a part-time lecturer in the School of Social Work at San Diego State University, where I teach and mentor future social workers.

I am passionate about culturally responsive care, equity in mental health services, and helping clients feel empowered throughout their healing journey. I provide services in both English and Spanish and welcome clients from all backgrounds.

I work well with anyone who seeks therapy and is ready to work on themselves. I have worked with about every population, culture and age group. Issues that I am best suited to treating include a wide variety of disorders, childhood trauma, addictions, domestic violence, parenting/bonding/interpersonal relationships. I certified in EMDR and expressive arts therapy. I like to offer different forms of expression to my clients in the healing arts. I also give plenty of skill building tools and homework so clients can maximize their progress outside of the weekly sessions. I speak Spanish fluently.

I have experience working with children, youth, adults, families, couples but in the last few years, I have shifted my main focus to work with adults who are struggling with anxiety, trauma and depression. I’ve worked in the mental health field for 22 years and been practicing as a therapist for about 10 years. As a licensed marriage and family therapist, I believe that prioritizing mental health is key to happiness and stability in life. Seeking help can be difficult, so congratulations on taking your first step to start therapy.

Hi, I’m Nicole. I am a Licensed Clinical Social Worker. I am dedicated to providing compassionate, empathetic, client centered care. I am mindful that this journey can be challenging. My passion is to create a safe environment where clients can feel heard and understood. I would be honored to be a part of your healing journey.

I am your friendly neighborhood therapeutic brown dude! I bring a non-traditional, highly empowering approach to sessions utilizing a "no bullcrap, but with love approach". This means that I will always encourage us to face hard truths while always treating you with love, dignity, and respect. You don't have to do it alone, I'd love to walk with you on your journey of healing and transformation.