Trauma and PTSD therapists & psychiatrists 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.

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 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.

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.

If anxiety, depression, or the weight of past trauma has started to feel like it's steering your life instead of you, that's exactly where I do my best work. I'm Erica, a Licensed Professional Clinical Counselor, and I think of myself as your therapeutic GPS — you set the destination, and I help you find the route. I work with children, teens, adults, and couples, and I bring genuine respect, real-world knowledge, and yes, some humor to every session, because feeling comfortable with your therapist actually matters for getting better.

My orientation is cognitive behavioral therapy influenced by philosophy. The foundation of therapy is acceptance, unconditional positive regard and emotional support. The therapist partners with the client to clarify their thoughts to provide new skills and insights which increase the client coping skills and resiliency He educates and teaches about psychiatric disorders as depression and anxiety and the skills to overcome tthm.