I am a licensed marriage and family therapist who enjoys working with individuals couples and families; while providing a safe and affirming environment. As a therapist I have worked with a wide range of populations such as at risk youth substance abuse and recovery individuals with severe mental illness families couples anxiety depression ADHD OCD interpersonal relationships and the LGBTQ+ community. I have worked with individuals ranging in age from 8 years old to 70 years old.
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I am passionate about the LGBTQ+ community and I have dedicated my career to supporting the individual in their exploration and identification of their authentic self; as well as supporting their families who may be struggling to navigate this journey with their loved one.
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It can be very difficult navigating life’s stressors and I would like to support you and work with you to overcome the stressors in your life.
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nProvides pro-bono letters of support for insurance for trans and gender expansive individuals.

Health services include birth control gender affirming hormone therapy emergency contraception pregnancy testing prenatal care abortion adult general care breast and cervical cancer screening pediatrics and well-baby care as well as testing and treatment for sexually transmitted diseases HIV testing and sterilization nChat online or text “PPNOW” to 774636 to get answers about pregnancy birth control emergency contraception STDs and abortion.

MAP is the Multi-Agency Access Program and its goal is to get people to the right place, the right care, the first time. MAP is funded by the County of Fresno Department of Behavioral Health and achieves its goals through a collaboration between Kings View, Poverello House, and Centro La Familia Advocacy Services. MAP is a free service offered to all people living in Fresno County. It provides a single point of entry to help identify the needs of each individual or family, facilitates access to services, and links individuals to services relating to social and health services, public benefits, housing, and other immediate necessities to allow individuals and families to live more fulfilling lives. The benefits of going to MAP include linkages to resources that will better enable individuals to access the following services, among others: A screening tool is used to help individuals identify their needs and link them to a variety of resources and services. MAP staff, called Navigators, schedule appointments for clients based on the outcome of the screening tool, and support success by ensuring clients receive the needed services. Transportation is available to clients for MAP-related services and linkages. MAP can be accessed: By Phone: (559) 512-6777 Online: fresnomap.org By visiting our offices in Fresno and Selma By visiting our mobile satellite offices in Firebaugh, Huron, Orange Cove, Mendota, and Kerman.

Dr. Mahtab Kaeni Clinical Psychologist (559) 930-5565nnAriel Floriano LMFT (559) 878-3189nnRoxana Alessio LCSW (559) 878-3189nnContracted with all insurance except MediCal TriCare and HealthNet.

Free and low cost HIV and STD testing locations.

When it comes to hardship and emotional pain the path towards healing is not around the pain; I believe healing is one’s journey through the pain. This journey is different from person-to-person and may encompass various forms of trauma. I believe the path towards healing and wellness begins with the client-counselor relationship and creating a safe space for the client to experience emotional honesty. I use an experiential approach to help clients experience emotional honesty which I describe as an alignment between one’s thoughts feelings and actions. I find that when clients achieve this alignment they are able to approach and address their issues from a place of personal integrity self-respect and with an increased capacity for coping nMy experience has included working for community based mental health agencies with various populations such as children adolescents adults and the LGBT community who have required a high level of care due to severe mental illness. I have worked with issues ranging from adjustment disorders ADHD Bipolar Disorder Depression Anxiety Substance Abuse Schizophrenia Post Traumatic Stress Disorder Personality Disorders and issues pertaining to sexual/gender identity. I have worked with clients in the contexts of individual couples families and groups. I received my Bachelors Degree in Psychology in 2010 from San Francisco State University and my Masters Degree in Counseling Marriage and Family Therapy from California State University Fresno in 2013. I have completed basic training for EMDR (Eye Movement Desensitization and Reprocessing) to address symptoms of traumatic stress. When I am not practicing therapy I serve as a post-graduate teacher’s assistant for California State University Fresno and provide presentations on affirmative therapy and core competencies for working with the LGBT community.

Central Valley Suicide Prevention Hotline offers 247/ free and confidential support for those in crisis or experiencing a suicidal crisis. The hotline is located in Fresno and serves the following counties: Fresno, Kings, Merced, Mariposa and Stanislaus. Call or Text 988

The American Red Cross Central Valley Chapter is a humanitarian organization that serves five counties in California and is committed to preventing and alleviating human suffering in the face of emergencies.