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.

The Family Advocacy Services are available to provide assistance to the Caregivers and/or Family Members of Fresno County Residents. The Family Advocate provides information, support, and referrals to community resources. The Family Advocate may provide education regarding: – Mental health services and staff involved – Family participation in treatment and confidentiality limitations – Coping skills, self-care, and stress management – Advocacy for families, including facilitation of communication with service providers – Assistance to families with concerns and complaints regarding mental health services – Assistance to families in finding services and resources for themselves as supporters, including referrals to the National Alliance on Mental Illness (NAMI) of Fresno County Phone: (559) 224-2469 (not a crisis line) Address: 7545 North Del Mar #105 Fresno, CA 93711 Email Address: [email protected] NAMI’s National Information HelpLine (800) 950-NAMI.

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.

TXT 4 HELP works anywhere in the US, and extends access to safety for teens. TXT 4 HELP can be used for the same reason a young person may go to a Safe Place site – abuse, bullying, family problems, depression, suicidal thoughts, and others. TXT 4 HELP counselors can provide support via text and can offer additional suggestions for immediate help regardless of where you are. Here’s how it works: Text the word “safe” and your current location (address, city, state) to 4HELP (44357). Within seconds, you will receive a message with the closest Safe Place site and phone number for the local youth agency. For immediate help, reply with “2chat” to text interactively with a trained counselor. It’s quick, easy, safe, and confidential. TXT 4 HELP is a free service offered to all youth in crisis.

I work to provide a supportive and client-centered space for individuals to share their experiences. Reaching out to a therapist can be a difficult experience and it is important to me that my clients feel comfortable and safe. I am genuinely passionate about building a healthy nurturing and interactive relationship with clients which will help foster growth and change. I earned my BA from the University of California at Los Angeles (UCLA) and my Masters in Social Work from the University of Southern California (USC) nI have dedicated years of support and work to the LGBTQ community. Primarily supporting transgender and gender diverse clients. I specialize in trauma chronic medical illness anxiety depression life transitions self-esteem career struggles academic barriers interpersonal relations OCD grief/loss and sexual health nI have years of extensive training. I am trained in EMDR Therapy Cognitive Behavioral Therapy (CBT) Interpersonal Therapy (IPT) Motivational Interviewing TF-CBT Gottman Method and Mindfulness Based Treatments. However I utilize an eclectic approach to working with clients and believe that everyone does not fit into the same intervention.

HOW TO ACCESS CARE FOR A Child or Youth Providers, families, caretakers, and others may access care by using the following options: Calling the County’s 24/7 Access Line at 1 800 654-3937. This call will start the process which can include a screening, provide linkages and referrals, and also determine eligibility for various services. Persons interested in children’s and youth services may self-refer by visiting the Children’s services at the Heritage Campus Monday through Friday, 8am to 5pm at 2719 N Air Fresno Drive, Fresno, CA 93727 or calling (559) 600-8918 or using the Access Line at 1 800 654-3937 For youth substance use treatment services please contact Youth Wellness at 559-600-8918, visit the Children’s Heritage Campus Monday through Friday, 8am to 5pm at 2719 N Air Fresno Drive, Fresno, CA 93727 click here to visit the SUD treatment page or call the Access Line 24/7 at 1 800 654-3937 for information about treatment services. More information on SUD is available on this website including prevention, general info and tips which can be found here. Individuals, families, and caretakers can contact the Youth Wellness Center at (559) 600-8918 for information or referral for youth 0-17. Same information may also be obtained through the Access Line at 1 800 654-3937

Welcome! You’ve made the first step in seeking help. There comes a pivotal point in our lives we begin to start questioning our decisions and thoughts including our interactions and relationships with others. It leads us to having difficulty regulating our daily thoughts feelings and emotions. The experience of hardships and emotional pain follows us like our own shadow contributing to the way we feel think and act. I firmly believe early childhood experiences complex and secondary trauma daily stressors and life adjustments shape who we are as individuals and how we relate to others nI help my clients regain emotional honesty self-compassion healthier thinking patterns and secure relationships. I have specialized training in Early Childhood Mental Health including Relationship-Based Attachment-Focused and Trauma-Focused Cognitive Behavioral Therapy. I’m a trans-gender friendly therapist with a gender-affirming & non-binary approach nMy experience includes working for local mental health agencies with infants/children teens adults and families in crisis as well as the LGBT community. I have worked with issues ranging from Adjustment Disorders Depression Anxiety PTSD Schizophrenia Personality Disorders and sexual & gender identity. I also provide Telehealth services at this time.

The Exodus Fresno Mental Health Crisis Stabilization Unit (CSU) is a recovery focused environment where youth and adults in crisis can be assessed for stabilization services, medication evaluation and management, or hospitalization if necessary. Depending on the needs of the client, our interdisciplinary treatment team is prepared to offer a full spectrum of psychiatric treatment services, including Medication evaluation Social Services and referrals Interdisciplinary treatment team of MD’s, NP’s, RN’s, MSW’s, MFT’s and peer support Linkages to a full spectrum of outpatient and inpatient mental health services The (CSU) is LPS designated which allows our staff to evaluate and involuntarily detain those individuals determined to be a danger to themselves or others or gravely disabled. These clients will receive comprehensive mental health services for up to 24 hours while enrolled at the CSU 24 hours a day, 7 days a week, 365 days a year. No appointment necessary. 4411 East Kings Canyon Road Fresno, CA 93702 (559) 453-1008

At Cultural Counseling of CA I am committed to guiding children adolescents adults couples and the LGBTQ+ community on their personal paths and challenges in life. My approach helps identify unhealthy thoughts/behaviors and actions that can cause depression conflict within relationships anxiety triggers and provide skills and support to promote inner self-confidence and different outlooks on life I am trained and certified to assess and provide letters for gender-affirming surgery through Gender ASSET. I am able to treat depression anxiety addiction internal conflict life changes grief and loss adjustments interpersonal conflict communication shame sexual identity and gender Identity.

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.