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.

The Peer-Run Warm Line–which began operation in 2014–is a non-emergency resource for anyone in California seeking mental and emotional support. We provide assistance via phone and web chat on a nondiscriminatory basis to anyone in need. Some concerns callers share are challenges with interpersonal relationships, anxiety, pain, depression, finances, alcohol/drug use, etc. call or text the warm line at 855-845-7415 instant message with us on our website.

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.