Find a therapist in Fresno, CA — covered by insurance

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.

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. 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.

The focus of my care includes partnering with clients to assist them in learning how to function in healthy relationships with themselves and others. I enjoy working with clients who have been wounded by trauma and want to learn how to heal from trauma.

I've been doing this work for 18 years, and the thing I hear most from new clients is some version of: "I wasn't sure therapy would work for me." I get it. Finding the right fit matters — and I think fit has a lot to do with feeling like your therapist actually understands where you're coming from. I offer therapy in both English and Spanish, and I bring a genuinely culturally informed perspective to the work. I see adults navigating anxiety, trauma, grief, depression, family conflict, ADHD, identity questions, and relationship stress — across communities that are often underrepresented in mental health care. I'm direct when that's useful, patient when it's needed, and warm throughout.

www.marielrtherapy.com

You are the one everyone relies on - the strong one. Even when you’re running on empty, you keep showing up, holding it together, and pushing through. On the outside, you look composed. Inside, you might feel exhausted, unseen, or detached from yourself. I work with adults break free from patterns that keep them stuck in survival mode. We will work on reconnecting with your needs, rebuilding self trust, and creating a balanced, authentic relationship with yourself. I bring a compassionate, steady presence to therapy; no cold stares or awkward silences. Just a real human connection, where you can feel safe enough to show up. As a therapist for the past 9 years and someone who has navigated my own share of life’s complexities, I understand the invisible weight we often carry; anxiety, depression, expectations, and the pressure to hold everything together.

Choosing the right therapist is important, so I offer a free 15-20 minute phone or video consultation to discuss your needs and ensure we’re a good fit. There’s no pressure; this call is simply an opportunity for you to learn more and decide if you’d like to move forward with therapy. You may take your time after the call to decide whether to move forward.

I believe that meaningful mental health care starts with trust, compassion, and genuine connection. Over the past 15 years, I have worked across a variety of healthcare settings, including trauma nursing, emergency nursing, and nurse leadership roles, caring for individuals and families during some of life's most challenging moments. These experiences have reinforced my belief that every person deserves to be treated with dignity, empathy, and respect.

My commitment to mental health care is also shaped by personal experience. Like many people, I have witnessed the impact of mental health challenges in my own life and among loved ones, which has deepened my understanding of the courage it takes to seek help. I strive to create a welcoming, judgment-free space where clients feel comfortable discussing difficult thoughts, emotions, and life experiences.

Welcome, I'm glad you're here.

Being in the mental health field for many years has helped me see the importance of being able to work through our issues, and the importance of seeking support. I've worked with various populations within the mental health field, however I find I've shifted in working people who struggle with depression and anxiety, as well as relationship issues.