Find a therapist in Fresno, CA — covered by insurance

I have been a Marriage and Family Therapist for the last 13 years working passionately and supportingly with a variety of clients. I have also spent 10 years prior working in different facets of the mental health system such as schools, hospitals, and group homes. Supporting clients to achieve their goals heal and grow is my core goal.

Hey there! I am a psychotherapist with a background in psychology and clinical social work. My experience stems from working with a wide variety of clients in many different treatment settings, such as schools, residential treatment facilities, supportive housing, and private practice. I work with adolescents and adults and provide treatment for mood, anxiety, personality, and trauma-related disorders.

Hello, my name is Tyra Hughes and I am a Licensed Clinical Social Worker. I live and work in the Bay Area of California. A large part of my professional experience has been working with individuals and families who are struggling with relationship issues, parenting challenges, trauma, the justice system and intimate partner violence.

You made it, welcome! I am a Licensed Marriage and Family Therapist who came to this work with nearly a decade of crisis intervention experience - the kind of work that teaches you crisis and chaos isn't always an emergency, but often a transformation that needs space to unfold. I earned my degree in Counseling Psychology with an emphasis in Depth Psychology, and I've spent my career specializing in the places where high-stakes work meets human breaking points: occupational trauma, moral injury, burnout, and the complex territory of identity and transition.

I work particularly well with people in helping professions -first responders, military, healthcare workers, teachers, therapists, and LGBTQIA+ folks - anyone who's spent years being the capable one, the reliable one, the one who shows up no matter what. My training includes Brainspotting, ketamine-assisted psychotherapy, Critical Incident Stress Management (CISM), and somatic approaches that work with how trauma actually lives in your body and nervous system, not just in your thoughts.

Here's what matters: I get that asking for help doesn't come naturally when you're supposed to be the strong one. I understand that the hypervigilance that once kept you safe might now be keeping you isolated. And I know that sometimes the hardest part is figuring out who you are when you're not performing competence for everyone else. You don't have to translate your experience into therapy-speak with me, and you definitely don't have to pretend you're more okay than you are.

I am a Licensed Marriage & Family Therapist with over 10 years of experience in the field. I have been working in the mental health system of care in various settings, including inpatient, outpatient, private practice, and court-mandated environments.

I entered the mental health field to support individuals through their most challenging moments. Working across diverse settings has deepened my understanding of how trauma and life transitions shape our experiences, and I'm committed to helping clients build resilience and find their path forward.

My ideal client is an adult or teenager who needs support with mood disorders, trauma, domestic violence, life transitions, or anxiety. Much of my career has been focused on working with these populations.

I help clients reach their goals by identifying thought patterns that may be holding them back, then collaboratively developing practical strategies for change. We'll work together to build on your strengths, process past experiences, and create tools you can use in daily life to manage challenges effectively.

Welcome! My name is Adriana Samano. I have a passion for helping individuals, couples, and adolescents improve their lives. My goal in therapy is to create a safe place where you can be seen, heard, and valued while implementing practical solutions to empower clients to believe in themselves and begin to live the life they want. I believe that I can help you with the issues and traumas that are affecting your personal growth and relationships and help you regain connection.

I'm a licensed psychologist who works with clients dealing with anxiety, stress, and adjustment. My approach is collaborative and grounded in evidence-based care. I hold advanced degrees in psychology and have years of experience helping clients gain clarity, build resilience, and reconnect with what matters most. Whether you're feeling stuck, overwhelmed, or just ready to understand yourself more deeply, I’m here to help you move forward with insight and intention.

Please note: I do not provide evaluations or documentation for disability claims, workplace or school leave, FMLA, or similar time-off requests. My services focus on diagnostic clarity, symptom reduction through psychotherapy, treatment planning, and personal development. If you are seeking documentation for disability or leave, I recommend contacting your primary care provider or a specialist who offers those specific evaluations.

I have a Masters in Social Work and have been practicing as a psychotherapist since 2014. I have a strong background in cognitive behavioral therapy, mindfullness and I am trained in EMDR.