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Psychologist Martina Cisneros providing different types of therapy in Fresno

Martina Cisneros

Clinician
License Type(s): TX LCSW 69635, CA LCSW 70335
Mental Wellness Specialties: Stress, AnxietyRelationship issuesIntimacy-related issuesDepressionCoping with life changes
10 years offering treatment

As a licensed therapist in California and Texas, I bring over two decades of experience supporting individuals through complex emotional landscapes. My practice centers on creating affirming, culturally responsive spaces for diverse clients, with specialized expertise in addressing depression, anxiety, relationship dynamics, grief and loss. I am deeply committed to supporting individuals navigating challenging life transitions, identity exploration, and personal growth. My approach honors each person's unique experiences, with a particular focus on multicultural concerns, women's issues, sexuality, and life transitions/challenges. My therapeutic style emphasizes compassionate, collaborative healing. I draw from evidence-based practices to help clients develop self-love, improve communication, overcome isolation, and rediscover personal purpose. Whether you're struggling with workplace stress, relationship patterns, or seeking deeper self-understanding, I'm dedicated to walking alongside you with empathy and professional guidance. In my free time I enjoy gardening, baking/cooking, reading, dancing, snow skiing, singing, exploring new cultures, traveling, camping, kayaking, volunteering, crafting, writing and spending time with my family, grandchildren and friends.

Psychologist Lisa Guerra providing different types of therapy in Fresno

Lisa Guerra

Clinician
License Type(s): TX LPC 75637
Mental Wellness Specialties: Stress, AnxietyRelationship issuesTrauma and abuseParenting issuesCoping with life changes
7 years offering treatment

Lisa A. Guerra is a compassionate and highly skilled Licensed Professional Counselor dedicated to helping individuals heal, grow, and reclaim their sense of strength. With extensive experience in trauma-informed care, residential treatment, and crisis intervention, Lisa specializes in supporting adults and families navigating complex emotional and relational challenges. Her therapeutic approach blends Cognitive Behavioral Therapy (CBT), the Neurosequential Model, TBRI principles, and person-centered care to create a safe, structured, and empowering environment for each client. Individual Counseling – CBT & Neurosequential Model: Individual counseling integrates Cognitive Behavioral Therapy (CBT) with the Neurosequential Model to provide a holistic, brain-based approach to healing. I help clients understand how past experiences, nervous-system patterns, and core beliefs influence thoughts, emotions, and behaviors today. By combining CBT’s structured, skill-building strategies with the Neurosequential Model’s focus on regulation, rhythm, and developmental sequencing, I support clients in calming their nervous system, strengthening emotional resilience, and developing healthier ways of thinking and responding to life’s challenges. This approach empowers individuals to gain insight, build practical coping skills, and move forward with greater confidence and stability. Experienced in betrayal trauma, family relationships, and parenting.

Psychologist Cynthia Mickel providing different types of therapy in Fresno

Cynthia Mickel

Clinician
License Type(s): TX LPC 77725, OR LPC C6786
Mental Wellness Specialties: Stress, AnxietyAddictionsTrauma and abuseGriefSelf esteem
20 years offering treatment

I am Leeann Mickel, I have a masters degree in educational psychology with an emphasis on community counseling. I have my LPC, licensed professional counselor Masters level. I also have an LC DC licensed chemical dependency counselor. I have worked 20 + years in the field of service. I have had great success with clients who have experienced significant trauma. I have been Clinical Supervisor for a substance abuse residential setting. I am currently Clinical Director for the agency with whom I am employed at this time. I believe it to be my mission helping and serving. My approach is client centered we start where you are. I am very laid-back and personable, I have forever been told how easy it is to talk to me, even prior to my chosen career! That’s a plus when you’re a therapist! I have some clients who simply need an ear and guidance. Others are eager to get to the cause of what prompted them to reach out. Either is great. I understand that some people need to vent and receive professional advice. I tell all of my clients you have inside you now everything you need to heal and progress. My job is to guide you on the journey in this process of self discovery and healing. I also tell my clients that I will work just as hard as you in doing this, but I will never work harder. This would cause more harm by handicapping them if others around never allow my clients to learn through experience, and rob my client of demonstrating to themselves the opportunity to see how capable they actually are. I have worked with many populations: adolescents, adults with variety of disorders/conditions. Such as mental health diagnosis like depression, bi polar, anxiety, and PTSD. For the last six years I have led our adolescent program. I'm very familiar with self harming behaviors, and have a knack of being able to reach them and slowly process into self love. I also have extensive experience with grief which may look different and feel different among different clients. Even those who believe that have mourned and grieved, but truly have not. I look forward to working with you and helping you along your specific path. My schedule is very flexible, as a I only work from home, virtually/remote. During therapy it will be common to give 'experiments' following a session. The purpose for this is taking from our sessions and applying what you learn to your 'real life' outside of one session weekly for an hour.

Psychologist Karina Rocha Vasquez providing different types of therapy in Fresno

Karina Rocha Vasquez

Clinician
License Type(s): TX LPC 77797
Mental Wellness Specialties: Stress, AnxietyRelationship issuesSelf esteemDepressionCompassion fatigue
4 years offering treatment

I am licensed in Texas with 4 years of professional work experience who is also fluent in Spanish. I have experience in helping clients with motivation, self esteem, and confidence, coping with life changes, and compassion fatigue. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to listen, support and empower you in that journey. I look forward to meeting you and I appreciate you considering me to join you in your journey. Hope to meet you soon!

Psychologist Kathryn Kirkland-Franco providing different types of therapy in Fresno

Kathryn Kirkland-Franco

Clinician
License Type(s): TX LPC 18236
Mental Wellness Specialties: Relationship issuesGriefParenting issuesCareer difficultiesCoping with life changes
30 years offering treatment

My name is Kathryn Kirkland-Franco and I am so happy you are exploring opportunities to improve your overall wellness. I am a Licensed Professional Counselor-Supervisor in the State of Texas. After many years of experience, I find myself pulling from a variety of therapeutic modalities depending on the needs of the individuals I serve. My foundations are primarily Solution Focused Therapy, Client Centered Therapy, and Cognitive Behavioral Therapy. I believe the answers to many life questions and issues can be found inside ourselves and that they can more easily be tapped into when we engage in a trusting therapeutic relationship. When I meet people through the course of normal daily interactions, they often guess that I am a therapist, citing my calm and reassuring nature. I encourage you to reach out if this is the kind of therapeutic relationship you are looking for and if not, I wish you all the best and congratulate you on your progress toward self-care.

Psychologist Maria Acosta providing different types of therapy in Fresno

Maria Acosta

Clinician
License Type(s): TX LPC 60613
Mental Wellness Specialties: Stress, AnxietyFamily conflictsTrauma and abuseGriefDepression
20 years offering treatment

I am licensed in Texas with 20 years of professional work experience. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Psychologist Desmond Guscot providing different types of therapy in Fresno

Desmond Guscot

Clinician
License Type(s): TX LPC 82849, PA LPC PC018930
Mental Wellness Specialties: Stress, AnxietyAddictionsRelationship issuesTrauma and abuseDepression
18 years offering treatment

I am a Licensed Professional Counselor (LPC) in both Pennsylvania and the State of Texas, with 21 years of professional work experience in addressing mental health problems and issues of my clients. Note also that my clientele population covers children, youth, and adults. In that vain I have experience in working and helping clients dealing with stress, anxiety, depression, personality problems, and other mental health conditions. Moreover, I provided treatment interventions, for example, coping techniques and strategies that benefit other clients in their struggles with addictions, relationship issues, trauma, abuse, plus other problems. Note also, that I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Indeed, it takes courage for clients to seek out a more fulfilling and happier life and the majority is taking their first step towards change. Truly they understand that I am here to support and empower them on their new journey of change, behavioral health and wellness.

Psychologist Marisa Esparza providing different types of therapy in Fresno

Marisa Esparza

Clinician
License Type(s): TX LPC 81589
Mental Wellness Specialties: Stress, AnxietyParenting issuesAnger managementDepressionADHD
10 years offering treatment

My name Is Marisa Esparza. I am a licensed LPC in Texas. I completed my Masters of Education in Mental Health Counseling from University of Texas at El Paso in December 2015 and have a Bachelors in Education from the University of Texas at El Paso in May 2011. I have worked in several settings that I feel allow me the advantage to recognize the barriers and conflicts with receiving mental health treatment. My most recent position at El Paso Behavioral Health systems includes: Program manager children and adolescents inpatient unit, Program manager adult and military outpatient group, Program manager adolescent outpatient group. In this position I was able to Work collaboratively with patients, medical staff, and families to help stabilize high risk children and adults. I Provided psychological assessments and risk assessments to determine needs and communicate with medical staff. I facilitated daily groups as well as family sessions. I worked collaboratively with treatment teams and attended to emergency crisis on unit. I was able to build rapport with adult and children and provide verbal deescalation when in crisis. I assisted with medical staff and treatment team to determine safety in community. Previously I worked s a qualified mental health professional on the Assertive Community Treatment Team I provided individual psychiatric rehabilitative skills training and crisis assessment/management in consumers's homes and in the community. I provided ongoing assessment, preliminary diagnosis of present Axis 1 psychiatric and co-occurring disorders. My job required coordinating of community resources to assist in assessing medical, social, educational, financial, and other appropriate services that help in achieving an improved quality of life, increase tenure in the community, and decrease the need for unnecessary inpatient hospitalization. Throughout my internship at El Paso Behavioral Health,I developed the necessary skills in order to work effectively with children, adolescents, adults, military, and seniors. Through my course work I was able to gain an understanding of mental health, chemical dependency, crisis counseling, as well as other areas of counseling. I was able to effectively apply counseling for clients experiencing psychological, social, behavioral, and emotional issues. As an intern I worked primarily in the Children and Adolescent Unit, I counseled with emphasis on Reality Therapy. I worked with individuals and groups to promote optimum mental and emotional health. I ran group therapy sessions, completed assessments, took risk assessments, shadowed treatments teams, and attended family sessions. As a Mental Health Technician in the Children and Adolescent Unit, I helped admit and discharge patients. I maintained close contact with them, and monitored vital signs such as heart rate and blood pressure. I observed patient behaviors, recorded their conditions and lead them in therapeutic and recreational activities. I regularly consulted with RN’s, LVN’s, social workers, Dr.’s, and therapists. I am confident in my skills and abilities and am willing to work with all populations. I have a deep passion for working with adolescents, young adults, and their families. It has been in my experience that there is a disconnect in communication and world views. I am a LGBTQIA advocate and passionate about empowering youth exploring their identity as well as educating families. I have been able to explore several populations within inpatient hospitals, out patient settings, and the community. This advantage has allowed me to grow as a clinician and empathize with all my patient populations better.

Psychologist Dr. Marilyn Thomas providing different types of therapy in Fresno

Dr. Marilyn Thomas

Clinician
License Type(s): TX LPC 84619
Mental Wellness Specialties: Stress, Anxiety
3 years offering treatment

I am licensed in Texas with 7 years of professional work experience. I have experience in helping clients with stress and anxiety. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Psychologist Erricker Sessoms Lee providing different types of therapy in Fresno

Erricker Sessoms Lee

Clinician
License Type(s): NC LCSW C012496, VA LCSW 0904011317
Mental Wellness Specialties: Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes
16 years offering treatment

I am licensed in North Carolina and Virginia with 11 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem, and confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Psychologist Lucy Shipmon providing different types of therapy in Fresno

Lucy Shipmon

Clinician
License Type(s): TX LCSW 65204
Mental Wellness Specialties: Stress, AnxietyFamily conflictsSelf esteemDepressionCoping with life changes
6 years offering treatment

I am licensed in Texas with 6 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, motivation, self esteem, and confidence, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Psychologist Cecilia Santini providing different types of therapy in Fresno

Cecilia Santini

Clinician
License Type(s): TX LPC 62153
Mental Wellness Specialties: Self esteem
15 years offering treatment

I am licensed in Texas with 15 years of professional work experience. I have experience in helping clients with issues in motivation, self-esteem, and confidence. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I will work alongside you zoning in on your strengths and encouraging you to identify possible solutions to arrive at hope. I am here to support & empower you in that journey.

Psychologist Rachel Saffer providing different types of therapy in Fresno

Rachel Saffer

Clinician
License Type(s): TX LCSW 59739
Mental Wellness Specialties: Stress, AnxietyTrauma and abuseGriefSelf esteemDepression
12 years offering treatment

I began my career as a paralegal with a BA in Sociology with focus in Criminal Justice from the University of Massachusetts-Dartmouth. After 5 years I realized that I was in the wrong profession and started working towards my Masters in Social Work from Bridgewater State University in Massachusetts in 2012. My passion is working with kids and adults to help them learn about their thoughts, feelings and emotions.

Psychologist Mallory Matt providing different types of therapy in Fresno

Mallory Matt

Clinician
License Type(s): TX LPC 86321
Mental Wellness Specialties: Stress, AnxietyGriefSelf esteemDepressionCoping with life changes
5 years offering treatment

Mallory Matt is a Licensed Professional Counselor (LPC) with a passion for empowering individuals to live more connected, fulfilling lives. With years of experience in the field, Mallory specializes in using mindfulness and humanistic therapies to help clients cultivate self-awareness, emotional resilience, and personal growth. Her approach is grounded in the belief that every person has the inherent capacity for healing and transformation. By integrating mindfulness techniques, Mallory helps clients develop present-moment awareness, reduce stress, and gain greater clarity about their thoughts, emotions, and behaviors. She also utilizes humanistic therapy, which focuses on the individual's unique experiences and potential, fostering a compassionate, client-centered environment where clients feel heard, understood, and supported. Mallory works with individuals experiencing anxiety, depression, relationship difficulties, trauma, and general life stress. She believes in creating a safe, non-judgmental space for clients to explore their concerns while empowering them to find their own path toward healing and growth. Whether you are seeking to deepen your emotional awareness, improve your relationships, or simply navigate life’s challenges with more ease, Mallory brings a compassionate, mindful approach to counseling that honors your unique journey.

*BetterHelp insurance availability, coverage, and cost may vary by state, plan, provider network, therapist availability, and deductible status.

Find a therapist near you in Fresno, Texas

Finding a therapist near you in Fresno, Texas starts with matching to a licensed professional who fits your needs, schedule, and goals. Texas is home to people with diverse mental health needs across urban, suburban, and rural communities, which can make it challenging to find care. BetterHelp connects you with a licensed therapist through tailored matching, so you can begin care from home or wherever works for you. 

The network includes over 30,000 licensed therapists globally, and over 4 million people have used BetterHelp to find support through online therapy. During matching, 93% of user preferences are met, which helps you connect with a therapist suited to what you are looking for. Whether you are searching for help with anxiety, trauma, affordable or insurance covered therapy, weekend or flexible scheduling, or virtual sessions, you can find a therapist and get started when you are ready.

Why work with a licensed therapist near you?

Working with a licensed therapist near you gives you access to professional mental health support from someone trained to help you understand and manage what you are going through. A licensed therapist can offer evidence-based approaches, a steady space to talk, and guidance tailored to your situation. In Texas, online therapy can make that care more accessible, since sessions happen from home or wherever you are, without the need to travel to an office. This can help if your schedule is full, if travel is difficult, or if you simply prefer a more discreet setting. You can learn more about what a therapist does on the therapist role page.

Online therapy can be especially helpful for people living across Texas, where access to in-person mental health care may vary by location.

What concerns can therapists help with?

Therapists can help with a wide range of concerns, including anxiety and stress, depression, trauma and PTSD, self-esteem and identity, people-pleasing and fear of rejection, insomnia and racing thoughts, workplace stress and burnout, substance use, parenting and co-parenting stress, grief and loss, and relationship and family challenges. Therapists on BetterHelp may draw on approaches such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), depending on your needs and goals. You can explore support for specific concerns on pages such as generalized anxiety disorder, major depressive disorder, posttraumatic stress disorder, attention-deficit hyperactivity disorder, and eating disorders.

Please note that therapists on BetterHelp do not provide psychiatric medication management or formal diagnoses.

Online therapy vs. in-person therapy in Texas

Online therapy and in-person therapy both connect you with a licensed professional, and the main difference is how you meet. In Texas, online therapy through BetterHelp lets you have sessions by phone, video, or in-app messaging, so you can meet from home or on a schedule that fits your life. In-person therapy takes place at an office and may involve travel and set appointment windows. Online therapy may be more accessible for people with busy schedules, limited transportation, or a preference for a more discreet setting. Both formats can support meaningful progress, so the right choice often comes down to what fits your life.

Finding a therapist that accepts insurance in Texas

BetterHelp accepts insurance through many major insurance plans. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability, and deductible status. Eligible members' average copay is $23 per session. 

You can check your in-network status on the BetterHelp site through the sign up flow. If you prefer to pay without insurance, BetterHelp subscriptions range from $70 to $100 per week, billed as an alternative way to access the same care, and you can use HSA and FSA funds toward the cost. For a full breakdown of how BetterHelp works with insurance plans, see BetterHelp insurance coverage.

How BetterHelp helps you find the right therapist in Texas

BetterHelp helps you find the right therapist in Texas through personalized matching that considers your needs, preferences, and goals. After you answer a few questions during the sign up flow, you can be matched with a licensed therapist from a network of over 30,000 professionals, and 93% of user preferences are met during matching. The search and location matching cover common near-me needs, including anxiety, trauma, affordable or sliding-scale support, weekend or flexible scheduling, and virtual sessions. If your first match is not the right fit, you can switch therapists at no extra cost. When you are ready, you can get started and begin the process.

Therapists near you in Texas

Below, you’ll find licensed therapists authorized to provide online therapy to adults across Texas, including residents in Fresno.

Each provider meets state licensing requirements and has experience supporting clients with a wide range of mental health concerns using evidence-based therapeutic approaches.

Please note: Therapists on BetterHelp in Texas do not provide psychiatric medication management or formal diagnoses.

Frequently asked questions about finding a therapist near me

How much does therapy cost near me?

Therapy costs near you can vary by provider, format, and payment method. With BetterHelp, subscriptions range from $70 to $100 per week, and you can use HSA and FSA funds toward the cost. BetterHelp also accepts insurance through many major insurance plans, and eligible members' average copay is $23 per session. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability, and deductible status.

Does BetterHelp accept insurance?

Yes. BetterHelp accepts insurance through many major insurance plans. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability. Eligible members' average copay is $23 per session. Check your in-network status on the BetterHelp site through the sign up flow. For a full breakdown of how BetterHelp works with insurance plans, see BetterHelp insurance coverage.

Is online therapy effective?

Online therapy can be an effective way to receive licensed mental health care for many common concerns. Research suggests that online therapy may support progress in ways comparable to in-person care for concerns such as anxiety and depression. On BetterHelp, you connect with a licensed therapist who can use evidence-based approaches such as CBT and DBT, and you can meet by phone, video, or in-app messaging.

Do I need a diagnosis to see a therapist?

No, you do not need a diagnosis to see a therapist. Many people begin therapy to work through stress, life changes, relationships, or personal growth without any diagnosis. Please note that therapists on BetterHelp do not provide psychiatric medication management or formal diagnoses. If you are looking for a starting point, personalized matching can connect you with a licensed therapist suited to your goals.

How quickly can I start therapy?

You can often start therapy within 24 to 48 hours of signing up with BetterHelp. After you answer a few questions during the sign up flow, personalized matching connects you with a licensed therapist, and you can schedule your first session once you are matched. This process is designed to help you begin care at your own pace, without a long wait.

Can I switch therapists if it’s not the right fit?

Yes. If you feel your therapist is not the right match, you can request to be matched with another licensed provider at no additional cost. You are able to do so through the BetterHelp user portal and select switch therapists if needed.

Is online therapy discreet?

Online therapy with BetterHelp offers a discreet setting where you can connect with a licensed therapist from the comfort of your home. Sessions take place by phone, video, or in-app messaging, so you can meet without going into an office. Your account and sessions are protected with strong safeguards, and you choose how and where you attend. This can make therapy feel more comfortable for people who prefer a discreet way to get support.

Find a Therapist in Fresno, Texas

Ready to begin? BetterHelp can match you with a licensed therapist serving Fresno and the surrounding TX area. When you are ready to take the next step, get started.

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