Find a therapist in Fresno, CA — covered by insurance

I am a licensed marriage and family therapist. As a culturally competent therapist, my mission is to empower individuals to harness their inner strength and create transformative change in their lives.

Welcome! Seeking help is the first step and sometimes the most difficult. Over the last several years, I have had the privilege to work with adults struggling with PTSD, depression, anxiety, relationship issues, and grief. My work has centered around helping adults process and express painful emotions that have never been shared with others.

Reaching out for help can be challenging for many. As psychotherapy aims at positive changes you desire, I am honored to provide a safe place for your self-exploration and reflection in which you can gain your inner peace and change you long for. Being specialized in trauma, PTSD, sexual abuse and domestic violence, I can offer some resolution in your trauma work. Trauma can penetrate not only your emotional well-being but also almost every facet of your life.

I work well with anyone who seeks therapy and is ready to work on themselves. I have worked with about every population, culture and age group. Issues that I am best suited to treating include a wide variety of disorders, childhood trauma, addictions, domestic violence, parenting/bonding/interpersonal relationships. I certified in EMDR and expressive arts therapy. I like to offer different forms of expression to my clients in the healing arts. I also give plenty of skill building tools and homework so clients can maximize their progress outside of the weekly sessions. I speak Spanish fluently.

In addition to my work as a licensed therapist, I have over 15 years of experience supporting children, adults, couples, and families in a variety of mental health and community settings. As a Licensed Marriage and Family Therapist who works with teens, adults, couples, and families navigating trauma, anxiety, relationship challenges, and the lasting impact of childhood experiences. My passion is helping cycle breakers heal old wounds, build healthier relationships, and create lives that feel more connected, intentional, and authentic.

I’m a naturally curious, growth-oriented human who believes healing happens when insight meets action. I love helping people zoom out to see the bigger picture of their lives—while also gently zooming in on the patterns, habits, and beliefs that shape their everyday experience.

I’m drawn to the intersection of self-awareness and real-world momentum. Therapy with me is thoughtful, collaborative, and grounded. We can explore the deep stuff—identity, relationships, purpose, transitions—while also building practical tools you can actually use on a Tuesday afternoon when life is lifing.

I value emotional honesty, nervous system regulation, and sustainable growth over quick fixes. I believe you’re not broken—you’re adaptive. Together, we figure out what’s working, what’s outdated, and how to move forward in a way that feels aligned, empowered, and authentically you.

Expect warmth, insight, humor when it fits, and a space where all parts of you are welcome. Healing doesn’t have to be clinical and cold—it can be connected, intentional, and even a little energizing.

There is so much growing that we do in our teens & young adulthood (and our adulthood too!), whether we want to or not. I know how overwhelming it can be, especially with so many factors at play (culture, trauma, world events, etc). As your therapist, I’m here to support you through all this.

I am someone who:

• Works with BIPOC, children of immigrants, LGBTQ+, & neurodivergent teens folx, & those who are grieving
• Is trauma informed, & community/justice oriented
• Knows how the systems at play affect us daily & at a deeper unconscious level
• Creates a safe space for you to explore the parts of your life that may feel too difficult to hold on your own

If you want any of the following, then I am the therapist for you:

• Work through your relationships, life events, &/or grief using talk therapy & body-centered approaches
• Process life events, ideas, feelings with thought provoking questions
• Support in navigating relationships & your inner world in any capacity

I am Loren Neiswender, DNP, PMHNP, a board certified Psychiatric Mental Health Nurse Practitioner.

I know finding the right mental health provider can feel overwhelming my goal is to create a welcoming judgment free space where you feel heard understood and empowered to take an active role in your treatment.

A little background: I attended Loma Linda University School Nursing for my Bachelor of Science and RN degrees, Cal State Long Beach for my Master of Science and Nurse Practitioner degrees, and most recently UCLA for my Doctor of Nursing practice degree.

The boring details: I offer both telehealth and in person psychiatric services telehealth appointments are available to patients anywhere in California with in-person visits offered in San Bernardino and at my Brentwood satellite office by appointment.

My philosophy: I firmly believe mental health treatment works best when it is collaborative. My goal is to create a space where you feel heard, respected, and actively involved in developing a treatment plan that fits your unique needs and goals. Whether you are struggling with anxiety, depression, ADHD, mood disorders, or other mental health concerns we will work together to help you move forward toward lasting wellness.

I have over a decade of experience as a psychiatric nurse practitioner and previously spent nearly 10 years as a neonatal intensive care (NICU) nurse. These experiences have shaped my whole-personal approach to care and deep appreciation for clinical connection between physical health, emotional well-being, and family dynamics.

I offer both medication management and supportive therapy taking time to educate patients about their diagnosis and treatment options so they can make informed decisions about their own care.

Are you struggling with depression, anxiety, low motivation and self-esteem, relationship issues, or simply just feeling stuck in life? Maybe you don't know how to describe how you're feeling yet. Together we can find the spark to make the changes you desire, get you feeling like yourself again, or figure out who you truly are.

I’ll help you develop self-awareness, emotional resilience, and meaningful connection. We will seek to understand how your unique past contributes to who you are in the present. My goal is to help clients identify goals that will help them increase their self-understanding, emotion regulation, and relational satisfaction.