Exposure Response Prevention (ERP) Therapists in Fresno, CA
I specialize in anxiety, OCD, trauma, and addiction recovery, using evidence-based approaches including Exposure and Response Prevention ( ERP) and Dialectical Behavior Therapy (DBT) to help clients build real, lasting skills rather than just temporary relief.
Hi, I'm Shelly — a licensed professional counselor with a passion for helping people find their footing when life feels overwhelming. My journey in mental health began decades ago in music therapy, working in psychiatric settings where I first witnessed the remarkable capacity people have to heal when given the right support and a safe space. That foundation shapes the way I work to this day — with attunement, creativity, and a deep belief in each person's capacity to heal.
I specialize in anxiety, OCD, trauma, and addiction recovery, using evidence-based approaches including Exposure and Response Prevention ( ERP) and Dialectical Behavior Therapy (DBT) to help clients build real, lasting skills rather than just temporary relief.
Hi, I'm Shelly — a licensed professional counselor with a passion for helping people find their footing when life feels overwhelming. My journey in mental health began decades ago in music therapy, working in psychiatric settings where I first witnessed the remarkable capacity people have to heal when given the right support and a safe space. That foundation shapes the way I work to this day — with attunement, creativity, and a deep belief in each person's capacity to heal.
I am an LCSW with a profound commitment to fostering positive change and celebrating the decision to begin therapy. I have over 30 years of experience supporting individuals through life's challenges and transitions. My clinical experience includes working with individuals experiencing trauma, anxiety, depression, and addiction. I am committed to walking alongside clients throughout their personal journey of healing and personal growth, helping them to move from surviving to thriving.
I am an LCSW with a profound commitment to fostering positive change and celebrating the decision to begin therapy. I have over 30 years of experience supporting individuals through life's challenges and transitions. My clinical experience includes working with individuals experiencing trauma, anxiety, depression, and addiction. I am committed to walking alongside clients throughout their personal journey of healing and personal growth, helping them to move from surviving to thriving.
As a Licensed Marriage and Family Therapist, I work with children, pre-adolescent, adolescents, individuals, and couples who are experiencing anxiety, depression, substance abuse, codependency, post-traumatic stress disorder (PTSD), and so many other issues that can arise and cause us to feel overwhelmed and debilitated with everyday life and relationships.
As a Licensed Marriage and Family Therapist, I work with children, pre-adolescent, adolescents, individuals, and couples who are experiencing anxiety, depression, substance abuse, codependency, post-traumatic stress disorder (PTSD), and so many other issues that can arise and cause us to feel overwhelmed and debilitated with everyday life and relationships.
I’m a Licensed Clinical Social Worker (LCSW) providing therapy to adults across California through telehealth. I specialize in helping clients navigate anxiety, depression, stress, and life transitions. My goal is to create a safe and supportive space where you feel understood and empowered to reach your goals. I use CBT, DBT, and narrative therapy to help clients gain insight, manage emotions, and build healthier coping strategies. I believe therapy should fit your unique needs, so I take a flexible, client-centered approach to support your growth and well-being.
I’m a Licensed Clinical Social Worker (LCSW) providing therapy to adults across California through telehealth. I specialize in helping clients navigate anxiety, depression, stress, and life transitions. My goal is to create a safe and supportive space where you feel understood and empowered to reach your goals. I use CBT, DBT, and narrative therapy to help clients gain insight, manage emotions, and build healthier coping strategies. I believe therapy should fit your unique needs, so I take a flexible, client-centered approach to support your growth and well-being.
As licensed psychologists Dr. Cerda and Dr. Sniffin combine 30 years of clinical experience working with diverse populations and clinical issues. With our team of mental health providers and support staff, it is our mission to provide excellent and ethical psychological services to our community. We can work together to help you understand and resolve challenges in your life, increase self-esteem, confidence and competence while developing healthy coping skills in a therapeutic and confidential setting.
As licensed psychologists Dr. Cerda and Dr. Sniffin combine 30 years of clinical experience working with diverse populations and clinical issues. With our team of mental health providers and support staff, it is our mission to provide excellent and ethical psychological services to our community. We can work together to help you understand and resolve challenges in your life, increase self-esteem, confidence and competence while developing healthy coping skills in a therapeutic and confidential setting.
No matter how hard you work or what your achievements are, you never feel like you’re enough, and your people-pleasing tendencies are costing you your own peace. If you feel like you're spinning your wheels, questioning the meaning and purpose of life, and feel unable to move forward due to being held back by your past, you're not alone. As a therapist specializing in trauma recovery, I am here to support you. Together, we'll uncover the roots of these feelings and develop strategies to heal. I'm passionate about a holistic approach that integrates mindfulness, connection, community, and movement.
No matter how hard you work or what your achievements are, you never feel like you’re enough, and your people-pleasing tendencies are costing you your own peace. If you feel like you're spinning your wheels, questioning the meaning and purpose of life, and feel unable to move forward due to being held back by your past, you're not alone. As a therapist specializing in trauma recovery, I am here to support you. Together, we'll uncover the roots of these feelings and develop strategies to heal. I'm passionate about a holistic approach that integrates mindfulness, connection, community, and movement.
I am trained in both Exposure and Response Prevention, ERP, and Inference-Based Cognitive Behavioral Therapy, I-CBT, for OCD.
I support clients navigating OCD, phobias, anxiety, PTSD, complex trauma, and relationship or boundary concerns. Many of the clients I work with feel stuck in cycles of fear, avoidance, overthinking, self-doubt, perfectionism, or shame. Others are carrying painful experiences from the past and wanting to feel more present, grounded, and connected in their lives.
My goal is to create a space where you feel safe, supported, and understood, while also helping you move toward meaningful change.
I am trained in both Exposure and Response Prevention, ERP, and Inference-Based Cognitive Behavioral Therapy, I-CBT, for OCD.
I support clients navigating OCD, phobias, anxiety, PTSD, complex trauma, and relationship or boundary concerns. Many of the clients I work with feel stuck in cycles of fear, avoidance, overthinking, self-doubt, perfectionism, or shame. Others are carrying painful experiences from the past and wanting to feel more present, grounded, and connected in their lives.
My goal is to create a space where you feel safe, supported, and understood, while also helping you move toward meaningful change.
If you have experienced struggle, hurt, conflict, pain, trauma, abuse, addictions, I want to partner with you in your recovery. Life has a way of feeling overwhelming and can seem to be too much at times. We all need someone to join us in wrestling with our struggle. I want to help you overcome and take back your life!
If you have experienced struggle, hurt, conflict, pain, trauma, abuse, addictions, I want to partner with you in your recovery. Life has a way of feeling overwhelming and can seem to be too much at times. We all need someone to join us in wrestling with our struggle. I want to help you overcome and take back your life!
My name is Anita Prasad-Aguilera, Licensed Clinical Social Worker (LCSW), based in Fresno, California. I am providing therapy statewide via telehealth. I work with adults of all ages specializing in anxiety, depression, grief, trauma, and life transitions. I have found that my style and approach are a good fit for adults whose struggles are keeping them from the life they want. I am offering you a safe place to talk, space to heal, and strategies to cope with the difficult side of life. I will be with you as you navigate stressful situations, foster healthy connections, and work through past trauma.
My name is Anita Prasad-Aguilera, Licensed Clinical Social Worker (LCSW), based in Fresno, California. I am providing therapy statewide via telehealth. I work with adults of all ages specializing in anxiety, depression, grief, trauma, and life transitions. I have found that my style and approach are a good fit for adults whose struggles are keeping them from the life they want. I am offering you a safe place to talk, space to heal, and strategies to cope with the difficult side of life. I will be with you as you navigate stressful situations, foster healthy connections, and work through past trauma.
If you’re a woman feeling overwhelmed, burned out, or stuck, you’re not alone. Maybe anxiety, perfectionism, stress, or past experiences have been part of your life leaving you feeling disconnected from yourself or unsure of what you want next. You might know something needs to change, but you're not sure where to begin. Many clients I see are balancing work, school & high expectations, while quietly feeling exhausted or unsure of who they are outside of everything they’re “supposed” to be doing. Others come in knowing their past still shows up in their present & wanting space to work through that in a way that feels safe & steady.
If you’re a woman feeling overwhelmed, burned out, or stuck, you’re not alone. Maybe anxiety, perfectionism, stress, or past experiences have been part of your life leaving you feeling disconnected from yourself or unsure of what you want next. You might know something needs to change, but you're not sure where to begin. Many clients I see are balancing work, school & high expectations, while quietly feeling exhausted or unsure of who they are outside of everything they’re “supposed” to be doing. Others come in knowing their past still shows up in their present & wanting space to work through that in a way that feels safe & steady.
Trust that gut instinct telling you something needs to change. With over 10 years of experience helping individuals, families, and couples navigate life’s challenges, my specialties include ADHD, Autism, Anxiety, Trauma, and Relationship Issues. I focus on building self-esteem and creating stronger, healthier connections—starting with the most important relationship of all: the one you have with yourself.
In our work together, I will support you in discovering your strengths, understanding your unique needs, and developing the tools to improve your life and relationships.
Trust that gut instinct telling you something needs to change. With over 10 years of experience helping individuals, families, and couples navigate life’s challenges, my specialties include ADHD, Autism, Anxiety, Trauma, and Relationship Issues. I focus on building self-esteem and creating stronger, healthier connections—starting with the most important relationship of all: the one you have with yourself.
In our work together, I will support you in discovering your strengths, understanding your unique needs, and developing the tools to improve your life and relationships.
• Accepting new cash clients with 8 years of experience providing psychotherapy for individuals and families.
• Depression, anxiety, bipolar, and OCD specialist
• Addiction treatment
• Childhood trauma survivor specialist
• Suicide assessment and interventions
• Crisis management
• Mental Health and Nutrition Certification
• Dialectical Behavioral Therapy Certified
• Cognitive Behavioral Therapy Advanced Training
• Grief Treatment Certification
• Neuroscience-based interventions for Anxiety, OCD, and Depression
• Advanced training in Trauma Treatment for Children and Adolescents
• Accepting new cash clients with 8 years of experience providing psychotherapy for individuals and families.
• Depression, anxiety, bipolar, and OCD specialist
• Addiction treatment
• Childhood trauma survivor specialist
• Suicide assessment and interventions
• Crisis management
• Mental Health and Nutrition Certification
• Dialectical Behavioral Therapy Certified
• Cognitive Behavioral Therapy Advanced Training
• Grief Treatment Certification
• Neuroscience-based interventions for Anxiety, OCD, and Depression
• Advanced training in Trauma Treatment for Children and Adolescents
I am a board certified LMFT from California who works with adults and adolescents, and provides care for patients who struggle with anxiety, OCD, and eating disorders. My main goals for her patients include reducing symptoms of anxiety, eliminating compulsions, managing eating disorder behaviors, and improving overall well-being. My main modalities I use is ERP, FBT, CBT, and mindfulness. I can be direct when needed however, I always lead with compassion.
I am a board certified LMFT from California who works with adults and adolescents, and provides care for patients who struggle with anxiety, OCD, and eating disorders. My main goals for her patients include reducing symptoms of anxiety, eliminating compulsions, managing eating disorder behaviors, and improving overall well-being. My main modalities I use is ERP, FBT, CBT, and mindfulness. I can be direct when needed however, I always lead with compassion.
I specialize in helping clients navigate a variety of issues. This includes, but is not limited to strategies for managing anxiety, reducing rumination, and coping with feelings of being overwhelmed or depressed. In our life, it’s natural to encounter deep-seated questions and concerns. I strive to create a trusting and open space where we can explore these issues together. I believe in co-creating the therapeutic space with you, tailoring our approach to what will be most beneficial for your unique situation.
I specialize in helping clients navigate a variety of issues. This includes, but is not limited to strategies for managing anxiety, reducing rumination, and coping with feelings of being overwhelmed or depressed. In our life, it’s natural to encounter deep-seated questions and concerns. I strive to create a trusting and open space where we can explore these issues together. I believe in co-creating the therapeutic space with you, tailoring our approach to what will be most beneficial for your unique situation.
I am interested in wellness and holistic approaches to therapy. My work focuses on helping my clients achieve growth. Growth can take many forms in one's life such as: improved relationships, improved sense of self, transition across barriers, achievement of goals, career success, reduction of painful/unwanted symptoms, etc. My approach focuses on understanding the core of suffering and stagnation while uncovering what stands in the way of growth. I now provide Psychedelic Assisted Psychotherapy as a optional compliment to therapy.
I am interested in wellness and holistic approaches to therapy. My work focuses on helping my clients achieve growth. Growth can take many forms in one's life such as: improved relationships, improved sense of self, transition across barriers, achievement of goals, career success, reduction of painful/unwanted symptoms, etc. My approach focuses on understanding the core of suffering and stagnation while uncovering what stands in the way of growth. I now provide Psychedelic Assisted Psychotherapy as a optional compliment to therapy.
I’m a Licensed Marriage and Family Therapist (LMFT) based in the Inland Empire, offering telehealth services. I have worked with a variety of individuals, including adults, couples, and at-risk youth. I believe in meeting clients where they are and creating a safe, non-judgmental space where they can openly explore their thoughts and emotions. My approach to therapy is compassionate, collaborative, and grounded in a holistic understanding of each person’s unique needs.
I’m a Licensed Marriage and Family Therapist (LMFT) based in the Inland Empire, offering telehealth services. I have worked with a variety of individuals, including adults, couples, and at-risk youth. I believe in meeting clients where they are and creating a safe, non-judgmental space where they can openly explore their thoughts and emotions. My approach to therapy is compassionate, collaborative, and grounded in a holistic understanding of each person’s unique needs.
We offer therapy for Pacific Mind Health patients who are also receiving care through our medication management program, providing a connected and supportive treatment experience. Gracen Reed is an associate clinical social worker who specializes in post-traumatic stress disorder (PTSD), anger management, substance use, grief, and behavioral disorders. Her therapeutic approach is integrative, drawing from dialectical behavior therapy (DBT), psychodynamic therapy, acceptance and commitment therapy (ACT), and eye movement desensitization and reprocessing (EMDR).
We offer therapy for Pacific Mind Health patients who are also receiving care through our medication management program, providing a connected and supportive treatment experience. Gracen Reed is an associate clinical social worker who specializes in post-traumatic stress disorder (PTSD), anger management, substance use, grief, and behavioral disorders. Her therapeutic approach is integrative, drawing from dialectical behavior therapy (DBT), psychodynamic therapy, acceptance and commitment therapy (ACT), and eye movement desensitization and reprocessing (EMDR).
I am a Licensed Clinical Social Worker (LCSW) in California since 2008. My work is grounded in compassion, collaboration, and respect for each client’s unique life story.
I support clients navigating anxiety, depression, stress, health issues, and interpersonal relationship challenges, trauma, grief, aging, and end-of-life concerns. I strive to create a safe, nonjudgmental space where clients can explore challenges, build resilience, and reconnect with their strengths while moving toward greater clarity, healing, and emotional balance.
I am a Licensed Clinical Social Worker (LCSW) in California since 2008. My work is grounded in compassion, collaboration, and respect for each client’s unique life story.
I support clients navigating anxiety, depression, stress, health issues, and interpersonal relationship challenges, trauma, grief, aging, and end-of-life concerns. I strive to create a safe, nonjudgmental space where clients can explore challenges, build resilience, and reconnect with their strengths while moving toward greater clarity, healing, and emotional balance.
We offer therapy for Pacific Mind Health patients who are also receiving care through our medication management program, providing a connected and supportive treatment experience. Yasmine Shahbaz is a licensed clinical social worker who specializes in depression, anxiety, mood disorders, eating disorders, addiction, relationship conflicts, suicidal and self-harm ideation, and trauma. She has extensive experience working with LGBTQIA+ communities and is strongly rooted in social justice. She uses a culturally informed, patient-centered, progressive approach to compassionately meet patients where they are.
We offer therapy for Pacific Mind Health patients who are also receiving care through our medication management program, providing a connected and supportive treatment experience. Yasmine Shahbaz is a licensed clinical social worker who specializes in depression, anxiety, mood disorders, eating disorders, addiction, relationship conflicts, suicidal and self-harm ideation, and trauma. She has extensive experience working with LGBTQIA+ communities and is strongly rooted in social justice. She uses a culturally informed, patient-centered, progressive approach to compassionately meet patients where they are.
I use Narrative Therapy to empower individuals to take charge of their story, and research-based tools from CBT, DBT, ACT and ERP.
I am passionate about helping people find relief and build a meaningful life. I work with adults experiencing depression, anxiety, OCD, and grief. I specialize in the transition to parenthood, reproductive grief, and women's health issues. Do you find yourself feeling down and struggling to get motivated? Is your mind constantly churning with worries and you keep searching online for reassurance? Do intrusive thoughts plague your days? Does your grief keep you from enjoying the present moment? Are you surprised becoming a parent is so hard? Is it hard to cope with menopause or PMDD? If any of these sound like you, I can help.
I use Narrative Therapy to empower individuals to take charge of their story, and research-based tools from CBT, DBT, ACT and ERP.
I am passionate about helping people find relief and build a meaningful life. I work with adults experiencing depression, anxiety, OCD, and grief. I specialize in the transition to parenthood, reproductive grief, and women's health issues. Do you find yourself feeling down and struggling to get motivated? Is your mind constantly churning with worries and you keep searching online for reassurance? Do intrusive thoughts plague your days? Does your grief keep you from enjoying the present moment? Are you surprised becoming a parent is so hard? Is it hard to cope with menopause or PMDD? If any of these sound like you, I can help.
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Do I need exposure and response prevention therapy?
Many clients decide to seek help for obsessive thoughts and compulsive behaviors when these symptoms are distressing enough to disrupt everyday life. Any thoughts or behaviors that cause friction in close relationships are also worth addressing. In addition, the client’s symptoms don’t have to be severe for them to benefit from ERP therapy.
Is exposure and response prevention therapy part of cognitive behavioral therapy?
Exposure and response prevention is one specific type of CBT that focuses on behavioral change in response to triggering stimuli. It is related to exposure therapy but adds an additional component of preventing compulsive and harmful responses.
How long does exposure and response prevention therapy take?
While every patient is different, exposure and response prevention therapy typically lasts around 12 sessions, although some treatments can take longer. A therapist will determine if the treatment is complete based on how the client faces their fears, particularly the strongest ones. When a client feels less anxiety about stimuli that once evoked terror or distress, that is generally an indication that they are nearing the end of ERP therapy.
What are the limitations of exposure and response prevention therapy?
The most common pitfalls of exposure and response prevention therapy include not addressing a client’s core fears, allowing the client to avoid their most distressing stimuli, and using imaginary exposure when the client requires real-life exposure (and vice versa). ERP therapy is most effective when the client commits to the full course of treatment; if the client stops early or doesn’t practice what they have learned outside of therapy sessions, they are less likely to have successful outcomes.