Supportive care for anxiety and depression
Mental Health Support • Fresno, CA

Anxiety & Depression

If intrusive thoughts, persistent worry, or low mood are making daily life harder, we’re here to help. We offer onsite screening and a personalized plan that may include evidence-based therapies and integrative support.

If you or someone else is in immediate danger, call 911 or go to the nearest emergency room.

What are anxiety and depression?

Anxiety disorders can involve intense worry or fear that’s hard to control, sometimes with physical symptoms like restlessness, rapid heartbeat, or trouble sleeping. Depression can involve persistent low mood and/or loss of interest, along with changes in sleep, appetite, energy, and concentration.

They can occur separately or together. If symptoms are lasting (for example, two weeks or longer for depressive symptoms) or interfering with work, relationships, or daily functioning, it’s a good time to seek an evaluation.

Common symptoms

Anxiety can show up as mental worry and physical stress responses.

  • Persistent worry or intrusive thoughts
  • Restlessness or feeling “on edge”
  • Sleep disturbance
  • Rapid heartbeat, sweating, or shortness of breath
  • Difficulty concentrating
Source: NIMH anxiety overview.

Depression may involve low mood and/or loss of interest, plus physical and cognitive changes.

  • Persistent sadness, emptiness, or hopelessness
  • Loss of interest in activities
  • Changes in sleep or appetite
  • Fatigue, low energy, slowed thinking
  • Difficulty concentrating
Sources: NIMH depression overview; CDC note on symptoms lasting 2+ weeks.

Risk factors

Risk can increase with genetics, ongoing stress, major life changes, trauma, certain medical conditions, and hormone transitions. A thorough review of your history helps us tailor the right plan.

How we approach treatment

Treatment is personalized. Depending on your needs, your plan may include psychotherapy (talk therapy), medications, and supportive strategies that address sleep, stress physiology, and overall wellness.

Psychotherapy (talk therapy)

Evidence-based therapy is a core option for depression and can support anxiety symptoms and coping skills.

Source: American Psychological Association guideline (depression in adults).

Medication (when appropriate)

Medications may be considered depending on severity, history, and response to other strategies—always personalized.

Source: APA guideline and standard clinical practice references.

Neurofeedback (when indicated)

A noninvasive approach that may support regulation and symptom management for some patients.

IV therapy + nutrient support

Supportive care that can be considered based on labs, symptoms, and overall health goals.

Bioidentical hormone support

For patients whose mood symptoms are tied to hormone transitions or imbalance, evaluation may be appropriate.

Sleep & lifestyle foundations

Sleep quality, movement, nutrition, and stress strategies can meaningfully affect mental health symptoms.

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Frequently Asked Questions

Anxiety often centers on persistent worry or fear and may include physical symptoms like restlessness or rapid heartbeat. Depression often involves persistent low mood and/or loss of interest plus changes in sleep, appetite, energy, or concentration. They can overlap—screening and a clinical evaluation help clarify what’s going on. Sources: NIMH anxiety and depression overviews.
If symptoms last two weeks or more, are worsening, or interfere with daily life, it’s a good time to schedule an evaluation. If you’re in immediate danger or feel unable to keep yourself safe, seek emergency help right away. Source: CDC (sadness/depression lasting 2+ weeks); NIMH resources.
Not always. Many people benefit from psychotherapy, lifestyle and sleep support, and targeted strategies based on their situation. Medication may be considered when symptoms are moderate to severe or not improving with other approaches. Source: American Psychological Association guideline (adult depression treatment options).
We review symptoms, medical history, current stressors, sleep, and goals. If needed, we can recommend screening tools and discuss a plan that may include therapy referrals, integrative supports, and follow-up.