How does Cognitive Behavior Therapy (CBT) work?

I am a psychotherapist in private practice, specializing in depression and anxiety. I will work with you to achieve your goals for therapy. I'm here to help.

Hello reader, it takes a lot of courage to want to do the healing work. If you are reading this that means you. I believe we all have the capabilities to change and grow given the right tools and nurturing. We all have inherent worth and a lot us forget that truth and take in distorted perceptions that really get in the way from what we truly desire, our jobs, our relationships. I combine a person centered approach using a trauma informed methods with cognitive based approaches. Some of these approaches include art, IFS, empty chair, and techniques of somatic experiencing. I also have experience exploring family of origin and inner child work. If this sounds like a great fit, I would love to coordinate with you.

Hi, I’m Anabel Ruiz. My care approach stems from deeply understanding the link between mental health and overall well-being. I prioritize warmth, empathy, and non-judgment to create a safe space for clients. I collaborate with individuals to craft personalized treatment plans tailored to their needs and preferences. My goal is to empower clients to actively engage in their healing journey, guiding them towards their goals and a better quality of life. With over a decade of experience as a bedside nurse, I bring a wealth of hands-on expertise to my practice as a psychiatric nurse practitioner. Prioritizing trust and empathy, I offer personalized treatment plans and psychoeducation to empower your healing journey. My holistic, collaborative, patient-centered approach ensures continuous professional development and upholds ethical practices, supporting your improved mental well-being. *Specialties •Psychiatry *Conditions treated •Depression •Anxiety •Bipolar disorders •Schizophrenia •PTSD •Substance abuse •Eating disorders •OCD •Personality disorders •Geriatric Psychiatry •Insomnia •Anger Management •Female Psychiatry •Mood disorders •Obsessive-Compulsive •Trauma and PTSD •Borderline Personality (BPD) •Chronic Impulsivity •Dementia •First Responders •Gambling •Grief •Hoarding •Medication Management •Psychosis •Relationship Issues •Self Esteem •Self-Harming •Stress •Suicidal Ideation •Women's Issues *Treatment philosophy At AO Psychiatric Mental Health Services, we are dedicated to compassionate, individualized care. We tailor treatment plans to each person’s unique needs, emphasizing a holistic approach that combines evidence-based practices with a deep understanding of individual experiences. Our core values include empathy, collaboration, and respect, fostering a safe space where patients are active partners in their care. We focus on empowering patients through education and self-management, ensuring our methods are grounded in the latest research to support long-term well-being and personal growth. *Treatment approach •Cognitive Behavioral Therapy(CBT) •Person-Focused •Mindfulness-Based(MBCT) •Culturally Sensitive •Emotionally Focused *Practice description At AO Psychiatric Mental Health Services, we are committed to providing expert telemedicine psychiatric care, making high-quality mental health support accessible from the comfort of your home. Our experienced psychiatric nurse practitioners (PMHNPs) offer thorough psychiatric evaluations and precise medication management for a variety of mental health conditions. Our Services Include: Psychiatric Evaluations: We perform detailed assessments to understand your mental health needs and develop personalized treatment plans that align with your unique situation and goals. Medication Management: Our team provides expert guidance in prescribing and managing medications, ensuring that your treatment is effective and tailored to minimize side effects. *Insurance •Aetna •Cigna •Medicare •Blue Cross Blue Shield •UnitedHealthcare •Humana •Optum •Oscar Health •Multiplan •Humana Military •Tricare select •Tricare reserve select •Tricare for life •AVMED Florida Exchange •FL DSNP •Florida CMMA •Florida Exhange •UBH General

I’ve been in private practice for nearly 20 years….but there is more than an education or experience.  My work has been filled with the lives of people I have been able to witness heal traumas, or find a new journey, or come to themselves more fully.  Counseling may bring relief, recovery, tools to use or release from pain. Healing is a pathway and I get to walk beside you. I will hold the hope until you can hold it, and I will be honored to go on your journey with you. 

Hello! I am client-centered in my approach, and I believe that treatment should be tailored to the individual client's needs, strengths, and goals. I have training in multiple theoretical approaches, and am dedicated to helping clients heal from past traumas, rebuild their confidence and self-worth, and find meaning in their lives. I believe that although seeking therapeutic help can be intimidating, when we work together to create meaningful change, we can achieve increased life satisfaction and happiness. My specialties include complex trauma, depression, personality disorders, anxiety, grief, relationship issues, addictions, and women’s issues. Clients describe me as easy to talk to, gently confrontational, and friendly. I strive to follow my clients' needs while pointing out patterns and themes that I see from a "bird's eye view".

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Hello. Sometimes it's hard to reach out for assistance. I get that. So let's meet and figure out a plan to feel better. We can do this in person or virtually. I want to help. My schedule varies. And my office is in NW Fresno. Thank you...

Do you feel burned out or stuck in a life that no longer works for you? Does your body feel pained, exhausted, or overly anxious. Do you feel like a phony or that the real you hasn't yet emerged. Well, you've only been this age once. Maybe it's time to give your life an overhaul. Somatic psychology is a cutting-edge approach that works to restore the nervous system to a state of healthy regulation, energy, flow and feeling at home in your body. This provides a foundation of authentic self-esteem that becomes the basis for a big meaningful career and a network of healthy relationships—a life that feels great on the inside. The core of my work uses Somatic Experiencing, a body-oriented approach grounded in neuroscience and the latest in trauma-informed research. It works to discharge bound survival energy, disrupt tension patterns, and reset and revitalize the nervous system. Somatic therapy pairs extremely well with psychedelic work to accelerate the process of healing. I also integrate Internal Family Systems (IFS), attachment patterns, and a psychodynamic approach into my work. My main areas of specialization are: - Authentic Career Adaptation - Attachment Strategies in Relationships - Chronic Pain and Health Conditions - Psychedelic Integration - Owning your Identity (LGBT and other) Whether you are new to therapy or have spent years talking about your problems without improvement, you may have been using the wrong approach. If you'd like to learn more about my approach and why it can be more effective than talk therapy, visit my website and schedule a free 30-minute consultation. I look forward to meeting you.

Welcome to Loss and Healing. My practice specializes in miscarriage grief, offering support and encouragement to women. My practice also addresses other life stressors that women can face in their lives such as depression, life changes, anxiety, and grief. In these uncertain times, we all need someone we can talk to and feel validated. I am here to listen and support. I look forward to chatting with you. Thank you. 

People think you have it all together, but they have no idea how much you struggle. Feeling exhausted and ashamed, your self-esteem sinks lower by the day. You feel like an imposter. Your success feels fragile and being overwhelmed plagues you. You feel disconnected and isolated from family and friends but have no clue how to repair those relationships. I help clients learn techniques to lessen suffering and explore what a meaningful life means to them. Together, we will unravel your story. And in that safe connection, I will help you confront the shame and fear that come from believing you’re not good enough or don’t matter. I will help develop a healthier relationship with yourself and others.