LGBTQ+ psychiatry in Fresno
LGBTQ+ affirming psychiatry in Fresno.
Looking for a gay or LGBTQ+ psychiatric provider in Fresno? Meet with Earl Johns, a board-certified psychiatric nurse practitioner and LGBTQ+ provider, by secure telehealth from Fresno, Clovis and across the Central Valley. No commute, with evening and Saturday hours.

How it works
Your walk to wellness.
01
Reach out
Every journey begins with a single step. Book a free 15-minute phone call where we’ll explore your goals.
02
Getting to know you
We take time to truly understand you: your story, your strengths, and the challenges you’re facing.
03
Grow together
Through ongoing visits, typically every 2 to 8 weeks, we work toward goals tailored to your needs.
04
Find peace and wellness
Feel grounded, balanced, and at peace, with a plan that supports your wellness.
What to expect
Care that fits your life.
Here’s what working together looks like, from your first visit on.
Your first visit
45 to 90 minutes. We listen to your story, your challenges, and your goals, then build an individualized plan that may include therapy, lifestyle strategies, nutrition, and medication when appropriate.
Follow-up visits
25 min
Focused medication visits, best if you already see a therapist
45 min
Medication management plus brief therapy (DBT, CBT, ACT)
60 min
Deeper therapy and mind-body work
Visits range from weekly to every 2 to 3 months, depending on your goals.
Between visits
Questions don’t always wait for your next session. Reach us by phone or email and we’ll respond within 3 business days.
Visit location: Secure HIPAA-compliant Zoom, or in person in San Francisco by request. You’ll need to be in California at the time of each visit. ADHD evaluations, including QbCheck computerized testing, are also available.
Who we see
Children and teens (ages 6 to 17)
Adults (ages 18 to 64; not currently accepting Medicare)
LGBTQIA+ people, including gay, lesbian, bisexual, trans, nonbinary and questioning folks
Neurodivergent people, including ADHD and autism
Trauma survivors and people working through grief or big life transitions
Professionals facing burnout and stress
Allies and families of LGBTQIA+ and neurodivergent people
Insurance
We’re in network with these plans:
Aetna
Anthem Blue Cross California
Carelon Behavioral Health
Cigna
Oxford / Optum
Quest Behavioral Health
United Healthcare / Optum
Paying out of network? We provide superbills for PPO reimbursement. Copays vary by plan, so check your benefits with your insurer.
Not sure where to start?
Book a free 15-minute phone consult. We’ll talk through what’s going on and help you decide on next steps, with no pressure.
Book a free consult
How we help
Queer-affirming care for Fresno, from home.
In the Central Valley, finding a psychiatric provider who is openly LGBTQ+-affirming can feel impossible. Telehealth brings that care to Fresno and nearby towns, privately and from home.
Book a free consult
1
Video visits on a secure, HIPAA-compliant platform, at no extra cost.
2
Therapy for anxiety, depression, trauma and identity, using CBT, DBT and ACT.
3
Medication management when it helps, with the same provider.
4
Support with coming out, relationships and family, at your own pace.
5
Evening and Saturday hours to fit around work and life.
6
In network with Aetna, Anthem Blue Cross, Cigna, Optum and more.
7
You’ll just need to be located in California during each visit.
Common questions
Questions we hear from Fresno.
Straight answers for people looking for affirming psychiatric care in the Central Valley.
Book a free consult
1
Is telehealth private if I live in a smaller community? Yes. You meet by secure video from wherever you choose, so there’s no local waiting room to worry about.
2
Do you see patients outside Fresno? Yes. We see people across the Central Valley, including Clovis, Visalia, Madera and Merced.
3
Can you support me if my family isn’t accepting? Yes. Family rejection, religious stress and coming out are common reasons people reach out, and you can go at your own pace.
4
Do you take insurance? We’re in network with Aetna, Anthem Blue Cross, Cigna, Carelon, Optum, Oxford and Quest Behavioral Health, and we provide superbills for out-of-network PPO plans.
Community
LGBTQ+ support in the Central Valley.
These organizations offer community and support between visits. They aren’t affiliated with Wellthy Psychiatry, and services change, so check with each one directly.
1
Fresno EOC LGBTQ+ Resource Center Support groups, youth programs and community events in Fresno.
2
Trans Lifeline Peer support run by and for trans people. Call 877-565-8860.
3
The Trevor Project 24/7 support for LGBTQ+ young people. Call 1-866-488-7386 or text START to 678-678.
4
988 Suicide & Crisis Lifeline Call or text 988 any time, day or night.

Just like waves that first break, then find stillness and serenity.
You’re not broken. You’re not alone.
And this isn’t the end of your story, just a new chapter. Our care is rooted in science, shaped by lived experience, and delivered with humanity.
Book a free consult
Services
