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What Should I Do If My Mental Health Keeps Getting Worse?

When your mental health keeps getting worse, it can feel scary, confusing, and exhausting. You may wonder if you should

When your mental health keeps getting worse, it can feel scary, confusing, and exhausting. You may wonder if you should wait it out, push through, or finally reach out for help. The truth is, worsening symptoms are worth paying attention to, especially when they begin affecting your daily life, relationships, work, school, or safety.

If you’re looking for mental health help in Fresno, the most important thing to know is this: you do not have to wait until things become a crisis to get support. Help is available through local providers, county-run services, crisis lines, outpatient centers, and community organizations.

If your mental health keeps getting worse, contact Vitalize Behavioral Health today to get clear guidance and support.

Warning Signs Your Mental Health May Be Getting Worse

Mental health struggles do not always escalate all at once. Often, the signs build gradually over time. You might notice:

  • Feeling more anxious, sad, irritable, or numb than usual
  • Withdrawing from friends, family, or responsibilities
  • Sleeping too much or not sleeping enough
  • Changes in appetite, energy, or motivation
  • Difficulty concentrating at work or school
  • Increased panic, racing thoughts, or mood swings
  • Feeling hopeless, stuck, or overwhelmed
  • Using alcohol or substances to cope
  • Struggling to keep up with basic routines
  • Thoughts of self-harm or not wanting to be here

According to the National Institute of Mental Health, professional support may be needed when distressing symptoms — such as sleep changes, appetite shifts, trouble concentrating, loss of interest, or difficulty completing daily tasks — last for two weeks or longer.

These symptoms do not mean you have failed. They are signals that your mind and body may need more support.

When Should You Seek More Immediate Help?

If your symptoms are becoming harder to manage, it is better to reach out sooner rather than later. One in five adults in the U.S. experiences mental illness, yet many people delay treatment until symptoms become more serious.

You should seek immediate help if you are experiencing thoughts of self-harm, suicidal thoughts, feeling unsafe, or feeling like you may hurt yourself or someone else. In those moments, call or text 988 for the Suicide & Crisis Lifeline, call 911, or go to the nearest emergency room.

Why Can Waiting Make Things Harder?

Many people try to convince themselves they should be able to “handle it.” They may wait because they are busy, embarrassed, worried about cost, or unsure what kind of care they need.

But worsening symptoms rarely improve through willpower alone. Anxiety, depression, trauma, bipolar disorder, OCD, schizophrenia, substance use concerns, or other mental health conditions can begin affecting more areas of life when left untreated.

Getting help early does not mean overreacting. It means responding before symptoms take over.

What Kind of Support Is Available?

The right level of care depends on what you are experiencing and how much support you need.

Outpatient Therapy

Weekly therapy can be helpful for people who need a safe space to talk, build coping skills, and work through challenges with a therapist.

Community and Peer Support

Support groups, family involvement, and peer connections can play an important role in recovery. Building a strong support network can help reduce isolation, strengthen coping skills, and provide encouragement during difficult periods.

Intensive Outpatient Program

An intensive outpatient program, or IOP, provides more structure than weekly therapy. Clients typically attend several days per week for a few hours at a time. IOP may be helpful if symptoms are interfering with daily life but you can still safely live at home.

Partial Hospitalization Program

A partial hospitalization program, or PHP, offers a higher level of care with full-day treatment and more clinical support. PHP may be recommended when symptoms are more severe or when someone needs daily structure but does not require overnight hospitalization.

Inpatient or Crisis Care

In some cases, inpatient care may be necessary. If someone is experiencing a mental health crisis or immediate safety concerns, Vitalize can help connect them with appropriate emergency resources and support them as they transition back into outpatient care.

How Vitalize Can Help

At Vitalize Behavioral Health, the first step is a confidential assessment. This gives the clinical team a chance to understand what is happening, what has changed, and what level of care may fit best.

From there, we can help determine whether outpatient therapy, IOP, PHP, psychiatry, medication management, or another support option is appropriate.

You do not need to know exactly what you need before reaching out. That is what the assessment is for.

You Deserve Support Before It Becomes a Crisis

If your mental health keeps getting worse, you are not alone, and you are not out of options. Fresno offers a range of mental health resources, from crisis support and county services to outpatient programs and structured treatment.

Whether you need therapy, community support, structured outpatient care, or a higher level of treatment, Vitalize Behavioral Health can help you understand your options and take the next step.

Contact Vitalize today to schedule an assessment and learn more about mental health help in Fresno.

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Andy Brimmer, MBA

Andy Brimmer, MBA

DIRECTOR OF BUSINESS DEVELOPMENT

Andy Brimmer is a dynamic Director of Business Development with extensive experience in sales strategy, talent sourcing, and client relationship management across the healthcare sector. Based in Fresno, California, Andy holds an MBA from Purdue Global and a BS in Business Administration from California State University, Fresno. He has a proven ability to drive revenue growth, negotiate contracts, and build strong pipelines using tools like ZoomInfo, LinkedIn Recruiter, and various CRMs. With a background that spans staffing solutions, medical recruitment, dental sales, and career development, Andy brings a well-rounded and strategic approach to business growth and team leadership.

Angel Dean, MS

Angel Dean, MS

Director of Operations

Angel Dean is an accomplished healthcare executive with over 15 years of leadership experience in medical administration, provider services, and surgical specialty management. She holds a Master of Science in Healthcare Administration and a Bachelor of Science in Business Administration from Cal State East Bay. Angel has held senior roles including Executive Director, where she spearheaded operational strategy, team development, and revenue growth. Fluent in Urdu and Punjabi, Angel excels in strategic planning, employee development, and healthcare compliance.

Simi Bhaurla, LPCC

Simi Bhaurla, LPCC

ADULT IOP CLINICAL DIRECTOR

As Adult IOP Clinical Director, I oversee our adult intensive outpatient program, guiding both the clinical work and the overall experience so the care you receive is grounded, coordinated, and truly built around you.

MacKena Dean, M.A., APCC

MacKena Dean, M.A., APCC

LEAD ADULT IOP/PHP CLINICIAN

As Lead Adult IOP/PHP Clinician, I provide direct clinical care while helping ensure the delivery of high-quality, evidence-based treatment across our adult program, creating a therapeutic environment where clients feel supported, empowered, and equipped for lasting recovery.

Background and Experience

Prior to joining Vitalize Behavioral Health, I gained valuable experience working with individuals experiencing a wide range of mental health concerns across diverse clinical settings. That background strengthened my ability to work with complex clinical presentations, facilitate meaningful group therapy, and collaborate with multidisciplinary teams to provide comprehensive, client-centered care, closely aligning with Vitalize’s mission of delivering personalized, evidence-based behavioral health services.

Areas of Specialization

I have a passion for working with adults navigating anxiety, depression, trauma, mood disorders, life transitions, and interpersonal challenges.

Therapeutic Approach

I believe that healing occurs through authentic connection, collaboration, and helping clients recognize their own strengths. My therapeutic approach integrates evidence-based interventions while honoring each client’s values, culture, and lived experiences.

Leadership and Philosophy

As the Lead Adult IOP/PHP Clinician, I am committed to fostering a culture of clinical excellence, teamwork, and compassionate care. I am passionate about helping clients build resilience, develop practical coping strategies, and achieve meaningful progress toward their personal goals, embodying Vitalize’s commitment to individualized care that empowers every client to thrive.

Dana Charles, LMFT

Dana Charles, LMFT

CLINICAL DIRECTOR OF VIRTUAL IOP SERVICES

As Clinical Director of Virtual IOP Services, I lead our telehealth intensive outpatient programming, making sure the care you get through a screen feels every bit as personal, structured, and supportive as care in the room.

Corion Duran, LMFT

Corion Duran, LMFT

Clinical Director

I am a client-centered and ACT-focused clinician with a significant history working with children and adolescents. I deeply believe that therapy needs to be driven by the people we are working with, in order to achieve their own unique goals and personal ideals in regards to what they want their lives to be.

Areas of Specialization

  • Trauma
  • Depression
  • Anxiety
  • LGBTQ+
  • Children and Adolescents

Therapeutic Approach

I was trained as a person centered therapist through my graduate program and quickly gravitated towards acceptance and commitment therapy, which is a third wave behavioral therapy that focuses on acceptance of emotions and thoughts, coping effectively and committing to living our lives by our own values and ideals. I also utilize play therapy with younger clients that allows them to explore and process their emotions and struggles through a developmentally appropriate process. What clients can expect more than anything else is receiving therapy that is tailored to their needs. This would include exploring what gets in the way of them living how they want in a deep, meaningful way, developing skills and strategies that are tailored to their experience, and moving in a significant way towards the behaviors and goals they desire for themselves.

Education and Credentials

  • B.A. Psychology
  • M.S. Counseling
  • Marriage Family and Child Counseling, LMFT
  • Trained in Affirmative Therapy, Trauma-Informed Care, Acceptance and Commitment Therapy

About Me

Primarily I gravitated towards becoming a therapist as I grew up with family members who needed mental health care in significant ways and I saw first hand how good, quality care benefitted them. I also attended therapy as a child and teenager and will be forever grateful that I saw competent, ethical therapists. Beyond that I am also a lifelong athlete who has seen the benefits of sports and meaningful experiences on people’s lives. I have been a whitewater river raft guide for the past 15 years and have worked on the Kings River and the American River.

Nadiyah Parks, LPCC

Nadiyah Parks, LPCC

REGIONAL CLINICAL DIRECTOR

As the Regional Clinical Director of the Adult IOP/PHP program, I bring over three years of experience in intensive outpatient care and six years in crisis intervention and emergency response alongside law enforcement. My clinical work is grounded in a psychodynamic approach through a trauma-informed lens, with a focus on helping clients understand how their past informs their present functioning. I became a therapist after starting my work as an emergency response advocate, where I supported individuals and families during some of their most difficult moments. Over time, I realized my true calling was in helping people not just survive those experiences, but heal from them, and that’s what led me to the deeper, ongoing work of therapy.

Areas of Specialization

  • Dialectical Behavioral Therapy
  • EMDR
  • Cognitive Behavioral Therapy
  • Internal Family Systems (IFS)

Education and Credentials

  • Bachelor of Science, Criminology, Victimology Emphasis
  • Master of Arts, Clinical Counseling
  • Certified Sexual Assault Crisis Counselor
  • EMDR Trained Therapist

Therapeutic Approach

Working with me, you can expect a warm, judgment-free space where empathy, curiosity, and understanding guide our work together. I believe in meeting you where you are, moving at your pace, and allowing you to take the lead in your healing process. My goal is to create a space where you feel safe, seen, and supported as we explore what matters most to you.

Dr. Jonathon Baird, Psy.D

Dr. Jonathon Baird, Psy.D

CHIEF EXECUTIVE OFFICER

I specialize in a neurological-psychological approach, integrating comprehensive neuropsychological assessments with empirically based, trauma-informed treatment. My work emphasizes brain-behavior relationships to inform personalized interventions across clinical and forensic settings.

Areas of Specialization

Specializes in neuropsychological and psychological assessment, with extensive experience conducting comprehensive evaluations across the lifespan, including intellectual, achievement, adaptive functioning, and forensic assessments. My clinical expertise spans trauma-informed care, forensic psychology, and behavioral and cognitive-behavioral therapy. I have provided psychological services in diverse settings, including correctional institutions, developmental centers, and outpatient clinics, addressing a broad spectrum of mental health concerns such as anxiety, depression, psychosis, impulse control disorders, and relational dysfunction. Particularly skilled in forensic evaluations, including fitness to stand trial, conservatorship, and risk assessments, frequently serving as an expert witness.

Therapeutic Approach

My approach combines neurological and psychological principles to provide individualized, brain-based care. I focus on how cognitive functioning and emotional health intersect, using comprehensive assessments and evidence-based therapies like CBT. Clients can expect a supportive, structured environment aimed at promoting insight, resilience, and lasting change.

Education and Credentials

  • Doctorate of Psychology (PsyD) in Clinical Psychology
  • Master of Arts (MA) in Clinical Psychology
  • Bachelor of Arts (BA) in Psychology