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What Should Parents Expect When Their Teen Starts Mental Health Treatment? 

When a teen starts mental health treatment, parents can expect the process to begin with an assessment, followed by a

When a teen starts mental health treatment, parents can expect the process to begin with an assessment, followed by a personalized treatment plan based on the teen’s symptoms, daily functioning, safety, strengths, and goals. Parents are often involved, but teens also need some privacy with their clinician so they can build trust and speak honestly. 

For families looking for teen therapy in Fresno, Vitalize Behavioral Health offers evaluations and several levels of care for children and adolescents, depending on how much support a teen needs. 

If you’re unsure what type of care your teen may need, reach out to Vitalize for guidance on available treatment options. 

What Parents Can Expect 

  • Treatment usually begins with a mental health evaluation. 
  • Parents may be asked about symptoms, behavior, school, relationships, and treatment history. 
  • Teens may spend part of the assessment speaking privately with the clinician. 
  • The treatment plan is based on the teen’s individual needs rather than a one-size-fits-all approach. 
  • Family involvement may be part of treatment. 
  • Progress is reviewed over time, and the level of care can change as needs change. 

What Happens During the First Assessment? 

The first appointment is primarily about understanding what is happening. 

A clinician may ask about your teen’s mood, anxiety, behavior, school experience, friendships, family relationships, sleep, substance use, previous treatment, and any recent changes that have caused concern. 

At Vitalize, a teen mental health evaluation includes input from both parents and the teen. Parents can share what they have observed, while the clinician may also meet individually with the teen to give them space to speak openly. 

The goal is to understand the whole picture before recommending treatment. 

Will Parents Know Everything Their Teen Says in Therapy? 

Usually, no — and that can be an important part of treatment. 

Teens often need some privacy to feel comfortable talking honestly with a mental health professional. At the same time, parents remain an important part of adolescent care. 

The American Academy of Child and Adolescent Psychiatry recommends that clinicians explain confidentiality and its limits to both teens and parents at the beginning of treatment. Information involving threats of harm to the teen or others, for example, may need to be shared for safety. 

Parents can ask the provider early on what information will remain private and how family communication will work. 

How Is a Treatment Plan Created? 

After the assessment, the clinical team can recommend the type and frequency of treatment that best fits the teen’s current needs. 

That may include individual therapy, family therapy, psychiatry, medication management, an intensive outpatient program, or a partial hospitalization program. 

Vitalize provides a continuum of child and adolescent mental health services so treatment can be matched to the teen rather than expecting every family to follow the same path. 

For teens who need more support than weekly therapy, Vitalize’s Child & Adolescent IOP provides structured treatment alongside family involvement. 

How Will Parents Know If Treatment Is Working? 

Progress may show up in different ways. 

Your teen may begin communicating more openly, attending school more consistently, managing emotions differently, reconnecting with friends, or using healthier coping skills. Some changes may happen gradually rather than all at once. 

Treatment plans should also be reviewed regularly. If symptoms improve, care may become less intensive. If your teen continues struggling, the team may recommend additional structure or a different approach. 

Starting Treatment Is a Collaborative Process 

Beginning teen therapy in Fresno can come with plenty of questions, especially if this is your family’s first experience with mental health care. 

You don’t need to understand every part of treatment before getting started. An assessment can help clarify what your teen needs and what role you can play in supporting them. 

Contact Vitalize Behavioral Health to discuss your concerns and learn what type of care may be the right starting point for your teen. 

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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.

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