Find a psychiatrist in Fresno, CA — covered by insurance

My name is Journey Gulles, and I am a dual board-certified Nurse Practitioner in Psychiatric Mental Health and Adult-Gerontology Primary Care. I’ve been in nursing for almost two decades, with experience caring for patients in the Philippines, the Middle East, and the United States. Providing compassionate, patient-centered care is truly my passion, and I always strive to make sure people receive the best care possible. I also enjoy teaching as a part-time theory and clinical nursing instructor at colleges and universities in California. When I’m not working, I love spending time cooking at home and caring for my four fur babies.

I work with adults experiencing anxiety and depression, including overthinking, low motivation, feeling overwhelmed, and a loss of interest in daily life. Many come in feeling mentally exhausted or stuck in patterns that aren’t working. I work with adults of all ages, with a strong understanding of early adulthood and life transitions like career stress, relationships, and pressure to “figure things out.” I help you understand what’s going on and move forward with a clear, realistic plan.

I specialize in treating anxiety and depression using a modern, straightforward, and collaborative approach. I focus on clear explanations, practical strategies, and medication management when appropriate. Treatment is tailored to your life, with the goal of helping you feel better in a way that’s effective and sustainable.

Starting can feel overwhelming, especially if you’re unsure where to begin. My goal is to create a space where you feel understood and supported, while also giving you clarity and direction. If you’re ready to feel better and make meaningful changes, I’m here to help.

Welcome! I’m a dedicated Psychiatric Mental Health Nurse Practitioner (PMHNP), passionate about providing holistic, solution-oriented care to individuals of all ages. I earned my degree from the University of South Alabama, and my approach is rooted in compassion, active listening, and evidence-based treatment tailored to your unique needs.

I specialize in medication management and psychotherapy for a wide range of mental health conditions, including anxiety, depression, OCD, PTSD, bipolar disorder, ADHD, schizophrenia, and mood disorders. Whether you’re a child, young adult, or part of the older adult population, my goal is to create a safe, supportive space where healing and growth can thrive.

I believe in treating the whole person, not just symptoms. Together, we’ll develop a personalized plan to help you regain balance and move forward with confidence. I look forward to supporting you on your mental wellness journey!

I am a psychiatric nurse practitioner with a deep passion for the intersection of community and well-being. My work in psychedelic medicine, harm reduction, and mental health advocacy reflects my commitment to accessible and inclusive care.

I am a dual board-certified Nurse Practitioner specializing in both Family Practice and Psychiatric Mental Health. With a foundation in whole-person, evidence-based care, I integrate medical management with psychotherapy and lifestyle interventions to support mental and physical wellness.

My background spans outpatient psychiatry, primary care, home health, and assisted living settings, allowing me to understand the unique needs of patients across all stages of life. I have extensive experience treating mood and anxiety disorders, trauma-related conditions, and chronic medical comorbidities that impact emotional well-being.

I believe in creating a collaborative, compassionate, and culturally sensitive environment where patients feel heard and empowered to take an active role in their care. My approach focuses on building balance—supporting both the mind and body—through medication management, therapy, and integrative care strategies.

I’m a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a background in nursing and mental health care. I focus on medication management with a supportive, real-life approach. I work with individuals dealing with anxiety, depression, ADHD, and OCD.

I believe you should feel heard, understood, and involved in your care. My goal is to create a comfortable, judgment-free space where we can work together to find what truly helps you feel better and function at your best. I also incorporate brief therapeutic support alongside medication when it’s needed.

Hi! I'm an experienced and compassionate PMHNP-BC and dedicated to providing exceptional mental health care. I received a Doctorate in Nursing Practice from the university of Tennessee Health Science Center. Also certified in Family Practice, Adult Gerontology, Acute Care. With over 10 years of experience in the nursing field, I specialize in diagnosing and treating a wide range of psychiatric disorders, including anxiety, depression, bipolar disorder, ADHD (I DO NOT prescribe stimulant medication, such as Adderall, Ritalin, Vyvanse or Folacin), etc.

My goal is to help you overcome the challenges you are facing in a safe and comfortable environment to help you improve your quality of life. My passion is helping those with substance use disorders, including alcohol and opioid use disorder, safely detox from the substances and work towards a meaningful and long-lasting recovery. With a decade of experience serving a wide range of patients I am a dual-certified family nurse practitioner and psychiatric mental health nurse practitioner.