Find Your Calm and Feel More Like You

Supportive psychotherapy in Fresno County for lasting growth

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Psychotherapy That Turns Insight Into Real Change

Our psychotherapy approach is designed to help you better understand what you feel, why certain patterns keep repeating, and how to move forward with greater confidence. We create a respectful, nonjudgmental space where healing can begin at a pace that feels right for you. With more than 35 years of clinical experience, we use psychotherapy to support emotional balance, stronger coping skills, and healthier relationships. Rather than focusing only on symptoms, we help uncover the deeper roots of distress so psychotherapy becomes a practical path toward relief, clarity, and meaningful personal growth.

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Therapy That Supports Lasting Growth and Emotional Well-Being

We provide evidence-based therapeutic services for individuals, couples, and families seeking mental well-being. Our offerings include stress and anxiety management and mindfulness-based cognitive therapies, available in-person or via telehealth.

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Family meeting with a counselor in a bright office, seated on a couch and discussing papers.
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Two people seated in a counseling session, one taking notes on a clipboard beside a water glass.
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Two people seated in a bright room, one speaking while the other listens with a hand over his mouth.
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Your Journey to Emotional Well-being Starts Here

At Mindfulness & Anxiety Therapy with Jules Confino, LMFT, we recognize the importance of emotional wellness. With over 35 years of clinical experience, Jules is dedicated to providing mindfulness-based therapy to help you navigate life's complexities. Whether you're dealing with anxiety, stress, or relationship challenges, our compassionate approach offers you a safe space to explore and overcome these hurdles. Our sessions, available throughout California in-person or via telehealth, are designed to offer you the support and tools you'll need for lasting positive change. Begin your journey towards a more balanced and fulfilling life today by reaching out to us.

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Couples Therapy for Deeper Connection and Repair

Couples therapy helps partners improve communication, navigate conflict, rebuild trust, and better understand each other’s emotional needs. Relationships can become strained by stress, old hurts, misunderstandings, or major life changes, but supportive guidance can make difficult conversations more productive. In our work, we help couples slow down reactive patterns and develop healthier ways to listen, speak, and problem-solve together. This form of psychotherapy is grounded in respect for both partners and a shared commitment to growth. Whether you want to strengthen a good relationship or repair a struggling one, couples therapy can help create more closeness and stability.

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A Practical Approach Through Mindfulness-Based Cognitive Therapy

Mindfulness-Based Cognitive Therapy, or MBCT, blends mindful awareness with proven cognitive strategies to help shift negative thought patterns and emotional reactivity. We use MBCT to support clients who feel stuck in cycles of worry, sadness, self-criticism, or stress. This method teaches practical skills for observing thoughts without becoming overwhelmed by them, making psychotherapy more active and empowering. Our experience allows us to tailor MBCT techniques to each person’s needs so sessions feel relevant and usable beyond the office. The result is a thoughtful, skill-building process that can promote resilience, emotional regulation, and more lasting change over time.

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Safely Process Traumatic Events in Focused PTSD Therapy

PTSD therapy can provide essential support when past experiences linger and continue to negatively impact your sense of safety, your relationships with others, your emotional well-being, or your ability to be present in the moment. We strive to create a calm and respectful environment where healing can unfold naturally, allowing you to process your experiences without pressure or judgment. To enhance accessibility and convenience, we also offer secure telehealth therapy options for clients throughout the broader Central Valley and across California. This flexible service makes it easier than ever to engage in psychotherapy, no matter your location, ensuring that you can access the help you need when you need it most.

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35 Years of Experience Helping Clients Move Forward

We bring seasoned care, practical tools, and a genuinely human approach to every session.


  • 35 years of compassionate clinical experience
  • Mindfulness-based therapy for lasting personal growth
  • Personalized care tailored to your unique needs
  • Safe, respectful, and judgment-free environment
  • Secure telehealth sessions across California
  • Practical tools for everyday emotional well-being


We help people feel heard and supported through practical daily strategies. Our compassionate psychotherapy is tailored to your needs, ensuring a productive experience.

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Telehealth Therapy That Meets You Where You Are

Telehealth therapy makes it easier to access consistent support when life is busy, mobility is limited, or convenience matters. We offer secure virtual sessions that preserve the warmth, focus, and personal attention clients expect from quality care. For many people, online psychotherapy becomes a comfortable way to stay committed to healing without the added stress of travel or scheduling complications. Whether you are seeking support from home or fitting sessions into a packed routine, telehealth allows us to meet you where you are. Across the wider area, this flexible option helps more people take the first step with confidence.

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Individual Therapy for Growth, Healing, and Clarity

Individual therapy offers a private space to explore personal challenges, life transitions, emotional struggles, and goals for change with focused support. We work one-on-one to help you better understand behaviors, strengthen coping skills, and build a healthier relationship with yourself. Whether you are feeling overwhelmed, stuck, disconnected, or uncertain about next steps, psychotherapy can provide direction and relief. Our style is warm, attentive, and practical, combining deep listening with tools you can apply in daily life. Individual therapy is not just about getting through difficult seasons but also about creating a stronger foundation for the future.

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read What Our Clients have to Say

Learn how clients have found support, developed healthier coping skills, and experienced meaningful personal growth through compassionate, mindfulness-based therapy.

Frequently Asked Questions

Find answers to common questions below. For more information, feel free to reach out to us anytime.

  • Why is Mindfulness & Anxiety Therapy so popular?

    Mindfulness & Anxiety Therapy has gained significant popularity due to its comprehensive approach to addressing mental health concerns through psychotherapy in Fresno County. Our practice, led by Jules Confino, offers a compassionate and personalized therapy experience, focusing on mindfulness-based treatments for individuals, couples, and families. The psychotherapy services provided are designed to tackle a range of issues, from anxiety and depression to PTSD and relationship challenges. We prioritize creating a safe and welcoming environment, whether through in-person or telehealth sessions, allowing clients to heal and grow at their own pace. By integrating mindfulness techniques, our psychotherapy services help clients build resilience, improve emotional well-being, and create lasting positive changes. With a commitment to evidence-based practices, our unique approach to psychotherapy has established us as a trusted leader in the field. Reach out today to discover how our psychotherapy services can support your journey to mental wellness.

  • Where can I find the best psychotherapy in Fresno County?

    For top-quality psychotherapy in Fresno County, consider Mindfulness & Anxiety Therapy. Our practice, led by Jules Confino, focuses on delivering client-centered, mindfulness-based therapy to help you navigate life's challenges. Whether you're dealing with anxiety, depression, or relationship issues, we offer personalized support to foster healing and growth. Contact us today for a consultation and take the first step towards improved emotional health.

  • How does mindfulness-based therapy help with anxiety?

    Mindfulness-based therapy can be highly effective for managing anxiety as it teaches individuals to focus on the present moment, helping reduce worry and stress about the future. By encouraging acceptance, mindfulness helps mitigate the impact of anxious thoughts. Through techniques like meditation and breathing exercises, clients learn to handle anxiety more calmly and effectively. Start your mindfulness journey with our therapy services and see the difference it can make in your life.

  • What is Mindfulness-Based Cognitive Therapy (MBCT)?

    Mindfulness-Based Cognitive Therapy (MBCT) is an innovative approach that blends cognitive therapy and mindfulness practices to prevent the recurrence of depression and anxiety. MBCT helps individuals become more aware of their thoughts and emotions, allowing them to break negative thought patterns and reduce the chance of relapse. At Mindfulness & Anxiety Therapy, we specialize in MBCT, supporting our clients in building healthier mental habits. Get in touch to explore MBCT as part of your treatment plan.

  • What should I expect from a telehealth therapy session?

    Our telehealth therapy sessions offer the same high-quality support as in-person appointments, with the convenience of accessing care from anywhere. Clients can expect a secure, confidential environment where they can engage in therapy via video conferencing. This flexibility allows you to fit therapy into your schedule more easily, making it an integral part of your self-care routine. Contact us to find out more about how telehealth therapy can benefit you.

  • How can therapy improve my relationship?

    Therapy can be instrumental in improving relationships by enhancing communication, resolving conflicts, and fostering understanding between partners. Couples therapy at Mindfulness & Anxiety Therapy focuses on identifying problematic patterns and developing healthier interactions. We work collaboratively to strengthen the emotional connection and address issues that may be affecting your relationship. Schedule a session with us to begin the journey towards a more fulfilling partnership.

Take the First Step Toward Positive Change today!

Whether you're seeking support for yourself, your relationship, or your family, we're here to help you begin your journey with compassionate, mindfulness-based therapy.

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Psychotherapy