Perinatal Mood and Anxiety Disorders
The birth of a child is a time of intense transition. Many pregnant or postpartum women or birthing persons, partners, and adoptive parents experience anxiety, moodiness, and identity concerns as they become parents. What’s more, an estimated 15-20% of people experience significant symptoms of postpartum depression, anxiety, or another perinatal mood or anxiety disorder (PMAD).
I have specialized training in the diagnosis, assessment, and treatment of PMADS and work frequently with pregnant and postpartum women and their families around topics such as family role shifts, relationship concerns, transitions back to work, and adjustment to parenting. I also work with people who have experienced traumatic births. To best meet the needs of pregnant and postpartum clients, I offer phone and Skype session as needed. Babies are also welcome to join you in session, although you may find it helpful to have therapy remain a space just for you
Perinatal loss is a common occurrence in the process of family that remains deeply enshrouded in silence and shame. As a result of this silencing, many women and their families experience unacknowledged grief or don’t have the space to grieve at all, feel alone in their experience, and blame themselves. I have experience supporting families after miscarriage, stillbirth, postpartum losses, pregnancy terminations, and selective reduction. I also work frequently with women and families who are trying to conceive or are pregnant after experiencing a perinatal loss. In addition to individual therapy, I offer couples therapy and group support for those who have experienced a loss.
An estimated one out of every ten couples have difficulty conceiving. Navigating the process of family building with fertility concerns can be a deeply isolating, stressful, physically taxing, and emotionally consuming experience. I have experience supporting women and families through the diagnosis of infertility, fertility treatment, recurrent pregnancy losses, and through decisions around pregnancy termination for medical reasons and selective reduction.
I strongly believe in the importance of an expanded understanding of gender and sexuality that honors each individual's unique experience and expression of identity. I work hard to provide a safe, supportive and affirming atmosphere for my LGBTQ clients. I have helped support queer identified clients with a variety of concerns including but not limited to coming out, identity concerns, relationship challenges, and family building. I also have experience supporting individuals who identify as transgender, gender non-conforming, gender queer, and those in poly/non-monogamous relationships.
Anxiety is the body’s natural way of preparing us to react to perceived threats in the environment. It is a normal, expected, and necessary emotion. Anxiety can become problematic when it feels overwhelming, persistent, uncontrollable, and interferes with everyday life.
As anxiety has many causes and can manifest in many ways, I believe in an integrative approach to treatment. Generally, I begin with a more active, symptom focused approach such as Cognitive Behavioral Therapy (CBT) to help you gain a greater sense of mastery over your anxiety. I then integrate Mindfulness-Based Techniques and ACT-based interventions to help you reframe your relationship to your anxiety.