Online Perinatal Therapy for Adults in Maine & New Hampshire

Becoming a parent changes nearly everything: your body, your sleep, your relationships, your sense of who you are. Even when it’s wanted, even when it’s joyful, it can leave you anxious, overwhelmed, grieving, or unsure who you’ve become. You don’t have to be in crisis to get support, and you don’t have to wait until it feels bad enough.

I provide online therapy for adults located in Maine or New Hampshire who are pregnant, postpartum, or navigating the transition to parenthood. I’m Perinatal Mental Health Certified (PMH-C) through Postpartum Support International, with additional training in trauma and EMDR.

How I work with the perinatal period

A lot of my work focuses on the developmental shift itself. This transition is called matrescence, and it’s a major life stage, much like adolescence, with changes in your body, brain, relationships, priorities, and identity. Many people feel the shift is unspoken, so the confusion and mixed feelings can feel like personal failure. They aren’t. Naming the transition often helps people feel less alone in it.

In our work, we might focus on:

• Identity changes: who you are now, what you’ve lost, what you’re growing into
• Anxiety and overwhelm, including the constant “what if” thinking that comes with a baby
• Mood changes, including depression, irritability, and numbness
• Birth experiences that were frightening, painful, or didn’t go the way you hoped
• Relationship shifts with a partner, family, friends, or your own parents
• Boundaries and expectations, especially around “good mother” pressure
• Pregnancy, loss, and infertility [confirm what you offer]
• Old patterns and early experiences that parenthood brings up

Who this is for

I work with adults who are:

• Pregnant and feeling anxious, low, or unprepared
• Postpartum and struggling, whether it’s been weeks or years
• Dealing with a difficult or traumatic birth
• Experiencing a loss during pregnancy or after birth
• Adjusting to adoption, surrogacy, or other paths to parenthood
• Partners supporting someone through the perinatal period
• Parents of older children who are only now recognizing how hard the early years were

What I assess, and what I refer out

I assess and monitor for all perinatal mood and anxiety disorders, including depression, anxiety, trauma-related symptoms, obsessive-compulsive symptoms, bipolar disorders, and postpartum psychosis. That means I’m paying attention to how you’re doing throughout our work and checking in on symptoms that need more specialized care.

My specialty is not OCD, bipolar disorder, or psychosis. If I see signs of any of these, I’ll talk with you openly about it, help you connect with a provider who specializes in it, and coordinate care with your other providers if you’d like. Depending on what’s going on, I may continue to work with you alongside that care, or support you in transitioning to someone else.

If you ever feel confused, out of touch with reality, or at risk of harming yourself or your baby, that’s an emergency. Call 911 or go to the nearest emergency room.

How I treat perinatal concerns

I use a blend of evidence-based approaches, tailored to you.

• CBT to work with anxious thoughts, perfectionism, and unhelpful beliefs about what a “good parent” should feel or do
• DBT skills to handle intense emotions and overwhelm in the moment
• EMDR when a birth experience, loss, or earlier trauma is still carrying weight [link to EMDR page]
• Mindfulness and body-based practices to settle your nervous system, especially when sleep is thin and stress is high
• Attachment-informed work to look at patterns in relationships, including how you were cared for and how you want to care for others

Some clients want practical tools for the next few weeks, and others want to understand the bigger shift. Both are valid, and we’ll shape the work around what you need.

What online therapy looks like for parents

Online sessions mean no commute, no childcare logistics, and the chance to meet from a place that feels comfortable. I understand that life with a baby isn’t predictable, and that sessions may be interrupted or need rescheduling. Babies and young kiddos are always welcome to session with you, but if you need to cancel or reschedule I do require 48 hours notice, per practice policy.

I provide therapy to adults who are located in New Hampshire or Maine at the time of the session. In New Hampshire, I’m licensed as an LCMHC and MLADC. In Maine, I’m licensed as an LCPC.

frequently asked Questions

Do I have to be in crisis to start?
No. Many people come in because something feels off, or because they want support before things get heavier.

Is it too late if my baby is older?
No. Many people realize they’ve been struggling long after the first year. There’s no deadline.

Can I come while I’m pregnant?
Yes. Support during pregnancy can make the postpartum period easier, and anxiety or low mood often start before birth.

Do you prescribe medication?
No. I provide therapy. If medication might help, I can coordinate with your OB, midwife, primary care provider, or a prescriber.

Will I be judged for what I tell you?
No. I’ve heard the thoughts people are afraid to say out loud, and my job is to listen and help you sort through them, not to judge.

What if I’m having scary or intrusive thoughts?
Unwanted thoughts are common after having a baby. I’ll listen, help you understand what’s happening, and talk with you about whether it’s something I can support or whether a specialist in OCD or related concerns would be a better fit.

Do you work with partners?
I’m happy to work with you if someone you love is struggling, whether that’s supporting them through symptoms or coping with how it affects you. I provide individual therapy only, so I don’t offer family or couples therapy.

How many sessions will I need?
It depends on what you’re dealing with and what you want from therapy. We’ll review progress together.

Do you take insurance?
Yes. Learn more here.

Do you offer a free consultation?
Yes. I offer a free 15-minute consultation that you can book here. It’s a chance to talk about what’s going on and see if we’re a good fit.

Resources

If you need support right now, you can reach:

• 988 (call or text), for crisis or thoughts of self-harm
• National Maternal Mental Health Hotline: 1-833-TLC-MAMA (1-833-852-6262), free, confidential, 24/7
• Postpartum Support International HelpLine: 1-800-944-4773
• NH Mom Hub (New Hampshire): call or text 603-403-3400, Monday through Friday during business hours (not an emergency service)
• Maine: 211 Maine, or the Maine Crisis Line at 1-888-568-1112

Ready to talk?

You don’t need to have it all figured out. If you’re curious about working together, I offer a free consultation for adults in Maine and New Hampshire.

This page is for education and isn’t a substitute for professional mental health care.