Motherhood didn't give you ADHD β it just took away every coping system you had.
Therapists in Spokane, Washington
"I've always been scattered, but motherhood broke every system I had. I can't keep up with anything."




+9 moreNo commitment. We'll confirm your coverage before your first session.
Virtual therapy for Spokane families
You have never been a therapy person, your family is not a therapy family, and you also have not felt like yourself since the baby came home. Postpartum depression and perinatal anxiety in Spokane often arrive in parents who never expected to need this kind of care, and that surprise can delay reaching out by months. Families across South Hill, North Spokane, Spokane Valley, and Liberty Lake are dealing with a regional shortage of specialist perinatal therapists. Eastern Washington has fewer PMH-C certified clinicians than the west side of the Cascades, and the local culture can be more skeptical of therapy in general. Phoenix Health therapists hold PMH-C certification, the specialty credential in perinatal mental health, and see Spokane clients entirely by secure video. We specialize in postpartum depression, perinatal anxiety, birth trauma, and pregnancy loss, and accept major Washington insurance plans including Aetna, BCBS, Cigna, and UHC. You do not have to cross the Cascades for the right kind of care.
Spokane neighborhoods: South Hill Β· North Spokane Β· Spokane Valley Β· Liberty Lake
You might benefit from therapy ifβ¦
- βYou've always been scattered, and motherhood has made it unmanageable
- βYou're overwhelmed by decisions, transitions, and the constant context-switching of parenting
- βYou've been treated for anxiety or depression and it hasn't fully resolved
- βYour child has been diagnosed with ADHD and you're recognizing yourself in their evaluation
- βYou're forgetting appointments, losing things, missing deadlines in ways that scare you
- βYou're emotionally dysregulated in ways that don't feel like classic depression or anxiety

Dr. Emily Guarnotta
Psychologist & Founder
From our founder
So many of the high-functioning women I see for postpartum anxiety turn out, on closer look, to have ADHD that motherhood finally surfaced. Once we recognize it and treat it, the picture changes dramatically. I tell my clients that you didn't fail at motherhood. The systems you used your whole life just couldn't survive sleep deprivation, and that's information, not a verdict.
What therapy looks like
Your therapist
Most Phoenix Health therapists hold PMH-C certification β the gold standard in perinatal mental health.
Real clients. Real relief.
What our clients say about their experience.
βββββ
β"Nobody told me that having a baby could make ADHD so much worse. The constant context-switching, the sleep deprivation, the demands from every direction at once. My brain wasn't built for this without support. My therapist helped me stop blaming myself and start building in accommodations that actually worked for how I think."β
β ADHD mom of 2
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β"I got diagnosed with ADHD when my daughter was six months old. Suddenly my whole life made sense: the forgotten appointments, the emotional dysregulation, the crushing executive dysfunction in early motherhood. My therapist helped me grieve the years I'd spent thinking I was just bad at being a person, and helped me actually get the support I'd needed all along."β
β late-diagnosed ADHD mom
βββββ
β"I'd managed my ADHD pretty well for most of my adult life with systems and routines. A newborn destroyed every system I had. The overwhelm was on a completely different level. My therapist helped me understand that ADHD in new parenthood isn't the same as ADHD in normal life, and helped me figure out what support actually looked like in this season."β
β ADHD mom
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βI had been treated for anxiety for years. Postpartum it got worse and I couldn't function. My therapist asked me a few questions and gently suggested an ADHD evaluation. The diagnosis changed everything. I am medicated, structured, and a much better mother and version of myself.β
β Charlotte, ADHD diagnosed at 34
Expert care.
Covered in Washington.
- βAetna (incl. CVS Health, First Health, & Meritain)
- βBCBS (incl. Anthem, Blue Cross, Blue Shield, & state plans)
- βCigna / Evernorth
- βUnited Healthcare (UHC) / Optum (incl. UBH, UMR, Surest, Oscar, & Oxford)
Most clients pay less than $20 per session.
Accepted Insurance Networks





Ready to start ADHD & Parenting therapy? Hereβs how it works.
The whole process takes about 5 minutes. We handle insurance β you just show up.
- 1
Book your free call
A quick 15-minute chat to hear what you're going through, answer your questions, and make sure we're a great fit for your needs. No cost, no commitment.
- 2
Get matched
We'll pair you with the right specialist for your specific situation. We'll also check your insurance, so you know your exact cost per session before moving forward.
- 3
Start your first session
Meet your therapist from the comfort of home. No commute, no waiting rooms, no judgment. Most clients notice a real difference within just 2 to 3 sessions.
No commitment Β· Most insurance accepted Β· Available this week
Common questions
- Overwhelm in motherhood is normal. ADHD adds a specific, lifelong pattern of executive function difficulties that predates the baby. If you can look back at your life and see the same patterns of distractibility, forgetfulness, and emotional dysregulation showing up in school, work, and relationships, ADHD is worth evaluating. Your therapist can help you decide whether a formal evaluation makes sense.
- It doesn't newly develop, but it can become visible for the first time. Many women have compensated successfully their whole lives until motherhood removed the conditions that allowed those workarounds. That's the most common pattern of late female diagnosis.
- Some ADHD medications are used in pregnancy and breastfeeding under medical supervision. The decision involves weighing the impact of untreated ADHD against the medication. A reproductive psychiatrist or a perinatal-trained prescriber is the right person to walk you through it. Your therapist can help coordinate.
- ADHD therapy is more structured, more practical, and focuses more on external systems and executive function than general talk therapy. It also addresses the emotional impact (shame, frustration, comparison) that decades of undiagnosed ADHD usually leave behind. A therapist who knows ADHD specifically will work very differently from one who doesn't.
- Yes. Phoenix Health provides telehealth therapy to residents of Washington. Sessions are conducted via secure video from your home, office, or anywhere private β no commute required. All Phoenix Health therapists are licensed and authorized to practice in Washington.
- PMH-C (Perinatal Mental Health Certification) is awarded by Postpartum Support International (PSI) to clinicians who have completed advanced training in perinatal mental health β covering postpartum depression, anxiety, OCD, birth trauma, and related conditions. It represents the gold standard of specialization in this field.
- If you're struggling β with your mood, your thoughts, your relationship, or just how you're coping β that's enough of a reason to talk to someone. You don't need a diagnosis. A free consultation is a low-commitment first step.
From the Phoenix Health resource center
Articles and guides about adhd & parenting
Trusted by leading voices in parenting and mental health
OBs, doulas, and pediatricians refer their patients to us because we specialize in maternal mental health.
The sooner you start,
the sooner you'll
feel like yourself again.
You've been surviving. It's time to start healing.
No commitment Β· Covered by insurance Β· Available this week
Learning resources
π§ Read our ADHD & Parenting guides βOften goes alongside






