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The anxiety started when you got pregnant. It still hasn't stopped.

"The anxiety started during pregnancy and hasn't gone away."
See a specialist this weekPMH-C Certified TherapistsTelehealth · see anyone from home

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The anxiety showed up during pregnancy — maybe at the first scan, or when you found out — and it hasn't left. Or it waited until after the birth to arrive. Either way, your body has been in a state of high alert for months, and that is exhausting in a way that's different from regular new-parent tired.

This is clinically known as perinatal anxiety — anxiety that spans the full pregnancy and postpartum period — and it's one of the most common and treatable perinatal mental health conditions. Learn more about Perinatal Anxiety therapy →

You might benefit from therapy if…

  • The anxiety started during pregnancy and carried into the postpartum period
  • You have panic attacks, often at night or first thing in the morning
  • You're hyperaware of every physical sensation — yours or the baby's
  • You can't enjoy good moments because you're bracing for what comes next
  • You're wired but also exhausted, and rest feels impossible
Dr. Emily Guarnotta

Dr. Emily Guarnotta

Psychologist & Founder

From our founder

I see anxiety this severe and I want to say the obvious first: this is not your personality. Pregnancy and the postpartum period change your brain chemistry, your sleep, and your sense of identity all at once. Of course something is going to react. The work is figuring out which lever to pull, and that's what a perinatal specialist does well.

What therapy looks like

Perinatal anxiety responds well to a combination of cognitive work, somatic regulation, and, when needed, medication. Cognitive Behavioral Therapy (CBT) is the most widely studied approach, and Acceptance and Commitment Therapy (ACT) is particularly useful when the worry centers on uncertainty about the baby. Most Phoenix Health therapists hold PMH-C certification, so they understand the specific patterns of anxiety in this phase rather than treating it as generic anxiety. Early sessions usually look at when anxiety spikes, what your body does, and what coping you've been doing on your own. From there, the work involves both retraining the thinking patterns that fuel the spiral and giving your nervous system tools to come down. Many people are surprised by how much relief comes from the body work, because pregnancy and postpartum anxiety often live in the body in a way other anxiety doesn't. A typical course of treatment is 12 to 20 sessions, with relief often beginning in the first month. For severe anxiety or panic, your therapist may coordinate with a prescriber, since SSRIs are a first-line treatment and several are considered compatible with pregnancy and breastfeeding for many people.

Our Perinatal Anxiety specialists

Most Phoenix Health therapists hold PMH-C certification — the gold standard in perinatal mental health.

Real clients. Real relief.

What our clients say about their experience.

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"I couldn't sleep during pregnancy and everyone said just wait until the baby comes. But the insomnia wasn't tiredness, it was my mind refusing to let go. I'd lie there cataloging every possible thing that could go wrong. My therapist gave me real tools for a racing brain and taught me the difference between preparation and catastrophizing."

high-risk pregnancy

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"The anxiety started before I even got a positive test. By twenty weeks I had a list of symptoms I was tracking daily and a second opinion scheduled for every scan. My therapist helped me understand that anxiety in pregnancy isn't overcaution, it's a pattern my brain learned. Once I understood it, I could work with it instead of just fighting it."

expecting mom

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"I spent most of my pregnancy convinced something was wrong. Every appointment felt like a countdown to bad news. Therapy helped me actually enjoy the last two months."

first-time mom

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I had panic attacks every morning during my second pregnancy. I thought I had to white-knuckle through it. My therapist taught me how to interrupt the cycle in my body before it got loud. By the third trimester I was sleeping again.

Diana, 32 weeks pregnant

Expert care.
Covered by insurance.

We're in-network with major plans in 10 states so you can receive care without financial stress.

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Most clients pay less than $20 per session.

We verify your benefits before your first session — no surprises on cost.

Accepted Insurance Networks

Aetna
Blue Cross Blue Shield
UnitedHealthcare
Cigna
Anthem
+9 more

Ready to start Perinatal Anxiety therapy? Here’s how it works.

The whole process takes about 5 minutes. We handle insurance — you just show up.

  1. 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. 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. 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 · Most insurance accepted · Available this week

Common questions

  • Many anxiety medications, particularly certain SSRIs, are considered first-line options and are used during pregnancy and breastfeeding when the clinical picture calls for it. The decision should be made with a prescriber who knows perinatal psychiatry. Your therapist can help you think it through and coordinate care, and untreated severe anxiety also carries risks worth weighing.
  • Yes, very much so. Health-focused anxiety is one of the most common forms in this phase, and it responds well to therapy that focuses on learning to live with uncertainty rather than trying to resolve it. ACT is often especially helpful here.
  • For some people it's an old anxiety that flared in a new context. For others it's a first episode triggered by hormonal, identity, and sleep changes. Either way, perinatal anxiety has specific patterns and triggers that a generalist may miss, which is why working with a perinatal-trained therapist tends to be faster and more effective.
  • Chronic untreated anxiety can affect both you and the baby, which is why getting support matters. But the anxiety you're feeling right now is not damaging your baby. What's most protective is getting treatment, which is exactly what you're doing by looking for it.
  • PMH-C (Perinatal Mental Health Certification) is awarded by Postpartum Support International (PSI) to clinicians who have completed advanced training in perinatal mental health — covering postpartum depression, anxiety, OCD, birth trauma, and related conditions. It represents the gold standard of specialization in this field.
  • If you're struggling — with your mood, your thoughts, your relationship, or just how you're coping — 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 perinatal anxiety

How to Stop Overthinking at Night: A New Mom’s Guide

It’s late, your baby is finally asleep, and you should be resting, too. But instead, your mind won’t stop racing. Did I feed the baby enough? Am I doing this right? Will I ever feel like myself again? If this sounds familiar, you’re not alone. Nighttime overthinking is a common struggle for new moms…

Read article →

Coping with an Unplanned Pregnancy: Your Emotions, Your Options, Your Support

Shock, guilt, and fear after an unplanned pregnancy are normal, not signs something is wrong with you. This guide walks through all three options without pressure, plus grounding tools for today and when to reach out for support.

Read article →

Manage Pregnancy Anxiety: Calm Tips for Moms-to-Be

Pregnancy is often pictured as a time of pure joy and glowing anticipation. While it certainly holds immense excitement, it's also a period of profound change – physically, emotionally, and socially. For many expecting mothers, this transition brings not just joy, but also worries and anxieties. If …

Read article →

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.

  • Parents.com
  • Postpartum Support International
  • Healthline
  • HuffPost
  • Fatherly
  • Choosing Therapy

The sooner you start,
the sooner you'll
feel like yourself again.

You've been surviving. It's time to start healing.

No commitment · Covered by insurance · Available this week

Learning resources

🌊Read our Perinatal Anxiety guides →

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