The exhaustion isn't just physical anymore.
"The baby finally sleeps and I lie there wide awake. I'm exhausted and I can't turn my brain off."
No commitment. We'll confirm your coverage before your first session.
The baby is sleeping and you still can't. Your mind won't turn off. Or the tiredness has gone so deep that it's affecting your mood, your thinking, and your relationships in ways that feel like more than just tiredness. Sleep deprivation and mental health are tightly linked — and the connection goes both ways.
Sleep disruption and mental health have a bidirectional relationship — sleep deprivation can trigger or worsen depression and anxiety, and mental health conditions can make sleep impossible. A perinatal-trained therapist can work with both. Learn more about Sleep & Mental Health therapy →
You might benefit from therapy if…
- ✓You can't fall asleep even when you finally have the chance
- ✓Your thinking feels foggy, slow, or disconnected in ways that worry you
- ✓The exhaustion has moved into your mood — you feel flat, irritable, or without hope
- ✓You've been told it's just new-parent sleep deprivation but something feels deeper
- ✓The combination of not sleeping and not feeling okay is becoming hard to sustain
Dr. Emily Guarnotta
Psychologist & Founder
From our founder
Sleep is one of the most under-treated mental health interventions in postpartum care. Parents are told it's just part of having a baby, and meanwhile their depression and anxiety get worse and worse. CBT-I is one of the most effective tools we have, and it works even when the baby is still waking. That's the part most parents don't know.
What therapy looks like
Our Sleep & Mental Health specialists
Most Phoenix Health therapists hold PMH-C certification — the gold standard in perinatal mental health.
Amanda Flowers
LPC, PMH-C
Works with perinatal OCD and neurodivergence, using body-based tools to calm the nervous system.
Licensed in TX, MT
Lyndsay Ward
LCSW, PMH-C
An attachment theory expert who helps you unpack how your childhood shows up in your parenting.
Licensed in NY
Analisa Velasco-Lopez
EspañolLCSW
A toddler mom herself, she helps parents heal from difficult births.
Licensed in CA
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Natalia Cruz Navarro
EspañolLCSW
12+ years with families through high-risk pregnancies, fetal diagnoses, and NICU stays.
Licensed in CA
Real clients. Real relief.
What our clients say about their experience.
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“"I couldn't sleep when the baby slept. I'd lie down and my brain would race with everything I was supposed to be doing or worried about. Eight months in I was running on maybe three hours a night and starting to scare myself. My therapist and I figured out that the insomnia was a symptom and worked backward from there."”
— working mom, postpartum
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“"Sleep deprivation hit me harder than it hit my husband and I couldn't understand why. My therapist helped me see that I was wired for alertness from anxiety that predated the baby. We worked on the anxiety, which turned out to be what was keeping me awake, not my son."”
— first-time mom
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“"My baby started sleeping through the night at four months and I didn't. I'd lie awake listening for sounds that weren't there and check the monitor twelve times. My therapist helped me understand that my nervous system had been running on high alert for so long it didn't know how to come down even when it was safe to. Relearning how to rest was real work."”
— mom of 1
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“I had been awake every night from 3 to 5 a.m. for four months. Not the baby, just me. CBT-I felt strange at first because some of the techniques are counterintuitive. Within six weeks I was sleeping again, and my anxiety dropped almost without me trying.”
— Liana, 5 months postpartum
Expert care.
Covered by insurance.
We're in-network with major plans in 10 states so you can receive care without financial stress.
Most clients pay less than $20 per session.
We verify your benefits before your first session — no surprises on cost.
Accepted Insurance Networks
Ready to start Sleep & Mental Health therapy? Here’s how it works.
The whole process takes about 5 minutes. We handle insurance — 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 · Most insurance accepted · Available this week
Common questions
- Yes. CBT-I works even when sleep is fragmented by an external factor like a baby. The goal isn't to give you eight straight hours. It's to help you fall asleep faster when you have the chance, get back down after night feeds, and stop the insomnia that piles on top of the disruption the baby is already causing.
- Pregnancy sleep disruption is very common, especially in the third trimester, due to physical discomfort, frequent urination, and hormonal changes. But true insomnia (difficulty falling asleep or staying asleep even when comfortable, with significant daytime impact) is different from typical pregnancy sleep changes and worth treating.
- Some sleep aids are used in pregnancy and breastfeeding under medical supervision, but CBT-I is typically tried first because it works as well or better and doesn't involve medication. Your therapist can help you weigh options with a prescriber if needed.
- Often both. Hypervigilance around the baby can fuel insomnia, and insomnia can amplify anxiety. Treating both at once tends to work better than treating one in isolation. A perinatal-trained therapist will look at both pieces.
- 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 sleep & mental health
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 · Covered by insurance · Available this week
Learning resources
🌙Read our Sleep & Mental Health guides →Often goes alongside