Pregnancy doesn't always look the way everyone said it would.
"I'm pregnant and I don't feel the way I'm supposed to feel."
No commitment. We'll confirm your coverage before your first session.
You're pregnant and instead of glowing, you're struggling. You feel low, flat, or exhausted in a way that's different from normal tiredness, or you can't muster the excitement everyone expects from you. Pregnancy is a major hormonal and identity event — and when it doesn't feel good, that's something worth taking seriously.
What you're describing is prenatal depression — depression that occurs during pregnancy, affecting up to 1 in 7 pregnant people and one of the strongest predictors of postpartum depression if left untreated. Learn more about Prenatal Depression therapy →
You might benefit from therapy if…
- ✓You can't shake a low, flat feeling that's been following you through your pregnancy
- ✓You expected to feel excited and instead you feel something closer to dread or numbness
- ✓You're ashamed of how you feel and you haven't told anyone
- ✓You have a history of depression and you feel it coming back
- ✓You're struggling to take care of yourself or attend your prenatal appointments
Dr. Emily Guarnotta
Psychologist & Founder
From our founder
I see clients during pregnancy who tell me they feel guilty for not being more excited. Pregnancy is a major mental, hormonal, and identity event, and it doesn't always feel the way the cards on the shelf promise it will. Treating prenatal depression now is one of the most protective things you can do, for yourself and for the version of you that will meet this baby.
What therapy looks like
Our Prenatal Depression 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 kept waiting for the joy to kick in. My pregnancy was planned, wanted, everything was normal on paper, and I spent most of it just existing. I didn't tell my midwife because I was afraid she'd think I didn't want the baby. My therapist helped me understand that depression doesn't care about your circumstances. Getting treated made my third trimester the only part I actually remember."”
— mom of 2
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“I had a wanted pregnancy that felt like a fog. I wasn't excited, I wasn't bonding, I was just getting through. I was terrified to tell anyone because I thought it meant something was wrong with me as a person, not just my brain chemistry. Therapy helped me show up for the last trimester in a way I didn't think was still possible.”
— mom of 2
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“Everyone told me pregnancy was the happiest time of their lives. I couldn't get out of bed some days. I felt guilty for not feeling what I was supposed to feel, like I was already failing before my son arrived. My therapist was the first person who didn't tell me to think positive. She helped me understand that depression doesn't take nine months off, and that I deserved support.”
— first-time mom
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“I cried every day of my second trimester and pretended I was fine at my OB visits. Once I started therapy I realized I had been depressed since the day I found out. By the time I gave birth I had tools and a therapist who already knew my whole story.”
— Marisol, 36 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.
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 Prenatal Depression 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
- Several SSRIs are considered first-line for moderate to severe depression during pregnancy. The research base is substantial, and untreated depression also carries risks, including preterm birth and postpartum depression. The decision is a conversation between you and a prescriber familiar with perinatal psychiatry. Your therapist can help coordinate that.
- Untreated, chronic, severe depression can affect pregnancy outcomes, which is why getting support matters. But the most protective thing you can do is get treatment. Reaching out is already changing the picture.
- No. Thoughts like that are common in prenatal depression and they pass with treatment. They are a symptom of how you're feeling right now, not a verdict on who you are or who you'll be as a parent.
- Yes. Untreated prenatal depression is one of the strongest predictors of postpartum depression. Addressing it now significantly reduces the risk of a harder postpartum, and it gives you tools and a relationship with a therapist in place before the baby arrives.
- 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 prenatal depression
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 Prenatal Depression guides →Often goes alongside