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πŸ•ŠοΈGrief & Loss

Grief and parenthood can coexist. Neither cancels the other out.

Therapists in San Jose, California

"Grief doesn't pause for a pregnancy or a new baby. And no one teaches you how to hold both."
βœ“See a specialist this weekβœ“PMH-C Certified Therapistsβœ“Telehealth Β· see anyone from homeβœ“In-network in California
In network with
Anthem Blue CrossBlue Shield of CaliforniaUnitedHealthcareCVS HealthAetna+9 more

No commitment. We'll confirm your coverage before your first session.

Virtual therapy for San Jose families

You researched the car seat for forty hours, optimized the bottles, automated the feeds tracker, and somehow you're still crying every afternoon at 4pm. In San Jose, where families are used to engineering hard problems, the failure of optimization to fix postpartum depression can feel personal. It is not. Across Willow Glen, Almaden Valley, Santa Clara, and Milpitas, the parents we see are managing high-stakes jobs, expensive childcare, and partners whose on-call rotations don't pause for a baby. Many are first-generation immigrants without family nearby and with cultural frameworks that treat mental health as a private matter. Postpartum anxiety, intrusive thoughts, and birth trauma are medical conditions, not character verdicts. Phoenix Health therapists hold PMH-C certification, the specialty credential in perinatal mental health, and see South Bay clients entirely by secure video. Sessions fit between standups and feedings, from your home office or a parked car. Our clinicians understand the specific pressure of high-achieving environments and the way it can mask real symptoms. You don't have to be in crisis to deserve a conversation.

San Jose neighborhoods: Downtown San Jose Β· Willow Glen Β· Almaden Valley Β· Santa Clara Β· Milpitas

You might benefit from therapy if…

  • βœ“You're carrying a major loss alongside pregnancy or new parenthood, and the two keep colliding
  • βœ“You're grieving a parent who never met the baby, or who can't be here in the way you needed
  • βœ“A previous pregnancy loss is coming back hard during this pregnancy or postpartum
  • βœ“You feel like you're not allowed to grieve because the baby is here and healthy
  • βœ“You're angry at people who don't understand why you're still struggling
  • βœ“You're afraid that grieving will hurt your bond with your baby, or that being happy will betray the person you lost
Dr. Emily Guarnotta

Dr. Emily Guarnotta

Psychologist & Founder

From our founder

Grief in the perinatal period is one of the most underestimated experiences I see. People expect you to be radiant, and meanwhile you're missing someone who isn't here to meet this baby. I tell my clients early that we don't make this smaller. We make space for it. That's a different kind of work, and it does bring peace.

What therapy looks like

Grief work in the perinatal period is paced and personal. There's no single modality. Many Phoenix Health therapists draw on Interpersonal Therapy (IPT), which is well-suited to loss and role transitions, alongside narrative work, somatic approaches, and sometimes EMDR if the loss is traumatic or unresolved. Most therapists hold PMH-C certification and bring training in grief. Early sessions focus on the specific shape of your loss, what feels possible to talk about, and what doesn't yet. The work isn't about getting over anything. It's about integrating the loss so that it can live in your life without taking up all of it. For loss happening now, the work also includes practical support: how to talk to other people, how to handle holidays and milestones, how to take care of yourself during a season that asks a lot. There's no fixed timeline. Some people work for a few months, some for a year or more. Grief therapy tends to deepen over time rather than resolve quickly, and what changes first is usually the day-to-day weight of carrying it.

Our Grief & Loss specialists in San Jose, California

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.

⭐⭐⭐⭐⭐

β€œ"After three failed IVF rounds, I was told to 'just stay positive.' My therapist was the first person who acknowledged the grief, the anger, and the exhaustion and helped me process what I'd been through. I finally felt seen."”

β€” hopeful mom

⭐⭐⭐⭐⭐

β€œWe lost our son at 22 weeks. The world moved on immediately. I was expected to recover, try again, look forward. My therapist helped me understand that the love doesn't go away just because the pregnancy did, and that I was allowed to mourn him as the person he was going to be. That acknowledgment was everything.”

β€” loss mom

⭐⭐⭐⭐⭐

β€œAfter my second miscarriage, everyone told me to stay positive for next time. What I needed was someone to sit with me in the loss, not rush me past it. My therapist gave me that space. She helped me grieve without a timeline, and taught me that grief and hope can exist at the same time. I needed to hear that.”

β€” after two losses

⭐⭐⭐⭐⭐

β€œMy dad died eight weeks before my daughter was born. Everyone at her christening kept saying she looked like him. I couldn't breathe. My therapist helped me find a way to hold the joy and the missing in the same hand. It took time, and it was worth it.”

β€” Joelle, first-time mom

Expert care.
Covered in California.

  • βœ“Aetna (incl. CVS Health, First Health, & Meritain)
  • βœ“BCBS (incl. Anthem, Blue Cross, Blue Shield, & state plans)
  • βœ“Cigna / Evernorth
  • βœ“United Healthcare (UHC) / Optum (incl. UBH, UMR, Surest, Oscar, & Oxford)
  • βœ“Magellan Healthcare

Most clients pay less than $20 per session.

Accepted Insurance Networks

Aetna
Blue Cross Blue Shield
UnitedHealthcare
Cigna
Anthem
+9 more

Ready to start Grief & Loss therapy? Here’s how it works.

The whole process takes about 5 minutes. We handle insurance β€” 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 Β· Most insurance accepted Β· Available this week

Common questions

  • Yes, and it's also worth treating. Many parents feel that loving the baby means they aren't allowed to grieve. That's not true, but the guilt itself can become its own layer that needs care. Therapy gives you permission, and a structure, for holding both.
  • Previous losses often resurface during a new pregnancy or birth. Anniversary reactions, body memories, and the contrast with a current healthy pregnancy can bring it all up again. That's not a sign that earlier work failed. It's a sign that this stage is asking for its own round of processing.
  • Talking about it in a structured, therapeutic way tends to help, not hurt. Avoidance is what tends to make grief heavier over time. Your therapist will pace the work so it never floods you.
  • It varies. Some people see meaningful shifts in 3 to 6 months. Complicated or traumatic grief often takes longer. The goal isn't to be done. It's to find a way to carry it that doesn't take up your whole life.
  • Yes. Phoenix Health provides telehealth therapy to residents of California. 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 California.
  • 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 grief & loss

Navigating the Pain: How to Cope with Due Dates and Anniversaries After a Loss

You may have been having more good days than bad. The initial, raw shock of your loss has softened into a dull ache. And then you look at the calendar and realize it's coming: the day your baby was supposed to be born. Or the one-year anniversary of the day you lost them. Suddenly, the grief comes r…

Read article β†’

What to Say to Someone Who Had a Miscarriage: Words That Help

Read article β†’

Pregnancy After Loss: A Complete Guide to Anxiety and Fear

Read article β†’

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 Β· Covered by insurance Β· Available this week

Learning resources

πŸ•ŠοΈRead our Grief & Loss guides β†’

Often goes alongside

🌻Pregnancy After Loss🌱InfertilityπŸ’”Birth Trauma