Your hormones and your mood are not separate things.
Therapists in Spokane, Washington
"My mood tracks my cycle so precisely it scares me. No one told me hormones could do this."
+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 · North Spokane · Spokane Valley · Liberty Lake
You might benefit from therapy if…
- ✓Your mood swings track your cycle, your postpartum recovery, or perimenopause in ways that feel beyond your control
- ✓You've been told you have anxiety or depression and you suspect it's more cyclical than constant
- ✓You're postpartum and the hormonal crash is hitting harder than anyone warned you it would
- ✓You think you might have PMDD and you've been dismissed by providers
- ✓You're in perimenopause and the mood symptoms are derailing your life
- ✓You've had thyroid issues identified or suspected, and the mental health side is real
Dr. Emily Guarnotta
Psychologist & Founder
From our founder
Women get told their symptoms are anxiety for years before someone tests their thyroid. They get told they have depression when their symptoms are actually PMDD. The hormonal piece is real, it's often missed, and a perinatal-trained therapist will think about it with you instead of dismissing it.
What therapy looks like
Your therapist
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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“"Nobody told me that postpartum thyroid issues could look exactly like anxiety and depression. I spent eight months thinking I was losing my mind before someone finally ran a full panel. My therapist helped me manage the mental health piece while my thyroid was being treated. Understanding there was a physical cause was both devastating and a huge relief."”
— postpartum thyroid mom
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“"My OB told me the PMDD would get better after having a baby. It didn't. If anything, the hormonal swings got more intense and less predictable. My therapist helped me track what was happening over my cycle and understand the connection between my hormone fluctuations and my mental health. Having a map made it less terrifying."”
— mom of 2
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“"I weaned at eleven months and fell off a cliff. I knew logically that hormones were involved but knowing it and experiencing it are two different things. I couldn't get out of bed. I couldn't stop crying. My therapist helped me hold the space between this is physiological and I also need real support, and helped me figure out which professionals I needed on my team."”
— mom of 1
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“I had been on antidepressants for six years and they helped some, but not enough. Tracking my symptoms in therapy made it obvious my worst weeks were cycle-linked. We added a luteal-phase adjustment with my prescriber and the difference was night and day.”
— Hilary, PMDD
Expert care.
Covered in Washington.
- ✓Aetna (incl. CVS Health, First Health, & Meritain)
- ✓BCBS (incl. Anthem, Blue Cross, Blue Shield, & state plans)
- ✓Cigna / Evernorth
- ✓United Healthcare (UHC) / Optum (incl. UBH, UMR, Surest, Oscar, & Oxford)
Most clients pay less than $20 per session.
Accepted Insurance Networks
Ready to start Hormonal 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
- They're often both. The clearest sign of a hormonal contributor is cyclical pattern: symptoms that show up reliably at certain points in your cycle, postpartum stage, or hormonal transition. Tracking symptoms over a few months usually makes the pattern obvious. Your therapist can help you see it and coordinate the right kind of care.
- No. PMDD is a specific, severe condition affecting about 5% of menstruating people, with symptoms that significantly impair functioning in the week or two before menstruation. It is recognized by the DSM and responds to specific treatments, including certain SSRIs taken either continuously or in the luteal phase. It is not bad PMS.
- Absolutely. Many women experience a first depression or anxiety episode in postpartum, perimenopause, or with thyroid dysfunction. Hormonal events can unmask vulnerability that was previously quiet. That doesn't mean it's purely hormonal forever, but the hormonal piece is often a real part of the picture.
- Sometimes, especially for milder symptoms. For more significant hormonal mental health issues, a combination of therapy, medical care, and sometimes medication tends to work best. The right therapist will help you build that team.
- Yes. Phoenix Health provides telehealth therapy to residents of Washington. Sessions are conducted via secure video from your home, office, or anywhere private — 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 — 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 hormonal 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 Hormonal Health guides →Often goes alongside