Questions? Call or text anytime πŸ“ž 818-446-9627
πŸ₯NICU & High-Risk Pregnancy

Your baby's life was fought for. So were you β€” and that leaves a mark.

Therapists in Montana

"I should feel grateful my baby is alive. Instead I feel traumatized and no one understands why."
βœ“See a specialist this weekβœ“PMH-C Certified Therapistsβœ“Telehealth Β· see anyone from homeβœ“In-network in Montana
In network with
AetnaCigna+9 more

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

You might benefit from therapy if…

  • βœ“Your baby spent time in the NICU or you had a high-risk pregnancy, and the trauma is still with you
  • βœ“You can't talk about it without crying, or you can't talk about it at all
  • βœ“You're hypervigilant about your baby's health long after discharge, in ways that don't feel proportionate
  • βœ“You feel guilty for being traumatized when your baby is home and healthy
  • βœ“You can't imagine being pregnant again, or you're terrified at the idea
  • βœ“You have flashbacks, intrusive memories, or panic around hospitals and medical settings
Dr. Emily Guarnotta

Dr. Emily Guarnotta

Psychologist & Founder

From our founder

NICU parents often arrive in therapy minimizing what they went through. They'll tell me their baby is fine, as if that means they shouldn't still be carrying anything. I tell them the same thing every time: the outcome doesn't cancel the experience. What you lived through deserves treatment.

What therapy looks like

Therapy for NICU and high-risk pregnancy trauma is trauma-informed. EMDR is widely used because it lets the brain reprocess the experience without requiring you to retell every detail. Trauma-Focused CBT is another effective approach. Most Phoenix Health therapists hold PMH-C certification, and several have additional trauma training. Early sessions focus on stabilization and on naming exactly what was traumatic about your experience, since many NICU parents have never been given permission to call it trauma. From there the work involves processing specific moments (alarms, conversations with doctors, the discharge itself), addressing hypervigilance about the baby's health that has outlasted the medical need, and treating any anxiety, depression, or guilt that's sitting on top. Many parents start months or years after discharge, because that's when symptoms surface most clearly. Most clients see meaningful improvement in 12 to 20 sessions of consistent work.

Your therapist

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

NICU & High-Risk Pregnancy in Montana β€” browse by city

Billings β†’Missoula β†’

Real clients. Real relief.

What our clients say about their experience.

⭐⭐⭐⭐⭐

β€œ"My son came home after seven weeks in the NICU with a monitor and a feeding schedule that looked like a hospital chart. I was managing a medically complex baby while recovering from a traumatic birth, alone in our house with no nursing staff. My therapist was the only place I had to fall apart safely."”

β€” NICU and preemie mom

⭐⭐⭐⭐⭐

β€œ"I was high risk for most of my pregnancy. Every week felt conditional. When she arrived healthy, I expected relief. What I got instead was a crash: all the fear I'd been white-knuckling through finally had somewhere to go. My therapist helped me process nine months of terror that I hadn't been allowed to show."”

β€” high-risk pregnancy

⭐⭐⭐⭐⭐

β€œ"My daughter was in the NICU for nine weeks. I went home every night to an empty room and came back every morning to a baby I was afraid to love because I was terrified she'd be taken from me. My therapist helped me understand that the emotional distance I felt was protection, not failure. Slowly I let her in."”

β€” NICU mom

⭐⭐⭐⭐⭐

β€œMy son was in the NICU for 41 days. I held it together the whole time. Six months after we came home I had a panic attack at a routine pediatrician appointment. EMDR was the thing that finally moved it.”

β€” Bri, NICU mom

Expert care.
Covered in Montana.

  • βœ“Aetna (incl. CVS Health, First Health, & Meritain)
  • βœ“Cigna / Evernorth

Most clients pay less than $20 per session.

Accepted Insurance Networks

Aetna
Blue Cross Blue Shield
UnitedHealthcare
Cigna
Anthem
+9 more

Mental health parity in Montana

Montana's mental health parity law (Montana Code Annotated Β§ 33-22-706) requires insurers offering large group plans in the state to provide mental health benefits at parity with medical and surgical benefits β€” no lower visit limits, no higher cost-sharing, no more restrictive prior authorization requirements for mental health than for comparable physical health care. Montana is also subject to the federal Mental Health Parity and Addiction Equity Act (MHPAEA), which extends parity requirements to individual and small group plans as well as employer-sponsored coverage. If your insurer imposes restrictions on mental health benefits that would not apply to an equivalent medical service, you have the right to appeal and to request the medical necessity criteria used in the denial. Complaints can be filed with the Montana Commissioner of Securities and Insurance.

Crisis support: Montana 988 Lifeline β€” 988

Ready to start NICU & High-Risk Pregnancy 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. Trauma is about the experience, not the outcome. You can be deeply grateful for the outcome and deeply affected by what it took to get there. Both are true. Therapy makes space for both.
  • During the NICU stay, you were in survival mode. Adrenaline, structure, and focus on the baby often delay emotional processing. When you go home, that scaffolding lifts, and the trauma can surface. This is extremely common and very treatable.
  • Yes. High-risk pregnancy alone can be traumatic, especially when you spent months waiting for something to go wrong. Many of our clients experienced no NICU stay but came out of pregnancy itself with significant trauma symptoms.
  • Yes, this is one of the most rewarding pieces of work. Processing the first experience before another pregnancy can dramatically change how you experience the next one. Many clients come in specifically for this.
  • Yes. Phoenix Health provides telehealth therapy to residents of Montana. 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 Montana.
  • 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 nicu & high-risk pregnancy

Therapy Options for NICU and High-Risk Pregnancy Trauma

If you're ready to start therapy for trauma after a NICU stay or high-risk pregnancy, here's what the main treatment approaches actually involve and how to find a therapist trained to use them.

Read article β†’

Healing from an Unplanned C-Section: A Guide to Emotional Recovery

The moment a baby enters the world is meant to be one of pure joy. Yet, for many, the path to parenthood takes an unexpected turn through an unplanned or emergency cesarean section. If your birth experience left you feeling shocked, overwhelmed, profoundly sad, or even numb, you might be carrying th…

Read article β†’

How to Talk to Your Partner After a NICU Stay

NICU parents often emerge from the experience with unprocessed grief, anxiety, and trauma that can take months to surface. Talking to a partner about what the NICU was really like β€” and what it left behind β€” is one of the harder conversations of the postpartum period. Here's how to navigate it.

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₯Read our NICU & High-Risk Pregnancy guides β†’

Often goes alongside

πŸ’”Birth Trauma🌊Perinatal AnxietyπŸ•ŠοΈGrief & LossπŸ’­Postpartum Anxiety