Your baby's life was fought for. So were you β and that leaves a mark.
Therapists in Spokane, Washington
"I should feel grateful my baby is alive. Instead I feel traumatized and no one understands why."




+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 Β· North Spokane Β· Spokane Valley Β· Liberty Lake
You might benefit from therapy ifβ¦
- βYour baby spent time in the NICU or you had a high-risk pregnancy, and the trauma is still with you
- βYou can't talk about it without crying, or you can't talk about it at all
- βYou're hypervigilant about your baby's health long after discharge, in ways that don't feel proportionate
- βYou feel guilty for being traumatized when your baby is home and healthy
- βYou can't imagine being pregnant again, or you're terrified at the idea
- βYou have flashbacks, intrusive memories, or panic around hospitals and medical settings

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
Your therapist
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.
βββββ
β"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
β NICU and preemie mom
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β"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
β high-risk pregnancy
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β"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
β NICU mom
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βMy 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
β Bri, NICU mom
Expert care.
Covered in Washington.
- βAetna (incl. CVS Health, First Health, & Meritain)
- βBCBS (incl. Anthem, Blue Cross, Blue Shield, & state plans)
- βCigna / Evernorth
- βUnited Healthcare (UHC) / Optum (incl. UBH, UMR, Surest, Oscar, & Oxford)
Most clients pay less than $20 per session.
Accepted Insurance Networks





Ready to start NICU & High-Risk Pregnancy therapy? Hereβs how it works.
The whole process takes about 5 minutes. We handle insurance β 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 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 Washington. 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 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 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
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 Β· Covered by insurance Β· Available this week
Learning resources
π₯Read our NICU & High-Risk Pregnancy guides βOften goes alongside






