The first year ends. The hard parts don't always.
Therapists in Sacramento, California
"Everyone asks how the baby is. Nobody asks how I'm doing now that she's two."
+9 moreNo commitment. We'll confirm your coverage before your first session.
Virtual therapy for Sacramento families
You moved to Sacramento for the housing, and the baby came before you'd really made friends here. Your partner is on a 6am train to the Bay. Your closest family is a flight away. Postpartum depression and postpartum anxiety land particularly hard when the local network you assumed would form hasn't yet. Families across Midtown, East Sacramento, Land Park, Natomas, and Elk Grove describe a similar pattern: a recent move, a new neighborhood, a partner whose commute eats the day. Sacramento has good public services for a city its size, but specialist perinatal therapists are limited and wait lists are real. Phoenix Health therapists hold PMH-C certification and see Sacramento clients entirely by secure video. We specialize in postpartum depression, postpartum anxiety, birth trauma, and pregnancy loss, not general mental health with a perinatal sticker on top. Sessions happen from your couch. A free consultation is the simplest way to figure out whether what you're feeling is the kind of thing therapy actually helps with. It usually is.
Sacramento neighborhoods: Midtown · East Sacramento · Land Park · Natomas · Elk Grove
You might benefit from therapy if…
- ✓Your kids are out of infancy and you're finally noticing how much you've been carrying
- ✓You've been telling yourself you'll feel like yourself again once X is over, and X keeps changing
- ✓You're burned out from years of caregiving and you don't see the end of it
- ✓Your marriage has been on autopilot since the baby came and you're ready to look at it
- ✓You're wrestling with career questions that you set aside during the early years
- ✓You've never done much therapy and you're ready to figure out who you are now
Dr. Emily Guarnotta
Psychologist & Founder
From our founder
Year three of parenting is one of the most common times people come to me. The survival fog lifts, the sleep returns enough to feel things, and all the questions that got pushed aside come up at once. This is real, important work, and it's rarely talked about because everyone is busy looking at the newborns.
What therapy looks like
Our Parenting Through the Early Years specialists in Sacramento, California
Most Phoenix Health therapists hold PMH-C certification — the gold standard in perinatal mental health.
Sailys Concepcion
LMHC, LPC, LPCC, PMH-C
Sailys is a bilingual therapist who helps parents navigate the emotional journey of pregnancy, postpartum, infertility, and loss across California, Florida, Georgia, Arizona, Washington, and Louisiana.
Licensed in CA, LA, WA, AZ, GA, FL
Analisa Velasco-Lopez
LCSW
Analisa is a bilingual Licensed Clinical Social Worker in California who offers a holistic and trauma-informed approach to supporting parents through every stage of their family-building journey.
Licensed in CA
Nadine Mejia
LCSW, PMH-C
Nadine is a licensed clinical social worker who helps parents navigate postpartum depression, grief, and major life transitions in California, South Carolina, and Florida.
Licensed in CA, SC, FL
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Natalia Cruz Navarro
LCSW
Natalia Cruz Navarro is a bilingual therapist who supports parents through pregnancy loss, birth trauma, and postpartum mental health challenges in California.
Licensed in CA
Real clients. Real relief.
What our clients say about their experience.
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“"I started therapy when my youngest started preschool and everyone acted like things should be easier now. They weren't easier. I was just exhausted in different ways. My therapist helped me stop waiting for a finish line and start building something that could actually hold up for the long run."”
— mom of 2 in school
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“"My son hit three and became a person with opinions and I lost it completely. I thought I'd handled the postpartum period well but toddlerhood broke me in ways I didn't see coming. My therapist helped me understand that parenting stress doesn't peak at birth, and that getting help at any stage isn't admitting you should have asked sooner."”
— mom of a 3-year-old
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“"My daughter was two and I was still waiting to feel like myself again. I thought postpartum stuff was a newborn thing and I'd missed the window for help. My therapist helped me understand that the transition into parenthood unfolds over years, not weeks, and that the door for support doesn't close at six months."”
— mom of a toddler
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“I told myself I would feel like myself again once my daughter started preschool. She started, and I felt worse. Therapy helped me see I had been postponing my own life for almost four years. Working through that changed everything, including my marriage.”
— Karina, mom of one
Expert care.
Covered in California.
- ✓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)
- ✓Magellan Healthcare
Most clients pay less than $20 per session.
Accepted Insurance Networks
Ready to start Parenting Through the Early Years 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
- Postpartum depression by strict definition occurs in the first year, but depression triggered by motherhood often presents later, sometimes for the first time around weaning, returning to work, a second pregnancy, or a major developmental shift in your child. The label matters less than getting treatment.
- A few reasons. Survival mode often masks depression. Sleep returning lets feelings actually surface. The cumulative load of years of caregiving catches up. And the gap between expectation and reality of motherhood often hits hardest in the toddler and preschool years. None of this means something is wrong with you.
- Both. The patterns set up in pregnancy and the early postpartum period often play out for years afterward, which is exactly why we work with parents past the strict postpartum window. A perinatal-trained therapist will catch things a generalist might miss.
- No. Many people white-knuckle through this phase without addressing what's happening. The fact that you're looking now, rather than at year 15 when something blows up, is forward-thinking. Most clients describe this work as some of the most worthwhile they've ever done.
- Yes. Phoenix Health provides telehealth therapy to residents of California. 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 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 — 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 parenting through the early years
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 Parenting Through the Early Years guides →Often goes alongside