Anxiety doesn't care that this is supposed to be a happy time.
Therapists in El Paso, Texas
"The anxiety started during pregnancy and hasn't gone away."



+9 moreNo commitment. We'll confirm your coverage before your first session.
Virtual therapy for El Paso families
El Paso sits 800 miles from Houston, closer to Los Angeles than to Dallas, in the far western corner of a state that often forgets it. The city is majority Latino, has a large active-duty military population at Fort Bliss, and has a mental health infrastructure that reflects its geography and its funding: limited perinatal specialists, long wait times, and a cultural expectation in both Mexican-American and military communities that you handle things inside the family. Postpartum depression and perinatal anxiety don't respond to that expectation. They also don't respond to the geographic reality of being in one of the most isolated large cities in the country. A PMH-C certified therapist within reasonable driving distance is genuinely hard to find in El Paso. Most families end up on wait lists, or going without, or navigating care across the border, which is its own logistical complexity. William Beaumont Army Medical Center (WBAMC) is the primary military healthcare facility at Fort Bliss. Military families dealing with postpartum or perinatal mental health can access TRICARE-covered telehealth, which removes the wait and the drive. Phoenix Health therapists hold PMH-C certification and typically see El Paso clients within one week of intake, by secure video. We accept TRICARE for active-duty dependents and major civilian insurance plans. For families in West El Paso, East El Paso, Horizon City, and Socorro, telehealth is the most practical path to a perinatal specialist without the wait.
El Paso neighborhoods: West El Paso Β· East El Paso Β· Northeast El Paso Β· Horizon City Β· Socorro
You might benefit from therapy ifβ¦
- βAnxiety started in pregnancy and hasn't lifted since
- βYou have panic attacks, often at night or first thing in the morning
- βYou're hyper-aware of every physical sensation, your baby's movements, your own breathing
- βYou can't enjoy good moments because you're bracing for what comes next
- βYou're sleep-deprived but also wired, and rest feels impossible
- βYou're managing it alone because you don't want to worry your partner

Dr. Emily Guarnotta
Psychologist & Founder
From our founder
I see anxiety this severe and I want to say the obvious first: this is not your personality. Pregnancy and the postpartum period change your brain chemistry, your sleep, and your sense of identity all at once. Of course something is going to react. The work is figuring out which lever to pull, and that's what a perinatal specialist does well.
What therapy looks like
Our Perinatal Anxiety specialists in El Paso, Texas
Most Phoenix Health therapists hold PMH-C certification β the gold standard in perinatal mental health.
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Tiara Okoruwa
PhD, LCSW
Tiara is a Licensed Clinical Social Worker in Texas specializing in perinatal mental health, supporting expecting and new parents through anxiety, grief, and the transition to parenthood using a trauma-informed, integrative approach.
Licensed in TX

Amanda Flowers
LPC, PMH-C
Amanda is a Licensed Professional Counselor in Texas and a Licensed Clinical Professional Counselor in Montana specializing in perinatal mental health, supporting clients through pregnancy, postpartum, and infertility using a collaborative, trauma-informed, and mind-body approach.
Licensed in TX, MT

Ashlyn Parides
PHD, PMH-C
Dr. Ashlyn is a licensed psychologist and certified perinatal mental health provider (PMH-C) in Texas, licensed to practice in over 40 states through PsyPact.
PsyPact provider β 40+ states
Real clients. Real relief.
What our clients say about their experience.
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β"I couldn't sleep during pregnancy and everyone said just wait until the baby comes. But the insomnia wasn't tiredness, it was my mind refusing to let go. I'd lie there cataloging every possible thing that could go wrong. My therapist gave me real tools for a racing brain and taught me the difference between preparation and catastrophizing."β
β high-risk pregnancy
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β"The anxiety started before I even got a positive test. By twenty weeks I had a list of symptoms I was tracking daily and a second opinion scheduled for every scan. My therapist helped me understand that anxiety in pregnancy isn't overcaution, it's a pattern my brain learned. Once I understood it, I could work with it instead of just fighting it."β
β expecting mom
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β"I spent most of my pregnancy convinced something was wrong. Every appointment felt like a countdown to bad news. Therapy helped me actually enjoy the last two months."β
β first-time mom
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βI had panic attacks every morning during my second pregnancy. I thought I had to white-knuckle through it. My therapist taught me how to interrupt the cycle in my body before it got loud. By the third trimester I was sleeping again.β
β Diana, 32 weeks pregnant
Expert care.
Covered in Texas.
- 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 Perinatal Anxiety 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
- Many anxiety medications, particularly certain SSRIs, are considered first-line options and are used during pregnancy and breastfeeding when the clinical picture calls for it. The decision should be made with a prescriber who knows perinatal psychiatry. Your therapist can help you think it through and coordinate care, and untreated severe anxiety also carries risks worth weighing.
- Yes, very much so. Health-focused anxiety is one of the most common forms in this phase, and it responds well to therapy that focuses on learning to live with uncertainty rather than trying to resolve it. ACT is often especially helpful here.
- For some people it's an old anxiety that flared in a new context. For others it's a first episode triggered by hormonal, identity, and sleep changes. Either way, perinatal anxiety has specific patterns and triggers that a generalist may miss, which is why working with a perinatal-trained therapist tends to be faster and more effective.
- Chronic untreated anxiety can affect both you and the baby, which is why getting support matters. But the anxiety you're feeling right now is not damaging your baby. What's most protective is getting treatment, which is exactly what you're doing by looking for it.
- Yes. Phoenix Health provides telehealth therapy to residents of Texas. 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 Texas.
- 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 perinatal anxiety
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
πRead our Perinatal Anxiety guides βOften goes alongside





