Your mind won't stop. And you're exhausted from it.
Therapists in San Francisco, California
"I can't relax. I'm constantly waiting for something to go wrong."
Postpartum anxiety affects roughly 15–20% of new mothers, yet is often under-diagnosed.
+9 moreNo commitment. We'll confirm your coverage before your first session.
Virtual therapy for San Francisco families
You're back at standup eight weeks postpartum, smiling on Zoom while your stitches still hurt. You've been told the right things about leave and balance, but the unspoken expectation is that high-performing people in this city handle this. Postpartum depression and postpartum anxiety do not care how senior you are. New parents across the Mission, the Castro, SOMA, the Sunset, the Richmond, and the Haight describe the same quiet pattern: the city makes it easy to be productive and hard to be vulnerable. Add in rent that makes one income unworkable, parental-leave policies that vary wildly by employer, and a partner whose company expects them back fast, and the postpartum window can feel less like recovery and more like a sprint you're losing. Phoenix Health therapists hold PMH-C certification, the specialty credential in perinatal mental health, and see Bay Area clients entirely by secure video. Sessions fit between meetings, during a nap, or before bedtime. Our clinicians specialize in postpartum depression, perinatal anxiety, birth trauma, and the specific kind of identity shift that high-achieving parents rarely have language for. Asking for help right now is the most productive thing on your list.
San Francisco neighborhoods: the Mission · the Castro · SOMA · the Sunset · the Richmond · the Haight
You might benefit from therapy if…
- ✓Your mind won't stop running through worst-case scenarios, especially about the baby
- ✓You're exhausted but lying awake checking the baby monitor, or you can't fall asleep even when you have the chance
- ✓You feel physical symptoms — racing heart, tight chest, nausea, jaw clenching — that don't match what's actually happening
- ✓You can't hand the baby to anyone else without feeling panicked
- ✓You're researching dangers, illnesses, or rare risks late at night and can't stop
- ✓People keep telling you to relax and it makes you want to scream
Dr. Emily Guarnotta
Psychologist & Founder
From our founder
Anxiety in the postpartum period gets dismissed all the time. People hear that you're worried about the baby and they nod and say of course you are. But there's a difference between healthy concern and a mind that won't stop. I tell my clients that anxiety this loud is a signal, not a personality trait, and it does quiet down with the right work.
What therapy looks like
Our Postpartum Anxiety specialists in San Francisco, 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 was fine on paper but my jaw was clenched from morning to bedtime and I didn't notice until my dentist asked if I was grinding my teeth. My therapist helped me understand my body had been in alarm mode for months. Learning to come down from that took time, but I finally knew what I was dealing with."”
— mom of 1
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“The anxiety didn't look like crying. It looked like researching every possible thing that could go wrong, canceling plans because I couldn't manage the variables, and snapping at my partner because I was running on adrenaline 24 hours a day. My therapist helped me name it and interrupt it. I feel like I got my brain back.”
— mom of 1
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“I couldn't put my son down without panicking. I'd check that he was breathing every few minutes through the night. My husband thought I was being a good mom. I knew something was wrong. My therapist helped me see the difference between vigilance and anxiety, and gave me tools to quiet the spiral. I sleep now. That alone changed everything.”
— mom of 2
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“I was so vigilant I couldn't sit on the couch. I'd check the monitor every two minutes and still feel like I was failing. My therapist helped me see that my brain was stuck in a pattern, not telling me the truth. The shaking in my hands stopped first. Then the 3 a.m. spirals.”
— Megan, 4 months postpartum
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 Postpartum Anxiety 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 anxiety often shows up as racing thoughts, constant worry about your baby's safety, an inability to relax, physical symptoms like a racing heart or shortness of breath, and feeling like something terrible is about to happen. It can be harder to recognize than postpartum depression because hypervigilance after having a baby can seem 'normal.'
- Postpartum anxiety affects roughly 15–20% of new mothers — making it actually more common than postpartum depression. It is also underdiagnosed because parents and providers may mistake heightened worry for normal new-parent behavior.
- Evidence-based treatments include cognitive behavioral therapy (CBT), which helps interrupt catastrophic thinking cycles, and mindfulness-based approaches. In some cases, medication may be recommended alongside therapy. A PMH-C certified therapist can help design the right approach for you.
- All new parents worry. Postpartum anxiety is when the worry stops being useful and starts running your life. Sleep is disrupted, your body feels keyed up, you avoid things you used to do, or you can't enjoy the moments that should feel good. If worry is taking up more of your day than your baby is, it's time for support.
- Anxiety is a full-body experience. Your nervous system has been on high alert, often for months, and it shows up physically before it shows up as a clear thought. That's part of why therapy for postpartum anxiety includes body-based tools, not just talk.
- They overlap but aren't the same. Postpartum anxiety is broad worry, physical symptoms, and general dread. Postpartum OCD includes specific, intrusive, often disturbing thoughts that feel stuck and lead to compulsive behaviors like checking, researching, or avoidance. If you're having scary thoughts you're ashamed of, that's worth telling your therapist directly so they can choose the right approach.
- Often, yes. Many people recover with therapy alone, especially when symptoms are mild to moderate. For severe anxiety or panic, medication can take the edge off enough that the therapy work becomes possible. Your therapist will help you weigh that choice with a prescriber if it comes up.
From the Phoenix Health resource center
Articles and guides about postpartum 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 · Covered by insurance · Available this week
Learning resources
💭Read our Postpartum Anxiety guides →Often goes alongside