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⚑Postpartum Psychosis

What you experienced was real. And you're not alone in the recovery.

Therapists in Sacramento, California

"Something felt very wrong. I wasn't just sad β€” I wasn't thinking straight and the people around me were scared."
βœ“See a specialist this weekβœ“PMH-C Certified Therapistsβœ“Telehealth Β· see anyone from homeβœ“In-network in California
In network with
Anthem Blue CrossBlue Shield of CaliforniaUnitedHealthcareCVS HealthAetna+9 more

No 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 Β· East Sacramento Β· Land Park Β· Natomas Β· Elk Grove

You might benefit from therapy if…

  • βœ“You experienced postpartum psychosis and you're in recovery, trying to make sense of what happened
  • βœ“You feel disconnected from your baby because of what happened, and you want to repair that
  • βœ“You're afraid of having another baby, or you're weighing it carefully
  • βœ“You're grieving the early weeks postpartum, which were taken from you
  • βœ“You have a family history of postpartum psychosis or bipolar disorder and you're trying to be prepared
  • βœ“You're processing the trauma of hospitalization, separation from your baby, or what people around you experienced
Dr. Emily Guarnotta

Dr. Emily Guarnotta

Psychologist & Founder

From our founder

Recovery from postpartum psychosis is real and it is achievable. I want to say that clearly because so much of what gets written about psychosis is catastrophic, and that catastrophic framing keeps people from believing they can come back. They can, and they do. The work is careful and it takes time, and it is worth doing.

What therapy looks like

Therapy after postpartum psychosis is typically trauma-informed, paced carefully, and coordinated with your psychiatric care. Most Phoenix Health therapists hold PMH-C certification, and several have specific training in severe perinatal mental illness. We are not the right setting for the acute phase, which needs hospital-level care. We are a strong fit for recovery. Early sessions usually focus on stabilization, education, and beginning to make sense of what happened. Many clients arrive with significant trauma symptoms and large gaps in their memory of the acute period, and the work involves filling in the picture at a pace that doesn't flood you. From there the work might include processing the hospitalization, repairing your relationship with your baby, addressing any postpartum depression or anxiety underneath, and (if you choose) carefully planning for a possible future pregnancy, since the recurrence rate is high enough to take seriously. Recovery takes time. Many clients work for 12 months or longer, with the picture changing as recovery deepens. The goal is full recovery, which is realistic with the right support.

Our Postpartum Psychosis specialists in Sacramento, California

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.

⭐⭐⭐⭐⭐

β€œ"My family didn't understand what had happened to me and I didn't know how to explain it. Postpartum psychosis isn't something anyone talks about and the silence made recovery lonelier. My therapist was the first person who treated it as a medical event I survived, not something to be ashamed of. That framing saved me more than anything else."”

β€” mom of 2, recovered

⭐⭐⭐⭐⭐

β€œ"After my son was born I was hospitalized for two weeks. I know I needed it. Coming home was one of the hardest things I've ever done because I was terrified of my own mind. My therapist helped me trust myself again slowly, helped me understand my warning signs, and eventually helped me believe I could be a good mother after everything that happened."”

β€” postpartum psychosis survivor

⭐⭐⭐⭐⭐

β€œ"I don't fully remember the first two weeks after my daughter was born. Getting the right diagnosis and treatment happened fast and recovery was slow. My therapist helped me process what I'd been through and helped me come back to myself as a mother without shame about something I had no control over."”

β€” mom of 1, recovered

⭐⭐⭐⭐⭐

β€œI lost the first three weeks of my daughter's life to psychosis and hospitalization. The grief was enormous, and so was the shame. Two years of careful work and I have my life back. My relationship with my daughter is strong. I never thought either of those sentences would be true again.”

β€” Renata, in recovery

Expert care.
Covered in California.

  • βœ“Aetna (incl. CVS Health, First Health, & Meritain)
  • βœ“BCBS (incl. Anthem, Blue Cross, Blue Shield, & state plans)
  • βœ“Cigna / Evernorth
  • βœ“United Healthcare (UHC) / Optum (incl. UBH, UMR, Surest, Oscar, & Oxford)
  • βœ“Magellan Healthcare

Most clients pay less than $20 per session.

Accepted Insurance Networks

Aetna
Blue Cross Blue Shield
UnitedHealthcare
Cigna
Anthem
+9 more

Ready to start Postpartum Psychosis 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

  • Most people who experience postpartum psychosis fully recover with treatment. The picture in the months immediately after can feel overwhelming, but recovery is real, and people do come back to themselves. That's what the research shows, and it's what we see in our practice.
  • The recurrence rate for postpartum psychosis is significantly elevated in subsequent pregnancies, but it is not 100%, and it is manageable with careful prevention planning. Many people who had postpartum psychosis go on to have additional children with planning, a coordinated mental health team, and prophylactic medication in many cases. That's a decision to make with your psychiatrist, your therapist, and your partner over time.
  • Postpartum OCD involves intrusive thoughts you recognize as not matching reality. You're distressed by them precisely because they go against who you are. Postpartum psychosis involves a loss of contact with reality, often with hallucinations or delusions, and the person may not recognize the experience as a mental health crisis. They are not on a spectrum.
  • This is one of the most painful pieces of recovery for many clients. The people around you went through their own trauma, and trust often needs to be rebuilt deliberately. Therapy can support that process, sometimes with individual work and sometimes with family sessions added in. It is repairable.
  • Yes. Phoenix Health provides telehealth therapy to residents of California. 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 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 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 postpartum psychosis

Baby Blues and Perinatal Mood Dysregulation: What's Normal and What's Not

About 4 in 5 new parents experience the baby blues after birth. This guide explains what's normal, what the symptoms mean, and when to call your provider.

Read article β†’

Postpartum Psychosis: What to Do If You Think It's Happening Right Now

If you think postpartum psychosis may be happening, this article tells you exactly what to do. Don't wait. Call now.

Read article β†’

Postpartum Psychosis: Where to Get Help Right Now

Postpartum psychosis is a medical emergency. This page tells you exactly what to do, step by step, if you or someone you love needs help right now.

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

Recovery is real.
And so is the support
that gets you there.

Most people who experience postpartum psychosis fully recover with the right treatment.

No commitment Β· Covered by insurance Β· Available this week

Learning resources

⚑Read our Postpartum Psychosis guides β†’

Often goes alongside

🌧Postpartum DepressionπŸ’”Birth TraumaπŸ‘¨β€πŸ‘ΆPaternal Mental Health