Going back to work after a baby is harder than anyone told you it would be.
Therapists in San Diego, California
"I cried in the parking lot for three weeks. I'm not even sure if I miss my baby or I miss who I was before."
The weeks around returning to work are a high-risk window for postpartum depression and anxiety β and one of the least-supported transitions.




+9 moreNo commitment. We'll confirm your coverage before your first session.
Virtual therapy for San Diego families
Your partner deployed when the baby was six weeks old, your family is back in Ohio, and the postpartum class you signed up for meets across town at 10am, which is the only nap window you have. San Diego looks like the relaxed beach city in the brochure, and the postpartum reality is rarely that. A huge share of San Diego families are military, transplants, or both. North Park, Hillcrest, Pacific Beach, La Jolla, and Chula Vista are full of parents who moved here for a duty station, a job, or grad school and haven't had time to build a close circle. Postpartum depression, postpartum anxiety, and birth trauma thrive in that kind of structural isolation. Phoenix Health therapists hold PMH-C certification and see San Diego clients entirely by secure video. We work with military spouses and birthing parents regularly, including around the specific pressures of deployment, PCS moves, and TRICARE coverage. No traffic on the 5. No babysitter. No waiting room. You don't need a crisis to call. You just need to want things to feel different than they do right now.
San Diego neighborhoods: North Park Β· Hillcrest Β· Pacific Beach Β· La Jolla Β· Chula Vista
You might benefit from therapy ifβ¦
- βYou're in the weeks before or after returning to work and the dread or grief is bigger than you can manage
- βYou're crying regularly β in the car, in the bathroom, before the baby wakes up
- βYou can't stop thinking about the baby during the day and you're failing to function at work
- βYou feel guilty for going back, or guilty for not feeling worse about going back, or both
- βThe version of yourself that walked back into the office doesn't feel like a person you recognize
- βYou're having panic attacks or intrusive thoughts about something happening to the baby while you're away

Dr. Emily Guarnotta
Psychologist & Founder
From our founder
I see more people around the return-to-work moment than almost any other window. They come in often carrying a specific kind of shame: they feel they should be able to handle this, that millions of people do it, that it shouldn't be this hard. I tell them that the difficulty doesn't say anything about their strength. It says something about how much they love their baby and how complex this particular transition is. That's worth treating.
What therapy looks like
Our Returning to Work After Baby specialists in San Diego, California
Most Phoenix Health therapists hold PMH-C certification β 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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βMy emergency C-section left me with nightmares and panic attacks. I couldn't talk about the birth without shaking. Therapy helped me process the trauma and reclaim my story. I'm pregnant again now, and I actually feel ready.β
β expecting mom of 1
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βI had intrusive thoughts that terrified me. I was too ashamed to tell anyone, even my partner. My therapist explained postpartum OCD and helped me understand I wasn't dangerous. The intrusive thoughts are 90% gone now. I wish I'd reached out sooner.β
β mom of 2
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βAfter three failed IVF rounds, I was told to just stay positive. My therapist was the first person who acknowledged the grief, the anger, and the exhaustion, and helped me process what I had been through. I finally felt seen.β
β hopeful mom
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βI cried every morning in the parking lot for six weeks. My therapist helped me figure out that what I was really grieving was the version of myself I'd built during leave β not just the time with my daughter. Naming it changed something. I stopped white-knuckling and started adjusting.β
β Lindsey, returned to work at 12 weeks
Expert care.
Covered in California.
- 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)
- βMagellan Healthcare
Most clients pay less than $20 per session.
Accepted Insurance Networks





Ready to start Returning to Work After Baby 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, and the intensity varies enormously from person to person. Some people cry for a week and then adjust. Others find that return-to-work triggers a significant depression or anxiety episode. If yours is lasting more than a few weeks without easing, it's worth treating directly rather than waiting it out.
- Yes. For many people, especially those who loved their careers before parenthood, returning to work brings relief alongside the grief. That relief doesn't mean you don't love your baby. It means you're a person with a complex inner life. Therapy can help you hold both without the guilt distorting the picture.
- Difficulty concentrating in the first week or two is expected. If it's lasting beyond the first month, or if it's combined with persistent sadness, anxiety, or inability to function, that's a clinical picture worth evaluating. Postpartum depression and anxiety can be triggered or worsened by the stress of returning to work.
- Return-to-work distress is acute β it's about the specific transition happening in a 6-to-12-week window. Career-and-motherhood is about longer-arc identity questions: the version of yourself you imagined, the choices you've made, the grief of roads not taken. Both are worth addressing, but they're different problems. Right now, we're focused on getting you through the transition.
- 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 returning to work after baby
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.
You don't have to
white-knuckle through
this transition.
Return-to-work distress is acute and treatable. Most people stabilize within the first 6 to 12 sessions.
No commitment Β· Covered by insurance Β· Available this week
Learning resources
β©οΈRead our Returning to Work After Baby guides βOften goes alongside





