You're exhausted, but your mind won't let you rest.
Therapists in El Paso, Texas
"The baby finally sleeps and I lie there wide awake. I'm exhausted and I can't turn my brain off."



+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¦
- βYou're exhausted but you can't fall asleep, even when the baby is finally down
- βYour brain won't turn off, especially at 3 a.m.
- βYou're dreading bedtime because you know what's coming
- βYou wake up at the slightest sound and can't get back down
- βYour sleep problems started in pregnancy or postpartum and haven't resolved
- βYou're depressed or anxious and you think sleep is a big part of why

Dr. Emily Guarnotta
Psychologist & Founder
From our founder
Sleep is one of the most under-treated mental health interventions in postpartum care. Parents are told it's just part of having a baby, and meanwhile their depression and anxiety get worse and worse. CBT-I is one of the most effective tools we have, and it works even when the baby is still waking. That's the part most parents don't know.
What therapy looks like
Our Sleep & Mental Health 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.
βββββ
β"I couldn't sleep when the baby slept. I'd lie down and my brain would race with everything I was supposed to be doing or worried about. Eight months in I was running on maybe three hours a night and starting to scare myself. My therapist and I figured out that the insomnia was a symptom and worked backward from there."β
β working mom, postpartum
βββββ
β"Sleep deprivation hit me harder than it hit my husband and I couldn't understand why. My therapist helped me see that I was wired for alertness from anxiety that predated the baby. We worked on the anxiety, which turned out to be what was keeping me awake, not my son."β
β first-time mom
βββββ
β"My baby started sleeping through the night at four months and I didn't. I'd lie awake listening for sounds that weren't there and check the monitor twelve times. My therapist helped me understand that my nervous system had been running on high alert for so long it didn't know how to come down even when it was safe to. Relearning how to rest was real work."β
β mom of 1
βββββ
βI had been awake every night from 3 to 5 a.m. for four months. Not the baby, just me. CBT-I felt strange at first because some of the techniques are counterintuitive. Within six weeks I was sleeping again, and my anxiety dropped almost without me trying.β
β Liana, 5 months postpartum
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 Sleep & Mental Health 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. CBT-I works even when sleep is fragmented by an external factor like a baby. The goal isn't to give you eight straight hours. It's to help you fall asleep faster when you have the chance, get back down after night feeds, and stop the insomnia that piles on top of the disruption the baby is already causing.
- Pregnancy sleep disruption is very common, especially in the third trimester, due to physical discomfort, frequent urination, and hormonal changes. But true insomnia (difficulty falling asleep or staying asleep even when comfortable, with significant daytime impact) is different from typical pregnancy sleep changes and worth treating.
- Some sleep aids are used in pregnancy and breastfeeding under medical supervision, but CBT-I is typically tried first because it works as well or better and doesn't involve medication. Your therapist can help you weigh options with a prescriber if needed.
- Often both. Hypervigilance around the baby can fuel insomnia, and insomnia can amplify anxiety. Treating both at once tends to work better than treating one in isolation. A perinatal-trained therapist will look at both pieces.
- 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 sleep & mental health
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 Sleep & Mental Health guides βOften goes alongside





