You're exhausted, but your mind won't let you rest.
Therapists in Tacoma, Washington
"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 Tacoma families
Your spouse just deployed from JBLM, the baby is two months old, and the postpartum class you signed up for meets across town at 10am, which is the only nap window you have. For military families at Joint Base Lewis-McChord, postpartum often arrives in the worst possible logistical configuration, and postpartum depression and postpartum anxiety follow. Civilian families across Tacoma's North End, Stadium District, University Place, and Gig Harbor face the South Sound version of the same problem: high housing costs, limited specialist perinatal therapists in the local market, and the cost-and-childcare math of getting to an in-person appointment with a newborn. Phoenix Health therapists hold PMH-C certification, the specialty credential in perinatal mental health, and have experience with TRICARE and military families. Sessions happen by secure video from home, with no drive to base or downtown. We specialize in postpartum depression, perinatal anxiety, birth trauma, and pregnancy loss. Gig Harbor families can access the same care without paying the bridge toll.
Tacoma neighborhoods: North End · Stadium District · University Place · Gig Harbor
You might benefit from therapy if…
- ✓You're exhausted but you can't fall asleep, even when the baby is finally down
- ✓Your brain won't turn off, especially at 3 a.m.
- ✓You're dreading bedtime because you know what's coming
- ✓You wake up at the slightest sound and can't get back down
- ✓Your sleep problems started in pregnancy or postpartum and haven't resolved
- ✓You'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
Your therapist
Most Phoenix Health therapists hold PMH-C certification — the gold standard in perinatal mental health.
Real clients. Real relief.
What our clients say about their experience.
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“"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."”
— working mom, postpartum
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“"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."”
— first-time mom
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“"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."”
— mom of 1
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“I 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.”
— Liana, 5 months postpartum
Expert care.
Covered in Washington.
- ✓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)
Most clients pay less than $20 per session.
Accepted Insurance Networks
Ready to start Sleep & Mental Health 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
- 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 Washington. Sessions are conducted via secure video from your home, office, or anywhere private — no commute required. All Phoenix Health therapists are licensed and authorized to practice in Washington.
- PMH-C (Perinatal Mental Health Certification) is awarded by Postpartum Support International (PSI) to clinicians who have completed advanced training in perinatal mental health — covering postpartum depression, anxiety, OCD, birth trauma, and related conditions. It represents the gold standard of specialization in this field.
- If you're struggling — with your mood, your thoughts, your relationship, or just how you're coping — 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 · Covered by insurance · Available this week
Learning resources
🌙Read our Sleep & Mental Health guides →Often goes alongside