You're pregnant again. And you can't let yourself feel safe.
"I'm pregnant again but I can't let myself feel excited. I'm terrified."
No commitment. We'll confirm your coverage before your first session.
You wanted this pregnancy. But instead of feeling excited, you're terrified. The joy keeps getting interrupted by fear, dread, or a desperate need to protect yourself from hope. You're not ruining this pregnancy by feeling this way. You're responding to something real that happened, and you deserve support that understands that.
This experience is clinically described as pregnancy-after-loss anxiety, and research consistently shows elevated anxiety, depression, and trauma symptoms throughout a pregnancy following loss. Learn more about Pregnancy After Loss therapy →
You might benefit from therapy if…
- ✓You're pregnant after a miscarriage, stillbirth, or infant loss
- ✓You can't let yourself bond with this baby until you feel safe, which you never do
- ✓Anxiety spikes around the gestational week of your previous loss
- ✓Every scan feels like waiting for bad news
- ✓You feel like you don't have the right to celebrate, even though everyone expects you to

Dr. Emily Guarnotta
Psychologist & Founder
From our founder
Pregnancy after loss is one of the hardest stretches I treat, because the people around you want you to be happy and you're busy trying to survive each week. Therapy gives you somewhere to put all of it, the grief and the terror and the slow, careful hope, without having to manage anyone else's reaction.
What therapy looks like
Our Pregnancy After Loss specialists
Most Phoenix Health therapists hold PMH-C certification — the gold standard in perinatal mental health.

Amanda Flowers
LPC, PMH-C
Works with perinatal OCD and neurodivergence, using body-based tools to calm the nervous system.
Licensed in TX, MT

Lyndsay Ward
LCSW, PMH-C
An attachment theory expert who helps you unpack how your childhood shows up in your parenting.
Licensed in NY

Analisa Velasco-Lopez
EspañolLCSW
A toddler mom herself, she helps parents heal from difficult births.
Licensed in CA
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Natalia Cruz Navarro
EspañolLCSW
12+ years with families through high-risk pregnancies, fetal diagnoses, and NICU stays.
Licensed in CA
Real clients. Real relief.
What our clients say about their experience.
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“"After my stillbirth I was terrified to try again and terrified not to. When I finally got pregnant, I dissociated for most of the first trimester, just protecting myself from more loss. My therapist helped me reconnect before the baby arrived so I wasn't meeting him already armored."”
— loss mom
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“"I refused to buy anything for the nursery until 36 weeks. I wouldn't let my husband tell anyone. I went to every appointment convinced they were going to find something wrong. My therapist helped me understand that the hypervigilance made sense, and also that it was costing me the pregnancy. Slowly we worked on staying in the present instead of waiting for bad news."”
— expecting mom, 2nd pregnancy
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“"I got pregnant again six months after my loss and couldn't celebrate. Every week past where we'd lost the last one felt like permission to breathe a little more, and every week before it felt like holding my breath. My therapist helped me stop spending the pregnancy in survival mode and actually be present for it. It wasn't easy. It was worth it."”
— mom after loss
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“I lost my first at 22 weeks. When I got pregnant again I couldn't breathe until I was past that week. My therapist helped me make a plan for the day I crossed that line and for every scan after. I am holding a baby now and I am still grateful for how she got me there.”
— Jordana, after stillbirth
Expert care.
Covered by insurance.
We're in-network with major plans in 10 states so you can receive care without financial stress.
Most clients pay less than $20 per session.
We verify your benefits before your first session — no surprises on cost.
Accepted Insurance Networks





Ready to start Pregnancy After Loss 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
- Acute, severe, sustained anxiety can affect pregnancy outcomes, which is exactly why getting support matters. But everyday anxiety in response to a real history is not damaging your baby. What's most protective is treatment, which is what you're doing by looking for help.
- Protective detachment is extremely common in pregnancy after loss. Many people unconsciously hold back attachment until they feel safer, often after the gestational week of the previous loss, after a key scan, or sometimes not until they're holding the baby. That's your nervous system protecting you. It doesn't predict your bond.
- Earlier is better. Many clients start before they're pregnant or in the first trimester. Having tools and a relationship with a therapist in place before the highest-anxiety milestones makes a real difference.
- Yes. Loss at any gestational age, and after birth, is treatable with grief and trauma-focused therapy. Many of our therapists have specific training in this work.
- 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 pregnancy after loss
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 Pregnancy After Loss guides →Often goes alongside





