Integrative Perspectives Counseling and Consulting PC is a psychotherapy practice specializing in anxiety, obsessive thinking, and reproductive and attachment-related trauma, including infertility, pregnancy loss, and the transition to pregnancy and parenthood. We provide trauma-informed, nervous-system-based care—integrating EMDR, attachment work, parts work, and polyvagal theory—to help clients feel safer in their bodies, steadier in their minds, and more connected in their lives and relationships.
Perinatal Mood & Anxiety Disorders (PMADs) Therapy
Compassionate Support for Pregnancy & Postpartum Emotional Health
Becoming a parent can bring joy, tenderness, and connection but it can also bring unexpected emotional struggles. If you’re experiencing anxiety, depression, intrusive thoughts, panic, rage, or numbness during pregnancy or after birth, you are not alone. These experiences are more common than many realize, and they are treatable.
At Integrative Perspectives Counseling and Consulting PC, I specialize in helping individuals and couples navigate Perinatal Mood and Anxiety Disorders (PMADs) with compassionate, evidence-based care that honors both your emotional world and your lived experience.
What Are PMADs?
PMADs include a range of emotional and mental health conditions that can occur during pregnancy and throughout the first year postpartum, including:
Perinatal & Postpartum Depression
Perinatal & Postpartum Anxiety
Panic Disorder
Obsessive-Compulsive Symptoms (intrusive thoughts, compulsions)
Birth Trauma & PTSD
Perinatal Bipolar & Mood Disorders
Adjustment Disorders
These challenges can affect anyone — regardless of whether pregnancy was long-awaited, medically complex, or emotionally complicated.
When Pregnancy or Parenthood Feels Harder Than Expected
Many clients come to therapy saying things like:
“I don’t feel like myself anymore.”
“I love my baby, but I’m not okay.”
“I can’t stop worrying something bad will happen.”
“I feel disconnected, ashamed, or overwhelmed.”
“I should be happier than this.”
These feelings can be especially confusing or painful when you’ve experienced infertility, pregnancy loss, IVF, or a high-risk pregnancy, when gratitude and grief often coexist.
You don’t have to choose between honoring how hard this has been and appreciating what you have. Therapy offers space for both.
How Therapy Can Help
PMAD-focused therapy supports you in:
Reducing anxiety, depression, panic, and intrusive thoughts
Processing birth trauma or medical trauma
Reconnecting with your body after pregnancy or delivery
Strengthening attachment and bonding
Rebuilding identity after becoming a parent
Creating emotional safety in your relationships
Finding steadiness in the midst of hormonal and life changes
Our work together is not about “fixing” you — it’s about helping you feel supported, regulated, and more like yourself again.
My Therapeutic Approach
At Integrative Perspectives, therapy for PMADs is gentle, trauma-informed, and integrative. I draw from:
EMDR & Trauma Processing for birth trauma, medical trauma, and past losses
Attachment-Based Therapy to support bonding and relational healing
Polyvagal-Informed Care to help your nervous system feel safer and more regulated
Parts Work (Internal Family Systems-informed) to address inner conflict, shame, and emotional overwhelm
Cognitive & Mindfulness-Based Strategies for anxiety, intrusive thoughts, and mood symptoms
We move at your pace ; respecting both your vulnerability and your strength.
PMADs After Infertility or Loss
If your path to parenthood involved infertility, miscarriage, stillbirth, or reproductive trauma, PMADs often show up differently. You may experience:
Heightened anxiety about your baby’s safety
Difficulty trusting joy
Hypervigilance or emotional detachment
Guilt for struggling after “wanting this so badly”
Your story deserves to be understood in its full complexity. Therapy honors not only this chapter but everything that came before it.
You Deserve Support
Struggling during pregnancy or postpartum does not mean you are failing, it means you are human, and navigating something profoundly demanding.
You deserve care that sees you not just as a parent, but as a whole person.
If you’re ready to explore support for PMADs, I invite you to reach out for a consultation.