Perinatal & Postpartum Therapy · Seattle · Statewide WA Telehealth
Support for pregnancy and the year after birth, not just the parts everyone sees.
Same-week appointment availability. Most major insurance plans accepted. In person at three Seattle-area offices or by secure video anywhere in Washington, so you can meet from home with a newborn.
Perinatal and postpartum therapy at Counseling Services for Wellbeing supports Seattle-area parents through pregnancy and the year after birth, including postpartum depression, perinatal anxiety and OCD, birth trauma, and pregnancy and infant loss. We accept most major insurance plans, book same-week appointments and meet at our Green Lake, Burien and Smokey Point offices or by secure video anywhere in Washington.
Everyone keeps asking how the baby is. Nobody is asking how you are.
It is the middle of the night and you are awake again, feeding or just lying there with your heart going. You love this baby and you are also more frightened, more flat or more far away than you ever expected to feel. Scary thoughts arrive uninvited and you do not dare say them out loud. You wonder if you are the only one, or if something is wrong with you.
Maybe the pregnancy itself was the hard part, with worry that would not switch off, or grief from a loss that people stopped mentioning. Maybe the birth did not go the way it was supposed to and your body keeps replaying it. You have probably been told to sleep when the baby sleeps, to enjoy this time, to just relax. If that worked, you would have done it already.
Perinatal and postpartum struggles are common, treatable and not your fault, and they deserve care from someone who knows this season. You do not have to wait until you fall apart to be allowed to ask for help.
Therapy for parents whose pregnancy or postpartum is harder than they let on.
Postpartum depression
Flat, tearful or numb in a season everyone says should feel joyful. Going through the motions and wondering where you went.
Perinatal anxiety and intrusive thoughts
Worry that will not switch off. Checking the baby again and again. Unwanted, frightening thoughts you do not dare say out loud.
Birth trauma
A birth that did not go the way it should have. A body that keeps replaying it. Dread about what happened or what almost did.
Pregnancy and infant loss
Miscarriage, stillbirth or the loss of a baby. Grief that other people stopped mentioning long before you stopped feeling it.
Fertility struggles
The two-week waits, the appointments, the hope and disappointment on repeat. The strain it puts on you and on a relationship.
The identity shift of new parenthood
Loving your baby and grieving who you were. The loss of sleep, work, time and a sense of yourself you cannot quite name.
Pregnant parents, postpartum parents and parents still in the year after birth are all welcome. You do not need to have the words ready before you reach out.
How perinatal and postpartum therapy works here.
We meet you where you are in pregnancy or postpartum, with clinicians trained in perinatal mental health who go at the pace your nervous system can handle.
Reach out
A short form or a call. We hear where you are, whether that is pregnancy, the early weeks postpartum or somewhere in the year after birth, and what you are carrying. No assessment battery to clear before we can talk.
Get matched
We pair you with a clinician who works in perinatal and maternal mental health, matched to what you are facing. Birth trauma can land with an EMDR-trained therapist. Loss, anxiety and the identity shift land with someone who knows this season.
Start this week
First appointment in person at one of three Seattle-area offices or by secure video from home, which matters a lot with a newborn. Same therapist each session. The first few are about understanding what you are holding, not diving into the deep end before you are ready.
Care matched to this season, not general therapy.
Postpartum depression and perinatal anxiety do not look like general depression or anxiety, so the work is different too. Our perinatal-trained clinicians draw on cognitive behavioral therapy and interpersonal therapy for the mood and worry, and EMDR for birth trauma and loss, which Postpartum Support International recognizes among effective perinatal approaches.
CBT and interpersonal therapy for postpartum depression and perinatal anxiety. EMDR for birth trauma and the memories that keep replaying. A steady, paced approach for grief and loss. We match the work to what you are actually living through, not the other way around.
How we compare
Counseling Services for Wellbeing vs. typical Seattle perinatal options.
| OB or pediatric referrals | Online therapy platforms | Counseling Services for Wellbeing | |
|---|---|---|---|
| First appointment |
Waitlists, often weeks out
|
Usually within days
|
Same-week, matched to you
|
| Connected to your OB and medical team |
Inside your medical care
|
Separate from your providers
|
Coordinates with your OB and pediatrician
|
| Video from home with a newborn |
In-person visits only
|
Video, but app only
|
Secure video plus three offices
|
| Messaging between sessions |
Rarely offered
|
Built-in app messaging
|
No 24/7 app messaging
|
| Approaches for trauma and loss |
Refer out, no in-house care
|
Scripted, often CBT-flavored
|
CBT, interpersonal therapy and EMDR
|
| Insurance accepted |
Depends on who you land with
|
Limited plans accepted
|
Kaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
|
-
First appointment
-
OB or pediatric referralsWaitlists, often weeks out
-
Online therapy platformsUsually within days
-
Counseling Services for WellbeingSame-week, matched to you
-
-
Connected to your OB and medical team
-
OB or pediatric referralsInside your medical care
-
Online therapy platformsSeparate from your providers
-
Counseling Services for WellbeingCoordinates with your OB and pediatrician
-
-
Video from home with a newborn
-
OB or pediatric referralsIn-person visits only
-
Online therapy platformsVideo, but app only
-
Counseling Services for WellbeingSecure video plus three offices
-
-
Messaging between sessions
-
OB or pediatric referralsRarely offered
-
Online therapy platformsBuilt-in app messaging
-
Counseling Services for WellbeingNo 24/7 app messaging
-
-
Approaches for trauma and loss
-
OB or pediatric referralsRefer out, no in-house care
-
Online therapy platformsScripted, often CBT-flavored
-
Counseling Services for WellbeingCBT, interpersonal therapy and EMDR
-
-
Insurance accepted
-
OB or pediatric referralsDepends on who you land with
-
Online therapy platformsLimited plans accepted
-
Counseling Services for WellbeingKaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
-
We are not the cheapest option in the city and we are not trying to be. We are the practice that takes your insurance, gets you in quickly, and matches you with a clinician trained in perinatal mental health for the season you are actually in.
Most major insurance plans accepted
We recommend confirming your benefits with your insurer before your first session, so getting support during pregnancy or postpartum does not have to wait until you can afford cash-pay rates.
Meet some of our perinatal therapists.
Clinicians who work in perinatal and maternal mental health. We match you with someone who knows the season you are in.
Deeper bench than the few here. Tell us where you are in pregnancy or postpartum and we will match you with the right therapist.
Three offices or secure video anywhere in Washington.
With a newborn, packing up for a commute is the last thing you need. Perinatal and postpartum therapy is available by secure video from home, with the same therapist you would see in person.
Secure video, statewide
From home, during a feed or a nap. Same therapist either way.
Online therapy in WA →What new and expecting parents ask before starting therapy.
Do you take my insurance for perinatal or postpartum therapy?
We accept Kaiser, Premera, Regence, Aetna, UnitedHealthcare and Cigna. Coverage for therapy can work differently by plan, so we recommend confirming your specific benefits with your insurer before your first session. You will not be left guessing about cost while you are also caring for a new baby.
How soon can I be seen?
First appointments are available the same week, not weeks out. Much of the Seattle perinatal market books four to six weeks ahead or is cash-pay only, which is a long time to wait when you are pregnant or in the early weeks with a newborn. Reach out and we will find the first opening that fits.
What does perinatal and postpartum therapy cover?
We support parents through pregnancy and the year after birth. That includes postpartum depression, perinatal anxiety and OCD with intrusive thoughts, birth trauma, pregnancy and infant loss, fertility struggles, and the identity shift of becoming a parent. We meet you wherever you are in that arc, whether you are still expecting or further into postpartum.
Are the clinicians actually trained in perinatal mental health?
Yes. The clinicians on this page have specific training and experience in perinatal and maternal mental health, and some hold perinatal mental health certification (PMH-C). That matters because postpartum depression and perinatal anxiety do not look the same as general anxiety or depression, and the work is different too.
Are intrusive thoughts about my baby normal, and can therapy help?
Scary, unwanted intrusive thoughts are a very common part of perinatal anxiety and postpartum OCD, and having them does not mean you would act on them or that you are a bad parent. Therapy is designed to help you understand what is happening and respond to the thoughts differently. If thoughts of harming yourself or your baby ever feel like urges, that is a medical emergency. Call or text 988 or go to the nearest emergency room.
Do you offer perinatal therapy online or only in person?
Both. You can meet in person at our Green Lake, Burien or Smokey Point offices, or by secure video anywhere in Washington with online therapy. Telehealth matters a lot in this season, so you can meet from home during a feed or a nap rather than packing up a newborn for a commute.
What happens in the first appointment?
The first session is about understanding what you are carrying right now, in pregnancy or postpartum, and giving you something to hold onto. There is no battery of tests to clear first and no pressure to have the words ready. We go at the pace your nervous system can handle, and the work that follows focuses on helping you feel more like yourself again.
You do not have to hold all of this on your own.
Perinatal and postpartum therapy can give you room to feel more like yourself again, and you can start this week. Counseling Services for Wellbeing accepts most major insurance plans, books first appointments the same week, and matches you with a clinician trained in perinatal mental health, in person at our Green Lake, Burien and Smokey Point offices or by secure video from home across Washington.
