Fertility Challenges & Pregnancy Loss Support
in California

Online Therapy for
Fertility Challenges and Pregnancy Loss

It feels like you were supposed to be further along by now.

Maybe you've been trying for months — or years.

Maybe you've lost a pregnancy, or more than one.

Maybe you're in the middle of IVF and holding your breath every single day.

Or maybe you're still trying to make sense of a loss that the world moved on from far too quickly.

Whatever brought you here — your grief is real, your exhaustion is real, and you deserve real support.

At Palmetto Psychology Clinic, we specialize in women's mental health through every stage of the reproductive journey. We understand that fertility challenges and pregnancy loss aren't just medical experiences — they're emotional ones that can shake your identity, your relationships, and your sense of hope. We're here to help you carry this.


If this resonates, you’re not alone, and we can help.

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What fertility challenges and pregnancy loss can feel like

This kind of pain is hard to explain to people who haven't lived it.

You might recognize yourself in some of these:

  • "I feel like my body is failing me"

  • "Every pregnancy announcement feels like a punch in the stomach"

  • "I don't know how to grieve a loss that other people don't seem to take seriously"

  • "I'm terrified to get my hopes up again"

  • "I feel so alone in this — even my partner doesn't fully get it"

  • "I can't stop obsessing over symptoms, timelines, and test results"

  • "People keep telling me to 'just relax' and it makes me want to scream"

  • "I had a miscarriage and everyone expected me to be over it quickly"

  • "I feel guilty for being angry, jealous, or sad"

  • "I don't know who I am anymore if I can't have a baby"

Why this kind of grief is so hard to carry

Fertility struggles and pregnancy loss exist in a strange, lonely space. The grief is real — but it often goes unacknowledged. There are no funerals for miscarriages. People say the wrong things. The medical system focuses on the physical, not the emotional. And the world keeps moving while you feel frozen.

A few things that make this particularly hard:

  • Invisible grief: Losses that happened early, or pregnancies no one knew about, can leave you grieving completely alone

  • Ongoing uncertainty: With fertility challenges, there's no clear ending — just another cycle, another wait, another result. It's hard to grieve something that isn't over yet.

  • Identity loss: For many women, the dream of becoming a mother is deeply tied to who they are. When that's threatened, it can shake everything.

  • Relationship strain: Partners grieve differently. Friends don't know what to say. Baby showers become minefields. Isolation creeps in.

  • Hope and dread living side by side: Wanting to stay hopeful while protecting yourself from more pain is exhausting — and no one teaches you how to do it.

You are not too sensitive. You are not overreacting. This is genuinely one of the hardest things a person can go through — and you deserve support that honors that.

Reach out

What therapy looks like for fertility challenges and pregnancy loss

Therapy for postpartum anxiety is not about telling you to “just relax.”

At Palmetto, we help you understand how anxiety is operating in your mind and body while giving you practical, evidence-based tools to interrupt the cycle.

In therapy, we may work on:

  • Understanding anxiety and intrusive thoughts

  • Reducing overthinking and mental spiraling

  • Learning how to tolerate uncertainty

  • Getting more comfortable with being “out of control”

  • Managing physical anxiety symptoms

  • Rebuilding trust in yourself and your decisions

  • Helping you spend more time in the present (instead of the future)

  • Creating more space for rest, connection, and fun

Our approach is compassionate, collaborative, and tailored to your unique experience. We know how vulnerable it can feel to talk about these thoughts and fears, and we also know how treatable postpartum anxiety is with the right support.

At the end of therapy, our clients often tell us that their anxiety has reduced, and that even when anxiety does pop up, they know how to catch it so it doesn’t get in the way of living their lives the way they want to. They tell us they have more room for positive emotions, feel more present, and that life feels fuller and more meaningful as a result.

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FAQs about Postpartum Anxiety

  • Some level of worry is normal after having a baby. It’s a big transition, and everything is brand new - of course it feels like a lot!

    But when the anxiety feels constant, overwhelming, difficult to control, or starts interfering with sleep, decision-making, relationships, or your ability to be present, postpartum anxiety may be part of what’s going on.

  • The postpartum brain is wired to protect your baby, so your mind naturally spends a lot of time thinking about their safety and well-being.

    Postpartum anxiety often pulls people one step further into cycles of “what if” thinking that temporarily feel protective, but actually keep anxiety going.

    Therapy can help you understand these patterns and learn how to step out of them.

  • Many women with postpartum anxiety feel physically exhausted but mentally unable to shut off. Your nervous system may still feel “on alert,” making it difficult to fully relax or fall asleep. Or maybe your mind is racing with worries and questions, and you end up Googling for answers instead of resting.

    In therapy, we can help you learn new strategies to unwind and cope more effectively with your busy mind so you can get the rest you need.

  • Intrusive thoughts are extremely common in postpartum anxiety and postpartum OCD. These thoughts are unwanted, distressing, and often directly conflict with your values, which is why they feel so upsetting.

    Having intrusive thoughts does not mean you want something bad to happen, and we can help you learn how to cope with them so they stop interfering with your enjoyment of this phase.

  • Checking behaviors (like nonstop monitor watching, tracking baby wearable data, or tiptoeing over to make sure the baby is still breathing) are often an attempt to reduce anxiety or create certainty - something we understandably crave in this unpredictable season!

    While they may bring temporary relief, they usually keep the anxiety cycle going over time. We’ll help you explore how this shows up for you and learn tools to break the loop.

  • Postpartum anxiety doesn’t always look like panic or crying. For many moms, anxiety can show up as irritability, rage, feeling overstimulated, or snapping more easily than usual, especially when you’re mentally overloaded and constantly on edge.

    Postpartum rage and irritability are often signals that something deeper needs support, like unmet needs, anxiety, or burnout.

    We can help you get to the root so it stops interfering with your decisions and relationships.

  • When anxiety is high, your brain can start convincing you that you’re the only person who can prevent something bad from happening (or the only one who will do things “right.”)

    This can make it incredibly hard to delegate, rest, or feel comfortable away from your baby.

    We’ll help you take baby steps so that you can reclaim some of your freedom and rebuild some capacity.

  • No! Many postpartum moms cope with anxiety by trying to control routines, schedules, tracking, or caregiving details. Usually, this comes from fear rather than being “too controlling.”

    That said, control efforts can start to interfere with life over time, and we specialize in helping moms let go of the need for control so that they can rebuild some flexibility and freedom.

  • So many capable, loving mothers have this thought, especially in moments of overwhelm. It’s often a reflection of how hard this transition is, not a reflection of your ability (or desire) to be a good parent.

  • Motherhood often comes with intense internal pressure to “do everything right.” That can lead to constant second-guessing and guilt, even when you’re doing more than enough. Learning how to relate differently to that guilt is a big part of the work we do in therapy.

  • It’s completely normal to feel excited and worried, especially about how having another baby will impact your relationship with your older children.

    Therapy can help you process those fears, set realistic expectations, and feel more emotionally prepared for the transition.

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FAQs about Therapy at Palmetto

  • Therapy at Palmetto is a collaborative, supportive process.

    Whether you’re seeking help for postpartum anxiety, depression, or challenges in motherhood, we’ll start by getting to know you — your story, your goals, and what feels most important to you right now — to create a therapy plan tailored to your specific circumstances.

    Over time, therapy will help you feel calmer, more grounded, and more connected to yourself and those around you.

    For more about our approach, visit our services page.

  • Finding the right therapist is key to feeling supported and understood. That’s why we start with a free consultation to learn more about what you’re looking for and match you with a clinician who specializes in your specific concerns.

    If it’s not the perfect fit, we’ll help connect you with someone who is.

  • Yes! We exclusively offer telehealth sessions for clients throughout California.

    Many clients, especially new and expecting moms, appreciate the flexibility of virtual sessions. Telehealth allows you to access care from the comfort of your home (and with your baby in your arms!) at a time that works for your ever-changing schedule.

  • Yes! We love seeing your little ones and you are welcome to cuddle, nurse, or contact nap with them during your sessions.

    To maintain your privacy and to ensure you get the most out of therapy, verbal toddlers and older children should not be in the room with you during therapy.

  • Our session fees vary depending on the clinician, type, and length of service.

    Fees reflect the expertise of our highly specialized doctoral-level psychologists. Rates fall within the typical range for private practice therapy in the Bay Area.

    We also offer lower-fee services with our highly trained student therapists.

    We’re happy to discuss your needs and share more about costs during your free consultation.

  • We are an out-of-network therapy practice, which means we do not bill insurance directly.

    Many of our clients receive partial reimbursement from their insurance company for therapy sessions. We provide monthly superbills to make the process simple.

    We recommend checking with your insurance provider about your out-of-network mental health benefits.

    Standard Notice: “Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act

    You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
    For more information visit CMS.gov.

  • It’s a little different from client to client depending on needs, scheduling, and budget. We generally recommend that all clients start with us on a weekly basis.

    After making some initial progress, some clients will move to a biweekly cadence. As you approach graduation from therapy, you and your provider may elect to space sessions out to meet monthly or on an as-needed basis.

    You and your provider will work together to create a custom treatment plan tailored to your goals and needs.

  • It depends on your goals. Some clients come for short-term therapy to manage postpartum adjustment or anxiety, while others continue longer-term to work through patterns that have built up over time and to cope with the ever-changing challenges of motherhood.

    You and your therapist will collaborate to find a pace and approach that feels right for you and regularly check in about your progress.

  • That’s completely normal. Many clients start therapy uncertain about what they need — they just know something isn’t working.

    You don’t need to have the perfect words or plan to begin. Our therapists are here to meet you where you are and help you find clarity, confidence, and relief.

    If you’re unsure, book a free consultation so we can make recommendations and help you decide whether therapy is the right fit — no strings attached.

  • We offer a free consultation to help you explore whether therapy at Palmetto Psychology Clinic feels like the right fit.

    You can schedule directly through our website, email us at hello@palmettopsychology.com, call us, or send us a text at (628) 285-1745 — we’ll take care of the rest.

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Our Team

You Don’t Have to Keep Living in Survival Mode

If your mind constantly feels “on,” if you’re exhausted from overthinking everything, or if anxiety is stealing your ability to enjoy this season of life, you are not alone.

We offer online postpartum anxiety therapy across California, including San Francisco, the Bay Area, Los Angeles, Orange County, and San Diego.

You don’t have to wait until things feel “bad enough” to get support.

Start with a free consultation to find the right therapist for you

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