Palmetto Psychology Clinic

Online therapy · all of California

Perinatal mental health therapy in California

The whole span — from deciding whether and when to try for your first baby through the toddler years.

Book an appointment
Pregnancy & postpartum mental health — online therapy across California with Palmetto Psychology Clinic.

You thought this would feel different. You read all the books. Took the classes. You prepared as much as you could and have worked so hard to do this “right.” But it’s so much harder than you ever expected.

Maybe you can’t stop checking on your baby.

Maybe you’re having scary or intrusive thoughts.

Maybe your mind jumps to worst-case scenarios all day.

Maybe you're crying more than you expected, or you’re feeling overwhelmed, disconnected, irritable, numb, or unlike yourself.

Maybe you're constantly Googling, researching, tracking, or second-guessing your decisions in a desperate effort to feel more certain, calm, or “in control.”

And when people tell you everything is okay (or even when you know it yourself), your body doesn’t believe it.

If any of this sounds familiar, you don’t have to carry it alone.

At Palmetto Psychology Clinic, we provide specialized online therapy for pregnancy and postpartum mental health concerns across California.

Whether you’re experiencing anxiety, depression, intrusive thoughts, overwhelming stress, identity changes, relationship challenges, or simply feeling unlike yourself, we’re here to help.

Our goal is to help you feel more grounded, supported, present, and confident in this season of life—so you’re not just getting through it, but actually enjoying it.

We’ve helped hundreds of California moms through this transition.

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

Common Challenges During Pregnancy & Postpartum

It doesn’t always look obvious from the outside.

Many women who are struggling are highly functioning, responsible, and “on top of things,” so from the outside, they may look like they’re thriving. But internally, it can feel exhausting. You might:

  • Constantly overthink or replay your decisions
  • Feel unable to relax, even when you finally have a moment to yourself
  • Wake up with a racing heart or knot in your stomach
  • Spiral with "what if" thoughts throughout the day
  • Feel emotionally overwhelmed by things that never used to bother you
  • Experience scary, intrusive, or unwanted thoughts
  • Feel disconnected from yourself, your baby, your partner, or the pregnancy
  • Struggle with guilt, shame, or the feeling that you're not doing enough
  • Feel irritable, short-tempered, or unlike yourself
  • Obsessively research, track, plan, or seek reassurance
  • Struggle to trust yourself or your decisions
  • Feel sad, numb, anxious, overwhelmed, or all of the above

Why Pregnancy and Postpartum Can Feel So Overwhelming

Pregnancy and early motherhood come with enormous shifts in responsibility, identity, hormones, relationships, sleep, and routine. Even when a baby is deeply wanted and loved, these changes can feel overwhelming. And often, it doesn’t look the way people expect it to look.

Many women don’t seek support because they assume:

  • "I'm just a stressed mom."
  • "Everyone struggles like this."
  • "I should be able to handle this."
  • “This is just part of becoming a parent."

While pregnancy and postpartum are challenging seasons, living in a constant state of anxiety, overwhelm, sadness, guilt, numbness, or emotional exhaustion isn’t something you have to keep pushing through alone.

How Therapy Can Help

Pregnancy and postpartum therapy isn’t about telling you to “just relax,” “be grateful,” or “enjoy every moment.”

At Palmetto, we help you understand what you’re experiencing, why it’s happening, and what can help you feel more like yourself again. We combine evidence-based approaches with compassionate support to help you navigate this season with more confidence and ease.

In therapy, we may work on:

  • Understanding your emotions, thoughts, and patterns
  • Managing anxiety, depression, overwhelm, or intrusive thoughts
  • Processing a difficult pregnancy, birth, postpartum experience, or fertility journey
  • Navigating identity changes and the transition to parenthood
  • Reducing guilt, perfectionism, and self-criticism
  • Learning how to tolerate uncertainty and let go of impossible expectations
  • Managing stress and the mental load
  • Strengthening relationships and communication
  • Rebuilding trust in yourself and your decisions
  • Creating more space for rest, connection, joy, and the parts of yourself that may feel lost right now

We’re here to help.

Our approach is warm, collaborative, and tailored to your unique experience. We know how vulnerable it can feel to ask for help, especially during a season when it seems like everyone expects you to be happy and grateful all the time.

We also know that healing is possible with the right support.

By the end of therapy, our clients often tell us they feel more grounded, more confident, and more connected to themselves, their relationships, and their lives. Instead of spending their days stuck in survival mode, they feel more present, more resilient, and more able to engage with the moments that matter most. That’s what we want for you, too.

Support for pregnancy & postpartum mental health, online, anywhere in California.
Online, from wherever you are Sessions happen at home, in a parked car, on the nursery floor. Babies are welcome on screen.

Who you'd work with

These clinicians work with this specifically. Not sure who to pick? Start with Anni and let her match you.

Kelly Showen, Psy.D., licensed psychologist at Palmetto Psychology.

Kelly Showen, Psy.D.

Licensed Clinical Psychologist · PSY35288
Perinatal mental health · Anxiety & Obsessive-Compulsive Disorders

Limited availability

Meghan Brown, M.S., student therapist at Palmetto Psychology.

Meghan Brown, M.S.

Student Therapist
Family planning decisions · Couples therapy

Waitlist

Kaety Kohlhorst, student therapist at Palmetto Psychology.

Kaety Kohlhorst

Student Therapist
Perinatal mental health · Navigating life transitions

Waitlist

Ariana Esfahani, M.S., student therapist at Palmetto Psychology.

Ariana Esfahani, M.S.

Student Therapist
Perinatal anxiety and depression · Trauma

Accepting new clients

Ayala Tzadikario, student therapist at Palmetto Psychology.

Ayala Tzadikario

Student Therapist
Perinatal anxiety and depression · Relationship concerns

Accepting new clients

Questions about pregnancy & postpartum mental health

Is there anything I can do to prevent postpartum depression or anxiety?

While you can’t fully prevent PPD or PPA, you can build protective factors.

Therapy with us during pregnancy can be a powerful way to set realistic expectations, ensure support, and gain tools for managing anxiety.

We can help you prepare emotionally for postpartum and equip you with the skills we know will support you through the challenges of the transition to motherhood.

I’ve struggled with postpartum anxiety or depression before. Will it happen again?

Not necessarily, though it may mean you’re at a higher risk. The good news is that with the right support and early intervention, many women have a very different experience in subsequent pregnancies. We’d love to support you!

Why don’t I feel like myself anymore?

Pregnancy and postpartum involve massive hormonal, physical, and identity shifts. This version of your life is fundamentally different than before in mind, body, and spirit.

This makes feeling disconnected from yourself incredibly common, and it’s something we can work through together by clarifying your values, stripping away the external noise, and using self-compassion to help you meet yourself where you’re at through this stage of becoming.

I’m scared about giving birth. How can I mentally prepare?

Fear around childbirth is more common than people talk about. In therapy, we can help you process your fears, talk through ways to feel more in control (like how to advocate for yourself, be flexible with your plan, and clarify your boundaries), and approach birth with greater confidence.

Why am I suddenly so much more anxious now that I’m pregnant?

Pregnancy can bring a level of anxiety that feels surprising, even if you’ve never struggled with anxiety before.

Hormonal changes, increased responsibility, and the uncertainty of what’s ahead can all amplify worry. Many women find their minds constantly scanning for what could go wrong.

This is so common, and something therapy at Palmetto can help you better understand and manage.

Why am I so angry all the time postpartum?

When you’re exhausted, overwhelmed, and carrying the mental load of caring for a baby, your nervous system can feel constantly on edge. Anger is often a signal that something deeper needs support, like unmet needs, anxiety, or burnout.

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

Is it normal to be overwhelmed even though I wanted this so badly?

Yes. You can deeply love your baby and still feel overwhelmed, stretched thin, or even regretful. These feelings can coexist, and they don’t mean you made the wrong choice or that something is wrong with you.

Why does everything feel so different after having a baby?

Because it is different! Your identity, your routines, your relationships, your body, and your sense of time and freedom all shift in a relatively short period. Feeling disoriented or like you’re still adjusting is incredibly common during this season. We can help you accept these shifts and find realistic ways to reintegrate parts of your pre-baby life so that things start to feel a little more familiar.

Is it normal to feel like I’m not cut out for this?

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.

Why do I feel so guilty all the time as a mom?

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.

How can I mentally prepare for a second (or third or fourth) child?

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.

You don't have to keep carrying this on your own.

Schedule a session or a free consultation with one of our clinicians. We can't wait to connect.

If you need help right now

This website is not for emergencies, and no one is monitoring it. If you're in crisis, please use one of these instead:

Book an appointment