Specialized perinatal care
Specialized online therapy for pregnancy and postpartum mental health, across California.
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Nine focus areas · all perinatal
Not one of them is too small or too strange to bring to a first session.
Pregnancy and postpartum are supposed to be joyful…so why do they feel so hard? Whether you’re grieving the loss of your old self, riding waves of anxiety, or wondering why you don’t “feel like yourself” after birth, you deserve support that gets it. These changes are big, but you don’t have to navigate them alone. We’re here to help you feel grounded, capable, and connected again.
Read more → 02You love your kids, but you miss yourself. The constant mental load, guilt, and pressure to do it all can leave you running on fumes. But motherhood doesn’t have to mean losing your sense of calm or struggling with your identity. Together, we’ll help you move from surviving to feeling more present and fulfilled — in motherhood and beyond.
Read more → 03Each cycle brings another wave of hope and heartbreak. Fertility and pregnancy loss struggles can consume your thoughts, strain relationships, and make you feel isolated in a process that’s anything but simple. You don’t have to carry this alone. We’ll help you process the grief, anxiety, and uncertainty that come with the journey and find steadiness in the waiting.
Read more → 04If you find yourself constantly checking on your baby, struggling to make decisions, unable to relax, spiraling with “what ifs,” or feeling on edge even when everything is fine, postpartum anxiety may be running the show. You don’t have to keep coping in silence. We’ll help you quiet the noise and regain control of your life.
Read more → 05If you’re crying more than expected, feeling disconnected from your baby or your life, or wondering why this feels so heavy, you may be experiencing postpartum depression. You’re not alone, and you don’t have to stay stuck here. We’ll help you reconnect with yourself, find more joy, and find a way forward.
Read more → 06You know your thoughts don’t always make sense, but they still feel impossible to ignore. Whether it’s endless checking, intrusive images, or the “what if” spiral that won’t stop, OCD can make life feel small and exhausting. You deserve relief. With evidence-based treatment and compassionate support, change is absolutely possible.
Read more → 07You might look fine on the outside, but inside, the memories still live in your body — replaying, tightening, flooding. Trauma can make you feel stuck in survival mode, long after the event has passed. But healing is possible. We’ll help you safely process what happened so you can move forward without being pulled back by the past.
Read more → 08When you have body image concerns, spend so much energy thinking about food, your body, or how to “get it right” that you find yourself missing out on the life you want. You don’t have to keep fighting yourself to feel okay in your skin. We’ll help you build a healthier, more peaceful relationship with food and your body. One that’s rooted in self-compassion, not control.
Read more → 09When life is full, relationships may feel strained. Our couples and family therapy helps partners and families slow down, really hear each other, and rebuild trust. Together, we’ll create a plan that supports your relationships and your long-term goals.
Read more →From first call to graduation
Four stages, and you and your therapist decide the pace of each one together.
At Palmetto, we know that finding a therapist you trust is crucial to successful treatment. That’s why we offer an optional free phone consultation to help you get a feel for whether our clinic may be the right fit for you. If you’re ready to move forward without it, you can book directly with your desired therapist.
Therapy begins with a thorough assessment of your key challenges and goals. You and your therapist will collaboratively develop a plan for therapy that is tailored to your needs, preferences, and your shared understanding of your difficulties.
While each provider on our team has their own style, you can generally expect that your ongoing therapy sessions will focus on exploring the roots of your current challenges and learning strategies to help you overcome them. You can also expect between-sessions practices that will help you apply what you are learning in therapy to real-life situations. Our clinic believes in an active, goal-oriented, compassionate, and collaborative approach to therapy.
Throughout therapy, you and your therapist will monitor progress toward your goals and collaboratively discuss when you agree that it is time for you to graduate from therapy. At graduation, you will feel equipped with new skills and perspectives and confident in your ability to carry these forward on your own. At this point, many clients are ready to conclude therapy sessions entirely so that they can continue their progress independently. Others prefer to stay in touch with periodic "booster sessions.” Your therapist will work with you to create a graduation plan that fits your needs.
Evidence-based, and named
In your initial sessions, you and your therapist will build a plan from these.
CBT examines the way your thoughts, feelings, behaviors, and physiological sensations interact with one another to contribute to your distress. You will build skills in each of these domains so that you can disrupt distress cycles when they arise.
With its focus on enhancing quality of life, ACT helps you stop struggling against your thoughts and feelings so that they no longer get in the way of doing the things that make your life feel full, rich, and meaningful.
DBT is an evidence-based approach that combines mindfulness and practical skills to help individuals manage intense emotions, improve relationships, and enhance well-being. It focuses on four key areas: distress tolerance, emotion regulation, interpersonal effectiveness, and mindfulness.
ERP is a behavioral therapy for OCD and anxiety disorders that involves increasing your exposure to feared situations. It will help you develop more balanced thoughts about your feared situations and enhance your ability to tolerate and accept the discomfort that arises in them.
Mindfulness-based approaches to therapy focus on helping you recenter yourself in the present moment when you notice that your mind has pulled you to past memories or future worries. This helps you make more effective, values-aligned decisions in the here and now.
Self-compassion is an evidence-based treatment principle that helps you learn how to treat yourself with the same kindness with which you would treat a loved one. It helps you decrease shame, self-validate your challenging experiences, and take more consistent responsibility for your actions.
EFT helps couples identify, express, and manage their emotions to foster closer emotional connection between partners. It involves exploring each partner's underlying emotions and needs, and using these to help the couple communicate more clearly and effectively.
IBCT helps couples interact more effectively and increase their closeness. It emphasizes strategies for change (modifying problematic behaviors) and acceptance (helping partners learn to accept each other's differences) to decrease conflict and enhance connection.
We offer virtual therapy across California, including the Bay Area, San Francisco, Marin County, Los Angeles, Orange County, and San Diego.