Pregnancy, postpartum & loss
Perinatal & postpartum therapy in New York, for when it isn’t what everyone promised.
It’s 3am and you’re the only one awake. You type it into your phone — is it normal to feel like— and delete it before you finish, because finishing would make it real.
You knew the numbers going in; everyone does. Miscarriage is common. Postpartum depression is common. They’re statistics about other people, right up until the night it’s you — and a statistic is nothing to hold onto at 3am. A person is. That’s what this part of my practice is for.
Where you might be
- You're pregnant, and what you feel is more complicated than what you're allowed to say
- You're somewhere in the first year, crying in the bathroom while everyone asks about the baby
- You're angrier than you've ever been, at people you love
- You keep replaying the delivery — the version that wasn't the plan
- You don't feel bonded the way you were promised, and the guilt is its own weight
- You lost a pregnancy, and the world moved on faster than you did
- You're in fertility treatment, running your life in two-week increments
- You're thinking about getting pregnant. Mostly what you feel is dread.
The thoughts you’re afraid to say
Scary, intrusive thoughts — about the baby, about yourself, about terrible things happening — are one of the most common and least talked-about parts of new motherhood. Most new mothers have them. Intrusive thoughts are not intentions, and telling me about them is not a confession. Usually it’s the first honest breath anyone’s taken in months.
What working with me is like
I pay close attention. If you tell me last week was bad, I’ll ask for the scene — Tuesday night, standing in the kitchen — because the details are where you actually are, and they’re what nobody else is asking about. In return I’m honest with you about what I notice, and about which parts are ordinary and which deserve a closer look. None of it will make me think you’re a bad mother.
I’m not here to renovate you — pregnancy and the first year are already rearranging everything. My job is steadiness and straight answers while that happens. I trained at Columbia, including an inpatient psychiatric placement at Mount Sinai, so nothing you bring here will be too heavy. And these struggles are more treatable than they feel from the inside. The version of you that feels gone isn’t gone.
For a feel of how I think about all this, start with the essay The version of pregnancy nobody announces.
Why this is my work
Your role in your family changes. Your sense of who you are changes. And it all happens on top of the largest hormonal shift a body ever goes through — while almost all of the attention goes to the baby. I built this part of my practice because the mother deserves someone whose whole job is her.
The practical part
Sessions are 50 minutes, $200, and online anywhere in New York State. I’m out-of-network and send monthly superbills you can submit for reimbursement. The baby is welcome at session — on your lap, mid-feed, camera wherever works. Partners are welcome too; some of this is best worked on with both of you in the room.
The one exception: if you’re having thoughts of harming yourself, or seeing or believing things others don’t, that needs same-day care — call or text 988, or go to your nearest emergency room. For free support that isn’t a crisis line, the Postpartum Support International HelpLine: 1-800-944-4773. Everything else, call me.