Pregnancy and Postpartum

Motherhood is “supposed” to be intuitive, easy, and a joyful period in life but the truth is that becoming a mother is an intensely personal and challenging journey; it can be heart-wrenching, painful, and just plain gross. Whether you identify as depressed, anxious, or just having a hard time, Lesli can provide support.

Perinatal Mood and Anxiety Disorders (PMAD) are the number one complication from childbirth. Research has shown that there are critical points in the first year after baby’s birth, particularly at 1 month, 3-4 months, and 8-9 months postpartum. If your symptoms are interfering with how you take care of yourself and your family, or you just don’t feel like you and want to talk to someone, please call to schedule an initial consultation or a first appointment.

Together we focus first on decreasing symptoms before addressing the underlying stressors that may have contributed to the pressures surrounding parenting including role transitions, past traumas or losses, and recognition of expectations vs reality.

Risk Factors for PMAD Include:

  • History of depression or anxiety prior to pregnancy or in pregnancy
  • Type A personality traits, focus on perfectionism
  • Family history of postpartum depression or anxiety
  • History of postpartum depression or anxiety following previous pregnancies, including miscarriage and stillbirth
  • Difficulty getting pregnant, including the use of infertility treatments and alternative methods of family building (IUI, IVF, Donor, Surrogacy, and Adoption)
  • Major life changes around the period of pregnancy and birth: moving, new job or leaving your job, loss of friends or family
  • Traumatic birth or difficulty with breastfeeding (challenges with supply, baby’s latch, pain)

Special Topics of Interest Include:

  • Evaluation and treatment of PMAD, including but not limited to postpartum depression, anxiety, OCD, panic, and PTSD
  • Reproductive trauma or loss, including infertility, gender disappointment, miscarriage, stillbirth, birth trauma, and NICU/Preemie
  • Transition to Parenthood – first time around or subsequent
  • Alternative pathways to parenting such as single parenting, adoption, donor egg/sperm/embryo, LGBTQ, teen parenting, and later-in-life parenting


Home Visits:

New parents have enough chaos without trying to navigate scheduling and commuting to appointments. If you have recently had a baby and are struggling with next steps for help, Lesli is available for in home consultations to create an initial plan for support and wellness.

By meeting with you at your home, Lesli is able to provide an individualized, tailored plan as we discuss how you’re feeling and doing and how to start the process of getting better. The plan we create will be unique to you and your family and the time we spend together is different than therapy. We will focus on clear steps to improve your emotional and physical well being in parenthood – which may be one session or can be several, depending on your needs and situation. Typically lasting 1-2 hours, our time together will focus on wrap around support for recovery after childbirth, establishing support from lactation consultants or your care providers (OB/Midwife/Pediatrician/Naturopath), discussing sleep and nutritional support, and establishing a plan for your emotional well-being by expanding your support system.