Perinatal Counseling
Perinatal Therapy in Arlington, Texas (and across Texas, virtually.) Working with Abbi O’leary - a specially trained therapist in all things perinatal mental health.
For the women, birthing people, and partners finding their way through the becoming.
Becoming a parent changes everything.
Your body. Your identity. Your relationships. Your sense of time and safety and meaning. It changes it all.
No matter how you arrived here — through fertility struggles, a long-awaited pregnancy, a loss, a complicated birth, or a baby finally in your arms — the journey of matrescence (the transformation into parenthood) can feel like being taken apart and put back together all at once. It can be the biggest fire walk of your life.
And yet, so many parents go through it quietly. Smiling when they want to cry. Feeling guilty for not feeling “grateful enough.” Wondering where the version of themselves they used to know went. And wondering why they feel so isolated.
If that’s you — if your mind is spinning at 2 a.m., your chest feels heavy, your body hums with anxiety, or you’re just trying to survive the day — you are not broken.
You are becoming. You are walking through a huge transformation and need support.
You are not alone in this.
1 in 5 new mothers experiences emotional struggles like depression, anxiety, or trauma during pregnancy or postpartum.
1 in 10 partners do, too.
These are the most common complications of pregnancy and birth — more common than infection or bleeding — yet they often go unspoken.
We believe support during this season isn’t a luxury. It’s an absolute necessity. And we truly mean that.
I will walk alongside you — through trying to conceive, pregnancy, loss, postpartum, and every messy, sacred in-between stage of becoming.
Whether you’re experiencing postpartum depression, anxiety, OCD, intrusive thoughts, birth trauma, loss, or infertility, you deserve to be met with compassion and expertise.
What Perinatal Therapy Looks Like
Perinatal therapy is a safe, nonjudgmental space to bring your full self — not just the version holding it all together. All of you is welcome here.
Together, we’ll:
- Name what’s really happening. The anxiety, the intrusive thoughts, the grief, the rage, the numbness. Nothing is off-limits here.
- Reconnect with your body. Through somatic and mindfulness-based approaches, we’ll help you feel grounded and safe in your own skin again.
- Make sense of the identity shift. Matrescence changes everything — we’ll make room for both the loss and the expansion of who you’re becoming.
- Strengthen your support system. We’ll talk about what community can look like and how to build your circle of care — because no one should do this alone.
- Work with your partner, if you wish. Partners often need space, too — to understand, grieve, and find steadiness in this new terrain.
Sessions may include a mix of talk therapy, somatic therapy practices, EMDR (for birth or medical trauma), and deep relational support. Everything is shaped around you — your story, your body, your pace.
Why I Do This Work
I am a survivor of postpartum anxiety and infertility.
Before my son was born, I was a therapist — resourced, informed, and ready for whatever was coming my way with new parenthood (or so I thought).
And yet, after birth, I was brought to my knees by debilitating anxiety, sleeplessness, and intrusive thoughts that left me feeling terrified and unseen.
My birth was a mosaic of compromises — not traumatic by the book, but deeply disorienting. My body healed, but my spirit didn’t know how. For a while, I felt like I had vanished.
Slowly, with compassionate therapy, medication, an understanding lactation consultant, and the steady presence of family and friends, I began to find my way back.
That experience changed everything. It made me certain of this truth:
No one should have to walk the perinatal road alone.
Now, I walk with others — helping parents find their footing again after the storm.
To the mother (or parent) who feels invisible, afraid, or ashamed — I see you. You are not too much. You are not failing. You are becoming AND you need support.
My Training and Approach
I am specially trained in perinatal mental health and a proud member of Postpartum Support International (PSI).
I am trained in supporting clients through:
- Postpartum depression, anxiety, OCD, and trauma
- Birth trauma and medical trauma
- Identity shifts during matrescence and early parenthood
- Shifts in relationships during this time
- Infertility and reproductive challenges
- Perinatal grief and loss
My approach combines client-led therapy, somatic therapy, and EMDR with deep relational support.
Together, we work gently, collaboratively, and always with respect for the sacred transformation that is parenthood.
If you are reading this and wondering if therapy could help — it can.
You don’t have to wait until things feel unbearable.
You don’t have to earn support by being at a breaking point.
Support is your birthright (this may sound idealistic, but I know it to be true).
You deserve to be held and cared for. To be seen and supported.
Whether you’re:
- Trying to conceive after loss
- Feeling anxious or detached during pregnancy
- Struggling with postpartum anxiety or depression
- Rebuilding your sense of self as a new parent
- Supporting a partner through their own journey
- There is a path home to yourself, and you don’t have to walk it alone.
Begin Your Healing
I offer perinatal and postpartum therapy in person in Arlington, Texas, and virtually for clients across Texas. So, if you need therapy in your home with messy hair and a kid on your hip, I am here for it all.
If you’re seeking a therapist who understands this season personally and professionally — who knows how profound and disorienting it can be to become a parent — I’d be honored to walk alongside you.
Reach out here to schedule a consultation or learn more about working together.
You are not broken.
You are becoming.
And you were never meant to do it alone.
What to Expect
Pricing:
50-minute session - $130
Click here to learn more about our insurance and sliding scale payment policies.