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women's mental health

Whether at work, at home, in our hospitals and medical clinics, or in community organizations, women face unique challenges that can have a significant effect on mental health and psychological well-being. Spark + Pivot is a woman-led practice that will always take an intersectional-feminist* approach to its therapies. What this means is that your therapy space and time will be centered on you as the expert of your life and healing. No assumptions will be made about your goals, culture, work, spirituality, beliefs, trauma, or gender or sexual identity - and the power dynamic will be purposefully lowered so that you feel safe, valued, and partnered in your therapeutic process. For that reason, all of those topics (and more) will be sensitively discussed when you are ready, as they likely play a role in your mental health history, how you experience the world, and what healing might look like for you. 

*Feminist therapies are very effective for people of all gender identities as they explore the effects that problematic systems have on individuals. This perspective demands the therapist co-create treatment plans with each unique client instead of prescribing a one-size-fits-all approach that may set unfair goals and expectations. 

life transitions

As we age, we gain more experience - but also gain different experience. Even if you anticipated and felt prepared for a change (such as a new job or sending a kid to college), moving through the practical steps of that change can bring stress, self-doubt, and difficult emotions. For transitions that you may not have been able to anticipate (like receiving a new diagnosis, breaking up with your partner, supporting a child or parent through a difficult time), you may be experiencing a high degree of stress and a myriad of emotions, while also feeling disoriented and a bit confused. 

By understanding the developmental stages that women encounter, and the typical challenges and opportunities at each stage, we are able to normalize many of the feelings you are having so that you do not feel so lonely or misunderstood. Additionally, by understanding the unique intersectional factors that make you you, we can create a personalized therapeutic experience and develop goals that make sense for your specific life changes. 

perinatal mental health

We offer mental health screening and counseling to clients needing support as they try to conceive (TTC) and in the pregnancy and postpartum periods. 


Megan identifies as a loss mom, having suffered 3 first trimester miscarriages and 1 stillbirth (her son, Theo). She has also navigated the challenges of medically-managed and high-risk pregnancies and a traumatic birth / NICU experience. She has 3 living daughters, and has first-hand knowledge of the long-term impact complicated pregnancies and loss can have on individual and family mental health.


She credits her family, integrated care team (EMDR Therapist, Ob/Gyn, MFM, Fertility Specialist), and clinical supervisor for being at the point she is in her healing now, where she is emotionally and clinically prepared to help women who are navigating similar challenges. From this experience, Megan knows how important taking a systemic approach to therapy is, so you can expect that we will explore the role that family, friends, work, religion all play in the journey; and that collaboration may be sought with your medical team if you need / would like. 


Fertility and perinatal circumstances that have a documented risk of depression, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, and psychosis that deserve specialized mental health support:

  • Trying to conceive (TTC) / Two-week wait (TTW)

  • Infertility issues and medically-managed conception

  • Miscarriage (including chemical pregnancy)

  • Molar and ectopic pregnancy

  • Stillbirth (fetal demise)

  • Traumatic birth

  • NICU

  • Recurrent pregnancy loss

  • Unexplained pregnancy 

  • Termination for Medical Reasons (TFMR)

  • High-risk pregnancy

  • Placenta previa, accreta, and increta

  • Family stress and abuse

  • Breastfeeding and related issues

ready to prioritize yourself?

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