Pregnancy Therapy in Lakewood, CO
Birth plan: check. Pregnancy plan: that’s where we come in.
A pregnancy plan isn’t a form — it’s a place to think. The questions that run all day, finally talked through with someone whose job is exactly that. Together we sort the big ideas, the worries, the random thoughts — make sense of them, settle the noise. Days in or days away, we’re already on your team — support in place before the baby arrives.
Led by a licensed psychologist · Perinatal-trained clinicians · Same-week access
The part no one sees
The questions that run all day during pregnancy
Everyone keeps asking how you’re doing — are you excited? Easy answer: yes. And it’s true. It’s just not what the whole day looks like. The whole day has a second job in it — the one running in your head from the moment you wake up, still picking up 2am shifts.
What’s safe to eat? How will two kids work? What happens to my job, my body, my marriage — the pre-baby version of me?
The questions are concrete, endless, and oddly comforting to rotate — because a question about logistics is at least a question you can work on.
Here’s the thing about those questions: some of them have real answers, and we work through those together — actual progress, not another lap of the loop. But some are standing in for a quieter question underneath, the one none of the lists reach: can I do this? That one doesn’t get settled by out-researching it — and it can’t be settled by someone else answering it for you. It gets settled by you. Not by talking yourself into it — by building it. That’s what the pregnancy plan is: the place where can I do this? stops — and I can steps in.
The guide
Why worry during pregnancy makes sense
Right now, all of it lives in one place: your head. Around the clock, alone, with a search bar for a support system.
So here’s the first thing we’d tell you, and we mean it: if you weren’t looking everything up, running the questions, thinking three steps ahead — honestly, that’s when we’d worry. Of course your mind won’t quiet down. You’re carrying something enormous, and everything in you knows it — your attention, your body, your hormones, even your own history all show up for this. All that thinking isn’t a sign something’s wrong with you. It’s a sign of how much this matters — with nowhere yet to set any of it down.
And that’s what a real explanation does. The worry stops being evidence about you and becomes information: this is what a mind does when it loves something it can’t see yet.
It’s also why we work the way we do. Dr. Awalt’s doctoral research — a Ph.D. in the psychology of neuroscience and behavior — followed how hormones, attachment, and early life shape us. I hold specialized credentialed training in prenatal and postpartum mental health. Althought Therapy is founded and led by Dr. Samantha Awalt, a licensed psychologist — with same-week access, because the moment you’re ready shouldn’t sit on a waitlist.
The plan
What pregnancy therapy looks like here
First, we get to know you. Actually you.
This is your time and your space — built entirely for you. Not the registry, not the logistics — you. We get curious together: what have you always pictured about family, about motherhood, about the life you ultimately want to build? What images and memories come to mind when you let your imagination free? For some, the picture is crystal clear. For others, this is where we build it. Either way, there’s real direction here — a guided wander through the full arc of you: the childhood that helped shape you, the person you’ve become, and the vision for the family you’re building. You set the pace; we hold the structure. This is where you exhale.
Then, the plan takes shape.
This is where the pregnancy plan gets built — braided from three strands at once. The first is understanding you: the more we know you, the more this season of you makes sense, and the steadier the ground gets underneath you. The second is straight talk about how pregnancy works on a mind — why a thought rehearsed enough times starts to feel like a prediction, why reassurance never holds overnight, what all that thinking is made of. Real explanations, the kind you can take home and use at 2am. And the third strand tends to arrive on its own: the questions that aren’t just about you. How the two of you can be excited at such different volumes. How to ask for what you’ll need once the baby’s here — when asking has never come easily, and the last thing you want is to strain the relationships you’re counting on. What the people around you will make of the way you want to do this. Pregnancy rearranges every relationship around you, not just the one with yourself. That belongs in the plan too.
Then: “I can.”
Remember the question underneath all the questions — can I do this? This is where it stops, and I can steps in. Not as a feeling that arrives one morning, and not as something we convinced you of — as something you built, strand by strand. You’ll know your own mind by then: how it worries, what it’s really asking for, when to take it seriously and when to let it talk. The ground you’ve been waiting to feel steady — you’ll be standing on it, and you’ll know how it got there, because you built it. It goes where you go: the appointments, the waiting, the birth, the asking — and into everything after. What you built here travels with you.
Your first pregnancy
Everything is a first. The first ingredient list read three times in the grocery aisle. The first time you google something at 2am and close the tab feeling worse. The first time you try to picture yourself as someone’s mother — and the picture won’t quite load. You’re rehearsing a role you’ve never seen yourself play, with no way to check how you’re doing. Everyone says you’ll be great. Nobody can tell you how they know. This is the pregnancy where the questions are all brand new — and where having somewhere to take them changes the whole nine months.
When this isn’t your first
You always pictured this — the bigger table, the sibling noise, the family filling out. That picture is real, and it’s still the one you want. And the pregnancy itself? You’ve been here. You know how this part goes. What’s harder to picture is the part after — how one becomes two. The just-you-two afternoons with your firstborn, and what happens to them. How the days rearrange, how the closeness gets carried into a fuller house. It’s one of the biggest transitions in a mother’s life, and somehow nobody talks about it — everyone else seems to simply absorb it, so the wondering feels like yours alone. It isn’t. It’s just the part of you that takes this seriously, doing exactly that. This is the pregnancy where the question isn’t can I do this — it’s what will this look like, for all of us? And that question deserves a real place to be worked out.
First time: “can I do this?” Next time: “what will this look like?” Bring us the question. We’ll build from there.
Part of the experience
The part of pregnancy that’s just for you
There’s the version of pregnancy that’s all logistics — and then there are the things people do because this season deserves marking. The photos. The trip. And now, for a growing number of women, this: time set aside to actually imagine it. What kind of mother do you want to be — not the pressure version, the dream version? What do you want mornings to feel like in five years? What from your own story do you want to carry forward — and what gets left behind, on purpose? An hour that’s entirely yours, with someone trained to help you see it clearly. Many people begin during pregnancy exactly for this — to walk into motherhood with a vision they’ve actually built, and support already in place when the baby arrives. It might be the most interesting thing you do all pregnancy.
What changes
What changes with therapy during pregnancy
The first thing most people notice is volume. The thinking doesn’t vanish — it settles. The 2am searches get rarer, and when they happen, they end sooner, because you know what the worry is made of now and it can’t pretend to be a prediction anymore. You get pieces of your day back. You get your evenings back.
The second thing matters more: your full experience of this pregnancy finally gets to exist somewhere. Not the highlight reel — the whole thing. Said out loud, taken seriously, genuinely understood. Whatever this pregnancy is actually like for you, there’s a space where all of it is true at once — and you stop carrying the unsaid version alone.
And underneath both, something sturdier is forming: I can do this — not as a hope, as a working fact. You know your own mind. You can tell what it’s asking for. That’s what walks with you into the appointments, the birth, and everything after.
Mostly, though? More of you gets to be here for it. The noticing, the imagining, the small moments that were getting talked over by the worry — they’re yours now.
What we help with
Pregnancy counseling for these concerns
Every pregnancy carries its own questions. Whatever yours looks like, this is the work we do every day — including:
- Pregnancy Counseling
- Infertility Counseling
- Prenatal Therapy & Emotional Wellness
- High-Risk & Complex Pregnancies
- Perinatal OCD
- Birthplace & Postpartum Planning
- Partner & Family Involvement
- Therapy for Pregnant Individuals
- Prenatal Anxiety & Overthinking
- Intrusive Thoughts During Pregnancy
- Pregnancy After Infertility or Loss
- Birth Fear & Medical Anxiety
- Identity Shifts & Becoming a Parent
- Relationship Changes During Pregnancy
Looking ahead — or carrying something heavier? We also offer postpartum therapy, pregnancy loss counseling, and therapy for new mothers when this chapter turns into the next one.
Days in or days away, we’re already on your team.
Book a consultation. We’ll talk through what’s been happening, where you want to get to, and whether we’re the right fit to help you get there. Same-week appointments available. Or call us at 720-984-1219.
FAQs
Pregnancy Therapy FAQs
01Is it normal to worry a lot during pregnancy?
Yes — common enough that we’d gently flip the question: a mind carrying something this big is supposed to be busy. Worry during pregnancy is one of the most frequent reasons people come see us, and most of the women we work with wouldn’t have called themselves anxious before this. If the thinking has gotten loud, that’s not a verdict on you or your pregnancy — it’s a very workable reason to have support.
02I’m not sure what I’m feeling counts as anxiety. Is therapy still for me?
You don’t need a diagnosis to be here — most of our pregnancy work is with people who’d describe it as “extra worry” or “a lot on my mind,” not a condition. If the thinking is taking up more of your day than you’d like, that’s reason enough. And if what you’re carrying does turn out to need more specific care, I hold specialized training in prenatal and postpartum mental health, so you’re already in the right place.
03How do I know if it’s anxiety or intuition?
This is one of the best questions in all of pregnancy, and one we work on directly. The short version: worry that repeats tends to feel increasingly true — repetition can wear the costume of intuition. Learning to tell your mind’s worry apart from its wisdom is a real skill, and it’s a core part of what you build here.
04I don’t really know how to explain what I’m feeling. Is that okay?
Completely. You don’t need to arrive with it sorted — sorting it is the work, and it’s ours to do together. Plenty of people start with “I don’t know exactly why I’m here.” That’s a fine first sentence.
05Can we talk about family, in-laws, and relationship stress too?
Yes — and you’d be in good company. Pregnancy rearranges the relationships around you, not just your inner world: partners excited at different volumes, family with opinions, the question of how to ask for what you’ll need. All of it belongs in the work.
06When in pregnancy should I start therapy?
Whenever you’re ready — days in or days away. There’s no too early and no too late. Many people begin during pregnancy specifically so support is in place before the baby arrives; others start when the thinking gets loud. Both are standard.
07Can I continue therapy after the baby is born?
Yes, and many people do — it’s one of the quiet advantages of starting now. By the time the baby arrives, we already know you and your story, so postpartum support isn’t a cold start with a stranger during the most tired weeks of your life. The door stays open, and the work travels with you.
08Do you offer same-week appointments?
Yes. We hold same-week availability for new clients, because the moment you’re ready shouldn’t sit on a waitlist. Book online or call us at 720-984-1219.
09Do I need a referral from my OB or midwife?
No referral needed — you can book directly at any stage. That said, we work alongside OBs, midwives, and doulas often, and we’re glad to coordinate with your care team if you’d like.
10Can I bring my toddler or young child to appointments?
Yes — truly. We know childcare is one of the most common reasons mothers put off their own care, so bringing your little one along is welcome here. Our office is used to small visitors, and a session with a toddler in the room is still a session. Don’t let the logistics of that hour be the reason you don’t get it.
11Do you work with people of all backgrounds, identities, and family structures?
Yes — fully, and it’s built into how we think. Our entire approach rests on understanding the unique lens each person brings, which means there’s no “standard” client here to begin with. We work with parents and parents-to-be across all identities, orientations, and family structures — LGBTQ+ individuals and couples, single parents by choice, families formed through IVF, surrogacy, or adoption, every faith and background. Our office is wheelchair accessible, with elevator access. If you’re wondering whether you’d be welcome here: you are.
12Can my partner join some sessions?
Yes. This is your space first, and it stays that way — but pregnancy is happening to a relationship too, and some conversations go better with both of you in the room. Partners are welcome to join sessions as it’s useful, and if deeper couples work ever makes sense, that’s something we do under this same roof.
13Do you offer virtual sessions?
Yes — in person at our Lakewood office, fully virtual across Colorado, or hybrid. Late pregnancy is exactly when driving across town loses its appeal; the work moves online whenever you need it to.
14I’ve experienced a loss or infertility before this pregnancy. Do you work with that?
Yes, and we’re glad you asked — pregnancy after loss or a long fertility road has its own texture: hope and guardedness at the same time, milestones that carry extra weight. All of it belongs in the work. We also offer dedicated pregnancy loss counseling, and that history is always honored in how we go.
15Can starting therapy during pregnancy help with postpartum adjustment?
Research suggests it can — support during pregnancy is associated with lower rates of postpartum depression, and it’s part of why many people begin now. Just as practically: by the time the baby arrives, we already know you, so if the early weeks get heavy, help is a familiar face away rather than a search from scratch.
16Do you take insurance? What does it cost?
We’re a private-pay practice — we don’t bill insurance directly, which is a deliberate choice: it keeps your care between you and your therapist, with no diagnosis required for coverage, no session limits set by a third party, and no treatment decisions made by anyone who hasn’t met you. Sessions are $250. We accept HSA and FSA funds and all major credit cards, and if your plan includes out-of-network benefits, we’re glad to provide a superbill you can submit for possible reimbursement.