Telehealth · Portland & All of Oregon

Postpartum doesn't have to
feel this hard.

You love your baby. And you're also struggling. Both things can be true — and with the right support, you can feel like yourself again.

Licensed in Oregon PMH-C Certified EMDR Trained PSI Trusted Provider Accepting new clients
What you're carrying

You love your baby. And you can't stop crying.

You're exhausted but you can't sleep.

You feel guilty for not feeling happier.

You didn't expect to feel this way. You haven't told anyone how hard it really is. And you are not broken.

"What if you could wake up tomorrow and feel just a little more like yourself?"

This is what life can look like after postpartum therapy.

Therapy doesn't erase the hard parts of new motherhood. But it can change how you carry them — and open up real space for joy, connection, and confidence again.

A newborn sleeping peacefully in a soft floral outfit
Reconnect with who you are

Not just "mom" — you. Your interests, your sense of humor, the things that light you up. Therapy helps you remember who you were and discover who you're becoming.

Rest — actually rest

The racing thoughts quiet. The 3am spirals slow down. You start to sleep — and when you rest, you actually feel it.

Be present with your baby

The fog lifts. The guilt softens. You start to enjoy moments you used to just survive.

Find your footing as a mother

You discover your own parenting style — not the one you think you should have, but the one that's truly yours. You start to trust your instincts.

The heaviness lifts

You stop just getting through the day. You start having days that feel good — actually good.

Embrace this new version of yourself

Motherhood changes you — and that's not a loss. Therapy helps you integrate who you were with who you're growing into.

If any of this is landing for you, the next step is a small one — a free, no-pressure conversation.

Book a Free Consultation

Prefer to email first?

geraldine@kuphalMFT.com

I usually reply within one business day.

Postpartum depression shows up in many forms.

The postpartum period is bigger than we often admit — and so is what falls under "depression." Here's what this space holds.

Postpartum depression Prenatal depression Maternal rage and anger Difficulty bonding with baby Guilt and shame Perinatal and pregnancy loss Identity shifts in motherhood Adjustment to new parenthood Return to work — or staying home Relationship strain after baby Birth trauma and EMDR Perinatal OCD Infertility grief Pregnancy anxiety
PSI Certified Perinatal Mental Health Professional (PMH-C)

Trained in perinatal mental health through PSI.

I hold specialized training through Postpartum Support International (PSI) — the leading organization in perinatal mental health education. This means the support I offer is grounded in the most current, evidence-based approaches to postpartum depression and the full spectrum of perinatal mood disorders.

PSI training is not a general therapy credential — it's a focused specialization. You're working with someone who has specifically studied what you're going through.

Learn more about Postpartum Support International →
Also verified on Member of Portland Therapy Center Member

Your mental health support doesn't
happen in isolation.

When you're in the postpartum period, the best care is coordinated care. I collaborate regularly with providers across the Portland metro and Oregon so that your recovery is supported from multiple directions — not just one hour a week in therapy.

🌙

Sleep consultants & couples counselors

Postpartum doesn't happen in a vacuum — sleep deprivation and relationship strain often show up alongside it. I work in regular contact with trusted Portland-area sleep consultants and couples therapists, so when those pieces are part of your struggle, you're not piecing the support together alone.

🤱

Doulas & birth workers

Portland's birth worker community is strong. I collaborate with local doulas and postpartum doulas who support families in the immediate postpartum period — so we're working in the same direction.

🍼

Lactation consultants (IBCLCs)

Feeding challenges are deeply intertwined with postpartum mental health. I work alongside IBCLCs and breastfeeding support specialists so that if nursing is part of your struggle, both sides are being addressed.

🧘

Pelvic floor physical therapists

Physical recovery affects emotional recovery — and vice versa. I coordinate with pelvic floor PTs across the Portland metro who understand that the postpartum body and postpartum mind are not separate problems.

Need a referral? I'm happy to connect you with trusted providers in the Portland area.

Simple steps to begin feeling better.

1
Free 15-minute phone consultation

We'll talk about what's going on, answer any questions you have, and see if working together feels like a good fit. No pressure at all — just a conversation.

2
Your first session

We go deeper — your history, your birth experience, what you're hoping to feel like on the other side. We build a plan around your real life: your schedule, your baby's naps, your insurance.

3
Ongoing support, at your pace

Most clients meet weekly or biweekly. Sessions are 50 minutes over secure video — from wherever you are in Oregon, from your couch, your car, or your bed.

Morning sessions available: 6am through 2pm

Oregon sessions run 6am through 2pm — including early morning slots for before-work clients and lunch hour appointments.

6–8am
Before work
While the house is still quiet
Lunch
Midday reset
Step away, come back grounded

Oregon insurance plans accepted.

I accept several Oregon insurance plans directly, including OHP — which means therapy is accessible regardless of income or employment status. If you're not sure your plan is covered, I'm happy to clarify during our consultation call.

OHP / CareOregon Moda Health Pacific Source Trillium Health Health Share of Oregon

Private pay also available: $170/session · Initial assessment $220 · Sliding scale available upon request.

Out-of-network superbills available for plans not listed. Ask me about your specific coverage.

Things people often wonder before reaching out.

How long is the postpartum period, really?

Longer than most people think — and that's important. The postpartum period is generally recognized as the first two years after your baby is born, not just the first few weeks. Many mothers don't seek help until months in, and that makes complete sense. If you're still struggling at 6 months, 12 months, or beyond, you are still in the postpartum window and support is absolutely available to you.

Is what I'm feeling really depression, or am I just tired?

Postpartum depression can look like exhaustion, irritability, numbness, or disconnection — not just sadness. If something feels "off" and isn't lifting on its own, that's enough reason to reach out. You don't need to meet a specific threshold or hit a certain level of severity to deserve support.

I feel rage more than sadness. Is that still postpartum depression?

Yes. Maternal rage and anger are very common — and very much under-discussed — forms of postpartum depression. Many mothers feel intense irritability or anger rather than, or alongside, sadness. It often comes with a lot of shame and guilt. It's a recognized symptom, and it's something we can absolutely work through together.

What if I don't have childcare during sessions?

That's completely okay — and more common than you'd think. You can be nursing, changing a diaper, feeding your toddler, or getting your baby up from a nap mid-session. Take the call from your bed, your couch, or your car. Babies are welcome. This is therapy that adjusts to your life — not the other way around.

Does OHP cover postpartum therapy?

Yes. I accept Oregon Health Plan (OHP) / CareOregon, which means cost isn't a barrier for most Oregon residents on Medicaid. I also accept Moda Health, Pacific Source, Trillium, and Health Share of Oregon. For plans not listed, private pay is $170/session and sliding scale spots are available — please mention this during your consultation if cost is a concern.

Can you coordinate with my OB or midwife?

Yes — and I actively encourage it. With your permission, I can collaborate with your OB, midwife, or other care providers to make sure your mental health support is integrated with your overall care. I work alongside Providence, OHSU, and community providers across the Portland metro.

Around 1 in 5 women and 1 in 10 men may experience anxiety or depression during the perinatal period.*

Motherhood is not supposed to feel this heavy.

*Postpartum Support International

The hardest part is often just reaching out.

A free 15-minute phone call is all it takes to get started. No commitment, no pressure — just a conversation about what you need and whether we're a good fit.

Telehealth · Licensed in Oregon · OHP & insurance accepted · Currently accepting new clients