Perinatal Mental Health
Thoughtful psychological care for the moments when life, identity and motherhood are changing all at once.
Pregnancy, postpartum & the transition to motherhood
The Transition to Motherhood
You don't have to lose yourself when you become a mother
Pregnancy and postpartum can bring enormous changes—not only to your body and daily life, but to your identity, relationships and sense of self.
You may be overwhelmed by anxiety, struggling to feel like yourself, or wondering why this chapter feels so different from what you imagined.
Therapy can offer a place to slow down, make sense of what you're experiencing, and find your way forward with greater clarity and compassion.
What Brings You Here?
Anxiety & Intrusive thoughts
Perinatal anxiety, obsessive thoughts, panic, fears about your baby's safety, or thoughts that feel frightening or unlike you.
Mood & Emotional changes
Depression, irritability, rage, guilt, overwhelm, or feeling unlike yourself.
Birth & Reproductive Experiences
Birth trauma, fertility challenges, pregnancy loss, difficult pregnancies, or complicated reproductive experiences.
Identity & Relationships
The transition to motherhood, changing relationships, boundaries, returning to work, and finding yourself again.
Parenting Stress
Feeling overwhelmed by the demands of parenting, sleep difficulties, or struggling to cope with your baby's needs.
Overwhelmed with thoughts about food or your body.
Specialized Expertise
Warmth matters. Expertise matters too.
Our approach combines genuine understanding with rigorous clinical training. Our clinicians pursue specialized education in perinatal mental health, remain current with emerging research, and engage in ongoing consultation and clinical supervision.
You don't need someone who has simply “been there.” You deserve a clinician who understands the complexity of perinatal mental health and knows how to help.
We get it because we’ve been there, but we will help you by leaning on our rigorous professional training and evidence-based strategies we know can help reduce the immense distress you’ve been carrying.
Our Approach
Evidenced-based care, tailored to you.
01 — Understand
We begin by understanding your experiences, history, relationships and current circumstances.
02 — Treat
We draw from evidence-based psychological approaches selected around your individual needs and goals.
03 — Support
Together, we work toward meaningful change—not simply getting through the next difficult day.
Psychological Assessment
When you need a clearer understanding of what you're experiencing
The intake and assessment process at Shoreacres Therapy includes a thorough review of your history and presenting concerns, with time spent formulating a treatment plan that directly targets your goals.
Dr. Sarah Haller (Clinical Psychologist) provides assessment and diagnosis of mental illness occurring during pregnancy and postpartum, while Brittney Mandryk (Registered Psychotherapist) will screen for symptoms of distress and provide psychotherapy supporting you in symptom reduction.
The assessment process can take anywhere from one to two initial appointments, each 50-minutes in length.
A note on childcare: We recognize that it can be difficult to access childcare. Babies are welcome during online appointments; mothers often have their baby monitor with them during their appointment with baby sleeping in another room, or bring baby onto the video call. Telephone appointments are also available.
You are welcome to bring your baby to your in-person appointment in Burlington, ON.
The room where we will meet has space for baby to either be held by you, or stay in their carseat/stroller, or sit on the floor on a blanket with you.
Practical support for meaningful change
Psychological Treatment
SPECIALIZED PERINATAL TRAINING
Interpersonal Psychotherapy (IPT Institute) — Perinatal Population
Postpartum Support International (PSI) — Certified Provider (PMH-C)
Our goal at Shoreacres Therapy in Burlington, ON is to help you feel better as quickly as possible so that you can enjoy this time with your baby.
Brittney Mandryk (Registered Psychotherapist) and Dr. Sarah Haller (Clinical Psychologist) provide psychological treatment to women and/or their partners during pregnancy and postpartum.
Interpersonal Psychotherapy (IPT) is an evidence-based structured, short-term treatment that targets acute symptoms of distress in the perinatal population.
Clients attend weekly sessions to bring about remission of acute symptoms (approximately 4 to 7 sessions), followed by spaced apart maintenance sessions to ensure continued improvement.
The goals of IPT include reducing symptoms of distress, increasing social support, and improving communication skills.
Dr. Sarah Haller is certified in Level A: IPT with the Interpersonal Psychotherapy Institute specifically with the perinatal population, and is a certified provider with Postpartum Support International (PSI).
Brittney Mandryk has specialized training from the Postpartum Stress Center under the renowned Karen Kleiman for the treatment of perinatal distress and postpartum depression.
Thoughts That Scare You?
You can tell us. We won’t judge you.
Intrusive thoughts commonly occur during the perinatal period. The presence of an unwanted thought does not automatically mean someone wants it to happen. In fact, if the thoughts you’ve been having scare you, it’s an indicator that you have no intention of acting on those thoughts.
You don't have to be afraid to tell us what is going on in your mind.
Questions
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Clinicians are Shoreacres Therapy treat a range of psychological concerns that can occur during pregnancy and the first year postpartum, including anxiety, distressing thoughts, low, agitated mood, and more. We assess and treat the following mental health conditions:
Generalized anxiety disorder (GAD)
Major depressive disorder (MDD)
Obsessive compulsive disorder (OCD)
Posttraumatic stress disorder (PTSD)
Panic disorder
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We recognize that it can be difficult to access childcare.
Babies are welcome during online appointments. Mothers often have their baby monitor with them during their appointment with baby sleeping in another room, or bring baby onto the video call. Telephone appointments are also available.
You are welcome to bring your baby to your in-person appointment in Burlington, ON. The room where we will meet has space for baby to either be held by you, or stay in their carseat/stroller, or sitting on the floor on a blanket with you.
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Clinicians are Shoreacres Therapy help women who have experienced a traumatic birth using gold standard treatment for trauma, including cognitive processing therapy (CPT) and prolonged exposure (PE). We define birth trauma as any experience that occurred during childbirth that felt traumatic to you.
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Many new moms think they are not unwell enough to need support. As if you somehow wouldn’t qualify, or someone else may need it more. There is also a huge amount of stigma around mothers needing mental health support, and fear of providers thinking you are not a good mother, which can be barriers that prevent mothers from seeking support.
While it’s true that all new mothers experience fatigue, increased irritability and stress, and changes in weight and mood, and that these changes interfere with the way life once was, you may benefit from therapy if:
Your symptoms are in excess of what most new mothers experience
Your symptoms are very different from how you usually are
Your symptoms persist even when things may improve with your baby (e.g., your baby is sleeping but you are still unable to sleep).
It can be hard to know whether your symptoms are “worse” than normal or average, especially if you are a first time mother. Trust your gut, and get a professional opinion on how you are feeling by booking a free consult or first intake appointment with us.
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If you feel mostly well, but some days feel like more of a struggle, or if you have waves of sadness that come and go, or you feel more agitated and angry than usual and are unsure why, it is worth having an expert assess your symptoms to help determine whether therapy could be helpful.
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Research estimates upwards of 90% of new mothers experience “scary thoughts” at some point postpartum. If your thoughts scare you (i.e., feel inconsistent with who you are), then the thoughts are most likely part of an anxiety response. The most common types of scary thoughts include:
Thoughts of suffocation or SIDS
Thoughts of accidents
Ideas or urges of intentional harm
Thoughts of losing the baby
Illness
Unacceptable sexual thoughts
Contamination
Our clinicians are trained to listen to and assess your thoughts.
Believe it or not, we are less concerned about the content of your thoughts, and are instead more focused on helping reduce the distress these thoughts cause you.
Therapy can help you learn to feel less afraid of the intrusive thoughts, and focus your time and energy on connecting with your baby.
We have heard it all in terms of the kinds of scary thoughts women can have during pregnancy and postpartum, and we recognize disclosing these types of thoughts to a professional can feel intimidating.
We are here to support you.
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Society tells you you’re supposed to be the “rock” for your partner, and shouldn’t you be able to keep it all together since you weren’t the one who gave birth to the baby? And yet, research finds that non-gestational parents (e.g., fathers) are just as much at risk for feeling down, depressed, or anxious as gestational parents. There can be stigma associated with admitting you are struggling. Regardless of your role, we can help you make sense of what you are feeling and support you in the adjustment to parenthood.
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No, you may self-refer for our services. Your family doctor/OBGYN/midwife/doula may also choose to complete our Referral Form and fax it to us.
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We never want finances to be a barrier to new parents getting help. Complete our contact form and mention you are seeking low-fee services, and we will connect you with someone from our team who can help.
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It can be helpful for women struggling during pregnancy or postpartum to have others closest to them know about what is going on. As a Psychologist, I find it helpful to speak to someone close to you to get a better understanding of their concerns based on what they have observed about you. I also find it helpful to be able to speak to someone close to you, ideally someone living with you, to provide education about what it is you are experiencing and tailored strategies for how this individual can best support you at home (and not make things worse).
Because of these reasons, I often offer to speak to someone close to you over the phone as part of treatment.
Ready When You Are
You don’t have to figure this out alone.
Whether you're pregnant, newly postpartum, or finding your footing in the transition to motherhood, support is available.
In-Person psychological care available in Burlington, ON and online across Ontario.