Emily Pavlisin, Psy.D.
PSY 32245
(415) 855-7056
What I Treat
Perinatal Mood Concerns
Perinatal Mood and Anxiety Disorders (PMADS) are a spectrum of mood disorders that can occur from the time of conception through a year following childbirth. PMADS include depression, anxiety, obsessive compulsive disorder, bipolar disorder, post traumatic stress disorder and psychosis.
PMADS are more common than you may think!
Did you know...?
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Perinatal Mood and Anxiety Disorders have been identified in women of every culture, age, income level and ethnicity.
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1 in 5 women and 1 in 10 men experience anxiety or depression during the perinatal period. It is estimated that these statistics are even higher than reported!
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Symptoms can develop during pregnancy or within the first few days after childbirth, or months after childbirth
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Screening and early intervention can protect the well-being of the parents, baby, and entire family.
Accessing the right diagnosis and treatment can have long-term positive impacts for you and your family. I have advanced training through Postpartum Support International (PSI) in diagnosing and treating PMADs in mothers, fathers, and caregivers. I offer tailored, evidence-based education, resources, treatment, and support. I primarily treat perinatal anxiety, depression, trauma, and OCD.
In addition to PMADs, I work with folks navigating fertility concerns, perinatal loss, birth trauma, past trauma triggered by perinatal experiences, adjustments and transitions occurring in parenthood, etc. I work with parents in all phases of parenthood, and have a special heart for supporting first-time parents.
Whether you are experiencing changes in your mood, reeling from a pregnancy or birth that didn't go as planned, dealing with fertility issues or loss, grappling with the identity shifts or role changes, or wondering what it means to be a good enough parent in a world full of expectations- I am here to meet you where you are.
Depression
Depression is more than just feeling sad. It can leave you feeling emotionally exhausted, disconnected from yourself or others, or unable to enjoy things that once mattered to you. You may find yourself moving through the day with a sense of heaviness, questioning your worth, withdrawing from people you love, or struggling to believe things can get better. For new and expecting parents, depression can also show up as guilt, irritability, numbness, or a constant sinking feeling that you are not the parent you hoped to be. Depression is not a reflection of your character or personal strength. It is very common, and it is very treatable!
First and foremost, we will use evidence-based approaches to reduce your symptoms and help you feel better and more functional. We may also work to understand what factors contributing to your depression, identify patterns that may be keeping you stuck, and build stronger coping skills.
Trauma
Trauma is not defined by the event itself, but rather by the ways in which the event continues to live with us and dominate our lives. People living with Post Traumatic Stress Disorder (PTSD) often find that past experiences serve as a (distorted) lens through which they see themselves and the world. It can affect the experiences they approach and avoid, create changes in mood and arousal, and make their worlds smaller. Research shows that exposure to traumatic experiences can lead to long-term changes in the brain and body, and left untreated, can increase risk for chronic health conditions.
Fertility issues, pregnancy, birth, and parenthood can resurface past experiences in unexpected ways. You may notice heightened anxiety, hyper vigilance, intrusive memories, strong emotional reactions, or a sense of being overwhelmed that feels hard to explain. You may also be feeling numb or disconnected. For many, this can be connected to earlier traumatic life experiences—or to more recent events such as complicated pregnancies, loss, or medical or birth trauma.
My work focuses on supporting individuals navigating perinatal and other kinds of trauma, particularly when these experiences resurface during times of transition. I offer EMDR (Eye Movement Desensitization and Reprocessing), an evidence-based therapy that helps the brain and body process and reintegrate distressing experiences.
Anxiety
Anxiety can manifest in many ways—racing thoughts, persistent worry, trouble sleeping, panic attacks, physiological symptoms, or a constant sense of dread. You might find yourself stuck in “what if?” types of thought loops, constantly trying to anticipate potential problems, feeling on edge, or avoiding things that once felt manageable. Over time, anxiety can make our worlds feel smaller, and can disconnect us from people or things we care most about.
I offer tailored, evidence-based treatment for Generalized Anxiety Disorder, Social Anxiety Disorder, Panic Disorder, and Health Anxiety. I also have a passion for supporting folks who may appear high-functioning or high-achieving on the outside, but internally struggle with perfectionism, constant worry, or feeling "not good enough."
Life Transitions and Adjustments
When one part of our life changes, we may find that other parts of our life start to shift and recalibrate. Change-even when the change is wanted-can bring uncertainty, loss, identity shifts, and unexpected feelings. Seasons of change or transition can even bring temporary experiences of depression or anxiety. Whether you are navigating a new season of life such as parenthood, a career change, graduation, or a relationship change, or finding your new normal after loss, I will meet you right where you are. In therapy, we will make space to move through your experiences with curiosity and compassion, and help you feel more grounded in yourself and your values.
Relationship Issues and Patterns
You may find that the same patterns keep showing up for you in the relationships that matter most. You may struggle to feel seen or worthy, feel overly responsible for people in your life, struggle with resentfulness or boundaries, or find that close relationships bring up deeply held fears or memories. Perhaps you are navigating difficult family dynamics, a friendship that has changed, or uncertainty about dating or a long term partnership.
Together, we will start to dig deeper to understand what is happening under the surface. We may explore expectations or parts of your history you bring into relationships, underlying beliefs about yourself, or the impacts of your past experiences. We will empower you to move toward relationships that feel more authentic, reciprocal, and fulfilling.