- Sorry we do not accept Medicare or Medi-Cal
You Deserve Care, Too.
Compassionate, specialized treatment for pregnant and postpartum mothers—so you can feel like yourself again while staying close to your baby.
Maternal Mental Health Program
Bring Your Baby.
We'll Care for Them While You Get Care Too.
You should not have to choose between getting help and being there for your baby. Our Maternal Mental Health Program is postpartum depression and anxiety treatment built around that fact. If your baby is under one, they are welcome in group with you. At any age up to four, they can stay with our specialized childcare staff in the nursery just down the hall. You will hear them if they need you.
Sessions run mornings only, Monday through Thursday, so you are home by lunch.
Babies Under One
Welcomed in group therapy
Onsite Only
Newborn through age four
Mornings only
Monday – Thurday (9am-12pm)
Care Offered
From pregnancy through four years postpartum
Secluded Area
Private entrance and separate waiting room
Does This Sound Like You?
Most mothers who call us have been talking themselves out of it for months. See whether any of this lands.
If you recognized yourself in even one of those, you are not broken and you are not failing at motherhood. You are describing symptoms. Symptoms respond to treatment.
This Is More Than the Baby Blues
Roughly the first two weeks after birth bring mood swings, tearfulness and exhaustion for most women. That usually lifts on its own. Postpartum depression and postpartum anxiety are different. They last longer, they weigh more, and they start interfering with sleep, eating, bonding and the ordinary business of getting through a day.
This is a real medical condition, not a character flaw and not something you caused. The biological shifts, hormonal changes and total rearrangement of daily life that come with a new baby can trigger genuine psychological distress. It responds well to treatment, and the sooner it is treated, the shorter the road back.
It can also start well before delivery or long after. Postpartum depression is not restricted to the first few months, which is why our program serves mothers from pregnancy through four years after birth.
What Makes This Program Different
Your Baby Comes With You
Childcare is the single most common reason mothers put off treatment. We removed it. Mothers with babies under one are encouraged to keep them in group. For older children, or for the days when you need both hands and a clear head, the nursery is right down the hall.
On-Site Nursery Care
Our on-site nursery serves children from newborn through four years old and is staffed by childcare providers in a dedicated room a few steps from your session. It is not a favor we extend when we can. It is part of the program.
Mornings Only, Four Days a Week
Groups run Monday through Thursday, 9:00 am to 12:00 pm. Concentrated clinical support, and your afternoons stay yours.
It Doesn't Feel Like a Doctor's Office
Our Fresno facility at 1791 E. Fir Ave., Suite 102 has a separate entrance, a private waiting room and dedicated childcare rooms. You will not sit in a general medical lobby holding a car seat.
Therapists Who Specialize in Motherhood
Every client works with an individual therapist whose focus is motherhood, postpartum conditions and maternal mental health specifically. Not a generalist who also sees new moms.
What a Morning Here Looks Like
Knowing the shape of the day takes some of the fear out of the first one.
You arrive by 9:00 and settle your baby, either with you or in the nursery. The morning runs on group work, with a break in the middle, and your individual therapy and psychiatric appointments scheduled into the week around it. You leave at noon. If your baby is in the nursery and needs you, you are a few steps away and staff will come get you.
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Arrive & nursery drop-off
Settle in and connect with the care team while your baby is cared for nearby.
Morning check-in
Name what is present today and set a gentle intention for the morning.
Therapy group
Practice evidence-based skills with a therapist and a small community of mothers.
Care break
Pause, feed or visit your baby, and take care of your body.
Skills & support
Build tools for mood, anxiety, sleep, relationships, and the transition to motherhood.
Departure
Reunite with your baby and return home with a clear plan for the day.
Care and Services
Recovery takes an integrated therapeutic approach, which is why each client is supported by a full care team rather than a single provider. Every part of your emotional, physical and practical health gets attention at the same time, from people who understand maternal mental health.
- Individual Therapy. Counseling tailored to the emotional hurdles of early motherhood, aimed at building resilience that lasts past discharge.
- Group Therapy . Time with other mothers who are living the same thing. Most clients tell us this is the part that ends the isolation.
- Psychiatric Care. Weekly medication evaluation and management if needed. Medication is a conversation, not a requirement, and your preferences and safety come first at every step.
- Case Management. Practical advocacy that handles the administrative weight - coordinating your healthcare, working through housing resources, and staying with you through the process.
- Intensive Outpatient Program. Structured, multi-day clinical support built for meaningful symptom relief without a residential stay.
Take The Next Step Towards Healing
We offer support for a wide range of mental health conditions. No single case is exactly like the other and our team of seasoned and compassionate clinicians are ready to help you or your loved one find a path to success.
Testimonials
Who the Program Is For
This speciality care program works as a primary level of care or as a step down from a higher one. It is a fit if you are pregnant or up to four years postpartum and weekly therapy is not enough right now. You do not need an existing diagnosis to call. You do not need a referral. If you are not sure whether you qualify, that is exactly what the assessment is for.
Common Questions
Recovery takes an integrated therapeutic approach, which is why each client is supported by a full care team rather than a single provider. Every part of your emotional, physical and practical health gets attention at the same time, from people who understand maternal mental health.
Can I really bring my baby?
Recovery takes an integrated therapeutic approach, which is why each client is supported by a full care team rather than a single provider. Every part of your emotional, physical and practical health gets attention at the same time, from people who understand maternal mental health.
What if my baby cries during group?
Then your baby cries during group. Every mother in that room has been there. If you would rather step out or use the nursery, both are available at any point.Â
Who is watching my child?
Specialized childcare providers in a dedicated nursery room down the hall from your session, not a waiting area and not a volunteer.
I’m having thoughts that scare me. Will telling you put my child at risk?
Unwanted, intrusive thoughts about harm coming to your baby are one of the most common symptoms of postpartum anxiety, and they distress mothers precisely because they run against everything she wants. Clinicians who specialize in maternal mental health are trained to understand this. Saying it out loud to someone who treats it every day is one of the most useful things you can do, and your clinician can walk you through exactly how confidentiality works in your situation during the assessment.
Do I have to take medication?
No. Psychiatric care is available and reviewed weekly, and whether you use it is your decision. Many clients do well without it.
I’m still pregnant. Is this program for me?
Yes. The program covers pregnancy through four years postpartum.
What about breastfeeding?
Bring it up at your assessment. Feeding, sleep and medication all interact, and your care team plans around what you are actually doing rather than around a default.
Does insurance cover this?
Yes. We accept most private insurance plans, and many insurance carriers provide coverage for outpatient mental health care at this level.
How long does the program last?
Typical length of stay in our program is 6 weeks to 6 months, and sometimes longer. Exact lengths are dependent on client requests and insurance approval.
If You Need Help Right Now
If you are having thoughts of harming yourself or your baby, if you are seeing or hearing things others do not, or if you feel confused, paranoid or unable to sleep at all for several days, please treat this as urgent. Call 911 or reach the 988 Suicide and Crisis Lifeline by dialing 988. Postpartum psychosis is rare, it is a medical emergency, and it is treatable.
For free, confidential support at any hour, the National Maternal Mental Health Hotline is available at 1-833-852-6262 by call or text.
Start With One Phone Call to Sierra Meadows
You do not have to navigate pregnancy or the postpartum period on your own, and you do not have to be in crisis to deserve help. Reaching out is one of the more courageous things a mother does for her family.
Our team will listen to what has been happening, talk through what you need, and tell you honestly whether this program is the right fit. Bring the baby to the assessment if that is easier.
We know that asking for help takes courage. Getting in touch is the first step. We’re here for you, no matter what. Once submitted, our admissions team will be in touch within 24 hours.
Or call us directly to get started:Â 559-326-7775
Contact Us
Getting Started
We know that asking for help takes courage. Getting in touch is the first step. We’re here for you, no matter what. Once submitted, our admissions team will be in touch within 24 hours.
Or call us directly to get started:Â 559-326-7775
Contact Us
How It Works
At Sierra Meadows, we provide personalized treatment designed just for you, ensuring a safe and supportive environment every step of the way.
Initial Assessment and Medication Evaluation
Making sure that you or your loved one are assessed for optimal care.
Individualized Treatment Plan
We craft a treatment plan tailored to suit your individual needs.
Medication Management
Our clinicians make sure that you access the medication you need.
Follow up Psychiatry Visits
We make sure you or your loved one are taken care of after your stay.
Table of Contents
- Published: June 30, 2026
- Last Updated: September 25, 2026
 | Authored By: Louisa Gee, LMFT Louisa was born and raised in Scotland and attended the University of St. Andrews, where she earned her MA in Social Anthropology. After finishing school, she emigrated to the United States and earned her MA in Marriage, Family, and Child Counseling. She is devoted to working with attachment, grief and loss issues, and helping clients learn to accept and embrace their emotions. |