Compassionate perinatal and postpartum therapy in Los Angeles

Motherhood is messy, magical, and maddening—and if you’re in the thick of it in Los Angeles, you're not alone. At Alma de Madre, we offer compassionate perinatal and postpartum therapy for women navigating the exhaustion, identity shifts, and silent struggles that often come with becoming a mom. Whether you're healing from a traumatic birth, grieving a loss, or just trying to stay afloat in the chaos of new motherhood, we’re here to remind you: you matter too.

How it works + what makes me different

We start by meeting you exactly where you are—raw, exhausted, and real. Our work together is built on honesty, compassion, and validation, not pressure to “bounce back.” This is therapy designed for mothers who are done pretending everything is fine.

01


Book a consultation call

No pressure, no judgment—just a space to share what you’re going through and see if this support feels right for you.

02


Let’s meet where you are

Whether you’re running on no sleep, feeling stuck in survival mode, or just need someone to validate how hard this is, we’ll start from exactly where you are.

03


Start healing and thriving in your motherhood

With the right support, you can release the guilt, find balance, and reconnect with yourself—because you deserve to feel whole, not just needed.

Let’s meet where you are

Sessions are offered virtually for maximum flexibility, because we know carving out time between naps, nursing, and survival is already hard enough.

Start healing and thriving in your motherhood

We don’t believe in quick fixes—we believe in holding space for your rage, grief, guilt, and love. Our goal is to help you find clarity, rest, and self-compassion so you can move through motherhood with more ease and less shame.

Explore our therapy services and specializations

  • Perinatal and postpartum therapy

    We help mothers at every stage—pregnancy, postpartum, and beyond—navigate the mental and emotional shifts that come with motherhood. You don’t have to do it alone or pretend it’s all bliss. We offer a space to process it all, honestly.

    READ MORE
  • Postpartum depression

    Postpartum depression is more than just “baby blues.” If you’re feeling numb, overwhelmed, or hopeless, this space is for you. We support women through the darkest parts of postpartum with compassion and evidence-based care.

    READ MORE
  • Pregnancy therapy

    Whether this is your first pregnancy or your fifth, therapy can help you process anxiety, fears, and the identity shifts that start long before birth. You don’t need a crisis to deserve support.

    READ MORE
  • Postpartum anxiety

    If your mind races with worst-case scenarios, and you feel stuck in constant panic or hypervigilance, you may be experiencing postpartum anxiety. You’re not broken—and you don’t have to live like this.

    READ MORE
  • Postpartum PTSD

    Birth doesn’t always go as planned. If you feel haunted by your experience, triggered by reminders, or avoid speaking about it at all, you might be living with postpartum PTSD. We help you process trauma in a safe, validating space.

    READ MORE
  • Birth trauma

    Even medically “normal” births can be traumatic. We offer space to explore what you went through, without judgment or minimization, so your healing can begin.

    READ MORE
  • Pregnancy loss therapy

    Grief in motherhood is real. Whether you’ve experienced miscarriage, stillbirth, or termination, we honor your loss with tenderness and care.

    READ MORE
  • Postpartum rage

    You’re not a monster for feeling rage. You’re a mom who’s overstimulated, exhausted, and unsupported. Let’s talk about it—without shame.

    READ MORE

We serve women in Los Angeles

Whether you're in Highland Park, Echo Park, Silver Lake, or anywhere in the greater LA area, Alma de Madre provides virtual therapy for new mothers who are ready to be honest about how hard this season really is. We understand the unique pressures of parenting in a fast-paced, high-expectation city like Los Angeles—and we’re here to help you carve out space for yourself.

Testimonials

This is the text area for this paragraph. To change it, simply click and start typing. Once you've added your content, you can customize its design.

This is the text area for this paragraph. To change it, simply click and start typing. Once you've added your content, you can customize its design.

Jane Faber

6 months ago

This is the text area for this paragraph. To change it, simply click and start typing. Once you've added your content, you can customize its design.

This is the text area for this paragraph. To change it, simply click and start typing. Once you've added your content, you can customize its design.

Jane Faber

6 months ago

This is the text area for this paragraph. To change it, simply click and start typing. Once you've added your content, you can customize its design.

This is the text area for this paragraph. To change it, simply click and start typing. Once you've added your content, you can customize its design.

Jane Faber

6 months ago

Mini bio – Hello, I’m Karla Michele Hernandez, your postpartum therapist in Los Angeles

I’m not just a therapist—I’m a mom who’s been where you are. After navigating my own postpartum experience and realizing how lonely and under-supported it felt, I created Alma de Madre to be the kind of space I wish I had. I specialize in helping moms through postpartum depression, anxiety, birth trauma, and identity loss—so you don’t have to carry it all alone. Healing starts when you stop pretending and start being real.

Frequently asked questions

  • What is postpartum therapy?

    Postpartum therapy is a space designed specifically for mothers navigating the emotional, mental, and identity shifts that come after birth. It’s not just about coping with anxiety or depression—it’s about helping you process the changes, release guilt, and find balance in a way that feels right for you.


  • How long is postpartum recovery?

    Physically, postpartum recovery is often defined as six weeks. But emotionally? Postpartum is forever. The impact of birth, the shifts in identity, and the mental load of motherhood can stay with you for years. Healing isn’t about a timeline—it’s about getting the support you need, whenever you need it.

  • What helps with postpartum healing?

    Healing looks different for every mother, but some of the most important pieces include: rest, emotional support, safe spaces to process your experience, therapy, and learning to care for yourself without guilt. True healing comes when you stop forcing yourself to “bounce back” and start allowing yourself to be held. 

  • What will we do in therapy?

    Every session is tailored to what you need. We’ll explore what’s weighing on you—whether that’s birth trauma, intrusive thoughts, identity shifts, or simply feeling overwhelmed. Through trauma-informed, compassionate support, you’ll learn to release guilt, build self-trust, and create space for your own healing.

  • I don’t have childcare—can my baby be present?

    Yes! You are welcome to bring your baby to sessions. I understand how difficult it can be to find childcare, and this space is meant to meet you where you are, without added stress.

  • How do I know if I need therapy for postpartum?

    If you feel like you’re just surviving, if you don’t recognize yourself anymore, if the anxiety, sadness, or exhaustion feel overwhelming—you deserve support. You don’t have to wait until you hit rock bottom to seek help. Therapy isn’t just for when things are falling apart; it’s for reclaiming yourself in the midst of it all.

  • How do I know if I have postpartum depression or anxiety?

    You may be struggling with postpartum depression or anxiety if:

    • You feel persistently sad, numb, or disconnected from your baby.
    • You have racing thoughts, intrusive worries, or panic that won’t quiet down.
    • You struggle with overwhelming guilt or feel like you’re failing.
    • You feel trapped, exhausted beyond what seems normal, or like you’re losing yourself.

    If any of this resonates, you’re not alone—and you don’t have to figure it out by yourself.


  • Do you prescribe medication?

    No I do not prescribe medication but if needed you will be referred to a specialist.

  • How is postpartum therapy different from regular therapy?

    Postpartum therapy is designed specifically for the unique emotional, physical, and mental shifts of motherhood. It’s not just about treating anxiety or depression—it’s about helping you process birth, manage the mental load, redefine your identity, and heal from the unrealistic expectations placed on mothers. It’s therapy that sees all of you—the mother, the woman, the human underneath it all.

  • Insurance & Payment Information

    I accept Cigna and Aetna insurance.


    I also take out of network/self pay at my private pay rate. I currently partner with Mentaya, a service that streamlines getting reimbursed for your therapy session though out of network benefits. 


    See if you qualify:

    https://mentaya.co/checkbenefits/karlahernandez 


    Payments can be made through credit card and debit card, including FSA and HSA debit cards.

  • Cancellation Policy

    I understand that life happens—especially in motherhood. However, to respect both my time and other clients who may need an appointment, I require at least 24 hours' notice for cancellations or rescheduling.

    Cancellations made less than 24 hours before the appointment will be subject to the full session fee.


    If you miss a session without notice (no-show), you will be responsible for the full cost of the session.


    Exceptions may be made in cases of emergencies, but please reach out as soon as possible if you need to reschedule.

    If you need to cancel or reschedule, you can do so by contacting me via karla@almademadre.com or my phone number 562-457-0466


  • Good Faith Estimate

    You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

       

    Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

       

    You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

       

    Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

       

    If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

       

    Make sure to save a copy or picture of your Good Faith Estimate.

       

    For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059