Our office will be closed on Monday, January 19, 2026, in observance of Martin Luther King Jr. Day.
We will resume normal operating hours on Tuesday, January 20, 2026.

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WOMEN'S & REPRODUCTIVE MENTAL HEALTH SERVICES

Throughout the reproductive life cycle, individual’s go through a number of unique life-experiences that can greatly shift their bodies, as well as their realizations about life, self awareness and coping strategies. It is highly important that the mind is also supported during these times of challenge and change. This is why, here at Rivia Mind, we have a team that specializes in Women’s and  Reproductive Mental Health, dedicated to understanding and supporting these unique needs.

Here are some experiences that seeking expert help can make a great difference in your quality of life: 

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Premenstrual Dysphoric Disorder

Are you experiencing irritability or low moods before your period? It can be very common to have changes in mood, stress tolerance, or even food cravings before and after your period. But if it’s interfering with what you want to do in your daily life, then it may be time to reach out. Our team can help you identify if a short term medication is needed, or help you reach a better understanding of your recurrent emotions, as well as help you cope with the hormonal changes each month.

Pregnancy Planning

Are you planning for pregnancy and feeling overwhelmed? Unsure about what psychiatric medication is safe to take during pregnancy and breastfeeding? Speaking with a specialist who has up to date knowledge is very important. It’s also a great time to establish treatment so that you have more support for when you become pregnant and post delivery. Our team can walk you through all the stages and be with you each step of the way.

Fertility Concerns

Fertility concerns can be a long and frustrating  journey. It can feel like running a marathon without an end in sight. It is important to take care of your mental health during this time. How one becomes a parent can look different. Whether it be through IVF, IUI (intrauterine insemination), surrogacy or adoption. Mental health services can provide you with the tools to help you cope with the emotional impact these challenges create.

Pregnancy Loss

Miscarriages, terminations, intrauterine death (fetal death prior to birth) and stillbirth are all classified as a pregnancy loss.  The loss at any one of these stages can be devastating to the individual and family.  Everyone will grieve in their own way.  Working with a professional through the grief process can provide you with tools as well as an avenue to talk through and process the loss.

Birth Trauma

Birth trauma is different for everyone.  It can be the result of a difficult/ high risk pregnancy, induction of labor, prolonged birth, unmanaged pain or extreme pain, assisted delivery by forceps or vacuum, emergency cesarean birth, feeling unheard, or harm to the mom or baby.  How one perceives the event can lead to birth trauma or post traumatic stress disorder (if untreated). Some individuals may experience anxiety, depression, intrusive thoughts, nightmares or feel less attached to the baby.

Perinatal & Postpartum

1 in 5 women will struggle with perinatal anxiety and/or depression.  Therapy may or may not be enough. However, the messaging around medication can be very stigmatizing for pregnant and postpartum persons who choose to breastfeed. The decision to start or continue with medication is very personal and getting accurate information and individualized care is extremely important. The providers at Rivia Mind can help you determine the best course for you. We believe that you are the expert in you and our job is to provide you with the evidence and you ultimately decide what to put in your body.

Partners

Are you new to parenthood and struggling with this adjustment as well? Do you feel lonely and isolated or have trouble bonding with your new baby? Postpartum depression and anxiety can also present in partners, similar to how it does in women. This can result in difficulty functioning, adjusting to this new way of life and even relational/marriage conflicts. Our team is here to help you through this time and make the adjustment more enjoyable for partners as well.

Perimenopausal

Along with the physical symptoms, transitioning into a new phase of life comes with a variety of emotional challenges as well. Addressing these with a professional can help you navigate these changes with greater confidence.

Specialty Team​

Meet our women’s mental health team. Click on our clinicians’ photos to read their bios, explore their backgrounds and conveniently book an appointment!

Alexis Austin Headshot

Alexis Austin, LMSW

Therapist

Allison Martinez Headshot

Allison Martinez, LCSW

Therapist

Anna Bilar Headshot

Anna Bilar, PMHNP-BC

Psychiatric Nurse Practitioner

Diana Veliz

Diana Veliz, LCSW

Therapist

Jessica Mendez

Jessica Mendez, LMSW

Therapist

Joan Wamahiu Headshot

Joan Wamahiu, PMHNP-BC

Psychiatric Nurse Practitioner

Katherine Welter, PMHNP-BC

Psychiatric Nurse Practitioner

Meghan McGinty headshot

Meghan McGinty, PMHNP-BC

Psychiatric Nurse Practitioner

Ruiy Shah

Ruiy Shah, PMHNP-BC

Psychiatric Nurse Practitioner

Veronica Schiavone

Veronica Schiavone, LMSW

Therapist

Victoria Cruz

Victoria Cruz, LSW

Therapist

Victoria Levina Headshot

Victoria Levina, LMSW

Therapist

Ryan Mustacchio Headshot

Ryan Mustacchio, PMHNP-BC

Psychiatric Nurse Practitioner

Sharon Medina, LCSW

Therapist

Yanjuan “Yan” Gao, MHC

Therapist

Women & Reproductive Mental Health Blog Topics:

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Please note: We are unable to provide advice or care prior to your intake appointment at Rivia Mind. If you are having significant mental health issues or suicidal thoughts please go to the nearest emergency room or call the maternal mental health hotline number at: 1-833-TLC-MAMA (1-833-852-6262)