What We Specialize In

Our therapeutic approaches are grounded in attachment, humanistic, and interpersonal theories; are trauma-focused; and are crafted based on your unique experiences and needs as a whole human. Some of our favorite modalities include:

-Eye Movement Desensitization and Reprocessing (EMDR)
-Accelerated Resolution Therapy (ART)
-Emotionally-Focused Therapies (EFT)
-Child-Parent Psychotherapy (CPP)
-Circle of Security Parenting (COS-P)
-Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
-Mothers & Babies Program

Therapies offered:

Sessions focus on working with a trained professional who meets with one person (individual therapy) or two or more partners or family members (couple/family therapy). Many of the struggles we see for couples becoming or adjusting to parenthood include communication difficulties, mismatched or unclear expectations, relational inequity, and challenges navigating the invisible load. Common therapeutic techniques depend on the presenting need(s). Examples include trauma- and attachment-focused interventions; eye movement therapy such as EMDR or Accelerated Resolution Therapy; Trauma-Focused Cognitive Behavioral Therapy; Emotionally Focused Individual Therapy; Emotionally Focused Couple Therapy; and Child-Parent Psychotherapy.”

Individual and Couples/Family Therapy

What We Do

Mothers, fathers, birthing parents, and non-birthing parents all need and deserve support during this beautiful and challenging part of life. Sessions focus on working with a professional trained in perinatal mental health to provide support, advocacy, connection to additional resources, teaching coping skills, and education related to adjustment to pregnancy, parenting, postpartum, and matrescence. Common therapeutic techniques utilized include Cognitive Behavioral Therapy; EMDR or ART; Emotionally Focused Individual/Couple Therapy; Mothers and Babies Program; Circle of Security-Parenting; and specifically guided recommendations from Postpartum Support International.

Pregnancy & Postpartum Support

Trauma and posttraumatic stress can occur any time during the reproductive period. Experiencing symptoms of posttraumatic stress makes it difficult to feel like yourself, let alone while trying to take care of a newborn. Birth trauma is based on your perception of the experience. Did you feel unsupported during childbirth? Did you feel unheard or felt a loss of control? Have you been grieving your birth experience? Processing trauma helps to move a person through their difficult experiences in hope of relief, and posttraumatic growth. Common therapies include eye movement therapy (EMDR, ART), narrative therapy, interpersonal therapy, perinatal Child-Parent Psychotherapy, trauma-focused CBT (TF-CBT), or more depending a person's unique circumstances and needs.

Birth Trauma Processing

Simply put, life changes when you become a parent, and that's quite an oversimplification. It’s much more complex than that and comes with a number of seen and unforeseen changes on an individual, couple, and family level. Often called “the fourth trimester” parents and caregivers need support, education, and adjustment counseling to help aid them in understanding and accepting life as they now know it. Focusing on prioritizing sleep in addition to monitoring and/or addressing perinatal mental health issues is crucial. Caring for someone else when you're not feeling the best is HARD. Common therapeutic techniques utilized include Child-Parent Psychotherapy; the Gottman “Bringing Home Baby” materials; Emotionally Focused Individual/Couple therapy; psychoeducation and more depending on the needs of the individual and/or family system.

Adjustment to Parenthood

Navigating fertility issues can be particularly devastating, confusing, and uncertain. The grief can be so heavy. Sessions focus on meeting with a professional trained in infertility counseling to offer support, and learn adaptive coping skills to navigate the ups and downs of infertility. Common therapeutic techniques utilized include Cognitive Behavioral Therapy; EMDR or ART; Emotionally Focused Individual/Couple Therapy; and specifically guided training from the American Society for Reproductive Medicine.

Fertility Counseling

As part of the process for receiving donor gametes and/or embryo donation, intended parents are required to meet with a trained mental health professional for a psychoeducation consultation to explore factors related to use of donor sperm/egg, mental health considerations, options for family building, raising a donor-conceived child, and other topics as recommended by the American Society for Reproductive Medicine (ASRM). A primary goal of this consultation is informed consent and choice.

These sessions are $250 and are not billed to insurance. Topics are generally covered in 1-2 sessions.

Psychoeducation Consultation for Intended Parents (Donor Gamete Recipients)

We are committed to making therapy accessible by offering several payment options including private pay, billing insurance, sliding scale, and pro bono services.

Diagnostic Assessment/Intake Session: $250

Individual Therapy: $150-$175

Couple & Family Therapy: $200

Extended sessions available for an additional fee.

Choosing to privately pay for mental health services is a personal, financial, and privileged decision. There are some benefits of private pay such as not needing a mental health diagnosis, increased privacy and confidentiality within limits of the law, access to longer sessions, and other services that insurance may not cover.

People who choose private pay to cover therapy will be provided a Good Faith Estimate as required of the No Surprises Act which came into effect 01/01/2022. This estimate details the cost, type, and frequency of services provided in a 12 month period. It is provided at least one day in advance of any scheduled services received from Duluth Perinatal.

If you receive a bill that is at least $400 more than your Good Faith Estimate you can file a dispute. Please make sure to save a copy or picture of your Good Faith Estimate. For more information or questions please visit www.CMS.gov/nosurprises or call the No Surprises Help Desk at 1-800-985-3059.

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A sliding scale fee using the Green Bottle Method is available for those who are uninsured or underinsured. Pro bono services offered to those in significant need.

Check out the "Sliding Scale Blog Post"  for more information on the Green Bottle Method created by Alexis J. Cunningfolk.

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Duluth Perinatal is in-network with BlueCross BlueShield, Medica, Optum, UCare, United HealthCare, UMR, Health Partners, & Medical Assistance in MN.

Please note that a mental health diagnosis is required in order to bill your insurance. You will need to complete a diagnostic assessment in order to explore how your concern(s), symptoms, and other information impact your functioning which is all used to identify if you meet specific criteria for a DSM-5 diagnosis. Along with a diagnosis are CPT codes which communicates to an insurance provider what service(s) were provided.

Common CPT codes for outpatient behavioral/mental health services include:

- 90791 Diagnostic Assessment ($250)

- 90834 Individual Therapy (38-52 min, $150)

- 90837 Individual Therapy (53+ min, $175)

- 90846 Family Therapy without client present (26-60+ min, $175)

- 90847 Family Therapy with client present (26-60+ min, $200)

If you don’t see your insurance company listed above you have the option to utilize out-of-network insurance benefits. You will still need to meet criteria for a mental health diagnosis. This means that you will pay the full cost of the session at the time of the service and afterwards a superbill will be generated for you to submit to your insurance for direct reimbursement. 

The full cost of a therapy session may not be covered by your insurance; this depends on your insurance plan and coverage which is different for each person. Any portion of a session fee not covered by insurance is your responsibility. Please contact your personal healthcare insurance provider for more information on in- and out-of-network coverage for outpatient behavioral/mental health services, and to ensure that Duluth Perinatal is in-network with your specific plan. 

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