Services and Specialties at Duluth Perinatal
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Perinatal and Reproductive Mental Health Support in Duluth, MN
MN CRISIS NUMBER (844) 772-4724 WI CRISIS NUMBER (715) 395-2259
MN CRISIS NUMBER (844) 772-4724 | WI CRISIS NUMBER (715) 395-2259
What We Specialize In
Find yourself as you experience feeling seen, heard, and understood in a welcoming environment that specializes in the deeply personal experiences of pregnancy, postpartum, post-loss, fertility challenges, family building, matrescence, and couples/relationships. Here, your experience is honored and you don’t have to walk it alone.
- Pregnancy & Postpartum Support
- Birth Trauma
- NICU Support/Intensive Parenting
- Grief & Loss, Post-Loss
- Fertility Challenges & Family Building
- Parenting & Early Childhood
- Matrescence
- Couples Therapy
- Psychoeducation & Consultation for Intended Parents (Donor Gamete Recipients)
Whether you're just beginning your journey or in the midst of complex emotions, we’re here to walk beside you with empathy, guidance, practice-based evidence and evidence-based care.
Now located with
the nurture collective
All therapy begins with an intake session focusing on exploring your concerns and what you’d like to work on together. It helps us get to know one another as we begin your therapeutic journey. A mental health diagnostic assessment (DA) is used to explore current symptoms, functioning, and your personal life history which helps identify contextual factors that may be contributing to how you’re feeling. It can result in a mental health diagnosis, which is required if you want to use your insurance to help cover the costs of mental health/therapeutic services.
Intake Session / Diagnostic Assessment
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 Couple & Individual Therapy (EFT)
-Gottman Method
-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, Family, and Couples 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? Did your baby need to go to the NICU after birth? 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 reproductive mental health to offer support, and learn adaptive coping skills to navigate the ups and downs of fertility challenges. 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
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 extra fee.
Payment options include in-network insurance billing, private pay, or sliding scale/reduced fee sessions. Pro bono services may be available; please inquire with your therapist for more information.
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.
- Blue Cross and Blue Shield of MN
- Blue Plus
- Optum*
- Medica*
- United HealthCare*
- Health Partners
- UCare
- Cigna/Evernorth
- Medical Assistance (MN)
- Forward Health (WI Medical Assistance)
- Medicare
*Our provisionally licensed therapists and clinical trainees are unable to accept Optum, Medica, and United Healthcare plans.
Please note that a mental health diagnosis is required in order to bill your insurance. We will complete a diagnostic assessment together 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-TR 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 w/o client present (26-60+ min, $175)
- 90847 Family Therapy w/ client present (26-60+ min, $200)
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 and/or your specific therapist is in-network with your specific plan.
Rates
Session Fees
Private Pay
Insurance
Sliding Scale Fee
A sliding scale fee using the Green Bottle Method is available for those who are uninsured or underinsured. Sessions can be as low as $40+/session for clinical trainees, and $75+/session for post-graduate professionals pursuing licensure.
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.
To better understand your out-of-network insurance benefits and how much you may be reimbursed, please call the customer service number on the back of your insurance card. These are some questions to ask your insurance provider that may help you navigate reimbursement:
- How much of my deductible has been met this year?
- What is my out-of-network deductible for outpatient mental/behavioral health services?
- If I am paying [insert dollar amount] per therapy session, how much will I be reimbursed?
- Do I need a referral from an in-network provider to see someone out of network?
- How do I submit claims forms for reimbursement?
- When can I anticipate my reimbursement to be issued?
Out-of-Network Billing
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Duluth PERINATAL | Reproductive & Perinatal Mental Health Support
Providing a secure, encouraging foundation through the highs and lows of pregnancy, postpartum, loss, fertility challenges, & family building.