Online Perinatal CBT Therapy for Pregnancy After Loss, Birth Trauma & Postnatal Depression and Anxiety
When pregnancy and motherhood don’t feel safe, simple or joyful, therapy can help you find steadier ground again.
When Pregnancy And Early Motherhood Don’t Look How You Imagined…
Pregnancy and early motherhood can feel worlds away from the calm, glowing images we see online.
✿ Maybe… you’re pregnant again after a loss, terrified of every scan and struggling to bond with your baby because it feels too risky to hope.
✿ Maybe… you’re reliving a traumatic birth, caught in flashbacks at night or jolted awake by the feeling that something terrible will happen again.
✿ Or maybe… you’re deep in the fog of postnatal anxiety or depression, overwhelmed by racing thoughts, guilt, or the sense that you’ll never feel like yourself again.
Therapy gives you a space to put language to the fear, to find practical strategies for coping, and to reclaim moments of calm and connection.
"I just had to message you—I couldn't wait to tell you about my scan! It actually worked - the plan we put together really helped. I managed it fine. And then relief; the results came back low risk!
I won't lie, I have been panicking a bit since, but I feel like I'm handling it better. Just wanted to say thank you because for the first time, I felt like I could actually get through a scan without it completely breaking me."
— Client message (shared with consent)
Therapy Services
🌱 Pregnancy After Loss Therapy
Living scan to scan, terrified to hope, scared to bond in case the unthinkable happens again.
After miscarriage, stillbirth or TFMR, your mind and body are wired to protect you from more heartbreak.
Therapy helps you find steadier ground as you navigate the uncertainty.
🌸 Birth Trauma Therapy and Tokophobia Support
Flashbacks that won’t stop replaying.
Fear of childbirth that feels paralysing.
Whether you’re reliving what happened or dreading what might happen, your nervous system is stuck on high alert.
Therapy helps you process what happened and face birth without terror taking over.
🌙 Postnatal Depression & Anxiety Therapy
Feeling numb, overwhelmed, or constantly on edge.
Racing thoughts that never switch off.
Intrusive thoughts that leave you scared or ashamed.
None of this means you’re a bad mother — it means you’re struggling under too much pressure.
Therapy can help you feel lighter, steadier, and more connected.
"The process was as smooth as can be, and from our first chat, where I unloaded all my burdens, my fears, where Aleksandra understood all that I had gone through, I felt a ray of hope that perhaps I could one day enjoy the pregnancy that was passing too quickly for me."
- Anonymous client, Pregnancy After Loss Therapy
As seen in…
How CBT Helps
When you’re caught in grief, trauma or anxiety, it can feel like your mind and body are running the show - racing thoughts at 3am, panic in your chest at the sound of a monitor, or a constant sense that something bad is about to happen. CBT (Cognitive Behavioural Therapy) helps by gently untangling these loops so you don’t feel hijacked by them anymore.
Here’s what therapy can look like in this season of life:
Making sense of what’s happening in your mind and body — why you can’t “just stop worrying,” why your heart races before every scan, why sleep feels impossible.
Calming spirals of “what if” — learning ways to pause the anxious loops so they don’t take over your whole day.
Working with memories and triggers — reducing the power of flashbacks and helping your body feel safer in the present.
Finding gentler ways through avoidance — whether that’s skipping scans, avoiding baby clothes, or feeling unable to leave the house, therapy gives you small, manageable steps back toward what matters.
Rebuilding confidence and connection — with your body, your baby, and yourself.
CBT isn’t about forcing yourself to “stay positive.” It’s about finding practical tools that make the hard moments more manageable, while slowly creating space for calm, safety and even joy to return.
"I feel at peace with those experiences. I accept that they've happened and that they were challenging and painful, but I now also recognise that they don't need to affect my experience of motherhood."
- Anonymous client, Pregnancy After Loss Therapy
Meet Aleksandra
BABCP-accredited CBT therapist. Clinical Supervisor. Mother.
I’m a BABCP-accredited Perinatal CBT therapist and clinical supervisor, with over 10 years’ experience supporting women through pregnancy loss, traumatic births and the emotional intensity of early motherhood.
I’ve walked alongside hundreds of women navigating this terrain - the grief, the fear, the numbness, the fragile hope. My approach blends CBT, ACT, CFT and polyvagal-informed strategies, always tailored to your lived experience.
I’ll never ask you to “just stay positive.” My role is to help you find steadiness, reclaim your voice, and carry both the fear and the love that come with this chapter.
"The most helpful part of therapy was realising and accepting that the miscarriage was not my fault. I keep reminding myself that I did all I could.
I used to think “It is my fault, whose else's fault could it be?.” But now, when I piece things together, I know I did all I could."
- Anonymous client, Birth Trauma Support
Gentle Letters from Aleksandra
Join my community for free and stay connected with everything new in my practice. By subscribing, you'll be the first to know when I share insights on the transition to motherhood and the unique challenges of pregnancy after loss.
Letters from me. For the days when you need containment, clarity — or just a reminder that this isn’t your fault.
Frequently Asked Questions
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Birth trauma isn’t just a “bad memory.” It can leave you with flashbacks, nightmares, or the sense of being right back in the delivery room when you least expect it. CBT (Cognitive Behavioural Therapy) has trauma-focused approaches that help you gently process what happened so it no longer hijacks your mind or body. Together we’ll find ways to reduce the power of triggers, ease the constant alertness, and help you feel safer in everyday life again.
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Yes. Research shows online CBT can be just as effective as in-person therapy. For many women, being able to access therapy from home makes it easier — especially when leaving the house feels daunting, you’re caring for a baby, or travel is too stressful. Online therapy gives you the same evidence-based support, with the comfort of being in your own space.
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Absolutely. Many women say that pregnancy after loss feels like holding your breath the entire time. Therapy gives you practical strategies for getting through scan days, managing spirals of “what if,” and coping with the constant uncertainty. It’s a safe place to talk about fears you may feel unable to share with family or friends, and to find ways to carry both grief and hope side by side.
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Both can feel overwhelming. With postnatal anxiety, you might feel constantly on edge, scanning for danger and unable to relax. With postnatal OCD, you may have unwanted intrusive thoughts (often about your baby’s safety) and feel driven to check or avoid things in order to cope. CBT therapy is tailored to both — helping you quiet the thoughts, reduce the compulsions, and regain a sense of calm and control.
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It depends on your situation and goals. CBT is usually time-limited, often between 6–16 sessions. Some women feel lighter within a few weeks, others want longer-term support. We’ll check in regularly so the pace feels right for you.
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Yes. Intrusive or scary thoughts are far more common than most women realise, especially in the perinatal period. Talking about them in therapy doesn’t make them more real — it helps reduce their power. You’ll never be judged or shamed here.
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Yes - my therapy practice is for women based anywhere in the UK and worldwide*, delivered online.
*If you’re from US and Canada, I offer psychology-informed coaching (not therapy) that may be a good fit.
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Sessions are £130 for 50 minutes (online, across the UK)
Delivered via secure video (Zoom)
Frequency tailored to your needs — many women find 8–12 sessions helpful, but some need shorter or longer support
Available Fridays, with limited evening sessions
Therapy is for women based in the UK and worldwide* (coaching services available separately for the clients based in the US and Canada)
let's get startedYou shouldn’t have to navigate all of this alone
Whether you’re 6 weeks pregnant after loss…
Or 6 months postpartum and still not sleeping from the fear…
There’s space for you here.