Therapy with Macie Litchfield Counseling

MY APPROACH: I focus on helping women overcome anxiety, embrace motherhood with confidence and sense of renewed self, and be able to manage life adjustments with strength and empowerment. I use an individualized approach that helps you learn new coping skills, use your strengths, adjust your thinking behaviors to better align with your goals and support creating lasting change. Your unique journey is massively important to your therapeutic outcome and I strive to get to know you completely and adapt therapy to fit your specific needs.

Therapy for Moms

Oh, thats so me!

Therapy for Postpartum

The postpartum season is one of the most profound and vulnerable transitions in a woman's life. As a therapist specializing in maternal mental health, I offer dedicated support to mothers as they navigate the emotional, physical, relational, and identity shifts that follow the birth of a child. My work is rooted in the belief that no mother is meant to walk this season alone, and that stability, education, and compassionate support are essential to healing and growth.

I provide education-based therapy to help moms understand what is happening in their mind and body during the postpartum period. This includes learning about mood changes, anxiety, intrusive thoughts, identity shifts, nervous system responses and how sleep deprivation, hormones and life adjustments impact emotional wellbeing. When moms understand what they're experiencing, shame softens and confidence can begin to return.

Alongside education, I focus on building emotional stability and practical coping skills. Together, we work to create internal steadiness during seasons that often feel unpredictable or overwhelming. This may include nervous system regulation, grounding skills, boundary setting, communication support, and learning how to ask for and receive help without guilt.

I support mothers through all phases of the postpartum journey- from early days of adjustment with a newborn, to returning to work, navigating relationship changes, processing birth experiences and trauma, rebuilding identity, managing anxiety or depression and preparing for future transitions. Whether a mom feels disconnected, overstimulated, grieving uncertain, exhausted or simply not like herself therapy offers a space to safely unpack these emotions without judgement.

My approach is gentle, practical and deeply validating, Therapy is not about "fixing" a mother- it is about helping her feel grounded, capable, informed and supported as she becomes who she is in this new season of life.

I feel this...

Therapy for Pregnancy

I would love this

Therapy for Anxiety

Anxiety in motherhood can look very different than many people expect. It is not always constant panic or worry - it often shows up as a mental overload, racing thoughts, intrusive images, chronic tension, irritability, sleeplessness, perfectionism, and the relentless feeling of needing to hold everything together. As a maternal mental health therapist, I specialize in helping mothers understand and gently navigate the many forms anxiety can take during this season of life.

I support mothers experiencing intrusive thoughts, postpartum or pregnancy related anxiety, overwhelm, decision fatigue, hypervigilance, mental load exhaustion, health anxiety, and chronic self-doubt. Many woman carry deep fear around their thoughts, worrying that the presence of an intrusive thought means something about who they are. Through education and compassionate reframing, we work to separate thoughts from identity and reduce the shame that often keeps anxiety stuck.

My approach integrates Cognitive Behavioral Therapy (CBT) with nervous system - informed and emotionally supportive care. Together, we examine how thought patterns, emotional responses, and daily demands interact with a mother's unique lifestyle, responsibilities, and season of life. Therapy focuses on creating practical, realistic tools that fit into real motherhood - rather than adding more to an already full mental load.

We work on skills such as:

- Interrupting anxious thought spirals

- Responding to intrusive thoughts without fear or avoidance

- Regulating the nervous system during overwhelm

- Reducing mental load and perfectionistic pressure

- building emotional boundaries and self-compassion

- learning how to rest without guilt

Anxiety does not mean something is wrong with you. It often means your nervous system has been under sustained pressure. Therapy offers a steady place to slow down, untangle the fear, and build confidence in your ability to cope without constantly bracing for the next wave. You do not have to manage anxiety alone, and you do not have to become a different version of yourself to find relief.

This is me!

Therapy for Transitions and Adjustments in Motherhood

Motherhood is built on constant transition. Some changes are subtle and quiet - others arrive suddenly and reshape everything. From becoming a mother for the first time, to adding another child, returning to work, shifting identity, navigating relationship changes, parenting new developmental stages, or facing unexpected life stressors- each season brings its own adjustments. Even the changes are considered "normal" can feel emotionally destabilizing.

As a maternal mental health therapist, I help mothers navigate both the minor and major transitions of motherhood with compassion, clarity, and realistic support. Therapy provides a steady space to process the emotional weight of internal stability when life feels unfamiliar or unsteady.

Many woman feel pressure to "adapt quickly" or to push through transitions without support. Over time, this can lead to overwhelm, anxiety, burnout, resentment, or loss of self. In therapy we slow the process down. We work through grief for what has changed, fear of what's ahead, and the uncertainty that naturally comes with growth.

My approach blends education, emotional processing, and practical tools to help mothers make changes sustainable - not just survivable. We focus on:

- Understanding emotional responses to change

- rebuilding identity and self-trust

- Learning new boundaries and roles

- Reducing overwhelm and mental load

- Strengthening communication and support systems

- Creating rhythms that protect both the mother and the family

Therapy supports mothers in moving through transition with intention rather than pressure. Lasting change is not about becoming someone new - it is about becoming grounded, supported, and aligned within the life you are already living.

I'm ready!

As a millennial mama of two kids I understand what its like to be in the trenches of motherhood and questioning if I'll ever feel like myself again. Even yet, do I even know who myself is??

The transition from no children to pregnant to parenting can often introduce anxiety into our lives in ways that we've never imagined would happen to us. Mothers can often lose themselves in the all-consuming nature of motherhood, as the demands of caring for children, managing the household and meeting societal expectations can easily overwhelm their own needs and identities. Many mothers find themselves prioritizing everyone else's well being while neglecting their own self-care, personal goals, and sense of self outside of being a parent. This loss of identity can lead to feelings of emptiness, overwhelm, and anxiety as they struggle to reconnect with who they are beyond their roll as a mother. The constant focus on meeting external expectations can make it difficult to feel empowered or in control, leading to cycles of self doubt, exhaustion and even resentment. rediscovering oneself within motherhood requires intention and support, allowing space for self-compassion, personal growth, and honoring the women behind the role of "mom".

I work closely with mothers who are navigating the intense social pressures of modern parenting - pressures to be perfect, compare themselves to others, and meet unrealistic expectations that exacerbate anxious feelings and behaviors. I help them recognize and challenge these external pressures, supporting them in redefining their own values and sense of self within motherhood. through tools like identity exploring, boundary- setting and mindfulness practices I guide moms towards feeling more stable in motherhood, grounded and confident in their roles helping them release comparison and perfectionism while embracing their unique strengths. My goal is to help them find themselves through motherhood, embracing more pease and reducing anxious behaviors that hinder their well-being.

It takes a village to raise children and fight the complexities that can cause stress within motherhood. Sometimes within that village, therapeutic support can be one of the strongest members.

Pregnancy is often portrayed as a season filled only with joy and anticipation - but for many women, it is also a time of emotional vulnerability, physical strain, uncertainty and profound internal changed. As a maternal mental health therapist, I provide supportive, trauma - informed care for woman as they navigate the mental, emotional, relational, and physical stress that pregnancy can bring.

Therapy during pregnancy offers a space to process anxiety, fear mood changes, identity shifts, intrusive thoughts and emotional overwhelm that may arise as the body and life begin to change. Many women experience pressure to feel only excitement during this time, which can lead to guilt or isolation when their experience feels different. Therapy allows for honesty, validation, and emotional steadiness throughout this transition.

I also specialize in helping women prepare emotional and mentally for labor and birth. This includes education around stress response, nervous system regulation, fear-pain cycles, boundary setting in medical environments, and building internal tools for endurance, grounding, and self-trust during labor. For women who have experienced a prior traumatic birth, therapy offers a compassionate space to process past labor experiences, reduce fear, and rebuild a sense of safety and confidence before welcoming another child.

Pregnancy often places strain not only on the mind, but also on a woman's relationships and family system. I support mothers through the emotional weight of balancing pregnancy while parenting other children, navigating changes in partnership and intimacy, managing family expectations, and holding multiple roles at once. Therapy helps women communicate their needs clearly, set healthy boundaries, and feel supported rather than depleted.

Additionally I address the mind-body connection throughout pregnancy - helping women understand how stress is stored in the body, how anxiety can impact physical symptoms and how to gently regulate the nervous system during seasons of physical discomfort, fatigue, and hormonal change.

My approach during pregnancy is steady, practical, and deeply honoring of the woman's lived experience. Therapy is not about controlling pregnancy - it is about feeling supported, informed, emotionally anchored, and empowered through one of life's most profound transitions.