Specialized Care and Therapy for Women’s Lives

older femaleOur team of mental health professionals is here to treat and support women and their partners through the changes they experience during their reproductive lives. The program’s staff includes a Psychiatrist, Psychologists, and Professional Counselors to help with the special type of problems that cis or trans women experience. 

We are skilled at working with heterosexual, gay, and trans individuals and couples to support them in attaining their reproductive goals. In those cases, both parties are involved with the therapist to create a helpful treatment plan to suit their relationship needs.

Our treatment specialties include:

  • Anxiety about starting your period and becoming a woman
  • Decisions about psychiatric medications regarding getting pregnant
  • Postpartum Depression
  • Postpartum Anxiety
  • Pre- and Postpartum Obsessive Compulsive Disorder
  • Grief after a miscarriage, pregnancy loss, or over the loss of a child
  • Stress of fertility treatments
  • Relationship challenges at all stages of the woman’s reproductive life
  • Adjustment to the changes in a woman’s life during menopause

Our Treatment Approach

Your input and opinion is an important factor in developing your treatment plan. Once we have met with you, we will jointly develop your treatment plan to address your specific needs. Our treatment plans rely on what the current research evidence shows is the most effective intervention for your concern.

Your appointments will focus on achieving your specific goals for improvement or change, as well as providing you time to express your feelings, thoughts, explore options, or even develop new goals as necessary.

Women’s Psychiatry Services

Our psychiatry program sets us apart from other women’s programs. Melanie McKean, DO, PhD, is a psychiatrist and our Medical Director. She has extensive medical experience and focused expertise in women’s reproductive mental health concerns. She enjoys counseling with women before they try to get pregnant. She excels at treating anxiety and depression before, during, and after the baby is born. She treats women with pelvic pain, problems with their sexual functioning, and infertility. She will oversee the medications you take before, during and after pregnancy

Conditions We Treat

Postpartum Depression
Many new moms experience the “baby blues” after giving birth: mood swings and crying spells that usually fade quickly. Approximately 15% – 20% of new mothers experience a more severe, longer lasting form of depression known as Postpartum Depression. Starting treatment quickly can help you manage your symptoms, care for your baby, and re-establish your sense of confidence and competence.

Symptoms of Postpartum Depression include:

  • Depressed mood
  • Anxiety
  • Sleep changes (too much or not enough)
  • Irritability and anger
  • Extreme fatigue, sluggishness
  • Feelings of shame, guilt, inadequacy, hopelessness
  • Difficulty bonding with your baby
  • Large weight gain or loss
  • Thoughts of harming yourself or your baby
  • Difficulty concentrating
  • Loss of interest in activities previously enjoyed

Postpartum Anxiety and OCD
Anxiety symptoms can be incredibly difficult to live with, especially with a newborn child to care for. They can lead to problems sleeping and enjoying your baby. However, we use therapy and suggest changes in the way you think and behave to help you through these difficult times. Sometimes medication might be helpful too, and our psychiatrist can help you to decide what is best for you. Telling someone what is going on with you and getting treatment quickly can help to make you feel competent again. 

Symptoms of Postpartum Anxiety:

  • Intrusive thoughts of danger, inadequacy, and inability to cope
  • Extreme amounts of anxiety and worry
  • Difficulty controlling the worry
  • Restlessness, feeling keyed up, or on edge
  • Being easily fatigued (outside of what is normal for a new mother)
  • Difficulty concentrating or mind going blank
  • Irritability
  • Muscle tension
  • Sleep-disturbance (falling asleep, staying asleep, or not feeling rested when you are able to sleep)

Symptoms of Postpartum Obsessive-Compulsive Disorder:

  • Upsetting thoughts, urges or images that repeat and feel impossible to stop
  • A drive to perform actions, think thoughts, or follow rules in ways that do not change
  • Repeating actions to reduce anxiety or fears of harm that can be real or imagined
  • Repeating actions that do not make sense, but you feel driven to do them anyway

Miscarriage and Pregnancy Loss
Dealing with grief and mourning when you planned to be experiencing joy can be traumatic and isolating for a woman and her partner. Give yourself time to deal with the grief from your loss. When you are ready to talk, we are here to assist you in the healing process. We understand your loss and pain. Most importantly, we are here to help support you and lift you up during this troubling time. We strive to create the type of treatment that fits you and your partner’s unique needs.

Infertility Support & Counseling for Women and Couples
Having difficulty getting pregnant can lead to emotional reactions. Women and their partners tell us that they feel stressed, anxious, or depressed. When a woman or couple is not attaining its pregnancy goals, they may choose to talk to a medical expert that specializes in treating fertility challenges.  Our team of mental health experts can handle the emotions that arise when getting pregnant gets difficult.

Going through fertility treatments is both hopeful and stressful for a patient and her partner. The treatments can change the focus of a couple’s intimate life from connection and sharing to success/failure and produce additional strain on the relationship. Infertility support and counseling can assist in these difficult times. You need a safe environment to talk about what you are feeling and going through. 

Counseling can help with:

  • Stress management
  • Anxiety management
  • Depression
  • Coping with the ups and downs of fertility treatments
  • Decision-making

Sometimes infertility doctors require that their patients undergo psychological evaluations if they are relying on someone else to help them have a family of their own (donor egg, sperm, or surrogate). Members of our staff have conducted such evaluations and can schedule appointments to accommodate your schedule. 

Counseling Before Deciding on Pregnancy
There are good reasons why some women or couples want to talk things through with a medical doctor before deciding on getting pregnant. Many women have concerns ranging from their general health to specific pregnancy questions. If you are taking medication for depression or anxiety, it is very important to speak with our Psychiatrist before getting pregnant. We can help educate women on the risks and benefits of taking the medicines she is on at different stages of pregnancy and suggest the best path for her to follow for the health of both the mother and her baby. 

Nutrition Services
Eating healthy meals offers great benefits for your growing baby. Good eating habits can help you to have more energy and enjoy your pregnancy. Our program nutritionist can help you by making healthy meal plans for you to follow during your pregnancy and after giving birth. 

A Personal Diet Review will look at:

  • How much food you should eat for the energy needed during pregnancy
  • Increased dietary needs for pregnancy and nursing
  • Keeping your weight within healthy limits
  • Adding supplements to your diet if necessary
  • Taking care of your digestion 
  • Drinking enough healthy fluids
  • Stopping alcohol and tobacco use while you are pregnant
  • Healthy exercise

Frequently Asked Questions

Will services be covered by my insurance?
In most cases, yes. We accept most insurance plans. Our intake department will contact your insurance company for you to verify coverage and to determine if there will be a co-payment.

Are non-traditional individuals/couples/families welcome?
Absolutely! All of our staff members are open to working with non-traditional individuals or couples that are in need of our help as they go through their reproductive lives.

May I bring my spouse/partner to the appointments?
Sure. We make every effort to include family members  in your care and treatment, as long as you consent to discussing your confidential medical information with them.

How do I make an appointment? 
Just call us at 314-289-9411 to speak with our intake department to schedule an appointment.  Ask for the “Women’s Reproductive Program.

We’re Only a Phone Call Away

Our Intake Coordinators are always available at 314-289-9411 to schedule a confidential assessment if you, a loved one, or a patient may be experiencing a mental health issue. For additional questions about our programs, you can also use our online contact form.

In the case of a medical emergency or crisis, please dial 911 or go to the nearest emergency room.

Contact Us

New patients please call Intake Coordinators at:


City of St. Louis, Missouri (Macklind)

1129 Macklind Ave, 
St. Louis, MO 63110 
314-534-0200 (returning patients)

Chesterfield, Missouri (West County)

16216 Baxter Rd. Stes 205 and 225,
Chesterfield, MO 63017
636-532-9188 (returning patients)

Belleville, Illinois

521 W. Main St. Ste 201B, 
Belleville, IL 62220
618-825-0051 (returning patients)