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Pregnancy · 7 modules · Self-paced

Expecting — the pregnancy course.

You’re not losing yourself.You’re becoming a mother.

Enroll now →$49 · one-time

A 7-module mental health program for women navigating the anxiety, identity shifts, relationship changes, and emotional terrain of pregnancy. Clinician-built, research-grounded, and honest about the mental health layer most prenatal care skips entirely.

Expecting — pregnancy mental health program
Limited-time launch offer

Buy Expecting now and get Becoming free.

Becoming, our postpartum program, opens on its own two weeks before your due date — one journey from pregnancy through the months after.

Start Expecting — Becoming included →
Is this season familiar?

Pregnancy is supposed to be the happiest time. It’s more complicated than that.

  1. 01

    You feel anxious in ways you can’t fully explain — and you’re not sure if it’s normal or something to take seriously.

  2. 02

    Your identity is shifting beneath you. You’re becoming someone new, and no one prepared you for the grief that comes with that.

  3. 03

    You’re managing everyone else’s feelings about your pregnancy — your partner’s excitement, your family’s opinions, your doctor’s checklists — while barely tending to your own.

  4. 04

    Sleep is different. Your mind won’t quiet. Your body is doing something enormous, and you’re supposed to feel grateful, but it’s hard.

  5. 05

    You’re excited. You’re also terrified. And holding both at the same time is more exhausting than anyone tells you.

  6. 06

    Birth is coming and instead of feeling ready, you feel underprepared in a way none of the baby books address.

  7. 07

    You’re carrying a history — a loss, a treatment, a difficult road — and this pregnancy lives alongside all of it.

  8. 08

    You want to be present for this. You’re struggling to get there.

None of this makes you a bad mother. All of it makes you a human being going through one of the most significant neurological and identity events of your life — without enough support.

1 in 5

pregnant women experience prenatal depression — making pregnancy the most common time for a woman’s first depressive episode.

25%

of pregnant women experience prenatal anxiety severe enough to interfere with daily life, sleep, and relationships. Most are never screened for it.

6–10%

of women experience tokophobia — fear of childbirth severe enough to cause avoidance, trauma, or significant distress. It is treatable. And underrecognized.

What you’ll learn

Built on what your prenatal care left out.

Prenatal neuroplasticity.

Your brain is literally restructuring during pregnancy — gray matter reorganization documented in peer-reviewed research (Hoekzema et al., 2017). What feels like anxiety, fog, or identity confusion is, in part, your brain adapting for the most important relationship of your life. We teach you to understand it, not fight it.

The HPA axis under pressure.

Pregnancy changes your stress response at a neurological level. We trace the hormonal cascade — estrogen, progesterone, oxytocin, cortisol — and give you regulation tools designed for your pregnant nervous system, not a generic mindfulness script.

Matrescence, named and honored.

The identity shift of becoming a mother is one of the most significant a woman undergoes. We draw on the research of Alexandra Sacks and narrative therapy to help you hold grief and becoming at the same time — not choose between them.

Complexity-included, crisis-safe.

Module 6 was written specifically for high-risk pregnancies, pregnancy after loss, and complicated joy. You don’t have to filter your experience to fit a program that assumes straightforward.

The module journey

Seven weeks. Seven modules. Yours forever.

  1. Module 01

    Your Brain on Pregnancy

    The neuroscience your prenatal appointments skip — how pregnancy reshapes the brain at the neurological level, what the hormonal cascade actually does to mood and anxiety, and why what you're feeling is your brain adapting, not failing. Includes CBT foundations for managing anxious thoughts.

  2. Module 02

    The Worry That Won't Quit

    Prenatal anxiety affects 1 in 4 pregnant women — and most of it goes unrecognized. We name what's happening, distinguish helpful worry from rumination, and give you 3-5 somatic regulation tools built specifically for the pregnant nervous system. Includes an ACT-based worry inventory worksheet.

  3. Module 03

    Body, Identity & Becoming a Mother

    Matrescence — the identity reorganization of becoming a mother — is one of the largest transitions a woman undergoes. We draw on the research of Alexandra Sacks to help you hold grief and becoming simultaneously, explore your changing sense of self, and build a motherhood identity that doesn't erase who you are.

  4. Module 04

    Relationships Under Construction

    Pregnancy changes partnership dynamics, family relationships, and intimacy in ways that surprise almost everyone. Gottman Method frameworks for bids for connection, Nonviolent Communication scripts for expressing needs, and honest tools for setting boundaries with everyone who has opinions about your pregnancy.

  5. Module 05

    Preparing Your Mind for Birth

    Birth anxiety is real, common, and treatable. We address the fear of birth, pain management options, and what it actually means to have agency in the delivery room. Includes a birth preferences document template centered on your emotional safety — and a guided visualization meditation to prepare your nervous system.

  6. Module 06

    When Pregnancy Is Complicated

    For high-risk pregnancies, pregnancy after loss or infertility, complicated joy, and NICU preparation. We apply the dual-process grief model to holding hope and fear simultaneously, address intrusive thoughts and catastrophizing, and help you build the specific support system your pregnancy requires. You don't have to fit the standard mold.

  7. Module 07

    Building Your Village Before Baby Arrives

    Social support is the single strongest protective factor against postpartum depression — and most women don't build it until they're already struggling. We map your support system, close the gaps, and create a postpartum mental health safety plan that includes warning signs, who to call, and how to ask for specific help before you need it.

That’s the whole map. You can start today.

All seven modules unlock the moment you enroll — work at whatever pace this season allows.

Enroll now →$49 · one-time
The goal of this program
“To arrive at the other side of pregnancy knowing yourself better than when you started.”

Most prenatal care focuses entirely on the physical. Expecting is the mental health layer — the tools, the frameworks, and the honest conversations that prepare you not just for birth, but for everything after.

Everything included

The full toolkit. Nothing upsold later.

01

7 clinician-taught video lessons

6–8 minutes each, filmed by Amy direct-to-camera with warmth and clinical depth. Work through them at whatever pace this trimester allows.

02

Guided audio meditations

Somatic and mindfulness practices adapted specifically for the pregnant body — body scans, progressive muscle relaxation, loving-kindness, and a birth visualization. Not generic wellness audio.

03

Reflective worksheets + journal prompts

Three structured prompts per module to process what you're learning at depth. Worksheets are practical tools you'll use in the moment, not homework.

04

Partner/support person track

Dedicated content for the people around you in every module — because your pregnancy affects them too, and they need real guidance on how to support without overstepping.

05

Postpartum mental health safety plan

Module 7 builds your plan before you need it — who to call, what warning signs to watch for, and what specific support looks like for you in the fourth trimester.

06

Cancel anytime · come back when you need it

You'll have access to all content while your subscription is active. Cancel when you're ready — and re-subscribe for $49/month if a new season brings new need.

This is for you if
  • ✓You're pregnant — in any trimester — and your mental health isn't getting the attention it deserves.
  • ✓Anxiety, mood shifts, or identity questions are making it hard to be present in your pregnancy.
  • ✓You're navigating high-risk pregnancy, pregnancy after loss or infertility, or complicated feelings.
  • ✓You want to understand what's happening to your brain and build tools that actually work.
  • ✓You want to prepare your mind for birth — and for everything that comes after.
This isn’t for you if
  • —You're in an acute mental health crisis — one-on-one care with a perinatal clinician is the right starting point.
  • —You're looking for childbirth education or obstetric guidance. This is the mental health layer only.
  • —You're postpartum. Our Becoming program may be a better fit for where you are right now.
  • —You want a passive wellness program. This is structured psychoeducation that asks you to do the work.
Built by clinicians

Not a wellness program.
A clinical one.

Expecting was developed by Mamaya Health’s clinical team — licensed therapists, perinatal mental health specialists (PMH-C), and providers who work daily with women in pregnancy and the postpartum period. Every module is grounded in peer-reviewed perinatal psychology research, ACOG guidelines, and evidence-based therapeutic frameworks including CBT, ACT, somatic experiencing, and IFS.

This isn’t a substitute for therapy or medical care. If you’re in crisis or need a licensed perinatal clinician, we can match you one-on-one — start intake here.

Community

Some healing happens in community.

Peer-led support groups are free and open to everyone — no program enrollment required. Our moderated online community is available to clients enrolled in any Mamaya program or support group, a place to be understood between and beyond your sessions.

Browse the free support groups
Now enrolling — Expecting

Instant access to all modules, guided meditations, and workbook PDFs. Work at your own pace.

Program only
All videos, audio meditations + workbooks
$49
one-time
Enroll now — $49
or
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Program + Coaching feedback
Everything above + async 1:1 coaching responses to your reflections
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$49
one-time + $30/mo coaching
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Secure checkout via Stripe · All major cards + HSA/FSA accepted

Questions, answered

Honest answers before you enroll.

Is anxiety in pregnancy normal?
Some worry is expected. The question worth asking is whether it is persistent, hard to switch off, and getting in the way of sleep, work or your appointments. Anxiety during pregnancy is common enough that professional guidance recommends screening for it as part of routine prenatal care.
What's the difference between prenatal anxiety and ordinary worry?
Ordinary worry tends to be specific and to settle — you're nervous about tomorrow's scan, the scan happens, you feel better. Anxiety that needs support tends to move from one fear to the next, doesn't respond durably to reassurance, and shows up in your body: racing heart, tension, trouble sleeping, sometimes panic.
Can I do therapy while pregnant?
Yes. Therapy is a standard first-line treatment for anxiety in pregnancy, and can be individual, group, couples or telehealth. If anxiety is moderate or severe, medication is also a conversation worth having rather than one to rule out in advance.
What if I'm having intrusive thoughts?
Unwanted, frightening thoughts are more common in pregnancy and postpartum than most people realise, and they are treatable. They are worth mentioning specifically, because they respond to a different approach than generalised anxiety does. Ask for someone experienced in perinatal OCD.
Where do I find a therapist for pregnancy anxiety in Nashville?
Mamaya, in person and by telehealth. Also in the area: The Postpartum Den, Hope Clinic for Women, and a number of individual PMH-C certified clinicians listed through Postpartum Support International.

Not sure a self-paced program is the right format for you right now?

If you’re in active crisis, or if what you need is one-on-one care with a perinatal mental health specialist, start there.

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