The Impact of Pregnancy Complications on Perinatal Mental Health

Thrive • May 17, 2022

By Thrive Wellness Reno’s Director of Perinatal Psychiatry, Andrea Thompson, APRN, FNP-C, PMHNP-BC

While the majority of pregnancies are without complications, pregnancy abnormalities do occur and may be mental or physical in nature. Common complications can include hypertension, preeclampsia, and perinatal mood and anxiety disorders (PMADs) . Even if a pregnancy complication isn’t a mental health condition, it can still have spiraling effects on mental well-being both during pregnancy and postpartum. The potential harm associated with pregnancy compilations can make an emotionally turbulent time even more challenging for parents to navigate. Just as prenatal care can help reduce some of the risks of developing pregnancy complications, seeking mental health support can help guide expecting parents in processing their pregnancy experience and any challenges they face along the way.

DEPRESSION AND ANXIETY

Under the umbrella of PMADs , depression and anxiety are among the most common mental health complications of pregnancy. According to the National Institutes of Health (NIH) , up to 13% of women in the U.S. experience symptoms of depression after childbirth. Additionally, up to 43% of moms who struggle with depression during their pregnancy or postpartum periods also experience co-occurring anxiety.

Risk factors for experiencing depression or anxiety during pregnancy may include:

A personal or family history of depression or anxiety
Being a young parent
Being a single parent
Lack of social or financial support
Pregnancy complications
Relationship struggles with significant other

Symptoms of depression during pregnancy may include:

Difficulty concentrating
Feeling sad, hopeless, worthless, apathetic
Inability to find enjoyment in activities one previously enjoyed
Thoughts of suicide

Symptoms of anxiety during pregnancy may include:

Irritability
Muscle tension
Restlessness
Uncontrollable worry

Depression and anxiety are some of the most treatable pregnancy complications. Through therapeutic support, such as that offered by perinatal mental health specialists , expecting and postpartum parents can discover the root causes of their depression and anxiety while learning healthy, effective coping strategies for their mental health symptoms.

HYPERTENSION

High blood pressure, also referred to as hypertension, can cause increased pressure in the arteries. In a pregnant person, elevated blood pressure can restrict blood flow to the fetus, which can increase the risk of preterm labor and preeclampsia. According to the CDC , among women aged 20 to 44, high blood pressure happens in one in every 12 to 17 pregnancies.

Circumstances that may play a role in whether or not a person will develop elevated blood pressure include:

First pregnancy
Lifestyle, including the way one nourishes their body and their level of physical activity
Older than age 35
Pregnant with multiples
Substance use, including smoking and drinking alcohol
Use of fertility treatments

Symptoms of hypertension include:

Cold, clammy skin
Faintness
Headache
Nausea

By working closely with one’s healthcare provider, high blood pressure can be managed throughout a person’s pregnancy and the baby can be born healthy. Elevated blood pressure is also associated with stress, so mindfulness strategies , such as breathing practices, meditation, and yoga can help promote healthy blood pressure.

GESTATIONAL DIABETES

Gestational diabetes occurs when diabetes that had not previously been a factor develops during pregnancy. Up to 10% of pregnancies are affected by gestational diabetes.

Risk factors for gestational diabetes include:

Family history or cultural prevalence of diabetes
Pregnant with multiples
Older than 25

Potential medical risks of gestational diabetes include:

Preeclampsia
Hypertension
Cesarean delivery
Preterm birth

Often, gestational diabetes doesn’t cause any noticeable symptoms, so healthcare providers must test for the condition. With the oversight of a physician or midwife, and often with the help of nutritionists, gestational diabetes can be effectively managed through medication as well as guidance on movement and nourishment.

PREECLAMPSIA

Closely associated with hypertension, preeclampsia is a serious pregnancy complication that can disrupt the functioning of all the body’s organs including the kidneys, liver, lungs, and brain. Those with preeclampsia face an increased risk of giving birth early and losing their pregnancies. According to the CDC , preeclampsia occurs in 1 in 25 pregnancies in the U.S.

While the direct cause of preeclampsia is unknown, there are several risk factors including:

Elevated blood pressure
First pregnancy
History of preeclampsia
Pregnant with multiples

Preeclampsia most commonly happens during first pregnancies, but a person who developed preeclampsia in a previous pregnancy is seven times more likely to experience the condition in subsequent pregnancies, according to the NIH .

Symptoms of preeclampsia include:

Changes in vision, such as blurry or spotted vision
Constant headache
Difficulty breathing
Nausea or vomiting in later trimesters
Pain in the upper abdominal region
Sudden weight gain
Swelling of the face or hands

When preeclampsia affects brain function by causing seizures or coma, the condition is known as eclampsia. Preeclampsia can also occur after giving birth, usually between 48 hours and 6 weeks following delivery.

According to the NIH , every year, preeclampsia and eclampsia cause 50,000 to 75,000 maternal deaths worldwide. While preeclampsia can be life-threatening for the parent and baby, those diagnosed with preeclampsia can fully recover and have healthy babies with treatment and close monitoring from their healthcare providers.

PRETERM LABOR

Preterm labor occurs when labor begins before 37 weeks gestation. According to the CDC , in 2020, one out of every 10 infants were born prematurely. In the final months and weeks of pregnancy, babies are still reaching important milestones. Their brains, lungs, and livers are still developing in the womb. Babies born early face an increased risk for birth defects , including problems breathing, feeding, seeing, and hearing. Additionally, preterm labor can also cause infant death , with 17% of infant deaths associated with preterm birth, according to the CDC . As with preeclampsia, the causes of preterm labor are largely unknown, but there are certain risk factors.

Risk factors of preterm birth include:

Family or personal history of preterm labor
Hypertension
Infections, including urinary tract infections and sexually transmitted infections
Large uterus
Preeclampsia
Pregnant with multiples
Previous history of preterm births
Substance use, including smoking and drinking alcohol
Use of fertility treatments
Younger than 20 and older than 35

Because preterm labor isn’t well understood, it’s difficult to fully mitigate one’s risk of giving birth prematurely. However, seeking early prenatal care that continues throughout pregnancy can help monitor and address any factors that may lead to preterm birth.

PREGNANCY LOSS

Pregnancy losses that occur before 20 weeks are usually referred to as miscarriages, while those that occur after 20 weeks are called stillbirths. For women with confirmed pregnancies, research shows that the miscarriage rate is between 10 and 20%. In the U.S., 1 in 100 pregnancies ends in stillbirth, according to the CDC .

No matter when a pregnancy loss takes place, it can be a tragic, distressing, and mournful loss for parents. A study published in the British Journal of Psychiatry found that 15 percent of the women participants who experienced miscarriages also struggled with depression and anxiety in the years that followed. Another study published in the Journal of Child Psychology and Psychiatry found that infants born after a stillbirth exhibited disorganized attachment behavior . In other words, as parents come to terms with their perinatal loss, they may struggle to bond with their other children.

PREGNANCY COMPLICATIONS AND PERINATAL MENTAL HEALTH

As parents prepare their lives for a new baby, they may experience shifts in their mental health. Whether physical or mental in nature, pregnancy complications can inject even more distress into their perinatal experience as parents navigate medical appointments, endure additional testing, and encounter unknowns. Many parents facing pregnancy concerns keep their struggles private and continue to attend to their professional, family, and social obligations — a pattern of behavior that can promote feelings of isolation.

Pregnancy challenges can and often do impact parents’ postpartum experience as well. Experiencing depression and anxiety during pregnancy puts parents at a greater risk for developing PMADs after giving birth.

THERAPEUTIC SUPPORT FOR THOSE FACING PREGNANCY COMPLICATIONS

For those facing pregnancy complications, therapy can provide compassionate support, validation of experiences, and a safe environment to express and process fluctuating emotions. Medication can also help treat mental health struggles associated with pregnancy concerns for some individuals. Further, open communication channels between a person’s OBGYN or midwife and their mental health treatment team can ensure targeted, well-rounded care.

NURTURING CARE FOR EXPECTING PARENTS

When seeking professional mental health support related to pregnancy complications, parents may consider speaking with a perinatal mental health therapist who can offer a specialized perspective that’s intimately aware of many of the concerns faced by parents who are pregnant or have new children. At Thrive Wellness, our perinatal health experts specialize in perinatal mental, physical, and behavioral health care. Together, they collaborate on your care so that you feel supported through any pregnancy challenges. Reach out to learn more about our perinatal health services as they vary by location.

About the Author

Thrive Reno’s Director of Perinatal PsychiatryAndrea Thompson, APRN, FNP-C, PMHNP-BC

Andrea Thompson, APRN, FNP-C, PMHNP-BC is a Nurse Practitioner whose background has stemmed in primary care, primarily working with under-served and under-insured populations. After several years in family practice, she completed a Post Master’s certification as a Psychiatric Mental Health Nurse Practitioner. In early 2019, she started a program the first of its kind in Northern Nevada to integrate mental health services into a women’s health/OBGYN practice where she had a focus on perinatal mood and anxiety disorder diagnosis and treatment which solidified her passion for Perinatal/Reproductive Psychiatry. She has also completed certificate training with Postpartum Support International. As a postpartum depression survivor herself, she has a passion for helping other women throughout their journey to mental wellness. She and her husband moved to the Reno area several years ago from Seattle, WA to settle into a place to raise their family; they have three young boys. Aside from spending time with her family outdoors, Andrea is also active in the efforts to improve the sexual health education offered to the youth in our community as well as advocating at the state level to support Nurse Practitioner autonomy and Maternal Mental Health.

The post The Impact of Pregnancy Complications on Perinatal Mental Health first appeared on Thrive Wellness.

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Navigating Coming Out: Emotional Wellness Tips for Every Stage

June 4, 2025

Coming out is a deeply personal, courageous, and in many cases, life-changing act. Whether you're sharing your sexual orientation or gender identity, coming out is about embracing authenticity and sharing an essential part of who you are. During the process of coming out, prioritizing your mental health at every stage is crucial. In this blog, we'll discuss insights and strategies to support your mental health before, during, and after coming out. Wherever you are in your journey, know that your experience is valid and you are not alone. Understanding the Mental Impact of Coming Out Coming out can bring about a lot of big feelings, including fear, relief, joy, anxiety, grief, and hope, sometimes all at once. Know that heightened emotions during this time are completely normal. Sharing such an integral part of yourself with the world can feel intense, but even with the ups and downs, being authentically you is worth it. Because LGBTQIA+ individuals face added mental health burdens due to stigma and discrimination, taking care of yourself during this time is more important than ever. You might experience increased anxiety, mental exhaustion, or avoidance ahead of coming out, so don’t be afraid to reach out for support. At its core, coming out is about authentic self-expression and showing your truest self, which can feel both exciting and scary at the same time . The self-acceptance and community gained from coming out is a vital part of finding long-term strength and joy. Still, it’s okay if you feel uncertain or conflicted, and these feelings are just part of the process. Before Coming Out: Emotional Preparation Coming out starts with reflection. Remember that there’s no rush when it comes to figuring out who you are. It’s okay to take time to understand your identity and what coming out might mean for you. Here are a few questions to consider: What do I hope to gain by coming out? Who feels emotionally safe to talk to? What are my fears, and how can I manage them? Mental wellness tips before coming out: Journaling can help you better understand your feelings and fears and explore different ways to share your truth. Talking through your feelings and different scenarios with a therapist , especially one who is LGBTQIA+ affirming, can help you to feel more supported and ready to come out. Practice grounding techniques like deep breathing, meditation, or visualization to ease anxiety ahead of sharing your identity. Helpful resources for coming out include: Trevor Project Lifeline (1-866-488-7386) TrevorSpace (an online community for LGBTQIA+ youth) OurCenter (a local community center for the LGBTQIA+ community in Reno) During the Coming Out Process: Staying Grounded The act of coming out can feel intimidating, as you’re sharing such a vital part of who you are. You might experience fear, panic, or doubt. While these feelings are real, know that you don’t have to navigate them alone. Tips for emotional resilience: Practice conversations ahead of time with a therapist or supportive friend so you feel ready when the time comes to share. Choose a time and place where you feel safe and in control. Use affirming statements, like, “I deserve to be loved for who I am.” Coping with negative responses: Set emotional boundaries with people who aren’t supportive. Create an emotional safety plan: know who you can call, where you can go, and what can help soothe you in moments of distress. After Coming Out: Processing and Healing Coming out, no matter how it went, deserves to be celebrated. An act of strength and authenticity like coming out is no small feat, so be proud of yourself for sharing who you are. Even so, the emotional aftermath can be complicated. You might feel joy and empowerment or loss and grief, especially if relationships shift. Healing strategies: Acknowledge your courage . Even difficult conversations are acts of strength. Rebuild your safety if you've experienced rejection. This might mean changing your environment or seeking new support systems. Release guilt or shame. Being who you are is never something you should feel ashamed or guilty for. Support networks can make a huge difference. Seek out different forms of support like: LGBTQIA+ support groups (in-person or online) Peer mentors or community leaders Allies, friends, or family who affirm and respect your identity Therapeutic options to deal with stress, grief, or isolation associated with coming out: EMDR (Eye Movement Desensitization and Reprocessing) can help process trauma. Narrative therapy helps you rewrite your story in your own empowering voice. Coming Out More Than Once: Navigating the Long Game Coming out isn’t just a single milestone, it’s a recurring process. You might come out again and again: to a healthcare provider, a neighbor, a partner, or a friend. It can feel exhausting or unfair to have to come out more than once, but each time, you’ll continue to find more strength, confidence, and understanding for yourself. Other tips for coming out: Focus on cultivating a strong inner identity that doesn’t rely on external validation. You know who you are, and you don’t need to prove yourself to anyone. Create a personal toolkit of coping and grounding strategies to deal with stress or burn-out associated with coming out. Thrive Wellness offers a free breathing exercise guide to help relieve anxiety and calm the nervous system. Download it here . Find affirmation and support through community. This can look like finding a chosen family, looking up to queer role models, attending events that celebrate the LGBTQIA+ community and its history, and working on embracing authenticity and having pride in who you are. Remember, there’s no one-size-fits-all approach to coming out, and it’s never too late to share who you are. Whether you're preparing to come out, in the midst of sharing your truth, or processing what came after, know that you are worthy of love, safety, and joy. Your truth is worth celebrating, today and everyday! For support during the coming out process and beyond, reach out to our team of affirming, inclusive, and compassionate mental and physical health care providers. We're here for you.

10 Simple Actions to Improve Your Mental Health

May 15, 2025

Taking steps to protect and maintain good mental health is key to living your best life. Whether it's managing stress, building emotional resilience, or simply finding a moment of peace during your busy day, developing a set of strategies to protect your mental health is essential. This Mental Health Awareness Month is all about turning action into awareness, so why not take action today to care for yourself and improve your mental health? This guide outlines ten impactful activities you can incorporate into your daily routine to boost your mental health starting today. By incorporating these activities into your days, you can take control of your mental health journey, grow personally, and improve your relationship with yourself and others. Why is Taking Action for Your Mental Health Important? Understanding the significance of proactive mental health care can change how we treat ourselves and move through our everyday lives. Taking action for yourself not only improves your overall well-being but also helps prevent existing or potential issues from becoming more severe. When you prioritize your mental health, you’ll feel a greater sense of happiness and productivity, paving the way for stronger relationships and a fuller, more enjoyable life. Focusing on your mental health is not just about problem-solving, but about living in a balanced and fulfilling way that supports your overall well-being and ability to thrive. 10 Effective Activities for Improving Your Mental Health It’s essential to have a repertoire of activities on hand that can boost your mental health. Simple activities like sleeping enough, meditating, spending time with a friend, or seeing a therapist can have huge impacts on your overall mental wellness. Prioritizing your mental health doesn’t have to be complicated or difficult, it’s just about doing activities that make you feel joyful, relaxed, or energized, fueling a better outlook on life overall. Here are 10 activities you can do today to help your brain and body to feel their best: 1. Mindful Practices Practicing mindfulness is a simple yet impactful step you can take in improving and protecting your mental health. Mindfulness practices include activities like meditating and mindful breathing to calm the mind and reconnect with the body. Meditation and breathing exercises are shown to reduce stress, improve focus, and grow your self-awareness. For more breathing exercises for anxiety relief, download our free guide “Breathe Easy” . 2. Eating Intuitively Eating intuitively is a powerful way to boost your energy and mood and reduce stress around food, helping to improve your overall mental health. This approach encourages a healthy relationship with food by promoting balance, variety, and pleasure without guilt. Intuitive eating helps you recognize and respond to your body's signals, leading to more mindful and satisfying eating experiences. By focusing on how foods make you feel, both physically and emotionally, you can make healthier choices that nourish your body and mind. Adequate nutrition has been shown to support brain function, improve mood, and reduce the risk of mental health conditions. 3. Sleep Hygiene Practicing good sleep hygiene is essential for maintaining overall health and wellbeing. Establishing a consistent bedtime routine helps regulate your sleep patterns, ensuring you get the deep sleep your body needs. Aim to go to bed and wake up at the same time each day if possible. Quality sleep is vital for cognitive function, emotional stability, and physical health, making good sleep hygiene a key component of wellness. 4. Mindful Movement Doing movement that you enjoy can have massive impacts on your mental health. Exercise reduces stress by triggering the release of endorphins, which have mood-lifting and pain-relieving effects. It also helps regulate hormones like cortisol, improving the body's ability to handle stress. By simply incorporating enjoyable movement into your routine a few times a week, you’ll see improvements in both your mental and physical health. 5. Go Outside Spending time outside can support physical, mental, and emotional well-being. It allows you to disconnect from everyday stressors, reconnect with the natural world, and experience a sense of tranquility and peace. Spending time in nature has been linked to reduced anxiety, improved mood, and increased mindfulness. Make time to explore outdoor environments such as parks, forests, beaches, or gardens. Practice mindfulness while in nature, focusing on the scenery and sounds that surround you. Incorporating nature into your daily routine can provide a refreshing break from everyday life, improving your mental health. 6. Make Time for Creative Pursuits Creative activities can be a great outlet for self-expression and reducing stress. Creativity allows you to explore new ideas, solve problems, and connect with your inner self. Even dedicating just 10 minutes a day to creative pursuits can have a positive impact on your mental health. Activities like drawing, painting, journaling, or crafting can help you unwind and stimulate your mind. Creative expression can also improve mood, enhance cognitive function, and foster a sense of accomplishment. 7. Practice Positive Self-talk Positive self-talk is a powerful habit that involves speaking to yourself in a kind, supportive, and encouraging manner. It's about cultivating a positive mindset and nurturing self-compassion. By shifting negative thoughts and beliefs to positive affirmations, you can boost your self-esteem and overall well-being. Practice acknowledging your strengths, accomplishments, and perseverance, even in challenging situations. 8. Practice Social Wellness Social wellness is about nurturing meaningful connections with others and fostering a supportive network of relationships. It involves engaging in positive interactions, building trust, and offering and receiving support. Cultivating social wellness contributes to emotional resilience, reduces feelings of isolation, and promotes overall happiness. Take time to connect with friends and family members regularly, whether through phone calls, video chats, or in-person gatherings. 9. Do Something for You Making time for yourself is crucial for maintaining life balance and preventing burnout. This involves setting boundaries, practicing self-care, and prioritizing activities that bring you joy and relaxation. Taking time for yourself allows you to recharge, reflect, and reconnect with your inner needs and desires. Self-care can take many forms, from indulging in a hobby to simply enjoying a quiet moment alone. Regularly dedicating time to yourself helps reduce stress, improve mental clarity, and enhance overall well-being. 10. Visit a Mental Health Professional Sometimes, we need professional support for our mental health, and that’s okay! Knowing when it’s time to see a therapist shows strength and self-awareness. No matter where you are in your mental health journey, getting guidance from a therapist can be a helpful tool in living your best life. Our team of mental health professionals are ready to support you now, don’t be afraid to reach out and open up. When Should I Seek Professional Help for My Mental Health? It's important to know when it's time to reach out to a mental health professional. Persistent feelings of sadness, anxiety, or emotional distress that interfere with your daily life are clear indicators for seeking professional help. If your coping mechanisms and self-care activities fail to alleviate your mental health concerns, reaching out can offer valuable support and interventions. Nurturing Your Mental Well-being Through Action Investing time and effort in your mental health can make positive differences in your everyday life. By understanding the importance of mental health practices and incorporating proactive strategies, you lay the groundwork for feeling better and staying mentally strong over time. Whether through improved sleep hygiene, mindful practices, or seeking professional help when needed, these efforts can bring more joy, emotional stability, and peace into your life. Make these activities a regular part of your day with a focus on self-growth, and you'll be on your way to a healthier mind and a fuller life.

Love, Doubt, and Obsession: Understanding Relationship OCD and How to Heal Together

April 28, 2025

Romantic relationships can be one of the most joyful parts of life, but they can also stir up deep fears, especially for those living with obsessive-compulsive disorder (OCD). When OCD takes shape around your relationship, it’s known as Relationship OCD (ROCD), a lesser-known but deeply distressing form of OCD that centers on obsessive fears and doubts about your partner or the relationship itself. Have you ever found yourself spending hours analyzing how you feel, seeking reassurance that your partner is “the one,” or constantly second-guessing whether you’re truly in love? If so, you’re not alone. ROCD is real, and with the right tools and support, healing is possible. Let’s break down what Relationship OCD really looks like, how it affects interactions, and how to find more peace, connection, and presence in your relationship. What is Relationship OCD? Relationship OCD is a subset of obsessive-compulsive disorder that fixates on doubts, fears, or perceived flaws within romantic relationships. Unlike the normal ups and downs that every couple experiences, ROCD involves a preoccupation with intrusive thoughts that feel impossible to stop thinking about, like whether you’re really attracted to your partner, or if they’re “good enough” for you. These thoughts can feel distressing, uncontrollable, and all-consuming. What sets ROCD apart is the compulsive mental checking that follows. You might replay interactions, examine your partner’s every word, or repeatedly ask friends or family members, “Do you think we’re good together?” These rituals, designed to bring relief, often do the opposite. They intensify the anxiety and begin to erode the connection you’re trying to protect. Relationship OCD Examples: What It Can Look Like in Real Life ROCD doesn’t always look the same for everyone. For some, it shows up as intense anxiety about having children with their partner: “What if they’re not going to be a good parent?” For others, it might revolve around analyzing every interaction or feeling jealous of a past relationship their partner had. Here are a few common presentations of ROCD: “Do I love them enough? ” spirals, even when nothing’s wrong. Feeling distressed if your partner doesn’t respond the “right” way during a conversation. Constantly seeking reassurance from others about your relationship. Comparing your partner to idealized versions of relationships you see online. Avoiding important conversations or decisions (like parent-child planning) because of underlying doubts. The key thing to remember? These thoughts are symptoms of OCD, not reflections of reality. How OCD Affects Relationships ROCD can strain even the strongest partnerships. When someone is stuck in a cycle of obsessions and compulsions, it often leads to emotional distance, communication breakdowns, and frustration on both sides. A partner might feel like they’re walking on eggshells or like they’re being constantly evaluated. Meanwhile, the person experiencing ROCD may feel ashamed, misunderstood, or exhausted by their own mind. Many individuals report feeling like they can’t be fully present during time with their partner because their mind is so busy analyzing, comparing, or worrying. And over time, these patterns can impact the health of the relationship itself. That’s why relationship-centered, mental health-informed approaches are so vital. How to Treat Relationship OCD Thankfully, ROCD is treatable. But the most effective treatments don’t just focus on the relationship, they focus on the OCD. At Thrive, our therapists often use Cognitive Behavioral Therapy (CBT) and a specialized approach called Exposure and Response Prevention Therapy (ERP) . These modalities help people face their fears without performing compulsions. Over time, this rewires the brain’s response to uncertainty. Therapists may also incorporate experiential techniques like eye movement desensitization and reprocessing, which engage both the body and mind to help clients process intrusive thoughts and emotional pain. For some, prescription medication like SSRIs may be helpful as part of a treatment plan. For couples navigating ROCD together, couples counseling can support healthy communication and connection without reinforcing compulsions. How to Support a Partner with Relationship OCD If your partner is experiencing ROCD, your role is crucial. It's not about "fixing" them though, it’s about being a safe, steady presence. Here are a few ways to support your partner with ROCD: Educate yourself about OCD and ROCD so you can identify symptoms versus your partner’s true feelings. Avoid reassurance loops . It’s tempting to soothe their fears, but constant reassurance can reinforce the cycle. Encourage professional support with a therapist or psychologist experienced in OCD. Focus on building a relationship where uncertainty is tolerated, not feared. Practice empathy. Remember that these thoughts are distressing and involuntary. With the right tools and support, both of you can learn how to thrive even in the midst of mental health challenges. Final Thoughts: Healing Together ROCD can feel isolating and confusing, but you don’t have to face it alone. Whether you’re the one struggling or the one supporting, healing happens through community, compassion, and the right care. At Thrive Wellness, we believe in compassionate, holistic care, and we’re here to walk alongside you. Whether you need individual therapy, couples counseling, or a dedicated treatment plan, we’re here to help you find your way back to connection, peace, and presence. Need support? Reach out today and begin your journey toward healing together. For tools to help you cope with anxious thoughts, download our free breathing exercises guide "Breathe Easy" .