Although Seattle Therapy was founded in 2016 as a private practice, it was my dream to someday expand into a group practice. After more than a decade in the field, I took the leap in the spring of 2025 - this practice will hopefully become a hub for reproductive mental health in Seattle and across Washington state, training new clinicians who are passionate about serving clients across the reproductive spectrum, as well as a clinical home for expert clinicians looking to hone their clinical skills.

In addition to therapeutic services, we offer adjunct care around critical transitions in the reproductive period and consultation services for community clinicians. We hope to expand and deepen our work in 2026 and beyond.

Thank you for your curiosity and courageousness in reaching out.

-- Lesli Desai, LICSW, PMH-C

Founder, Clinical Director, and Reproductive Psychotherapist

What is the meaning behind the lighthouse?

We hope the work that we do shines a light through darkness and brings clients back to safety and happiness.

What is Reproductive Mental Health? 

Is it just Pregnancy or Postpartum support?

Providers in this speciality used to talk about “postpartum mood and anxiety disorders” despite the fact that symptoms can and do occur prior to pregnancy and in pregnancy, as well as the postpartum period.

Around 2015, the language shifted to perinatal mood and anxiety disorders (PMAD), to try and reflect a more holistic approach but our knowledge and experience as a field continues to deepen. But it's not just the gestational parent that struggles or that needs support – it is about supporting non-gestational parents and partners; it’s about supporting birth, foster, and adoptive parents; it’s about supporting those who have navigated loss and made the decision to live child-free or childless. It’s about the countless ways that we navigate the reproductive period and reproductive decisions in life, however that looks for a particular client or family.

For this and many other reasons, since 2021 I have promoted this speciality as Reproductive Mental Health and self-identify as a Reproductive Clinician. Our team's focus' include supporting clients and families while trying to conceive, navigating infertility treatment, pregnancy loss (miscarriage, stillbirth, termination for medical reasons - TFMR, and neonatal loss), pregnancy and the postpartum period, and the transition to parenthood, including alternative paths to parenting and beyond (surrogacy, adoption, foster care, and choosing to live childfree-not-by-choice or childfree-by-circumstance).