Bethany LeBlanc, LCSW, PMH-C
Therapist in New Orleans + virtual across LA
Licensed Clinical Social Worker / Perinatal Mental Health Certified
Where Reproductive Care Meets Mental Health
Reproductive transitions don’t come with a survival guide- but they should! Whether you’re unexpectedly pregnant, trying to conceive, navigating menstrual or hormonal health challenges, processing an abortion experience, trying to survive postpartum, or reconnecting with your body after trauma, you deserve nothing less than nonjudgmental support.
My work centers the real-life complexities of becoming (or not becoming, or trying to survive being) a parent. As a full spectrum birthworker and therapist, I provide the information you need to make informed, empowered choices and advocate for yourself in medical spaces as a radical act of self-love.
I honor the ways in which your body, identity, and lived experiences shape your mental health across your entire reproductive lifespan. Your experiences don’t exist in isolation- they’re connected, and each one matters.
Let’s begin rewriting your story.
I help people who are struggling with…
Perinatal mental health + more:
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Pregnancy is supposed to be a time of excitement… right? For many folks, it’s filled with worries and uncertainty- and that reality can feel so isolating. Pregnant people often share thoughts like:
I’m not enjoying this time like I thought I would- shouldn’t I be happy?
What if I give birth in the car? What if we lose the baby’s heartbeat? What if…
I’m worried I’ll relapse or have another mental health episode during this pregnancy.
The postpartum period can also be far more intense than people expect. Many postpartum parents deal with intrusive thoughts, constant overwhelm, sleep deprivation, and mood and relationship shifts. Both birthing and non-birthing parents sometimes share things like:
I’m not bonding with my baby- does this make me a terrible parent?
I’m failing at this- I’m just not cut out for parenthood.
I feel exhausted and hopeless, and it seems like this will never get easier.
No matter how pregnancy and postpartum look for you, you deserve a space to navigate these major transitions. As both a therapist and doula, I offer education, resource connection, and mental health support. Together, we can work on creating an empowering birth (and postpartum!) plan, building your support system, and tapping into your inner strengths to help you thrive as a new (or new again) parent.
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Birth is meant to be an empowering experience- but for many, their child’s arrival is marked by fear, mistreatment, or a loss of control. If your birth left you feeling unheard, pressured, or violated, you’re not alone. Obstetric violence is real, and its effects can last long after delivery.
Clients often come to me saying things like:
I felt like my body wasn’t my own during birth.
I can’t stop replaying everything in my head- when did it all go wrong?
I’m scared to give birth again because of what happened.
I shouldn’t feel this way- my baby and I are both healthy.
These are not overreactions- they’re signs of trauma, and you deserve a space to unpack it all with someone who gets it. As a doula, I’ve seen firsthand how birth experiences can shape a person’s sense of safety, identity, and relationship with their own body. Together, we’ll move gently through your birth story, giving you space to process your emotions, create a new narrative, and find healing through repair.
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The path to parenthood is often imperfect. Loss can come in many forms: miscarriage, stillbirth, abortion, failed adoption, termination for medical reasons, or unsuccessful fertility treatments. Even during a healthy pregnancy, grief is common- especially after a previous loss, while mourning a loved one, or during a major life transition.
People I work with often share things like:
I feel like my body has betrayed me.
I can’t handle another round of IVF- what if it ends in medical bills and heartbreak?
I feel judged grieving for such an early miscarriage.
I never imagined becoming first-time parent without my own mom here.
I offer an unbiased space to process all forms of reproductive loss, so you don’t have to navigate this alone. In therapy, we’ll work together to rebuild trust in your body and rewrite your reproductive story into an empowering, healing narrative.
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Queer and trans folks often have to navigate systems that weren’t built for them. Whether you’re exploring your gender or sexual identity, navigating queer conception, trying to survive trans or nonbinary pregnancy, or searching for gender affirming care, you deserve to feel like more than just an afterthought.
Clients often share thoughts like:
All of the resources I find are for cis/het “mamas”- where do I fit in?
People just don’t understand the trauma of queer loss.
I just want a therapist who gets it- without me having to educate them.
You deserve care that truly centers the complexities of queer and trans experiences. No matter where you are in your journey- identity exploration, reproductive experiences, or parenting- I offer an affirming space to process it all.
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Living with menstrual or cyclical health conditions can be physically, mentally, and emotionally exhausting. Experiences like PMDD, endometriosis, PCOS, and chronic pelvic pain can impact every part of your daily life. And when your symptoms are constantly minimized or dismissed by healthcare providers, it can start to feel like your body is a problem that can’t be solved.
Many clients share thoughts like:
I feel like my entire life revolves around my cycle.
Everyone tells me my mood swings are “normal”- but I really feel like something’s off.
I’m tired of having to prove to others that my pain is real.
I teach clients how to chart their cycles and track their symptoms to better understand their bodies and advocate for themselves in a system that often fails to listen. We’ll work together to strengthen the mind-body connection, rebuild self-trust, and reclaim ownership of your health and body.
Our Work Together
The Vibe:
My style is warm, conversational, and naturally curious, so therapy with me feels approachable and comfortable. I enjoy bringing humor, honesty, and (occasional) spicy feminist rants into sessions- sometimes showing up barefoot or with an iced latte, no matter the season. Clients often tell me they love attending our sessions surrounded by plants while sipping a warm cup of lavender-chamomile tea.
The Nitty-Gritty Clinical Stuff:
As an eclectic therapist, I’m not married to any single modality. I blend approaches from narrative therapy, CBT, IPT, solution-focused & strengths-based therapy, and somatic/bottom-up practices to meet each client’s unique needs. I firmly believe that people don’t exist in a vacuum- so I help folks make changes within their reach while acknowledging the intersectional barriers that shape their lives.
What to Expect:
Our first session will be 60 minutes, ensuring extra time to build a plan for our work together. We’ll decide how often to meet, set goals, and determine if any other supports are needed. After that, all follow-up sessions are 50 minutes.
Insurances Accepted:
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Aetna
Cigna
Carelon Behavioral Health
Quest Behavioral Health
BCBS of Massachusetts Virtual Network (for Louisiana residents)
Sliding Scale Private Pay:
I’m committed to making perinatal therapy accessible to anyone who needs it. To help make care more affordable, I offer a sliding scale fee structure based on the green bottle method, a tool for economic justice. Use the checklist below to understand which tier you fall into.
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You fall into this tier if:
You are comfortably able to meet all of your basic needs
You may have some debt, but it does not prevent you from meeting your needs
You own your home or property OR you rent a higher-end property
You own or lease a car
You are employed or do not need to work to meet your needs
You have good health insurance and access to regular medical care
You have access to financial savings
You can afford an annual vacation or take time off
60-minute intake session: $135
50-minute therapy sessions: $125
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You fall into this tier if:
You may stress about meeting your basic needs but generally manage to cover them
Someone in your household owns or leases a car
You are employed
You have health insurance and access to at least some medical care
You have access to some financial savings
You cannot pay full price for therapy due to hospital bills, NICU expenses, or other major costs
You are at higher risk for poor perinatal outcomes due to systemic oppression (BIPOC, LGBTQ+, disabled, etc.)
60-minute intake session: $100
50-minute therapy sessions: $90
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You fall into this tier if:
You frequently stress about meeting basic needs
You rent lower-end properties or live with family to save money
Your household has a limited or fixed income
You receive SNAP, Medicaid, or SSDI
You are uninsured or have a high-deductible health plan
You are struggling to find a therapist who accepts your Medicaid
You have little or no financial savings
You are at high risk for poor perinatal outcomes due to systemic oppression (BIPOC, LGBTQ+, disabled, etc.)
60-minute intake session: $50
50-minute therapy sessions: $45
To keep these spots available, Community Access rates are offered on a limited and time-bound basis.
Location
My physical office is located in the Lower Garden District (near Coliseum Square Park) in New Orleans. Street parking is readily available. The office is less than a 10 minute walk from the St. Charles streetcar line, as well as the Magazine (11), W2, & W3 bus routes.
Babies are always welcome in session, and water and tea are always available. Please note, my office is upstairs and (sadly) not wheelchair or stroller accessible.
I also offer Telehealth sessions across the state. Due to licensing laws, clients must be physically located in Louisiana at the time of their session.
FAQ’s
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My approach is strengths-based and solution-focused- meaning we’ll work together on practical steps to help you feel better faster. We’ll create a plan that can include support groups, medication, education, movement, sunlight exposure, sleep strategies, traditional healing practices, and more. I incorporate aspects of CBT, Interpersonal therapy, and Polyvagal theory to help clients reframe their thinking, regulate their nervous systems, and work through any negative beliefs they hold.
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Absolutely! You deserve support, regardless of your biological role in welcoming your baby. Dads, non-gestational moms, trans women, and adoptive parents can all experience postpartum mental health challenges.
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Yes! The examples on this page aren’t exhaustive… if you see yourself reflected in any of the experiences or identities described above, even if your specific situation isn’t named, there’s a good chance you belong here. I welcome clients with complex, overlapping, and hard-to-name experiences, and I’m happy to explore together whether my practice is a good fit for you.
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For perinatal clients: in general, most folks attend weekly or every-other-week sessions throughout pregnancy and “the fourth trimester” (12 weeks postpartum). We’ll start by focusing on symptom relief, then reassess to see if deeper or longer-term work would be helpful.
Clients who come to me for reproductive loss, infertility, sexual trauma, menstrual disorders, or other concerns often need extra time to process and heal- usually remaining in therapy for several weeks to months. We’ll reassess throughout, checking in often and adjusting as needed.
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Not every therapist is the right fit for every client, and that’s okay! I like to consider our first 2-3 sessions as a “trial period” to determine if we’re a good match. After this time frame, I’ll check in to see if you feel comfortable moving forward. If not, I’m happy to connect you with trusted colleagues- no feelings hurt.
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I’m available Monday, Tuesday, & Thursday afternoons and evenings, as well as most of the day Friday.
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You deserve a whole team of people supporting you- not one person trying to do it all. I can either be your doula or your therapist. If you’re interested in both forms of support, I’m happy to take on one role and connect you with trusted, vetted professionals for the other- let’s build your dream team!
Ready to get started?
Here are your next steps:
Explore the at the About Me page to get a feel for my approach.
Fill out the form below- share as much or as little detail as you’d like in the message box.
I’ll reach out within 48 hours to schedule a free 15-minute consultation.
We’ll connect by phone to see if we’re a good fit and answer any logistical questions. If it feels good to you, we’ll set up your intake appointment!
You’ll get access to the client portal- make sure to complete all intake paperwork before our first session.