Hi, I'm Sarah
and I get it. I'm glad that you're here!
Being a mom is hard work, and parenting does not come with a roadmap. Whether you're planning to start a family, preparing to welcome a baby, or navigating the challenges of motherhood, I'm here to help you.
Motherhood can bring joy, uncertainty, and changes you may not have expected. Sometimes, the experience looks different from what you imagined, and finding someone to talk to can make a difference.
I’m Sarah Spinello, LICSW, and I provide virtual maternal mental health counseling for women throughout Massachusetts. My goal is to offer a welcoming space where you can share your experiences and find support during your reproductive and motherhood journey.

I'm Glad That You're Here
Looking for counseling support is a brave step to take, and it's an honor to support you on your journey.
I know that reaching out isn't always easy, especially when you're balancing the needs of your family with your own. You may be adjusting to new responsibilities, navigating changes in your relationships, or wondering why things feel harder than you expected.
You don't need to have everything figured out before asking for help. I want you to feel comfortable talking about what you're experiencing, including the parts of motherhood that aren't always easy to share.

A Little About Me
I'm a Licensed Independent Clinical Social Worker (LICSW), and I have over 15 years of experience working with families. I'm also a mom myself.
My professional experience and my own journey through motherhood have shaped how I understand the challenges women and families face. Every family is different, and there isn't one roadmap that works for everyone.
I believe in listening to your experiences, understanding your circumstances, and offering support that recognizes your individual needs.
I provide virtual counseling services in Massachusetts, making it possible to connect without traveling to an office.
If you'd like to learn more about my background and what brought me to this work, you can get to know me.
Explore the Support I Offer
Women reach out for many different reasons. Some are looking for counseling as they navigate emotional challenges or life changes. Others have questions about pregnancy, postpartum experiences, or adjusting to life with a baby.
I offer several ways to explore support, including individual therapy, prenatal and postpartum education, caregiver and baby groups, and speaking engagements.
Each service has a different purpose, and I encourage you to learn more about the options that may fit your circumstances.

How I Support Women Through Motherhood
Maternal mental health involves more than pregnancy and the postpartum period. It includes the experiences, relationships, transitions, and challenges women may face throughout their reproductive and motherhood journeys.
These experiences can bring different emotions, questions, and challenges. Whether you're preparing for a new chapter or navigating something unexpected, I want you to know that your experiences deserve attention and understanding.
I have experience supporting women and families with:
Family planning and life transitions
The transition to parenthood
Perinatal and postpartum mental health, including perinatal mood and anxiety disorders
Birth trauma and neonatal intensive care (NICU) stays
Grief and loss
Pregnancy after loss
Adoption
Parenting children with disabilities, including neurodevelopmental differences or medical complexities
Individual Therapy
Through virtual individual therapy, I provide counseling for women navigating emotional challenges, family transitions, and the experiences that can come with motherhood. It's an opportunity to talk openly about what's happening in your life and focus on your mental health and well-being.
Prenatal and Postpartum Education
My one-hour prenatal and postpartum education consultation offers couples the opportunity to learn together, ask questions and receive information as you prepare for or adjust to life with a baby. This educational consultation is separate from individual therapy and is best for women and their partners in their second trimester and beyond. This is an offering for partners to learn together.
Joyful Journeys Caregiver and Baby Group
Joyful Journeys brings caregivers and babies together through songs, stories, play, and conversations about early parenting. It’s an opportunity to connect with other caregivers while spending time with your baby. This free group meets in person and is in Westwood, MA.
Frequently Asked Questions

Take the First Step and Reach Out to Me
If you've been thinking about reaching out for support, I'd love to hear from you.
Finding a therapist who feels like the right fit is important, and I know that making that first connection can feel intimidating.
I offer a free 15-minute consultation for prospective individual therapy clients so we can briefly discuss what brings you here and see whether working together might be a good fit.
Whenever you're ready, you can get started by filling out my contact form.

