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PESI Educational Partner 15.0 Accredited CE Hours Included Self-Paced Online Training

Treat Postpartum Depression, Perinatal Loss & Grief, PMDD & More

Essential clinical strategies to identify and treat women suffering in silence. Featuring Karen Kleiman’s holding approach, attachment-informed pregnancy loss protocols, and emotional regulation skills for severe hormonal dysregulation.

Register via PESI Partner Portal ($199.99) Explore Syllabus & Faculty
Regular tuition: $784.93 · Partner Rate: $199.99 (Includes 15 CE Hours + 3 Clinical Bonuses)
Clinical Curation & Endorsement

Why I Recommend This Training to Perinatal Clinicians

“In my 23 years of clinical practice in perinatal mental health and trauma, the most common clinical stumbling block I observe among caring therapists is applying generic cognitive reframing to perinatal panic and scary thoughts. A mother struggling with intrusive thoughts of harm doesn’t need debate; she needs relational co-regulation, a secure holding environment, and clear differentiation between ego-dystonic OCD phenomena and genuine clinical risk.”

“This curriculum brings together three clinician-educators I deeply respect. Hilary Waller translates Karen Kleiman’s holding model with unmatched clinical precision. Dr. Sunita Osborn offers the most attuned, attachment-grounded approach to reproductive trauma and miscarriage grief available today. I encourage every psychologist, counselor, and birth worker in our community to complete this training.”

— Josie Zecchinelli
Perinatal Psychologist, Somatic Psychotherapist & Founder of Conscious Motherhood Institute
Distinguished Faculty

Learn From Leading Perinatal Mental Health Specialists

Direct, practice-tested clinical interventions from renowned clinicians and published authors.

Hilary Waller, MS, LPC

The Postpartum Stress Center

Director of Education and clinician at The Postpartum Stress Center, trained directly by Karen Kleiman. Renowned specialist in PMAD screening, differential diagnosis of scary intrusive thoughts, and the clinical holding approach.

Sunita Osborn, PsyD, MA

Author, The Miscarriage Map

Licensed clinical psychologist specializing in reproductive trauma, pregnancy loss, and perinatal grief. Her attachment-focused framework guides clinicians in holding client grief so families can move forward without being forced to “move on.”

Kristine Spano, PsyD

Specialist in PMDD & DBT/CBT

Clinical psychologist expert in hormonal mood disorders and Premenstrual Dysphoric Disorder (PMDD). Delivers actionable dialectical and cognitive distress-tolerance toolkits for acute emotional dysregulation.

Comprehensive 15-Hour Curriculum

What You Will Master in This Training

Module 1 · Hilary Waller, MS, LPC

Postpartum Depression & Related Disorders: Treating Mothers in Silence

Overcoming the “perinatal masquerade” and providing rapid, attuned triage during the vulnerable postpartum transition.

  • PMAD Screening & Red Flags: Beyond standard EPDS checklists; listening for what clients conceal.
  • Differential Diagnosis: Distinguishing scary intrusive thoughts (ego-dystonic OCD) from postpartum psychosis and depression.
  • The Postpartum Stress Center Holding Model: Creating safe relational containment for exhausted, hypervigilant mothers.
  • Addressing Suicidality: Safety planning, lethal means restriction, and direct, non-punitive referral pathways.
  • Intimate Partnerships: Healing the couple dynamic and managing countertransference in perinatal therapy.
Module 2 · Sunita Osborn, PsyD

Perinatal Loss: An Attachment-Informed Treatment Framework

Interventions for navigating miscarriage, stillbirth, and reproductive trauma without forcing toxic closure.

  • Deconstructing Misconceptions: Addressing cultural misattunement and the chronic nature of reproductive grief.
  • Exploring the Reproductive Story: Assessing guilt, shame, and perceived bodily betrayal.
  • Adapting PTSD Interventions: Applying loss-and-restoration frameworks to recurrent pregnancy loss.
  • Moving Forward, Not On: Attachment-focused resilience interventions for couples and individuals.
  • Subsequent Pregnancies: Supporting clients through pregnancy after loss (PAL) and high anxiety.
Module 3 · Kristine Spano, PsyD

Treating PMDD, PMS & Emotional Dysregulation with DBT & CBT

Practical interventions when pharmaceuticals or conventional talk therapy fall short in hormonal dysregulation.

  • Biological Impact on Mental Health: Decoding neurochemical shifts throughout the menstrual cycle.
  • DBT & CBT Distress Tolerance: Somatosensory and cognitive self-care toolkits for acute dysregulation days.
  • Interpersonal Grounding: Protecting relationships and workplace functioning during hormonal distress spikes.
  • Mindfulness in Clinical Practice: In-office somatic exercises that ground autonomic reactivity.
Included Clinical Bonuses ($234.96 Value)

Three Practice-Ready Digital Clinical Resources

  • Bonus 1: Telehealth Treatment for Postpartum Depression (Hilary Waller) — Adapting Karen Kleiman’s holding approach to virtual sessions.
  • Bonus 2: The Miscarriage Map Workbook (Dr. Sunita Osborn) — Full printable PDF workbook with exercises for grief processing.
  • Bonus 3: Psychotherapy Networker Clinical Articles — Expert guidance by Lori Gottlieb and Janet Jaffee on fertility counseling and reproductive challenges.
Official PESI Partner Rate

Complete Online Course Tuition

Regular $784.93 $199.99

Includes on-demand lifetime access to all modules, up to 15.0 Accredited CE Hours, slide decks, client worksheets, and all three clinical bonus workbooks.

Enroll Now on PESI Partner Portal ($199.99) →
Affiliate Transparency Notice: The Conscious Motherhood Institute participates in PESI’s clinical affiliate program. When you register through our link, we earn a commission at no additional cost to you. This support enables our institute to maintain and publish our international clinical guidelines as free open-access tools.
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