Family Therapy

for when you’re in the thick of it

Annie Dreese, LMFT, specializing in perinatal mental health and family therapy

I’m a marriage and family therapist and perinatal mental health certified clinician in Santa Barbara and Santa Ynez Valley, California. 

I work with women in pregnancy and postpartum and also with families–parents with babies and young children, who are navigating the beginning of their lives together.

How we can work together

  • One on one support

    Individual therapy is a private, focused space — just the two of us — to work through whatever is coming up for you. Most of my clients are women in the perinatal period, but I also work with anyone moving through a time of significant change. Sessions are tailored entirely to you: your pace, your priorities, your goals.

  • Navigating Change Together

    Becoming parents together is one of the most meaningful — and often most challenging — things a couple can do. Couples therapy offers a safe, structured space to reconnect, identify communication patterns that aren't working, and build the tools you need to move forward as a team. My goal is to help you and your partner enter this new season with a stronger foundation and a shared sense of direction.

  • For Young Children and Caregivers

    CPP is designed for young children, including infants, and the adults who care for them. When something difficult has happened (a traumatic birth, a NICU stay, a loss, exposure to domestic violence, or a parent's own struggles with depression or anxiety), it can affect the bond between parent and child. CPP works with the whole family system to help heal and strengthen that connection. Sessions often involve watching, playing, and narrating what I observe — because even before your baby has words, there's meaningful communication worth supporting. I find this work deeply rewarding because it's always collaborative, and it can begin as early as infancy.

  • A limited number of spots are available for early childhood therapy. Please reach out to inquire.

  • Integrating Your Birth Story

    This six week virtual therapy group is a place to tell the story of your birth, learn tools to process it, and begin to make meaning of it, in community. This group is to support you, so ou can be present for yourself, your baby, and in your life.

    Reserve your spot for the next group at bit.ly/6wkbirth.

Pregnant mother with young child

Modalities & Areas of Focus

  • The heart of what I do

    Perinatal mental health is the core of my practice. It covers the full spectrum of experiences surrounding pregnancy, birth, and early parenthood — from pregnancy anxiety and depression, fertility challenges, and perinatal loss, to birth trauma, NICU stays, postpartum mood and anxiety disorders, and the profound identity shift that comes with becoming a parent. If you're navigating any of this, from conception through your child's first three years, you're in the right place.

  • CPP is designed for young children, including infants, and the adults who care for them. When something difficult has happened (a traumatic birth, a NICU stay, a loss, exposure to domestic violence, or a parent's own struggles with depression or anxiety), it can affect the bond between parent and child. CPP works with the whole family system to help heal and strengthen that connection. Sessions often involve watching, playing, and narrating what I observe — because even before your baby has words, there's meaningful communication worth supporting. I find this work deeply rewarding because it's always collaborative, and it can begin as early as infancy.

  • Healing from Difficult Experiences

    Trauma-focused therapy centers on healing from experiences that have left a lasting impact — whether that's a difficult birth, a medical trauma, a loss, or something else entirely. Rather than working around what happened, we move toward it thoughtfully and at your pace. The aim isn't just to manage symptoms, but to support genuine healing so that the past has less power over the present.

  • Healing through connection

    We are shaped by our earliest relationships. We heal through relationships, too. Relational and attachment therapy focuses on how your history shows up in how you connect with others today: your partner, your children, and even the relationship between us in the therapy room. I think a lot about how early experiences influence the way my clients relate to the people closest to them, and we work on that directly. This is especially meaningful work for new parents navigating their own attachment histories alongside their babies.

  • Eye Movement Desensitization & Reprocessing

    EMDR is a well-researched therapy that helps your brain finish processing experiences it got stuck on. When something overwhelming happens, the brain doesn't always fully process it, and that unfinished processing can keep showing up in your life long after the event itself. EMDR uses guided eye movements to help your brain get unstuck and move forward. I use it frequently with clients who've experienced birth trauma or other difficult birth experiences, and it can create real, lasting relief.

  • Cognitive Behavioral Therapy

    CBT is one of the most extensively researched approaches in therapy. The core principle is that thoughts, feelings, and behaviors are interconnected — and that when you learn to notice and shift unhelpful thought patterns, real change follows. It's practical and structured, and it gives you concrete tools you can use outside of sessions, not just in them. I draw on CBT frequently when working with anxiety and depression.

  • Exploring the Roots

    Psychodynamic therapy is deeper, more exploratory work. It focuses on how early relationships and unconscious patterns show up in your life today — in how you relate to others, navigate conflict, and find yourself in familiar situations you can't quite explain. It's less structured than CBT, but it gets to the roots of what's driving things. If you keep finding yourself in the same patterns or relationships and aren't sure why, this approach is often where the real answers are.

  • Present Moment Awareness

    Mindfulness is the practice of turning toward what's happening in your body, your thoughts, and your feelings, with openness rather than resistance. It's a powerful complement to therapy, particularly for anxiety, because it helps shift you from reaction to response. I often weave mindfulness into our work together as a way of building body awareness and presence.

You deserve so much more than platitudes. You deserve real depth and support

〰️

You deserve so much more than platitudes. You deserve real depth and support 〰️

What it’s like to work with me

Parent and child holding hands

My style is warm and direct. I'll sit with you through the hard stuff — and I'll also push back when something needs to be said. Sessions are guided by real conversation. I bring humor, metaphor, and a range of tools and frameworks to help you make sense of what's happening, and I draw from all of the approaches I'm trained in depending on what you're working through. What we do together depends on what you need and is always collaborative.

Rates

$210 for individuals

$250 for couples

Some sliding scale spots are available.

Insurance

I offer limited spots for Cigna, Aetna, and Anthem Blue Cross

A superbill is always available by request.

Therapy is for you if…

…you don’t want to feel this way anymore. In therapy, you get to talk to someone who’s trained for thousands of hours not just to listen to you, but to actually help you identify and change the patterns in your life that are holding you back. Having a trained therapist can help you shine a light on some of the things that we don’t like to look at, the things that run our lives from the background, and change them, helping you move into the next season of your life with renewed strength and clarity.

Mother with young kids

Get In Touch