Nellie McCarty, LCSW, LICSW, PLLC

Pregnancy, postpartum, and life transitions can bring both joy and unexpected emotional challenges. You don’t have to navigate them alone. I provide telehealth therapy for adults in Washington and California, with a specialization in perinatal mental health, including pregnancy, postpartum, and early parenthood. With over ten years of experience supporting children, adolescents, and adults across a range of settings, I bring a steady, compassionate presence to this work. My approach is collaborative, relational, and grounded in deep respect. I aim to truly listen—honoring where you’ve been while helping you move toward where you want to go. ~ I support clients navigating: Anxiety and stress Depression Women’s mental health Grief and loss Burnout and overwhelm Life transitions and identity shifts Perinatal mood and anxiety disorders (PMADs), including postpartum anxiety and depression No matter what brings you here, you’ll be met with warmth, curiosity, and a non-judgmental space to be fully yourself. ~ Beginning therapy can feel like a big step—it’s natural to have questions. Here’s what you can expect: Where are you located? I’m based in Bainbridge Island, WA and offer virtual therapy sessions for clients across Washington State and California. Sessions take place through a secure telehealth platform, allowing you to join from a private, comfortable space. How long and often are sessions? Individual therapy sessions are 60 minutes and typically held weekly. Consistency often supports deeper progress, though we can adjust based on your needs. How does billing work? I am in-network with Premera. I am out of network with all other providers. I can provide a superbill for you to submit to your insurance for potential out-of-network reimbursement. Limited sliding scale spots are available. How do I get started? You can schedule a complimentary consultation or request a session using the “Request Appointment” button, or by contacting me directly by phone or email. ~ About My Approach: I earned my Master of Social Work from Boston College and am licensed as a LICSW in Washington and an LCSW in California. My background includes residential treatment, community mental health, and school-based settings. My work is trauma-informed, attachment-based, and relational. I integrate evidence-based approaches such as CBT, DBT, and mindfulness. I have completed specialized training in Perinatal Mood and Anxiety Disorders (PMADs) through Postpartum Support International, and I’m passionate about supporting individuals through the emotional complexities of pregnancy and postpartum. Together, we’ll find approaches that feel supportive, practical, and aligned with who you are—helping you move toward greater steadiness, clarity, and self-trust. ~ If you’re looking for perinatal therapy, postpartum support, or online therapy in Washington or California, you’re not alone—and support is available. I’d love to connect and see if we're a good fit.