Now Accepting New Patients

Psychiatric care for the hardest season of your life

Pregnancy and postpartum change everything — including your brain. We're a team of psychiatrists, therapists, and support specialists who focus exclusively on this moment. Telehealth. Utah-wide. Medicaid accepted. Most patients are seen within one week.

Schedule an Appointment Learn What We Treat
You're Not Alone

If you're struggling, that doesn't mean you're failing.

One in five mothers experiences depression or anxiety during pregnancy or after delivery. It's one of the most common complications of childbirth — and one of the least treated. Half of all cases are never even diagnosed.

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Scary thoughts don't make you a bad mom.

Intrusive thoughts about harm to your baby are remarkably common — affecting up to 1 in 6 new mothers. They're a symptom of postpartum OCD, not a sign that you're dangerous. Women with these thoughts don't act on them. But the shame keeps most mothers silent. We know how to help.

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This isn't just "baby blues."

Baby blues fade within two weeks. If the sadness, emptiness, or anxiety hasn't lifted — or if it's getting worse — something deeper is happening. Postpartum depression responds to treatment. You don't have to wait it out, and you shouldn't.

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Your medications may need to change.

Pregnancy changes how your body processes psychiatric medications. Doses that worked before may not work now. Some medications carry risks in pregnancy that require careful evaluation. We specialize in exactly these decisions.

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Asking for help is a parenting skill.

Taking care of a child starts with taking care of yourself. Getting psychiatric help when you need it isn't a sign of weakness — it's one of the most important things you can do for your baby and for yourself.

What We Treat

Specialized care for perinatal mental health

We treat the full range of psychiatric conditions that arise during pregnancy and the first year after delivery. If you're trying to conceive, currently pregnant, or up to 18 months postpartum, we can help.

Perinatal Depression

Persistent sadness, emptiness, or hopelessness during pregnancy or after delivery. We offer traditional medications and the newest FDA-approved treatments, including Zurzuvae — the first oral medication designed specifically for postpartum depression.

Perinatal Anxiety

Excessive worry, panic attacks, racing thoughts, or an inability to relax — especially around your baby's safety or your own health. Affects 1 in 5 mothers and often goes unrecognized.

Postpartum OCD

Intrusive, unwanted thoughts about harm to your baby that cause intense distress. These thoughts are ego-dystonic — they horrify you because they contradict who you are. Highly treatable with the right approach.

Perinatal Insomnia

Sleep disruption that goes beyond what's explained by a newborn's schedule. When you can't sleep even when the baby is sleeping, or when sleep deprivation is worsening your mood, we can help.

Medication Evaluation

Already on psychiatric medication and wondering if it's safe to continue during pregnancy or breastfeeding? We provide expert guidance on reproductive psychopharmacology — what to keep, what to change, and why.

Postpartum Psychosis

A rare but serious emergency involving hallucinations, delusions, or loss of contact with reality. If you or someone you know is experiencing this, call 988 or go to the nearest ER. We provide follow-up care after stabilization.

Our Approach

A team that wraps around you, not just a prescription

We believe psychiatric care during pregnancy and postpartum requires more than a 15-minute medication check. Our team includes psychiatrists, licensed therapists, behavioral health coaches, and peer support specialists — each playing a distinct role in your care.

01

Intake & Assessment

Your first visit is a full 60 minutes with a dedicated clinician who listens — your mental health history, social supports, safety, and goals. We learn your story before we prescribe anything. Most patients are scheduled within one week of booking.

02

Psychiatrist Review

Your prescribing psychiatrist reviews your assessment, confirms your diagnosis, and builds a treatment plan tailored to your stage of pregnancy or postpartum. Because they already have the full picture, this visit is focused and efficient.

03

Ongoing Care & Support

Psychiatrist-led medication management, individual therapy when it's part of your plan, behavioral health coaching between visits, peer support from someone who's been where you are, and remote monitoring to catch problems early.

Telehealth-First

You shouldn't have to find childcare to get mental health care.

All of our visits are conducted via secure video. No waiting rooms, no commute, no arranging your day around an appointment. Just your couch, your phone or laptop, and a provider who understands what you're going through.

Available statewide in Utah
Evening appointments available
Secure, HIPAA-compliant video
Infants welcome on screen
Insurance & Access

We accept the insurance most perinatal practices don't.

Most psychiatrists in Utah don't accept Medicaid. We do — because the people who need perinatal psychiatric care the most shouldn't be the ones who can't get it. No insurance? Self-pay visits start at $150.

All Utah Medicaid Plans SelectHealth DMBA Regence BCBS & more
Check if We're In-Network
For Referring Providers

Give your patients somewhere to land.

If you're an OB, midwife, PCP, or therapist with a perinatal patient who needs psychiatric care — especially one on Medicaid — we built this practice for you. Positive EPDS screen? Patient asking about medication safety in pregnancy? We'll take it from here.

Simple referral process

No lengthy forms. Send us a referral with the patient's name, contact info, insurance, and a brief clinical reason. We'll contact the patient within 48 hours and schedule their first appointment. You'll receive a summary after the initial evaluation.

For urgent or emergent perinatal psychiatric needs (active suicidality, suspected postpartum psychosis), please direct patients to the nearest emergency department or call 988.

Send a Referral
Who We Are

Physician-led. Purpose-built for this moment.

Perinatal Psych is a service of Moonlit Psychiatry, a physician-owned psychiatric practice in Salt Lake City. Every prescriber on our team is an MD or DO — because the pharmacology of pregnancy is complex, and the stakes are too high for anything less.

We built this practice because we saw a gap that shouldn't exist: women on Medicaid, pregnant or postpartum, with treatable psychiatric conditions, and nowhere to go. Our University Hospital can admit them in crisis — but when they're ready to go home, there's no outpatient psychiatrist who accepts their insurance. We're here to close that gap.

Our clinical protocols are developed in consultation with fellowship-trained reproductive psychiatry specialists. We stay current on the latest evidence — from novel neurosteroid treatments to the nuances of medication safety in breastfeeding — so that your care reflects what the science actually says, not outdated assumptions.

Dr. Kyle Roller
Dr. Kyle Roller
MD · Attending Psychiatrist
University of Utah School of Medicine
Dr. Merrick Reynolds
Dr. Merrick Reynolds
MD · Senior Psychiatry Resident
University of Utah
Dr. Gisele Braga
Dr. Gisele Braga
MD · Senior Psychiatry Resident
University of Nevada, Reno School of Medicine
Dr. Tatiana Kaehler
Dr. Tatiana Kaehler
MD · Senior Psychiatry Resident
University of Washington
Dr. Rufus Sweeney
Dr. Rufus Sweeney
MD · Senior Psychiatry Resident
University of Wisconsin – Madison
Common Questions

Things we get asked a lot

Is it safe to take medication during pregnancy?

Many psychiatric medications can be continued safely during pregnancy and breastfeeding. The risk of untreated depression or anxiety is often greater than the risk of medication. We evaluate each case individually using the latest reproductive safety data to help you make the most informed decision.

How soon can I be seen?

Most patients are scheduled within one week of booking. Your first appointment is a full 60-minute assessment. If your need is urgent, let us know when you book and we'll do our best to get you in sooner.

Do you accept Medicaid?

Yes — we accept all Utah Medicaid plans, including Molina, SelectHealth Community Care, Healthy U, and United Healthcare Community Plan. Most Medicaid plans cover psychiatric visits with no copay or a very small one. You can check your specific plan on our insurance page.

What if I don't have insurance?

We offer self-pay rates of $400 for an initial visit and $150 for follow-ups. If cost is a barrier, call us — we'd rather work with you on payment than have you go without care.

Can my partner join the appointment?

Absolutely. Partners are welcome at any visit. Because we're telehealth-based, your partner can join from the same room or even a different location. Having a support person can be especially helpful during the initial assessment.

Will my OB or therapist get updates?

Yes, with your consent. After your initial evaluation, we send a summary to your referring provider. For ongoing care, we coordinate with your OB, midwife, PCP, or therapist as needed — perinatal care works best as a team.

Do you offer therapy, or just medication?

Both. Our team includes licensed therapists as well as psychiatrists. Depending on your needs, your treatment plan may include medication management, individual therapy, behavioral health coaching, peer support, or a combination.

What's the difference between baby blues and postpartum depression?

Baby blues affect up to 80% of new mothers and typically resolve within two weeks. If sadness, anxiety, or difficulty functioning persist beyond that — or worsen over time — it may be postpartum depression, which responds well to treatment. When in doubt, it's always worth getting evaluated.

Get Started

You deserve to feel like yourself again.

Whether you're pregnant and worried about your mental health, postpartum and struggling, or a partner searching for help for someone you love — we're here. One appointment. That's all it takes to start.

Schedule Your First Visit (385) 246-2522
If you or someone you know is in crisis: 988 Suicide & Crisis Lifeline · Text HOME to 741741 · 911 for emergencies