Services

Individual & Couples Therapy

Therapy is a mirror that reflects back to us our own lives. It is a tool that can help us gain better understanding about ourselves so that we can live more deep and meaningful lives.

Focus areas

Focus areas

  • Anxiety & OCD

  • Depression

  • Family Conflict

  • Healthy Relationships & Attachment

  • Pregnancy & Postpartum

  • Life Transitions & Parenting

  • Perfectionism

  • Trauma & Resiliency

"The beginning is always today." - Mary Wollstonecraft Shelley

If you are looking for a change, you are in the right place. Schedule a free call to see if this is a good fit for you.

Services

Anxiety Therapy

Anxiety Therapy

Hi, my name is Jessica Reynoso, and I’m an Anxiety Therapist.

You may be feeling worried, overwhelmed, restless. I understand, and I’m here to help.

I help people manage worries and find peace.

If you’re ready to start feeling better, schedule a complimentary consultation with me today.

My approach to Anxiety Therapy

We all experience anxiety and worry, it is a shared experience among all persons. Anxiety can help push us to be our best and prepare for life's experiences. It may present as a passing worry due to short-term changes or a season of life. But anxiety can also grow to become an overwhelming force that keeps you from feeling your best. With the right tools, you can learn to manage anxiety and feel more like yourself again.


In its simplest form, anxiety is the mind and body's reaction to perceived danger. Anxiety is often learned, whether from others around us or as a way to cope with a tough situation. Our bodies and minds are amazing at adapting to keep us safe. Sometimes, that need to protect leads to excessive worry and anxiety. Those beliefs, actions, and situations that we learn to keep us safe become how anxiety shows up in our daily life and relationships.


Many think of anxiety as an individually focused concern, but anxiety also impacts our relationships and interactions with others. Anxiety may show up as excessive worry about our partner, family members, friends, or colleagues.   It's hard to feel connected to others when we focus on what they think of us or are doubting the relationship itself. Anxiety may also be keeping you from performing your best at work or school.


Working with an experienced anxiety therapist helps you to identify and interrupt those unhelpful patterns. We will explore how the anxiety served you in the past and relearn how to feel safe, so you no longer rely on them. While each person is unique, anxiety is not because it is predictable. When you learn more about how anxiety shows up in your life, we can create a plan to help you feel empowered again.


If you are ready to take control back from anxiety, consider reaching out to schedule a free consultation call today.

Anxiety Therapy FAQs

What will we work on to manage my anxiety?

Everyone is unique, so what works for you may be different than what works for someone else. However, we know that anxiety is predictible so sometimes digging into the past as well as looking at how it shows up in your life now will help us plan how to manage it. You will be rewiring how you think and act, so it often takes work and patience to see the results you are seeking.

What is Social Anxiety Disorder?

Social anxiety, also known as social phobia, is an intense fear or avoidance of social situations or interactions with others that interferes with your daily routine, relationships, school, work, and other activities. It typically develops in pre-teens and teens and may continue to affect someone their entire life.

Common symptoms include:

  • fear of being judged by others
  • worrying about embarrassing yourself around others
  • trembling, shaking, excessive sweating, blushing
  • avoidance of public speaking and other social situations where you are center of attention
  • Expecting the worst outcomes from social situations
  • Replaying a social situation over and over in your head afterwards focusing on flaws or things you could have said or done better
  • In children it may present as crying, tantrum, and/or refusing to speak in social situations

What is Generalized Anxiety Disorder?

Generalized Anxiety Disorder (GAD) is excessive, ongoing worry that is difficult to control and interferes with daily life, including relationships, school, and work. It may begin in childhood or adulthood. GAD shares symptoms with other anxiety-related disorders, including obsessive-compulsive disorder and panic disorder, but is its own diagnosis.

Some common symptoms include:

  • Persistent worry that seems out of proportion
  • Inability to relax or let go of worry, restlessness, feeling on edge
  • Difficulty concentrating or mind goes "blank" often
  • Indecisiveness and fear of making wrong decision
  • Perceived threat or danger without a reason
  • Overthinking plans and possible outcomes
  • Fatigue
  • Sleep troubles
  • Achy muscles
  • Irritability
  • Digestive troubles, nausea, diarrhea, irritable bowel syndrome

What is panic disorder?

A panic attack is a sudden bout of intense fear that triggers physical symptoms that often feel as if you are losing control, experiencing a heart attack, or dying. Many people experience one or two panic attacks in their lifetime due to extreme circumstances. Panic Disorder is experiencing recurrent, unexpected panic attacks that create long-term anticipation of another attack.

Common symptoms include:

  • impending sense of doom or danger
  • shacking, trembling
  • feeling of loss of control or impending death
  • shortness of breath
  • rapid heart rate
  • numbness or tingling sensation
  • chest pain
  • hot flash, nausea, abdominal cramping

Seek immediate medical attention as symptoms resemble serious health problems. Panic attacks are not inherently dangerous but seeking treatment may lessen or prevent developing panic disorder.

What is obsessive-compulsive disorder (OCD)?

Obsessive-compulsive disorder (OCD) is a pattern of fears and unwanted thoughts (obsessions) that lead to repetitive behaviors (compulsions). These obsessions and compulsions interfere with daily living and may be distressing. OCD is often accompanied by shame and guilt that may affect relationships and overall functioning and well-being. OCD often has themes, such as needing things to be orderly, fear of contamination or dirtiness, difficulty tolerating uncertainty, fear of losing control or harming self or other, or relating to aggression, sexual, or religious topics.

source: www.mayoclinic.org

Get help from an Anxiety Therapist

Let go of the worry that is weighing you down. If you’re ready to start feeling better, schedule a complimentary consultation call today.

Pregnancy & Postpartum Therapy

Pregnancy & Postpartum Therapy

Hi, my name is Jessica Reynoso, and I’m a Pregnancy & Postpartum Therapist.

You may be feeling overwhelmed, exhausted, and alone. I understand, and I’m here to help.

I help individuals and couples feel less stress and more calm after a new baby.

If you’re ready to start feeling better, schedule a complimentary consultation with me today.

My approach to Treating Pregnancy & Postpartum Mood & Anxiety Disorders

Pregnancy and the postpartum period are unique seasons of life that require a provider who has knowledge and experience that honors the birthing parent, their partner, and their families. Most birthing parents experience what is known as the “baby blues” for a short period of time after childbirth due to the sudden change in hormones, sleep deprivation, isolation, and fatigue. However, if the symptoms do not improve within a couple of days or weeks, or even worsen, this may be a sign that you are developing a pregnancy or postpartum mood and anxiety disorder. Treatment often includes a combination of evaluation, medication, and therapy, but each person and situation are unique. Therapy can help you manage the thoughts and symptoms you are experiencing and provide an outlet to explore concerns without judgment. 

Working with a pregnancy & postpartum therapist near you can be a way to help you and your partner cope with the stress that comes with the complications of pregnancy and childbirth, including perinatal mood swings, PTSD, postpartum depression, and work with you to better manage symptoms. Therapy can also be a way to explore worries about the changes that come with expanding your family in a safe space and work to improve communication skills that will help you for years to come.

Pregnancy & Postpartum Mental Health FAQs

What are Perinatal Mood & Anxiety Disorders?

Perinatal Mood & Anxiety Disorders are a group of difficulties that start either during pregnancy or in the perinatal, or postpartum, time. The Perinatal period is officially defined as starting at pregnancy and through the first year after giving birth, but symptoms can be identified much later. PMADS includes Depression, Anxiety, Obsessive/Compulsive Disorder (OCD), Bipolar disorder, Panic, Post Traumatic Stress disorder or birth trauma, and psychosis.  

What are symptoms of Postpartum Depression?

Below are a few of the common symptoms, but seek out help from your OB or a qualified professional for an evaluation if you are experiencing some or several of these symptoms.

  • Excessive and uncontrollable crying
  • Persistent feelings of sadness and hopelessness
  • Feeling numb or empty
  • Irritability and restlessness
  • Feeling anger and rage
  • Becoming easily frustrated
  • Anxiety and fear
  • Feeling guilt and shame
  • Inability to concentrate
  • Trouble remembering details
  • Difficulty making decisions
  • Doubting your ability to care for baby
  • Thinking things are too overwhelming to handle
  • Feeling like a failure or inadequate
  • Changes in appetite such as eating too much or too little
  • Trouble sleeping or oversleeping
  • Fatigue and loss of energy
  • Muscle aches and pains
  • Headaches
  • Stomach pains

What are symptoms of Postpartum Anxiety & OCD?

Recent studies have shown that postpartum anxiety may be more common than postpartum depression. If you feel that you may be experiencing either postpartum anxiety or depression, seek help from your OB or a qualified professional for an evaluation. 

Postpartum anxiety is categorized as 4 different disorders:

  • Generalized anxiety disorder (GAD) is characterized by chronic worry and is accompanied by muscle tension, difficulty with concentration, restlessness, fatigue, and poor sleep. 
  • Postpartum panic disorder (PD). Women with postpartum PD often experience sudden and recurring panic attacks accompanied by heart palpitations, shortness of breath, chest pain, dizziness, and fear of dying.
  • Perinatal obsessive-compulsive disorder (OCD) is characterized by obsessions and compulsions. Usually, women who suffer from OCD after childbirth tend to have thoughts of unintentionally or intentionally harming their baby. 
  • Posttraumatic stress disorder (PTSD) is a condition that is prompted by a traumatic event causing severe anxiety, intense fear, nightmares, uncontrollable thoughts, and flashbacks. 

How do I support my partner during the pregnancy & postpartum period?

No matter how much you prepare, having a baby is stressful! You may be experiencing many mixed feelings and thoughts, including worry about your partner and baby, and guilt or shame surrounding all of these changes.

Support for your partner during pregnancy and postpartum periods can look like many different things, but will most likely include emotional support as well as practical help. Couples therapy can facilitate these important conversations to help you navigate changes and stressors during this time as well as with future parenting concerns.

A few suggestions include:

  • Help around the house
  • Let your partner sleep as much as they need
  • Listen to concerns and make yourself available to talk
  • Accompany them to their doctors appointments
  • Enlist family and friends to help out when you are unable to
  • Ask how you can help! 

What should I do if I need help right away?

If you feel that you or your child are in immediate danger, go to the nearest hospital emergency room for evaluation.

If you need immediate help, please contact one of the local or national emergency services listed below. They are available all the time. It is very important that you reach out right now and find the support and information you need to be safe. 

Here are some reliable resources to contact in a crisis:

National Suicide Prevention Hotline and Website - 1-800-273-8255

www.suicidepreventionlifeline.org

Call for yourself or someone you care about; free and confidential; network of more than 140 crisis centers nationwide; available 24/7

Get help from a Pregnancy & Postpartum Therapist

The sooner you are able to seek help, the sooner you will feel better and more like yourself again. Schedule a complimentary consultation to talk more about how I can help.

You don’t have to continue to feel like this. Contact me to see if we would like to work together.

Couples Therapy

Couples Therapy


Hi, my name is Jessica Reynoso, and I’m a Marriage & Relationship Therapist.


You may be feeling disconnected, wounded, and fighting all the time. I understand, and I’m here to help.


I help couples move past vulnerability to build healthy, secure relationships.


If you’re ready to start healing your relationship, reach out today.


My approach to Couples Therapy


You are your partner made the decision to look for couples or marriage counseling. It can feel overwhelming, but you are ready to make things better.


It's a big step, but that's where I can help.  


Relationships are hard and full of change. These changes make us feel alone and make it hard to reach out to your partner.


As a relationship therapist in Gilbert area, I create a safe space for you to sort through the challenges. Being honest and vulnerable is key in therapy as it is in your relationship.


Together, we'll learn more about you as individuals as well as the relationship itself. Understanding each other will help you move further in the therapeutic process.


I help you better understand the ties between your thoughts, your past, and emotions. Both individuals bring a lifetime of experiences to the relationship


We'll focus on what brought you to therapy, but we'll also identify your strengths as a couple. We will build on those strengths and what works for both of you, while leaving behind what doesn't.


Schedule a complimentary consultation to start couples counseling with a relationship expert.


Couples Therapy FAQs


When should we start couples therapy?


Couples therapy can be helpful at any stage of a relationship, you do not need to be in crisis. Couples sometimes wait several months or years after problems begin before they seek help, but addressing these problems sooner usually has better outcomes. But as long as you are both present, it may not be too late to heal those wounds.


Some common signs that couples therapy or marriage counseling may be helpful:


  1. You and your partner fight often and feel stuck.


  1. You and/or your partner feel disconnected from each other.


  1. Life has changed for either or both of you and it's causing conflict or distance in the relationship.


  1. The relationship feels flat or unfulfilling.


Please note that there are many other situations or reasons to seek out couples therapy not listed here.  


Can marriage counseling be helpful if we are considering separation or divorce?


My job as a relationship therapist is not to make these decisions for you but to help you through the decision-making process. Marriage counseling may help you focus on what is important to each of you during the process, improve communication, and work through the emotions.  Please note that Cultivating Heart Counseling does not provide letters or specific documentation for any legal proceedings, but you do have the right to request your records at any time.


Can I work on relationships through individual therapy?


Yes. Sometimes an individual would like to focus on their relationship, but their partner may not be ready for couples therapy right now. Individual therapy with a marriage & family therapist may be helpful to have a safe, nonjudgmental space to explore relationships, both past and present.  Creating healthy, emotionally secure relationships that feel supported by help us to build independence and security in ourselves as individuals.

Do you work with non-monogamous relationships?


I (Jessica) am not an expert in polyamorous and consensual non-monogamous relationships and would encourage you to seek a licensed couple's therapist who is more experienced in working with these relationships due to their nuanced nature. Feel free to reach out if you have any further specific questions about who I am a best fit for.


Work with a Couples & Relationship Therapist in Gilbert, AZ


If you are ready to get to work, reach out to schedule a free consultation today.

Cultivating Heart Counseling is best matched for:

  • Individual or couple who feels motivated and committed to make the changes needed to help them find the best version of themself

  • Someone who is open to examining their current worldview and welcomes a challenge

  • Someone who is curious to learn more about themselves and their relationships

  • Someone who is ready to get to the messy work while being patient with themselves during the process

How it works

1

Schedule Free 15 Minute Phone Consultation to determine if we'd like to work together.

2

Schedule and complete initial session to start gathering information about you and identify treatment goals. It often takes 3-4 sessions to complete the initial assessment.

3

Meet weekly for ongoing sessions to work towards your goals. We will revisit and continually assess your goals and progress throughout the process.

Take the first step today

Don't let more time pass feeling stuck and overwhelmed. Reach out to begin the process or learn more.