Pregnancy and postpartum counselling in Kitchener-Waterloo. Professional counsellors offer prenatal support, mental health assessment, and parenthood counselling.

Pregnancy can bring a mix of emotions: excitement, love, fear, and sometimes deep overwhelm. Even when everything looks fine on the outside, the changes inside can feel like too much to handle alone. At Upstream Counselling, our therapists and social workers offer caring support for individuals and couples navigating the ups and downs of being pregnant or preparing for parenthood. Whether you’re coping with a crisis, mood disorder, hard decision making, anxiety, infertility, unplanned pregnancy, or even parenting challenges, our pregnancy centre counselling services provide a calm and supportive space to talk, feel understood, and find steady ground again.
Each therapy session is a place to breathe and unpack whatever you’re carrying and experiencing — whether it’s grief from pregnancy loss, confusion after an abortion, or fear about birth and the postpartum period. Our therapists help new parents and parents-to-be work through depression, mood changes, and PMAD, guiding you toward balance and self-compassion. We also support those exploring adoption or fertility struggles, helping you process complex emotions and make informed decisions about your next steps. Together, we focus on strengthening your emotional connection, easing shame, and helping you feel more at peace with your journey.
At Upstream Counselling, we know how important it is to have someone listen without judgment when everything feels uncertain. Our clinic provides a safe, supportive environment for local clients, and for those unable to attend in person, we also offer online counselling throughout Ontario, so parents expecting a baby can receive guidance and emotional support wherever they are. Whether you’re looking for support during this major life transition or want to process intense emotions safely, our expert therapists are here to help you rebuild confidence, foster self-compassion, and thrive as you move through pregnancy and into motherhood.

Pregnancy is an exciting time, but it can also feel overwhelming and leave you feeling anxious or disconnected. Our therapists provide supportive appointments where expecting parents can adjust to the emotional changes, manage the intensity of maternal experiences, and feel more connected to themselves, their partner, and their baby.
It’s normal to notice sudden shifts in mood or feel unsure about your reactions. Our therapists help you recognize these emotions, work through feelings of disconnect, and find calm in the midst of change.
Counselling gives space to strengthen your maternal bond and feel more attuned to your baby. You can explore your desire for a secure connection and feel supported as you prepare for childbirth and early parenthood.
If you’re coping with grief, loss, or moments of feeling anxious, counselling provides a safe place to process your emotions. Our sessions help you adjust, find stability, and regain confidence in your journey.
Therapy supports you in understanding your strengths and emotional needs as a parent. This builds confidence to handle the intensity of pregnancy, childbirth, and the early stages of maternal life.
You’ll gain simple strategies to manage maternal mood shifts, anxiety, and emotional overwhelm. These tools help you adjust to everyday challenges and approach pregnancy and childbirth with more calm and confidence.
Whether in-person in Kitchener-Waterloo or via online counselling throughout Ontario, our therapists provide compassionate guidance. You’ll feel heard, supported, and equipped to navigate emotional changes and thrive as you prepare for parenthood.

Take control of the process.
Beginning therapy can feel daunting but the truth is you decide what (and when) to share. Our diverse team specializes in a range of issues including anxiety, depression, trauma, grief, and relationship issues. No matter your situation, we're here to support your journey to empowerment and mental wellness.
Your therapist is your guide.
Finding the right therapist is key to achieving your goals. Dip your toes into the therapy experience by booking a free consultation with one of our registered psychotherapists. These appointments are an opportunity to address your questions and explore your challenges, needs, and aspirations.
Commit to the experience.
To maximize the benefits of counselling it’s important you attend sessions consistently. When in session, we encourage you to lead the agenda. (Remember, this is YOUR therapy!) Between sessions, we hope you will strive to apply new insights, practice new skills, and develop new habits that support personal growth.
Are you looking for support to navigate the ups and downs of pregnancy and feel more confident as a parent?
At Upstream Counselling, we offer compassionate pregnancy counselling for individuals and couples, led by experienced therapists (MSW, RSW) and licensed mental health counsellors. Whether you’re feeling anxious, struggling with maternal mood shifts, coping with pregnancy loss, or facing emotional disconnect, our sessions are designed to help you feel understood, supported, and better able to connect with yourself, your partner, and your baby.
Everyone deserves care that feels respectful, helpful, and relevant. You don’t have to face the stress, uncertainty, or emotional intensity of pregnancy alone—counselling gives guidance that you can actually use in your everyday life.
Our team works closely with clients in a supportive and collaborative way. We help you adjust to emotional shifts, manage the intensity of pregnancy, and strengthen your maternal connection while building practical coping skills for the challenges of parenthood.
We know that pregnancy can feel overwhelming, and emotions can swing in unexpected ways. Whether this is your first time seeking support or you’ve been to counselling before, sessions help you notice your feelings, process anxious thoughts, and prepare for childbirth and early parenthood with confidence.
Through counselling, clients reconnect with themselves, their partner, and their baby, gaining clarity and practical strategies to handle stress and emotional challenges. Support continues beyond sessions, giving you tools to practice self-care, process feelings, and build confidence in your role as a parent.
If you’re ready to explore compassionate pregnancy counselling, Upstream Counselling is here with the experience, understanding, and supportive care you need to take the next step toward emotional well-being, stronger connections, and thriving through pregnancy and early parenthood.
At Upstream Counselling, we want you to feel comfortable with the counselling process. Here are some of the most frequently asked questions about talking to a therapist about this type of therapy.
Booking an appointment for pregnancy counselling can feel stressful, but it’s really about finding support that helps you feel calmer, understood, and prepared for parenthood.
Explore the services offered: Counselling can help with pregnancy, birth, postpartum adjustment, and emotional support for new parents.
Check availability: Many clinics offer flexible options, including in-person sessions in Kitchener-Waterloo or online counselling throughout Ontario.
Understand what each session includes: Sessions often focus on coping strategies, processing emotions, and planning for parenthood.
Ask about flexibility: A caring counsellor can work around your schedule and offer support that fits your life.
Confirm ongoing support: Make sure there are options for follow-up sessions or additional guidance as your needs change.
Pregnancy and early parenthood can be full of joy but also emotional ups and downs, and counsellors are here to help you navigate those moments.
Emotional support: Get help managing anxiety, mood changes, or overwhelm during pregnancy and after birth.
Practical strategies: Learn tools for self-care, stress management, and handling daily parenting challenges.
Processing experiences: Counsellors help you make sense of changes in identity, relationships, and maternal emotions.
Postpartum care: Support is available for mental health challenges like postpartum depression or anxiety.
Connection and reassurance: Build confidence, feel understood, and know that you’re not alone during this transition.
Pregnancy loss or difficult postpartum experiences can feel incredibly isolating, but counselling provides a safe space to share, process, and heal.
Safe environment: You can express grief, sadness, or fear without judgment.
Emotional processing: Receive guidance for handling complex feelings after loss or a challenging birth.
Coping strategies: Learn ways to manage anxious thoughts, emotional overwhelm, and mood shifts.
Adjustment support: Counsellors help you navigate changes in routine, expectations, and relationships.
Ongoing guidance: Practical strategies from sessions can continue to support you beyond the counselling room.
Yes—whether you attend alone or with a partner, counselling can help you feel more confident and connected during pregnancy and early parenthood.
Individual sessions: Focus on your own mental health, emotions, and coping skills.
Couples sessions: Strengthen communication, understanding, and emotional connection between partners.
Parent-focused guidance: Get ready for the intensity of birth, postpartum life, and the early days of parenthood.
Relationship support: Counselling helps couples manage stress, role changes, and emotional disconnects.
Collaborative approach: Both partners feel supported, empowered, and more confident as they step into parenthood together.
Finding the right counsellor can make a huge difference in feeling understood, supported, and prepared for the journey of pregnancy and parenthood.
Professional credentials: Look for licensed MSW, RSW, or equivalent mental health experts.
Specialized experience: Choose someone familiar with pregnancy, postpartum, parenthood, and pregnancy loss.
Empathy and understanding: A great counsellor provides a safe, respectful, and nonjudgmental space.
Practical guidance: They can give tools to manage anxiety, mood shifts, and emotional challenges in real life.
Ongoing support: An expert helps you adjust and grow emotionally through pregnancy and parenthood, not just during sessions.
Our team at Upstream Counselling is here to help you explore issues, gain insights, begin your journey towards healing, and work towards the goals you identify during the counselling process.
Personalized therapy designed to address specific mental health issues while also nurturing personal growth and well-being.
A counselling program focusing on fostering effective communication, resolving conflicts, and nurturing healthy relationships.
A program designed to support clinical growth, whether you’re a student or a seasoned professional.
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Disclaimer: Content on this website is for informational purposes only. Visiting this website does not establish any type of therapist-client relationship with Upstream Counselling or its staff. Information obtained from this site does not substitute for a thorough medical and/or psychiatric evaluation by an appropriately credentialed and licensed professional.