PERINATAL PSYCHIATRIC SERVICES IN CALIFORNIA
You are biologically wired to feel WEIRD right now.
You're not
imagining it.Pregnancy and postpartum can change the way you think, feel, and function. You don't have to figure out why (or what to do about it) alone.
Feeling unlike yourself is worth talking about.
Pregnancy and postpartum can bring enormous biological, hormonal, emotional, and identity shifts. Sometimes those changes look like sadness or anxiety. Sometimes they show up as irritability, racing thoughts, intrusive thoughts, trouble sleeping, or simply the nagging feeling that something isn’t right.
You don’t have to know exactly what’s happening before you ask for help. And you don’t have to wait until it becomes unbearable.
Yes, even if you’re not sure it’s “bad enough.”
Care for ALL that’s changing.
Your brain doesn’t exist separately from everything your body is going through right now. I provide thoughtful, evidence-based psychiatric care specifically for the perinatal period, with space to talk honestly about what you’re experiencing and determine what kind of support makes sense for you.
Because feeling better starts with understanding what’s actually going on.
Care may look different for every person. Explore my services to learn more about how I can support you through pregnancy, postpartum, and all that comes with it.
Psychiatry, Made Human.
You deserve to understand what’s happening to you.
There’s a lot to navigate right now. Let’s make sense of it together.
I start by listening to what you’re actually experiencing and looking at it in the context of pregnancy, postpartum, biology, mental health, and your life as a whole.
My goal is to give you evidence-based information without the clinical coldness. Honest conversations without judgment. And care that recognizes that two things can be true at once:
You can love your baby and still be struggling.
You can be grateful and still not feel okay.
You can know this is a major life transition and still need help getting through it.
That’s the kind of psychiatric care I built Sage to provide.
Taken seriously.Talked to like a human.
Hi, I'm Tiffany!The science matters.
So does your experience.
I’m Tiffany Futrell, a board-certified psychiatric mental health nurse practitioner with expertise in perinatal mental health.
My approach combines thoughtful, evidence-based psychiatric care with the kind of conversation I’d want to have if I were sitting on the other side of the room.
I believe understanding what’s happening to you can be powerful. So I’m not here to talk over you, minimize what you’re feeling, or make everything sound terrifyingly clinical. I’m here to help you make sense of what you’re experiencing, answer your questions honestly, and understand your options for moving forward.
STARTING CARE
Asking for help can feel like a big step. Getting started shouldn't.
You can come with a diagnosis, a list of questions, or simply the feeling that something isn’t right.
Step 01:
Reach out.
Start by getting in touch and sharing a little about what brings you here.
Step 02:
Let’s talk.
We’ll talk through what you’ve been experiencing and what you need.
Step 03:
Move Forward.
Together, we’ll decide what kind of psychiatric support makes sense.
It’s normal to have questions.
Here are a few common ones.How do I know if what I’m experiencing is “bad enough” to seek psychiatric care?
You don’t need to wait until you’re in crisis to ask for help. If changes in your mood, thoughts, anxiety, sleep, or ability to function are worrying you (or you simply don’t feel like yourself) it’s worth talking about.
Does seeing a psychiatric provider mean I’ll have to take medication?
Not necessarily. Medication is one possible part of perinatal psychiatric care, but it isn’t the only option. If we consider medication during pregnancy or postpartum, we’ll carefully talk through the potential risks and benefits alongside what you’re experiencing and your individual circumstances. The goal is to make a thoughtful, informed decision together.
What’s the difference between a psychiatric nurse practitioner and a psychiatrist?
A psychiatrist is a medical doctor (MD or DO) who specializes in psychiatry. I’m a board-certified psychiatric mental health nurse practitioner (PMHNP-BC), which means I have advanced training in evaluating, diagnosing, and treating mental health conditions, including prescribing medication.
While our educational paths are different, both psychiatrists and psychiatric nurse practitioners can provide psychiatric care. My practice is specifically focused on supporting mental health during pregnancy, postpartum, and the perinatal period.
You don’t have to figure this out ALONE.
There’s a reason you feel this way. Let’s figure it out together.
You don’t need the right words, a diagnosis, or proof that things are “bad enough.” If something feels different, difficult, or simply not like you, that’s enough reason to start a conversation.