Heidi Koss, MA, LMHC

Heidi Koss, MA, LMHC Counseling & training for perinatal mental health, birth trauma, & parenting support. Trauma informed

About Heidi: I specialize in treating birth trauma, pregnancy and postpartum mood disorders, miscarriage, infant loss and parenting issues. I also offer parenting support for those with special needs children. I have worked closely with Postpartum Support International www.postpartum.net and Perinatal Support of WA www.perinatalsupport.org for over 20 years. I also offer professional consultation and training for health care providers regarding best treatment practices working with perinatal mood disorders.

We as a collective are not doing well. Ponder these villains of mental health, and it’s no wonder so many are struggling...
10/08/2025

We as a collective are not doing well. Ponder these villains of mental health, and it’s no wonder so many are struggling now:

Mental Health Villains are systemic cultural assumptions about mental health that sabotage our mental health. I've identified 9 mental health villains that I want to teach about: individualism, capitalism, saviorism, neuronormativity, sanism, behaviorism, mind-body dualism, materialism, and scientism.

This isn't a complete list of all of the cultural assumptions that impact mental health - There are so many more villains of mental health that interact with these!

If you want to explore this topic with me, join me in Nov-Dec for a 6 week group called Shifting Blame: The Real Mental Health Villains. I'll be covering definitions, examples, and ways to resist these 9 cultural assumptions that sabotage our mental health.

Just like the list of logical fallacies is something you can use to filter information, this list of 9 mental health villains is something you can use to spot common cultural myths anywhere they pop up.

This is for cycle-breakers, cult survivors, and neurodivergent seekers who came to the system for help but got retraumatized. This is for professionals, educators, and parents, and anyone who wants to create spaces for unblaming and unshaming.

This is a top-down process of psychoeducation that gently invites you into a bottom-up process of transformation in your own space and time outside of the class.

You can expect a mix of information sharing and facilitated inquiry with writing prompts and reflection questions. To avoid re-traumatization, this is not a space to share trauma stories and we will not have time for unstructured discussion.

Details here: https://traumageek.thinkific.com/courses/healing-self-blame

09/23/2025

ACOG reaffirms the safety and benefits of acetaminophen use during pregnancy.
More than two decades of research have found no causal link between acetaminophen use during pregnancy and autism, ADHD, or intellectual disability in children. Acetaminophen continues to be an important and safe option for managing pain and fever in pregnancy—conditions that can pose serious risks to pregnant patients and their fetuses if left untreated. Learn more about acetaminophen use during pregnancy: https://bit.ly/4mqIzWr

Keep yourself approachable as a parent - this is a beautiful example how:
09/03/2025

Keep yourself approachable as a parent - this is a beautiful example how:

08/13/2025

💛 Need help for your mental health during pregnancy, postpartum, or after loss? You're not alone — and support is just a call or text away.

Here are three trusted helplines to guide you based on your needs:

📞 PSI HelpLine – Call or text 1-800-944-4773 (4PPD)
• Not a crisis line — it's a safe and confidential place to get support, information, and resources
• Staffed by trained volunteers who return messages within a few hours during business hours
• Available in English and Spanish
• For pregnant, postpartum, and post-loss individuals and families worldwide

📞 National Maternal Mental Health Hotline – 1-833-TLC-MAMA (1-833-852-6262)
• For 24/7 support from licensed counselors
• Free and confidential
• Serving pregnant and postpartum individuals in the U.S.
• Offers real-time support and warm handoffs to services in your area

📞 988 Su***de & Crisis Lifeline – Dial 988
• For anyone experiencing suicidal thoughts or a mental health crisis
• Free, confidential, and available 24/7
• Connects you with trained crisis counselors, with access to maternal mental health resources when needed

👉 Visit: postpartum.net/get-help

✨ You are not alone. You are not to blame. With help, you will be well.

06/25/2025

This!

06/13/2025
"Mental health work is political. Birth work is political. Legal and community support work are political. The trauma ca...
06/12/2025

"Mental health work is political. Birth work is political. Legal and community support work are political. The trauma caused by ICE raids, detention, and surveillance is already showing up in our work—and will continue to shape the needs of our communities for years to come."

"This cannot become normal. We must not look away. We must continue to witness and to speak out. We must demand justice, accountability, and protection for our communities. To my fellow immigrants and impacted community members: cuidate. Please take care of yourselves. This is collective trauma. You may feel silenced, isolated, or angry. Know that you are not alone. You are not invisible. Your pain is real, and your survival is powerful. Our collective perseverance is resistance." Stephanie, PERC Program Coordinator, Latinx peer team member

THIS is the book every new heteronormative parent needs to read when they have a baby. These are the issues the come up ...
04/27/2025

THIS is the book every new heteronormative parent needs to read when they have a baby. These are the issues the come up in 100% of my postpartum sessions with patients.

I read Jancee Dunn's book the night after I'd hidden in the bathroom, silently sobbing into a towel so I wouldn't wake the baby—or my husband, who was sleeping through his third consecutive night shift that I was somehow pulling alone, despite us both working full-time. I wasn't crying from exhaustion. I was crying because I had just calculated how much child support he'd have to pay if I left him.

This isn't a book. It's a goddamn mirror reflecting the darkest thoughts of every mother who's ever fantasized about abandoning her family at 3AM, not because she doesn't love them, but because she's drowning and her partner is standing on the shore checking his phone.

1. The Maternal Rage You Feel Isn't Mental Illness—It's Mathematics
Dunn ruthlessly quantifies what most parenting books politely ignore: the raw numerical inequality of modern parenthood. When she tracks hours spent on childcare (her: 35 weekly, him: 9) while both work full-time, it's not anecdotal—it's violence. The liberation comes in recognizing your homicidal thoughts aren't hormonal or "crazy"—they're the rational response to systemic theft of your time, sleep, and identity while someone who claims to love you watches from the sidelines.

2. The "Mental Load" Isn't Just Unfair—It's Killing You Cell by Cell
What devastated me wasn't just Dunn's account of doing everything—it was her scientific exploration of what invisible labor does to a woman's brain and body. The constant vigilance of tracking every family need doesn't just make you tired—it restructures neural pathways, elevates cortisol, and accelerates aging. When her doctor finds her blood pressure dangerously high while her husband's remains perfect despite their supposedly "shared" stress, the physiological consequences of inequality are laid bare. You're not imagining it—this imbalance is literally shortening your life.

3. Your Husband Isn't Just Annoying—He's Been Systematically Trained to Disable You
The book's most chilling insight comes when Dunn investigates how her competent, intelligent husband develops "strategic incompetence" around domestic tasks. Her research reveals it's not accidental—it's subconscious warfare honed through generations of male socialization. The weaponized helplessness ("Where does this go?"), the learned blindness to mess, the performance of bumbling assistance—these aren't personality quirks but sophisticated tactics to maintain privilege while appearing supportive. I'll never hear "just tell me what needs done" the same way again.

4. The Fights You're Having Aren't About Chores—They're About Human Worth
Dunn's epiphany comes not in cataloging tasks but in recognizing the existential question beneath them: whose time and peace matter? When her husband unthinkingly preserves his exercise routine while she hasn't showered in days, when he sleeps through night wakings because he "has work" (as though she doesn't), when he requires praise for basic parenting—the underlying message is that his humanity outranks hers. This reframing transformed how I understood my own marriage's breaking points.

5. You're Not Control-Freaking—You're Preventing Catastrophe
The section that left me breathless was Dunn's dissection of "maternal gatekeeping." Her therapist suggests she's "not letting go" of child-rearing tasks—until she documents the actual consequences of her husband's cavalier parenting: a toddler left in soiled clothes for hours, forgotten medications, a child nearly hit by a car while dad texts. The gut-punch: sometimes the "perfectionist mom" narrative masks legitimate terror of what happens when the backup system fails. I've never felt more vindicated about my inability to "just relax."

6. Romance After Children Requires Blood Sacrifice—Usually Yours
Dunn's unflinching examination of post-baby intimacy problems goes beyond fatigue to something darker: the resentment poisoning attraction. Her account of faking interest while mentally calculating how many hours of sleep she's losing made me physically flinch with recognition. The breakthrough comes not through date nights or lingerie but through radical redistribution of invisible labor. Her documentation of how performing oral s*x feels easier than asking for help with dishes exposes how parenthood turns s*x into another form of female emotional labor.

7. The Solutions Aren't Cute—They're Nuclear
What elevates this beyond primal-scream therapy is Dunn's scorched-earth approach to reconstruction. She brings in hostage negotiators. Corporate efficiency experts. Therapists who specialize in high-conflict divorce. The message is clear: half-measures will fail. Her implementation of NASA's black box system for critical communication during arguments saved not just her marriage but possibly her husband's life. This isn't about better chore charts—it's about dismantling and rebuilding the entire operational system of your relationship.

This book should be handed to every couple in the delivery room, not as celebration but as warning. Dunn doesn't offer gentle suggestions for reconnecting with your spouse—she offers battlefield triage for the psychological trauma that parenthood inflicts on females and marriages.

BOOK: https://amzn.to/3S5kqIl

You can ENJOY the AUDIOBOOK when you register for Audible Membership using the link above.

04/03/2025

WA State!!! Please help us reject this proposed in the next hour! House is proposing to reduce Medicaid for new parents to just 6 months pp. Currently at 1 year. Please sign in CON by 12:30 today to say this is not the way to balance the budget! It's a simple form that takes 1 minute to fill out.

ACTION STEPS (“CON”/no testimony)

· Note your position as CON for the record

· Required info: First Last Name, Email, City, State, Zip, Phone.

[https://app.leg.wa.gov/csi/Testifier/Add?chamber=House...](https://app.leg.wa.gov/csi/Testifier/Add?chamber=House&mId=33247&aId=166598&caId=26801&tId=3&fbclid=IwZXh0bgNhZW0CMTAAAR1Xyg4xGRPh0THVDvtjYyh35QbSHi4dr6Ke3RoFGEH19N5lEAFTny8m5mM_aem_RnLGkaSLaDt_B8TaK00pSQ)

BACKGROUND

· In 2022, the Medicaid postpartum extension to 12 months from 60 days went into effect.

· Washington would potentially be the first state in the nation to walk back the duration of coverage.

· While fairly new, postpartum Medicaid coverage has already begun to demonstrate evidence that it increases stability, access, and affordability of mental health care.

· A year of postpartum Medicaid extension is a fundamental building block for addressing the Washington and U.S. maternal morbidity and mortality crisis. In Washington, 32% of pregnancy-related deaths were related to behavioral health conditions according to the WA Maternal Mortality Review Panel.

· Coverage for a full year after giving birth means there’s the ability to address chronic conditions, care transitions, and better outcomes for both mother and infant. Accessing screening, diagnosis, and treatment services for both physical and mental health concerns can often extend beyond six months.

· Perinatal mood and anxiety disorders are the most common complication of pregnancy, affecting 1 in 5 to 1 in 6, and can emerge or persist well after the six month point.

· 1 in 3 births in our state that are covered by Medicaid. The 12 month coverage is a critical vehicle for unlocking access to and paying for medical and behavioral health services in the postpartum period for low-income families.

· This bill has a projected costs savings to the state of $5.612M GF-S in 25-27.

The information entered into this system serves as a roster of those wishing to state their position on a bill. Please ensure your information is accurate. It may not be possible to make changes after your registration is submitted. Your information will be made available to legislative members and....

This makes my year! What a sheer pleasure to put our minds together to creatively help this family not only barely survi...
02/20/2025

This makes my year! What a sheer pleasure to put our minds together to creatively help this family not only barely survive, but THRIVE!!! (I was the Seattle area perinatal mental health specialist mentioned in the below article, collaborating with this amazing dear midwifery colleague, Jane Drichta (pictured in gold below) who is the GOAT!🐐💖🙌🏽

02/13/2025

Address

Woodinville, WA

Opening Hours

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Tuesday 9am - 4pm
Wednesday 9am - 7pm
Thursday 9am - 4pm
Friday 9am - 12pm

Telephone

+14258923000

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