
Meet Your Maternal Mental Health Therapist
Karen Del Fierro Monroy, LCSW, PMH-C
Specialized Experience in Fertility, Prenatal, and Postpartum support
Hi there! I'm Karen, a Licensed Clinical Social Worker (LCSW) and mother of two, dedicated to supporting parents through their unique journeys since 2014. My path to this work is both professional and deeply personal. As a mother who navigated high-risk pregnancies with preeclampsia twice, including a pandemic pregnancy with my first and being placed on disability at 24 weeks with my second due to concerns for early delivery, I intimately understand the complexity of the perinatal journey. Whether you're dealing with fertility challenges, pregnancy anxiety, or postpartum adjustment, I bring both professional expertise and personal understanding to our work together.
Hospital to Home: A Journey of Compassionate Care
With over a decade of clinical experience, I've served families in San Diego's most advanced maternal and pediatric settings, including the Level IV NICU at Rady Children's Hospital and Sharp Mary Birch Hospital for Women & Newborns. This specialized background in high-acuity maternal and infant care has given me unique insight into :
Supporting families through fertility treatments and high-risk pregnancies requiring specialized maternal care
Helping parents navigate unexpected pregnancy complications and prenatal diagnoses requiring advanced planning
NICU support for families navigating a variety of experiences including premature birth, prenatal and postnatal diagnoses
The delicate transition from the NICU to home
Postpartum adjustment and parenting support for families who've experienced complex medical journeys
Evolution of Care: From Hospital to Virtual to Private Practice
I also expanded my perinatal mental health expertise through pioneering Telehealth platforms Octave and Maven. I provided virtual maternal mental health support, helping parents navigate fertility treatments, pregnancy challenges, and postpartum transitions. This experience showed me the power of accessible, flexible care – meeting parents exactly where they are in their journey.
Now, in my private practice, I bring this comprehensive background to serve San Diego families both virtually and in-person from my Mission Valley office. I also provide virtual services to the rest of California, and Arizona.
Begin Your Healing Journey
Whether you're showing up in yesterday's yoga pants or haven't slept in days, you're welcome here exactly as you are. Together, we'll navigate your parenting journey with compassion, practical support, and evidence-based care.
Ready to connect? Schedule your complimentary 15-minute consultation to learn how we can work together.
Qualifications
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California Licensed Clinical Social Worker #89083
Arizona Licensed Clinical Social Worker #22672
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Bachelors in Psychology and Social Behavior-University of Irvine, California
Masters in Social Work-University of Southern California
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Perinatal Mental Health Certified #PSI10125
Getting started
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I offer a 15 minute consultation session to ensure prospective clients feel our work together will be supportive, impactful, and the right fit for them.
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California Residents: we can meet virtually through my HIPPA secured platform on SimplePractice.
San Diego locals: If you prefer in person sessions we can also meet at my centrally located Mission Valley office!