Perinatal Mental Health Care in San Francisco
Support for pregnancy, postpartum, loss, fertility, and family-building transitions.
ROAM supports people navigating the emotional, relational, and identity changes that can accompany fertility, pregnancy, birth, postpartum adjustment, loss, and early parenthood. Care is person-centered, trauma-informed, and inclusive of diverse bodies, identities, and family-building journeys.
Fees & Access
Session Fee & Access
$200per 50-minute session
ROAM offers self-pay therapy for clients who are able to pay the standard session fee. Self-pay means paying directly for therapy rather than using insurance. ROAM does not currently take insurance.
ROAM's standard fee is $200 per 50-minute psychotherapy session with Hiromi "Romi" Ortega Roque, AM, LCSW (CA #126338), PMH‑C. Fees are paid to ROAM Therapy, a 501(c)(3) nonprofit, and help sustain clinical services, operations, and access-centered programming.
Therapy fees are payment for services and are not tax-deductible donations. Reduced-fee availability depends on current funding and program capacity, and fees are discussed clearly before intake.
Book a Free ConsultationWhat We Support
Our Approach
Care at ROAM is person-centered, trauma-informed, and paced to each person's goals. ROAM's lead clinician holds the PMH‑C certification through Postpartum Support International and brings specialized experience in perinatal social work across high-acuity medical settings.
We welcome people of all identities, relationship structures, and family-building journeys. Perinatal mental health care at ROAM is grounded in the understanding that the path to parenthood looks different for everyone, and that every person deserves support that honors their experience.
Certified Provider
ROAM's lead clinician holds the PMH‑C (Perinatal Mental Health Certification) through Postpartum Support International, reflecting advanced training in perinatal mental health care and a commitment to approaching each person's lived experience with humility, curiosity, and respect.
Ready to Start?
Schedule a free 15-minute consultation to share what you're looking for and see whether ROAM feels like a good fit.
Schedule a Free Consultation