UpWell INSTITUTE for Reproductive Psychiatry

Expert care for PMS, Pregnancy, Menopause and all the moments in between.

Compassionate, specialized mental health care throughout your reproductive lifespan.

UpWell Reproductive & Perinatal Psychiatry

Reproductive Psychiatry is a specialized area of mental health that focuses on the emotional, psychological, and biological changes that occur throughout the reproductive lifespan. At UpWell, we provide expert, compassionate care for individuals experiencing mood or anxiety symptoms related to hormonal transitions, pregnancy, postpartum, and beyond.

You Deserve Support Through Every Season

Whether you are trying to conceive, pregnant, postpartum, healing from
loss, or entering menopause, you don’t have to go through it alone.

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Meet Our Specialists

Megan Sapp

PMHNP, CNM, FNP,

Director of the UpWell Institute

Megan brings over 15 years of experience as a certified and practicing Nurse Midwife. She is also a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner, giving her a uniquely comprehensive understanding of the biological and hormonal factors that influence mental health.

She is a gifted educator who has a knack for translating research into clinical practice and has conducted trainings for organizations big and small around perinatal psychiatry.

Melinda Anello

PMHNP, PMH-C

Melinda has dedicated her life to serving the perinatal population, and currently sits on the board of Baby Blues Connection. She provides exceptional care for new parents navigating the complexities of postpartum life, as well as healthcare professionals who have experienced vicarious trauma. Her work as labor & delivery nurse has taught her to sit with others in their pain, offer words of encouragement (either softly or with exuberance), be a steady force of support, and listen to the innate, knowing needs of others.

Heidi Pollard-Hermann

PMHNP, PMH-C

Heidi brings 15+ years of experience caring for perinatal individuals. As a PMHNP, she is committed to trauma-attuned care, with particular passion for supporting people navigating birth trauma, grief and loss, substance use disorders in pregnancy, and the emotional transitions from preconception through parenthood. She serves on the board of the Oregon chapter of Postpartum Support International, reflecting her deep commitment to community connection as a key piece to collective healing.

Heather Webster

PMHNP, CNM

Heather brings over 20 years of experience across the reproductive and perinatal healthcare continuum and is dually licensed as a Certified Nurse Midwife. She has a deep understanding of the physical, social, and emotional complexities of pregnancy and the postpartum period, and specializes in preconception planning, birth trauma, depression, and anxiety. She

What Is Reproductive Psychiatry?

Reproductive Psychiatry is a subspecialty dedicated to diagnosing and treating mental health
conditions throughout the reproductive lifespan.

Preconception & Fertility

Support for fertility-related stress, IVF/assisted reproduction, and medication planning before pregnancy.

Pregnancy

Evidence-based treatment for depression, anxiety, OCD, and trauma during pregnancy with careful risk/benefit analysis.

Postpartum & Early Parenthood

Support for postpartum depression, anxiety, OCD, Bipolar disorders, and adjustment challenges including sleep and lactation.

Pregnancy Loss & Termination

Sensitive, trauma-informed care following miscarriage, stillbirth, or termination.

Birth Trauma

Healing from birth trauma (first-hand, second-hand, or vicarious) for parents and birth workers.

PMDD & Hormonal Mood Concerns

Diagnosis and treatment of PMDD, severe PMS, and cyclical mood symptoms.

Perimenopause & Menopause

Help with mood swings, sleep disruptions, irritability, brain fog, and anxiety during midlife transitions.

Common Conditions We Treat

Perinatal Depression

Postpartum Anxiety

Birth Trauma & PTSD

PMDD

Infertility Stress

Menopausal Mood Changes

Bipolar in Pregnancy

Postpartum OCD

Medication during Breastfeeding

Our Approach at UpWell

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Evidence-Based Treatment

We use the latest research to guide treatment, always centering your safety and well-being.

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Thoughtful Med Management

We help you make informed decisions about medications during pregnancy, breastfeeding, and fertility treatment.



Collaborative Care

We partner closely with your OB/GYNs, midwives, and therapists to support you across all aspects of health.

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Compassionate Support

Your story matters. We create a safe, validating space to process whatever season you are in.

Why Choose Upwell?

All providers have specialized training and
clinical expertise to offer the highest level of care

Largest Reproductive Psych Team: Oregon’s largest dedicated psychiatric team, meaning collective expertise and collaborative problem-solving.
Specialized Training: All providers have specialized training and clinical expertise to offer the highest level of care.
Extensive Clinical Backgrounds: All of our providers come with at minimum a decade of experience working in the perinatal field, as Labor and Delivery Nurses and/or Certified Nurse Midwives.
Virtual Care: Available across Oregon & Washington.
Connection Rooted: A practice rooted in connection, research-guided care, and whole-person wellness.