Brenna Rich, LMFT in Carlsbad holds California license MFT #89700 and Perinatal Mental Health Certification (PMH-C), specializing in postpartum depression and birth trauma from her El Camino Real practice. The practice treats infertility grief, miscarriage recovery, pregnancy termination for medical reasons, and high-risk pregnancy anxiety, conditions that require close coordination with obstetric teams including West Coast OB/GYN for integrated perinatal care across Carlsbad's medical corridor. Clinical membership in Postpartum Support International and the California Association of Marriage and Family Therapists anchors the practice in peer-reviewed perinatal protocols and continuing education requirements. Accelerated Resolution Therapy training through the International Society of ART (IS-ART) adds a rapid-processing modality for birth trauma and PTSD, a targeted intervention that complements the family-systems therapeutic approach at Aligned Families for clients navigating postpartum relational strain. Dual-state licensure in California and Texas enables uninterrupted telehealth continuity for clients who relocate during active treatment, maintaining protocol fidelity across a CBT-psychodynamic-MBCT clinical framework.