Grief counselors and therapists in New Hampshire

My work in the mental health field started more than 20 years ago when I provided crisis support to first responders and the people they served. My clinical training started with educational psychology and over the years my focus shifted to working with adults and couples as I pursued my doctorate in clinal psychology. The focus of my practice has always been on providing trauma informed care to individuals who seek to address the impact of life stressors or traumatic events to better understand themselves and their patterns of relating to others.

I’m Rosemary, a licensed psychiatric nurse practitioner who is deeply committed to walking alongside you through life’s more tender and challenging moments. I work with adults who are navigating grief, loss, and major life transitions, and I also offer faith based therapy for those who want to incorporate their spiritual beliefs into the healing process.

Before specializing in mental health, I spent many years as a family nurse practitioner, which shaped the way I see people as whole and complex individuals. I believe everyone carries a story that deserves to be heard with care and respect. If you are feeling stuck, overwhelmed, or searching for meaning in a difficult season, I want to hear your story and help you find a way forward that feels true to you.

Matrescence, or the identity shift at the heart of becoming a mother, is a deep, confronting process. So much surfaces during this transition. Maybe you're feeling far away from yourself and unsure when the ground will steady itself again. Maybe old losses, traumas, and wounds are returning to you in new ways, or you're feeling lost in the forest of change. Maybe you feel far away from your partner and unsure how to find each other again. Maybe you're navigating pregnancy loss or fertility challenges, or struggling to decide if you want to become a parent at all.

I'm a psychodynamic therapist specializing in perinatal mental health, matrescence, and family of origin wounds, including trauma. I'm a Licensed Marriage & Family Therapist (T2574) and hold a Master of Arts in Marriage, Couple, & Family Therapy from Lewis & Clark College. I have formal training in perinatal mental health, and basic training in perinatal EMDR.

I’m Alison (Ali) Pugh, a Clinical Social Worker, USAF veteran, and mom of two. I help adults who are juggling work, family, caregiving, or major life changes that feel heavier than they look on the surface. If you’re feeling stretched thin, overwhelmed, or unsure of your next step, you’re in the right place. My style is calm, collaborative, and steady. There’s no pressure to have the perfect words.

Life can be overwhelming, and we all experience times of uncertainty, imbalance, or emotional pain. You don’t have to navigate these challenges alone. Seeking support is a brave and meaningful step toward greater well-being. For over 20 years, I’ve had the privilege of assisting adults and teens work through depression, anxiety, relationship struggles, chronic stress, grief, and trauma.

I’m here to help you access inner strengths and develop new strategies. Together we’ll create a plan to reach your goals.

Stimulants, Suboxone and Benzodiazepines are prescribed in this practice with DEA guidelines. Dr. Padilla is a Doctor of Nursing Practice from the New York tri-state area and has over 30 years of experience in healthcare. He treats children from 6 years old through adulthood, focusing on psychiatric medication management. He specializes in mental health and has extensive experience in the field of psychiatry. Dr. Padilla takes a “start low and go slow” approach to prescribing, paying special attention to medication potency and potential interactions with other medications prescribed by other providers. Dr. Padilla earned his Doctorate in Clinical Practice Nursing from Rutgers University–New Brunswick. He also holds bachelor’s degrees from Rutgers, The State University of New Jersey, and the University of Miami, as well as an associate’s degree from Bergen Community College.