Adrienne Londeree, LCSW-C in Baltimore: Therapy-Based Obstetric Care for Complex Pregnancies
Adrienne Londeree is a Licensed Clinical Social Worker—Certified (LCSW-C) in Baltimore who specializes in perinatal mental health and obstetric support, working alongside obstetricians and midwives to address psychological and social factors in pregnancy, miscarriage, and postpartum adjustment. Her practice sits at the intersection of counseling and reproductive medicine, filling a gap that many traditional OB/GYN offices leave unaddressed during obstetric care itself.
What Adrienne Londeree Actually Does
Londeree provides clinical social work services focused on perinatal mental health. She works within obstetric settings and in private practice to help pregnant patients, postpartum individuals, and those navigating pregnancy loss. Her role is not to deliver obstetric care but to assess and treat the psychological and situational factors that affect pregnancy outcomes and maternal well-being. This includes screening for depression and anxiety, trauma history, substance use, domestic violence, housing instability, and social support gaps. Unlike a therapist who might see you once weekly in a general practice, Londeree integrates her assessments directly with medical obstetric care, so OBs and midwives have a fuller picture of their patient's needs.
Services and Scope
Londeree's services typically include:
- Initial perinatal assessment, including mental health screening, social history, and risk stratification
- Individual psychotherapy for pregnancy-related anxiety, depression, or trauma
- Crisis intervention and safety assessment in cases of domestic violence or suicidality
- Postpartum depression and postpartum anxiety evaluation and support
- Grief counseling for miscarriage, stillbirth, or neonatal loss
- Care coordination with obstetric providers, pediatricians, and community resources
She holds an LCSW-C credential, which requires a master's-level social work degree, clinical supervision, and board certification in Maryland. This credential allows her to diagnose and treat mental health conditions and, in many cases, bill insurance directly.
Pricing varies depending on whether she works within a hospital-based obstetric practice or independently. Hospital-based services may be covered as part of prenatal or postpartum care, while private sessions typically range from $100 to $200 per hour; check with her specific location or practice to confirm current rates and whether insurance is accepted.
How This Compares to Other Baltimore Obstetric Support Options
Baltimore's obstetric landscape includes many traditional OB/GYN practices, nurse-midwifery practices, and doula services, but few that embed clinical social work directly into reproductive care.
Traditional OB/GYN offices (such as those at University of Maryland Medical Center or Mercy Medical Center) offer comprehensive prenatal and postpartum medical care but typically do not have a licensed therapist on staff. If depression or anxiety is identified, you are given a referral to find a therapist elsewhere, which delays care and fractures the clinical picture.
Midwifery practices (including those at Charm City Midwifery) emphasize continuity and psychosocial elements of birth but are focused on low-risk pregnancies. Midwives are trained to recognize mental health concerns but are not licensed to diagnose or treat psychiatric conditions.
Doulas provide labor support and education but are not clinical providers and do not diagnose or treat mental health conditions.
General therapists in Baltimore are available through agencies like Associated Black Psychologists or private practice, but they typically lack obstetric training and may not understand pregnancy-specific mental health or coordinate with your OB.
Londeree's model fills this gap: she brings clinical mental health training, obstetric knowledge, and direct integration with reproductive care providers.
Choose Londeree if you are pregnant or postpartum with known or suspected depression, anxiety, trauma, or social barriers to care, and you want mental health support embedded in your obstetric care rather than referred out.
Choose a traditional OB/GYN if your pregnancy is low-risk and you have no current mental health concerns.
Choose a midwife if you want low-intervention maternity care and continuity of provider.
Who This Suits and Who It Does Not
This service suits:
- Pregnant individuals with a history of depression, anxiety, bipolar disorder, or other mental health conditions
- Those experiencing pregnancy-related anxiety or depression
- Patients with trauma history or current domestic violence concerns
- People with complex social circumstances (housing instability, limited support, financial stress) affecting pregnancy
- Anyone referred for risk assessment before serious complications develop
This does not suit:
- People seeking only obstetric medical care (delivery, ultrasound, fetal monitoring) without mental health needs
- Those seeking labor support without clinical assessment
- Individuals needing psychiatric medication management only (though Londeree may coordinate with a prescriber)
What the First Visit Involves
A first visit with Londeree as part of obstetric care typically begins with a structured perinatal assessment. You will be asked about your mental health history, current mood and anxiety symptoms, pregnancy loss or trauma, substance use, safety at home, and social support. She will screen using validated tools like the PHQ-9 (depression) and GAD-7 (anxiety) and ask about specific obstetric risk factors (previous preterm birth, gestational diabetes, prior infant loss). If safety concerns arise, she will assess immediately and coordinate with your OB and any needed community agencies.
If you are seeing her privately, the intake is similar but includes discussion of therapy goals, frequency, and insurance details.
Hours, Location, and Logistics
Londeree works in both hospital-based and private settings in Baltimore. Hours and exact location depend on her current practice affiliation; confirm specific location, hours, and parking by contacting her directly or through your OB's office if she is integrated into a practice. Many hospital-based obstetric clinics offer parking for prenatal patients; ask when scheduling.
Why Baltimore Needs This
Baltimore's maternal mortality and morbidity rates, particularly among Black pregnant individuals, are significantly higher than state and national averages. Mental health and social determinants are documented drivers of this disparity. A licensed clinical social worker embedded in obstetric care addresses both, meeting patients where medical and social needs intersect.
