Centimano Counseling

10/14/2026

As new moms, we aren’t given a rule book for motherhood. We have to figure it out as we go, leaning on the resources and support we have around us.

Meeka has spoken with countless moms and has these thoughts to share about how she would begin a rule book of her own. Swipe to see her responses. 👉

Have a question for Meeka? DM us anytime.

09/23/2026

Feelings of grief and loss are so common in new mothers. Moms often wonder: Did I make the right decision by having a baby? Am I cut out for motherhood?

It’s normal to miss your pre-baby life. It’s normal to grieve the things that didn’t used to feel hard. Missing them does not make you a bad mom.

If you’re struggling with these feelings, reach out to us anytime. We have open appointments and are here for you.

09/10/2026

Kara Shelman, LCSW, MHP, PMH-C, and Meeka Centimano, LSCSW, PMH-C, together have over 30 years of experience as reproductive mental health specialists. They bring extensive clinical knowledge and practice wisdom to their work and professional education. Meeka established the Centimano Collective in 2003 and was the only provider in the Kansas and Missouri region for 13 years. Kara was the first to join forces more than a decade ago to serve women through the Collective. They both value evidence-based information, an engaging approach, and humor to make learning approachable and fun. Please visit https://www.centimano.com/provider-training for more information! You can also find the link in our bio!

09/09/2026

Kara Shelman, LCSW, MHP, PMH-C, and Meeka Centimano, LSCSW, PMH-C, together have over 30 years of experience as reproductive mental health specialists.

They bring extensive clinical knowledge and practice wisdom to their work and professional education.

Meeka established the Centimano Collective in 2003 and was the only provider in the Kansas and Missouri region for 13 years.

Kara was the first to join forces more than a decade ago to serve women through the Collective.

They both value evidence-based information, an engaging approach, and humor to make learning approachable and fun.

Please visit https://www.centimano.com/provider-training for more information!

09/01/2026

08/26/2026

Becoming a family is the biggest transition you will ever make. While you are going through changes, so is everyone around you.

Work less to change others. Let them struggle, too. If your partner changes the diaper wrong or forgets to feed them, everyone will be okay.

If you feel like the default parent, get curious about what your partner may be having a hard time with in their own life. If you think they aren’t doing enough, don’t parent them or criticize them. This may only guarantee they will check out more.

08/19/2026

The Centimano Counseling Collective is offering something NEW. Join us in person to learn about how we best support women in the midlife transition. Assessment and intervention looks very different than the perinatal period and we can’t wait to have you join us.

Kara Shelman, LSCSW, MPH, PMH-C and Meeka Centimano, LSCSW, PMH-C were the first reproductive specialists in the Kansas City region to provide an evidenced based evaluation and interventions for women in midlife.
Here’s what you will learn.
- The hormonal and neurobiological changes associated with the menopause transition.
- Distinguish menopausal mental health symptoms from primary psychiatric disorders.
- Assess women experiencing reproductive transition using evidence-based screening tools.
Identify common psychosocial and trauma-related presentations in midlife women.
- Implement evidence-informed interventions to improve mental health outcomes during perimenopause and menopause.

Go to our website at www.centimano.com or to the link in our bio to find out more and register.

08/06/2026

Maybe the Lego phase numbs your brain, maybe you love baby snuggles but not so much love for a three-nager. You may be counting the days til your newborn seems more like a person and just want some sleep OR surprise you may love the teenage years that everyone tells you are awful (Meeka dug them by the way).

07/30/2026

Here’s the thing: Regardless of whether you’re here perinatally or you’re here because of reproductive challenge, we know there is more to the story than what brings you in.

We have to look at everything.

We have to look at biologically, what is your history? What’s going on now? How are you being cared for psychologically and emotionally? What’s going on past and present that affects you and your ability to cope? And then what does your life look like? What are the stressors in your life? What are you challenged by? What does your support system look like?

And that way, we can come up with the best plan to help you moving forward to feel better faster.

07/22/2026

Mothers often think their motherhood journey is supposed to go a certain way. This is based on what we see in media, stories from friends and family, and even our own past experiences. But our expectations for motherhood have a direct relationship with our anxiety levels.