NEW!The Maternal Mental Health Intensive Online: Perinatal Loss & Grief

8 Hours, 8 CE Credits

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Miscarriage and stillbirth are profound losses that are rarely talked about and little understood. Why? In our society, we have almost no understanding of how women and families who experience reproductive loss and child loss grieve and recover. With appropriate care — informed in best practices and evidence-based treatment — women and their families can learn ways to come to terms with loss while also reengaging with a life that is joyful again.

This training, based on our extensive clinical experience, and the expert training of our clinical team, examines theoretical and clinical applications related to parental grief and bereavement, including current theory and research, practices and models of effective counseling and psychotherapy and potential obstacles to clinician effectiveness.

Continuing Education

This activity is co-sponsored by Postpartum Support International and the Seleni Institute. Postpartum Support International is approved by the American Psychological Association to offer continuing education for psychologists. Postpartum Support International maintains responsibility for the program and its content.

Seleni Psychology Counseling and Support, PLLC is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0477.

Seleni Psychology Counseling and Support, PLLC has been approved by the National Board of Certified Counselors (NBCC) as an Approved Continuing Education Provider, ACEP No. 6950. Seleni Psychology Counseling and Support is solely responsible for all aspects of the programs.

This program is approved by the National Association of Social Workers (Approval # 886720276-7666 and 886720276-3348) for Social Work continuing education contact hours.

This continuing education training can be utilized for DONA International recertification requirements and is approved for 8 CEUs for doulas.

Seleni’s MMHI Training Bundle is approved by Postpartum Support International as an alternate pre-requisite training in the 3-step Certification in Perinatal Mental Health.

Seleni Psychology Counseling and Support, PLLC is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0095.

Professionals who are not members of the above organizations or professions are often still eligible to earn the CE credits they need by training with Seleni. Most state licensure boards and many national professional organizations grant reciprocity for eligible training programs and we encourage professionals to check with your home state board and/or professional organization regarding its policies on reciprocity prior to enrollment.

Download Course Learning Objectives

Course Curriculum

  SECTION 1: Overview of Perinatal Loss
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  SECTION 2: Overview of Maternal Preoccupation and Internal Representations Influenced by Perinatal Loss
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  SECTION 3: Defining Grief
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  SECTION 5: Defining Complicated Grief & Distinguishing Normative Grief from Complicated Grief and Depression
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  SECTION 7: Complicated Grief
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  SECTION 9: Clinician's Use of Self
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  Thank you
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Christiane Manzella, PhD
Lead Instructor & Senior Psychologist

Dr. Manzella possesses extensive experience as a clinician providing psychotherapy and supervision and as a professor of psychology at New York University.

Dr. Manzella’s focus at Seleni is to provide clinical care and to provide training and supervision, especially around grief and bereavement, her specialty. She is an empathic clinician, helping women, men, and families navigate the complex terrain of grief related to perinatal loss, manage the unique issues associated fertility challenges, and move through the challenges of recovering from perinatal mood and anxiety disorders. Dr. Manzella is also an expert on the relationship between loss and trauma. She continues to use and teach mindfulness-based clinical interventions, including those she developed through her research and teaching as an international consultant on managing loss and trauma.

Dr. Manzella earned both her master's degree in clinical psychology and doctorate in counseling psychology from New York University.

Dr. Manzella has also completed postdoctoral training and has carried out research related to grief, bereavement and trauma. She has also completed postdoctoral trainings at Postpartum Support International, the Postpartum Stress Center, and the Beck Institute for Cognitive Therapy.

Frequently Asked Questions

When does the course start and finish?
This course is self-paced.You can begin immediately upon enrollment, and take the final exam when you feel ready. You'll be able to complete the lessons and quizzes on your own time, as your schedule allows, and review content as you like.
How long do I have access to the course?
After enrolling, you will have access to this course for one year, across any and all devices you own. You will be able to access the curriculum, quizzes, and downloads for the duration of the year regardless of when you complete the course.
Is there a way for me to permanently save any course materials offline, for reference in my future practice, and so that I can study for the final exam?
In your course's "What You Can Expect from this Course" portion, you'll find a section titled Supporting Materials which includes all applicable downloadable materials for the course, such as powerpoint slides, original readings, worksheets, and handouts.
I can't log into my account at
First, verify that you are trying to log in with the same email address you used to purchase and enroll in your course. If you have confirmed that you are using the correct email address and still can't log in, try resetting your password with this link: If you can’t access the account after following these steps, please email us at [email protected] and we will help you fix the issue.
I can't advance to the next lesson.
In order to uphold the learning standards for the professional organizations that have approved Seleni's curricula, our courses require course compliance. This means that when you first take the course, you have to complete the lessons in the order that they appear. Once you have finished the course, you can jump between lessons as you like, in any order. Similarly, you are required to complete the short quiz at the end of each section before you proceed to the next. Make sure to always click "Complete and Continue" when you complete a lesson, or you will not be able to advance to the next. Teachable tracks video watching, and requires that users watch 90% of a video before it is considered completed. If you find yourself unable to advance, make sure you have watched the lesson's video completely - it is easy to accidentally skip over a few minutes here and there, but Teachable picks up on when the window playing the video is minimized, or you fast forward! You can learn more here:
I'm having technical issues loading the online course materials and streaming the video.
Our learning platform, Teachable, has a great collection of resources for troubleshooting common technical issues that may come up, and a highly responsive customer care team. The majority of technical issues when using Teachable can be resolved by updating your browser, resetting your internet connection, or refreshing the page! Some helpful support articles are and
I scored less than 80% on my final exam and need to retake it.
No problem! Please send an email to [email protected] that includes the name of the course you are referring to and the email address associated with your student account on Teachable.
How will I receive my continuing education credits?
Upon successful completion of the course curriculum and final exam, you'll receive an email with a mandatory course evaluation. This evaluation includes the request form for your certificate. This will be processed within two business weeks of the course evaluation submission, and you will receive your certificate via email.
I completed the course, why haven't I received my certificate?
We issue certificates within two business weeks of receiving your course evaluation, not within two business weeks of exam completion. Make sure you completed and submitted the course evaluation form that you received in your email after you passed your exam. You might also want to check your spam folder.

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