Life Cycle
Support for the whole family through every stage
Integrated developmental therapies for children, wellness and movement for adults, and perinatal mental-health support — all within the Casa Primary community.

What Life Cycle holds
Care for children and for the adults raising them, under one roof.
01
Children’s integrated therapies
Pediatric physical, occupational and speech-language therapy.
02
Perinatal classes & movement — coming soon
Prenatal and postpartum education, movement and community.
03
Maternal mental health
Perinatal therapy with Lillian Rishty, LCSW, PMH-C.
04
Adult wellness & movement
Movement, Pilates, yoga and fitness, on a rotating schedule.
Children’s integrated therapies
Licensed pediatric therapists, working inside the day
Casa Primary offers pediatric physical therapy, occupational therapy and speech-language support from licensed clinicians. Weekly consulting is integrated within the rhythm of their learning pod rather than tacked onto the end of the day.
PT
Physical therapy
Gross-motor development, strength, balance, coordination and gait, delivered by a licensed pediatric physical therapist.
OT
Occupational therapy
Fine-motor skills, sensory processing, self-regulation and the practical work of independence, with a licensed pediatric occupational therapist.
SLP
Speech-language support
Expressive and receptive language, articulation, and early communication, with a licensed speech-language pathologist.
Individual and small-group sessions are offered where availability allows. We do not diagnose — what we offer is licensed clinical care with doctorate level therapists and close communication with your family.
Inquire about availability →
Perinatal classes & movement — coming soon
For expecting and new parents
Prenatal and postpartum education, movement and community offerings, held in the same house. New parents are welcome.
Prenatal education
Preparation for birth and the early weeks, taught in small groups.
Prenatal movement
Movement through pregnancy, adapted by trimester.
Postpartum recovery
Returning to movement after birth, without a timeline imposed on you.
Community for new parents
Gatherings for the first months, when company matters most.
Offerings run seasonally. Current classes and times appear on our calendar.
Maternal mental health
Perinatal therapy with Lillian Rishty, LCSW, PMH-C
Lillian Rishty is a licensed clinical social worker and certified perinatal mental-health clinician, and the founder of NYC Therapy Group. She is Casa Primary’s resident perinatal and family therapist.
Her work with our community covers the perinatal period and the years that follow it: the transition to parenthood, postpartum anxiety and mood, identity and work, relationships under strain, and the ordinary difficulty of raising a young child in this city.
Our current perinatal therapy program runs in cycles, with individual sessions offered as her schedule allows. Inquiries are handled directly and confidentially.

Lillian Rishty, LCSW, PMH-C
Founder, NYC Therapy Group
Resident perinatal & family therapist
Adult wellness & movement
While your child is working
Adult sessions are scheduled in alignment with our children’s programming, so the hours your child spends at their work can be hours you spend on yourself. Movement, Pilates, Yoga, Sound and Breathwork classes rotate through the season.
Sound Healing
Healing and restoration through sound. Forty-five minutes of deep rest, received lying down.
Pilates
Bodyweight core, strength and mat Pilates — real training, scaled to where you are.
Yoga
Breath, movement and stillness — mat practice, scaled to where you are.
Breathwork
Guided breathing practice to calm or energize the nervous system.
Current schedule
The live adult wellness schedule is published on our calendar and dated each week.
Request a tour to view →
Weekly
The Motherhood Roundtable
A recurring group facilitated by Lillian — conversation, community and practical support among mothers at similar stages. Small by design, and open to members and non-members alike.
The current day and time are listed on our calendar.
See the calendar →
Monthly & rotating
Parent workshops & talks
Postpartum
Anxiety
Identity
Relationships
Separation
Transitions
Group conversations across the year, 1:1 and family support included in membership.
Life Cycle
For the whole family
Whether it is a therapy referral, a class, or a conversation with Lillian — write to us and we will point you to the right person.

