Postpartum Depression Counseling

Return to Yourself

Finding success with managing postpartum depression is an essential process so you can connect with your newborn and start to feel like yourself again. Some of the things we can help with are mindfulness, medications*, nutrition, exercise, improved stress management tools, sleep, and more.

Experience You Can Trust

We have a team of therapists with over 25 years of experience in treating depression and helping people work through its symptoms. Our counselors know how to identify and target issues and then provide their patients with a means of working through them.

Collaborative Care

Just Mind takes a comprehensive approach that connects your therapist with your medical team. We collaborate with doctors and make sure everyone involved in your care is kept up-to-date on your progress.

Note

We do not prescribe medication but we have psychiatrists we know and trust for referrals.

What is Postpartum Depression (PPD)?

Postpartum depression is a mood disorder that can affect some women after childbirth. It affects about 10% of mothers with newborns. Mothers with postpartum depression may experience intense feelings of anxiety, fatigue, and sadness that make it difficult to engage in daily tasks. Postpartum depression is not attributed to a single cause. Rather, it likely stems from a combination of physical and emotional factors, alongside life experience; it is not a result of something a mother does or does not do during pregnancy.

After childbirth, the levels of the hormones estrogen and progesterone, which are high during pregnancy, drop drastically. This leads to chemical changes in the body and the brain that can lead to mood swings and other symptoms of postpartum depression. Mothers may be unable to get the rest that they need to recover from childbirth. This can result in sleep deprivation, which can further exacerbate symptoms.

The risk for postpartum depression has been observed to be higher in some women, such as with low-income women or single mothers and in areas where mental health or illness is not recognized. Moreover, women who have had a prior history of mood disorders are at higher risk than those who have not. For those who are on medication, changes in their medicine regimen due to pregnancy or after childbirth can result in turbulent emotions.

Pregnant mothers may also develop depression during pregnancy, called perinatal depression, which can be an early indicator of postpartum depression. If a mother is showing early signs of postpartum depression, the sooner she talks to a doctor or counselor, the earlier she will start to feel better again.

Common Symptoms of Postpartum Depression

  • Experiencing rage or anger
  • Anxiety
  • Eating too little or overeating
  • Loss of interest or pleasure in activities
  • Mood swings
  • Panic attacks
  • Crying, restlessness, & irritability
  • Fatigue or the inability to sleep
  • Lack of concentration
  • Unwanted thoughts
  • Feelings of depression, fear, or hopelessness
  • Weight gain or loss
  • Insomnia
  • Social withdrawal
  • Trouble emotionally bonding with baby, doubting ability to care for baby, or thinking about harming baby

Postpartum Depression Treatment

Postpartum Depression Diagnosis

Postpartum depression can only be diagnosed by a healthcare provider. Since the symptoms of postpartum depression can vary widely between women and can be broad, a healthcare provider can help ascertain whether the symptoms are tied to postpartum depression or something else. Any mother who is experiencing these symptoms should speak to a healthcare provider as soon as possible.

Treatment

Effective treatments for postpartum depression exist. A healthcare provider can help the woman determine the best course of treatment for her. Some treatment options include:

  • Counseling: Also known as talk therapy, this process involves talking with a mental health professional, which may include counselors, social workers, therapists, psychiatrists, or psychologists. There are two types of counseling that have shown to be helpful in treating postpartum depression.
    • Cognitive Behavioral Therapy (CBT): A type of psychotherapy in which negative patterns of thought about the self and the world are challenged in order to alter unwanted behavior patterns or treat mood disorders.
    • Interpersonal Therapy (IPT): A type of psychotherapy that is time-limited, focused, and an evidence-based approach to treat mood disorders. The main goal of IPT is to improve the quality of a client’s interpersonal relationships and social functioning to help reduce their distress.
  • Medication: Antidepressants are typically prescribed for postpartum depression. Antidepressants are designed to balance chemicals (neurotransmitters) in the brain that affect mood and emotions. They include selective serotonin reuptake inhibitors (SSRIs), atypical antidepressants, tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs). Women should talk with their doctors to see how antidepressant medication can affect breastfeeding or their pregnancy. These treatments can either be used alone or in combination (called combination therapy).

These treatments can either be used alone or in combination (called combination therapy).

What happens if postpartum depression is untreated?

Left untreated, postpartum depression can last for months or even years. It will affect the mother’s physical and mental health and will hinder the mother’s ability to connect with and care for her child. This may result in the baby developing problems with behavior, sleeping, and eating as they develop.

Perinatal Depression

What is it?

Perinatal depression is a depressive disorder that occurs during pregnancy and is often an early indicator of postpartum depression, which occurs after the child is born. The symptoms of perinatal depression are similar to those of postpartum depression and include mood shifts, changes in behavior, bodily changes such as fatigue or loss of appetite, cognitive difficulties, depression, fluctuations in weight, and difficulty sleeping or resting.

Importance

Perinatal depression affects about 1 in 7 women. Perinatal depression is one of the most common complications that occur during pregnancy and can result in many negative short- and long-term outcomes on both the mother and child.

Benefits of Counseling

The United States Preventive Services Task Force (USPSTF) has found compelling evidence which suggests that receiving a counseling intervention, such as cognitive-behavioral therapy and interpersonal therapy, can be an effective measure in preventing perinatal depression in women who are at increased risk. The USPSTF also found that receiving counseling intervention presents a low risk and low likelihood of serious harm for the client.

Test for Postpartum Depression

Note

The EPDS is only a screening tool. It does not diagnose depression. Diagnosis can only be done by a licensed healthcare professional.

Video on Postpartum Depression

Blog Posts Related to Depression

Below are some posts on depression that may be helpful to you in your quest to learn more for yourself or those you love.

Meet Our Team

Our team has been trained on a variety of well-researched methods to help you make the most progress possible in counseling. All of our therapists have been trained in providing help for depression.

Depression Counseling Client Testimonials