The weeks and months after giving birth are often filled with a mix of emotions. Joy, of course. But mood swings, anxiety, intrusive thoughts, or a persistent sense of sadness can also show up unexpectedly. When they do, it’s common to start searching for therapists for postpartum depression while wondering if what you’re feeling is “normal” or something more.
Postpartum depression (PPD) can feel overwhelming, especially when it clashes with the cultural narrative of blissful early parenthood. In reality, about 1 in 8 people experience postpartum depression, making it a very common experience after childbirth.
This guide explains what postpartum depression is, how therapy helps, what types of therapists specialize in PPD, and how to get support quickly—without having to figure it all out on your own.
What Is Postpartum Depression?
Postpartum depression is a mood disorder that can occur after childbirth. It goes beyond the short-term “baby blues” and involves symptoms that last longer, feel more intense, or interfere with daily functioning. Common symptoms of postpartum depression include:
- Persistent sadness, numbness, or hopelessness
- Anxiety or panic
- Intrusive or distressing thoughts
- Irritability or anger
- Difficulty bonding with your baby
- Changes in sleep or appetite
- Feelings of guilt, shame, or inadequacy
PPD can be influenced by several factors happening at once: hormonal shifts, sleep deprivation, physical recovery from birth, feeding challenges, relationship changes, and major identity transitions. These experiences can place real strain on emotional well-being. If your pregnancy or birth involves any complications or trauma (like fertility challenges, pregnancy loss, a NICU stay, or an emergency C-section), that can also contribute to your risk of PPD.
Unfortunately, research shows that if you experience postpartum symptoms with one pregnancy, you have a higher risk of developing it with future pregnancies. While that can be frustrating to hear, it can also help you be proactive in your treatment plan the next time around. Finding a therapist who specializes in PPD during your pregnancy can help you stay supported throughout the postpartum period and help you keep an eye on any new or familiar symptoms.
PPD can begin anytime in the first year after childbirth, not just in the first few weeks. Some people notice symptoms shortly after delivery, while others experience a more gradual onset months later. PPD can overlap with other postpartum mental health conditions, including postpartum anxiety. Some people primarily experience low mood and hopelessness, while others notice intense worry, panic, or intrusive thoughts that feel frightening or out of character.
But here’s a crucial reminder: Postpartum depression and postpartum anxiety are treatable. And experiencing these mental health conditions says nothing about your ability as a parent or the love you have for your child.
Therapy provides a structured, compassionate space to understand symptoms, build coping strategies, and improve day-to-day functioning, especially when working with therapists trained in postpartum mental health.
Why Therapy Helps During for Postpartum Depression
Therapy is one of the most effective treatments for postpartum depression and is widely recommended as a core part of postpartum depression treatment, particularly for people seeking structured emotional support and practical coping strategies. Research shows that evidence-based psychological therapies such as cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) can significantly reduce symptoms of PPD, both immediately after treatment and months later, compared with usual care.
Working with a therapist can help you:
- Understand and manage mood changes and anxiety
- Address intrusive thoughts without judgment
- Navigate identity shifts and relationship stress
- Process difficult birth or postpartum experiences
- Rebuild confidence and emotional stability
Therapists with experience in postpartum mental health understand how symptoms can show up differently during this period and adjust treatment accordingly. Many people find therapy especially helpful because it focuses on both emotional relief and practical tools for daily life.
Postpartum Depression Treatment Options: Therapy, Medication, or Both
Postpartum depression treatment can include therapy, medication, or a combination of both. The right approach depends on symptom severity, personal history, and how symptoms are affecting your daily life.
Medication, such as antidepressants, may be recommended when symptoms are more severe, persistent, or not improving with therapy alone. Some people use medication temporarily while building coping skills in therapy, while others benefit from longer-term treatment.
Many people find that a combined approach of therapy plus medication offers the most relief, especially when sleep deprivation, anxiety, or other mental health concerns are present. A postpartum-trained therapist can help you assess whether medication might be worth exploring and collaborate with your healthcare provider to help you find the right fit.
Types of Therapists Who Support Postpartum Mental Health
Different providers can support postpartum depression in different ways. Postpartum counseling and therapy can be provided by several types of licensed mental health professionals, depending on your needs and preferences. The best fit depends on your symptoms and whether or not you’re also looking for medication management or help with other concerns.
Therapist Types at a Glance
If you’re unsure which type is right for you, learning how to find the right therapy modality for you can help clarify your options.
How to Choose the Right Therapist After Childbirth
Finding the right therapist matters. When looking for therapists for postpartum depression, consider:
- Training and experience: Look for providers experienced in perinatal or maternal mental health
- Approach and communication style: Feeling safe and understood is essential
- Cultural competence: Support should align with your values and background
- Accessibility: Virtual therapy can be especially helpful during the postpartum period
- Availability: Faster access can make a meaningful difference when symptoms feel urgent
Your personal history also matters. Trauma history, birth experiences, feeding challenges, or prior mental health concerns can influence what type of therapist or treatment approach works best.
When to Seek Immediate Help
If postpartum depression symptoms worsen or include thoughts of harming yourself or your baby, immediate support is important. Contact a healthcare provider, local emergency services, or a crisis support line right away.
If you’re in the U.S., you can call or text 988 to reach the Suicide & Crisis Lifeline for confidential, 24/7 support. If you’re outside the U.S., local emergency services or national crisis lines can provide immediate assistance. If you’re a Spring Health member, you can also reach our Care Navigators at 1 (855) 629-0554.
What to Expect in Postpartum Depression Therapy
Therapy for postpartum depression can take place in person or virtually. Many new parents choose virtual therapy because it offers flexibility and reduces logistical stress.
In your first session, the therapist will usually ask about:
- Current symptoms
- Birth and postpartum experiences
- Sleep and energy levels
- Support system
- Medical and mental health history
- Any therapy goals you may have for your treatment
From there, you’ll work together to create a treatment plan, which may include symptom support, coping skills, managing intrusive thoughts, processing trauma, navigating identity changes, or strengthening relationships.
Some people notice improvement within a few weeks, while others benefit from longer-term care. Both are normal. Many providers also offer check-ins, flexible session lengths, or digital tools between visits to support progress.
If you’re new to therapy, checking out what to expect when starting therapy or these therapy FAQs can help.
Ready to Get Help That Actually Works?
Postpartum depression can feel isolating, but effective support is available. Working with a therapist who understands postpartum mental health can make symptoms more manageable and help you feel more like yourself again.
Spring Health helps connect parents with therapists experienced in postpartum depression, offers faster access to care, and provides supportive tools between sessions to make getting help feel more manageable during a demanding season of life.
Frequently Asked Questions About Therapists for Postpartum Depression
What is the best therapy for postpartum depression?
CBT and IPT are among the most commonly recommended therapies for postpartum depression. The best option depends on symptoms, personal history, and provider expertise.
Is postpartum counseling different from regular therapy?
Postpartum counseling is tailored to the emotional, physical, and identity changes that occur after childbirth. Therapists trained in postpartum mental health understand how these factors influence your symptoms and experiences. That said, your therapist doesn’t necessarily have to specialize in postpartum depression for therapy to help you in the postpartum period.
How do I know if I need a therapist for postpartum depression?
If symptoms last more than a couple of weeks, interfere with your daily life, or feel overwhelming, working with a therapist can help.
Can therapy alone treat postpartum depression?
Many people benefit from therapy alone, while others may also need medication. A mental health professional can help determine the best approach.
Are there therapists who specialize in postpartum depression?
Yes, many therapists have training in perinatal mental health and specialize in supporting people during pregnancy and the postpartum period. You can also look to see if a therapist mentions specializing in women’s health or maternal mental health.
Can postpartum depression be treated with virtual therapy?
Yes, virtual therapy is effective for many people and can be especially convenient during the postpartum stage.
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