Signs of Postpartum Depression after Pregnancy
- Feeling sad or depressed
- Feeling like a bad mom
- Trouble sleeping
- Not sleeping even when baby is sleeping
- Loss of energy
- Appetite change
- Crying for “no reason”
- Feeling overwhelmed
- Not connecting or bonding with baby
- Panic or scared feelings
- Inability to laugh or see bright side
- Blaming yourself
- Fear of harming yourself or the baby
Questions about Postpartum Depression
Unfortunately, there is no set timeframe. Certain factors can make it more likely that an episode of postpartum depression will last for longer. For example, if you have previously had an episode of depression, if you have poor social supports, if you have a family history of depression, or if you have other life stressors. Many women will see improvement in a few months, but for some symptoms will last longer.
Technically, to meet diagnostic criteria for postpartum depression symptoms need to begin either during pregnancy or within 4-6 weeks of giving birth. However, many women do not present for therapy until well after that 4-6 week mark. The first six months after childbirth are considered a high risk time for developing symptoms of depression. Many new moms are so overwhelmed with having a newborn that it may take them a couple of months to even realize they are not doing well. So if you are 6 months (or more) postpartum and realize today that you are struggling, please do not hesitate to reach out for support. Maybe your symptoms began earlier than you recognized them and we can use that postpartum depression label, but even without that label your experiences are valid and deserve treatment and attention. Symptoms of postpartum depression commonly develop anytime in the first year after giving birth.
Treatment for postpartum depression varies by the individual. Both psychotherapy and psychiatric medication can be beneficial for many women. While there are medications that are considered safe for use while breastfeeding, many nursing moms choose to pursue therapy as a first line of treatment. I utilize a variety of evidence-based therapeutic approaches depending on your specific concerns and your personal and cultural factors. In postpartum depression therapy, you will learn techniques to cope with stress, strategies for managing your emotions, and ways to bond with your baby.
$250 / Initial Session (90 min)
$200 / Follow-up Session (55 min)
I am out-of-network with most major insurance carriers. I provide documentation called a “superbill” with which many clients have successfully received reimbursement from their insurance carrier. Please call your health insurance company to ask about the out-of-network behavioral health benefits associated with your specific plan. You may want to ask specifically about CPT codes 90791 (initial session) and 90837 (follow-up session). Because sessions are virtual, you will want to make sure that your insurance company allows for telehealth for behavioral health services.
I accept TRICARE East insurance as a non-network provider. TRICARE East clients located in Maryland are eligible. Please inquire directly so I can provide a full explanation.