Online Therapy for Parents During Pregnancy and Postpartum

Are you feeling agitated, anxious, overwhelmed, crying all of the time, rage? Disconnected from your baby, not feeling “good enough”? Struggling with your body or appearance?

Parenting today seems harder than ever before, with mixed messaging about what is best for your baby and many parents waiting for the “village” that has yet to arrive.

Our team of Psychologists and Registered Psychotherapists can help you thrive during this major life transition.

Psychological Assessment

Our intake and assessment process includes a thorough review of your history and presenting concerns, with time spent formulating a treatment plan that directly targets your goals.

Dr. Sarah Haller (Clinical Psychologist) provides assessment and diagnosis of mental illness occurring during pregnancy and postpartum (i.e., the perinatal period), while Brittney (Registered Psychotherapist) will screen for symptoms of distress and provide psychotherapy supporting you in symptom reduction. The assessment process can take anywhere from one to two initial appointments, each 50-minutes in length.

A note on childcare: We recognize that it can be difficult to access childcare. Babies are welcome during appointments, and our online-only therapy means that you don’t have to leave the house to get the help you need.

Woman smiling with her baby after her virtual postpartum therapy session

Psychological Treatment

Our goal is to help you feel better as quickly as possible so that you can enjoy this time with your baby.

We accomplish this through the use of evidence-based treatment that has been found to be effective at reducing psychological symptoms during the pregnancy and postpartum.

Brittney Mandryk (Registered Psychotherapist) and Dr. Sarah Haller (Clinical Psychologist) provide psychological treatment to women and/or their partners during pregnancy and postpartum.

Interpersonal Psychotherapy (IPT) is an evidence-based structured, short-term treatment that targets acute symptoms of distress in the perinatal population.

Clients attend weekly sessions to bring about remission of acute symptoms (approximately 4 to 7 sessions), followed by spaced apart maintenance sessions to ensure continued improvement.

The goals of IPT include reducing symptoms of distress, increasing social support, and improving communication skills.

Dr. Haller is certified in Level A: IPT with the Interpersonal Psychotherapy Institute specifically with the perinatal population, and is a certified provider with Postpartum Support International (PSI).

Brittney has specialized training from the Postpartum Stress Center under the renowned Karen Kleiman for the treatment of perinatal distress and postpartum depression.

FAQs

  • We treat a broad range of psychological concerns that can occur during pregnancy and the first year postpartum, including anxiety, distressing thoughts, low, agitated mood, and more. We assess and treat the following mental health conditions:

    • Generalized anxiety disorder (GAD)

    • Major depressive disorder (MDD)

    • Obsessive compulsive disorder (OCD)

    • Posttraumatic stress disorder (PTSD)

    • Panic disorder

  • We help women who have experienced a traumatic birth using gold standard treatment for trauma, including cognitive processing therapy (CPT) and prolonged exposure (PE). We define birth trauma as any experience that occurred during childbirth that felt traumatic to you.

  • Many new moms think they are not unwell enough to need support. As if you somehow wouldn’t qualify, or someone else may need it more.

    While it’s true that all new mothers experience fatigue, increased irritability and stress, and changes in weight and mood, and that these changes interfere with the way life once was, you may benefit from therapy if:

    • Your symptoms are in excess of what most new mothers experience

    • Your symptoms are very different from how you usually are

    • Your symptoms persist even when things may improve with your baby (e.g., your baby is sleeping but you are still unable to sleep).

      It can be hard to know whether your symptoms are “worse” than normal or average, especially if you are a first time mother. Trust your gut, and get a professional opinion on how you are feeling.

  • If you feel mostly well, but some days feel like more of a struggle, or if you have waves of sadness that come and go, or you feel more agitated and angry than usual and are unsure why, it is worth having an expert assess your symptoms to help determine whether therapy could be helpful.

  • Research estimates upwards of 90% of new mothers experience “scary thoughts” at some point postpartum. If your thoughts scare you (i.e., feel inconsistent with who you are), then the thoughts are most likely part of an anxiety response. The most common types of scary thoughts include:

    • Thoughts of suffocation or SIDS

    • Thoughts of accidents

    • Ideas or urges of intentional harm

    • Thoughts of losing the baby

    • Illness

    • Unacceptable sexual thoughts

    • Contamination

    Our clinicians are trained to listen to and assess your thoughts.

    Believe it or not, we are less concerned about the content of your thoughts, and are instead more focused on helping reduce the distress these thoughts cause you.

    Therapy can help you learn to feel less afraid of the intrusive thoughts, and focus your time and energy on connecting with your baby.

    We have heard it all in terms of the kinds of scary thoughts women can have during pregnancy and postpartum, and we recognize disclosing these types of thoughts to a professional can feel intimidating.

    We are here to support you.

  • Research finds that non-gestational parents (e.g., fathers) are just as much at risk for feeling down, depressed, or anxious as gestational parents, and yet, there can be stigma associated with admitting you are struggling. We can help you make sense of what you are feeling and support you in the adjustment to parenthood.

  • No, you may self-refer for our services. Your family doctor/OBGYN/midwife may also choose to complete our Referral Form and fax it to us.

  • We never want finances to be a barrier to new parents getting help. Complete our contact form and mention you are seeking low-fee services, and we will connect with someone from our team who can help.