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Mind by Design


Online & In-Home Therapy for
Postpartum Mental Health | NJ

Online therapy for Postpartum Depression and Anxiety makes accessing mental health resources easy and convenient. At Mind by Design, we understand the beauty and challenges that come with the perinatal & postpartum phase. Our therapists are dedicated to offering personalized care, ensuring you find solace and strength during this transformative time.

The journey from pregnancy to parenthood is a blend of joy, anticipation, and unexpected emotional challenges. While many are familiar with postpartum depression, there’s a spectrum of emotional and psychological responses that can emerge during or after pregnancy. Addressing these feelings is pivotal, as unchecked stress and anxiety can cast a shadow over one’s holistic well-being.

With a commitment to excellence, our therapy services are tailored to meet these distinct challenges. Trust in our experienced therapists to guide and support you towards a path of healing and balance.

Inclusivity at mbd

Every individual’s experience with birth and parenting is unique. At Mind by Design, we champion inclusivity, ensuring our therapeutic services resonate with parents from diverse backgrounds and identities. Recognizing the spectrum of identities, we warmly welcome LGBTQIA+ individuals during their prenatal and postpartum phases. Our space is a sanctuary to discuss the intricate intersections of parenting with race, gender, identity, and more. With a steadfast commitment to anti-racism and anti-oppression, we stand by every individual, no matter their identity.

Distinguishing Postpartum Depression
From " Baby Blues"

Navigating pregnancy and the subsequent year can be a rollercoaster of emotions. Did you know that mood disorders, encompassing anxiety and depression, touch nearly 1 in 5 expectant or new mothers? If you’ve found us amidst your search for answers, remember, you’re not alone. PMADs, or perinatal mood and anxiety disorders, stand out as the most prevalent complications during and post-pregnancy.


While the “baby blues” – a brief period of mood swings and sadness post-childbirth – is common, PMADs delve deeper. These disorders persist, often impacting daily life and routines, demanding attention and care. Distinguishing between the baby blues and more severe conditions is crucial. If you or someone close is grappling with post-birth emotions, seeking professional guidance is paramount. While the baby blues are transient, fading with time and support, persistent symptoms might hint at deeper concerns warranting medical intervention.

Indicators of Baby Blues

  • Unexplained bouts of crying
  • Persistent fatigue and sleep disturbances
  • A sense of disconnection or clouded thinking
  • Growing apprehension around the newborn
  • Unfounded irritability or heightened anger
  • A pervasive feeling of change, leading to a loss of self-identity

Therapy for Postpartum:
A Spectrum

PMADs touch approximately 1 in 7 women, potentially manifesting during pregnancy or even before the baby’s arrival. These conditions can disrupt daily routines, from self-care rituals to newborn care. It’s essential to recognize these symptoms, understanding that they’re not merely “normal” challenges of new parenthood. When daily tasks become overwhelming, it’s time to seek professional support.

new mom nursing baby, happy and bonding through online therapy support in new jersey
  1. Depression & Mood Disorders during & after pregnancy
  2. Anxiety disorders during & after pregnancy
  3. Psychotic Episodes during & after pregnancy
  4. Obsessive-Compulsive Behavior during & after pregnancy

The journey of pregnancy and the subsequent postpartum phase can be accompanied by a myriad of emotional and psychological challenges. Let’s delve into the specifics:

Symptoms Of Postpartum
Mental Health Challenges

Experiencing mood fluctuations? If you find yourself grappling with the following symptoms consistently for more than a fortnight, you might be navigating the waters of a perinatal or postpartum mood disorder:

  • Intense bouts of anger or heightened irritability
  • Disrupted sleep patterns
  • Challenges in focusing or memory lapses
  • Hesitation in decision-making
  • Neglecting personal hygiene and self-care
  • Appetite changes leading to weight variations
  • Struggling with daily chores
  • Regular episodes of crying or feeling emotional
  • Disproportionate concern or indifference towards your newborn
  • A growing disinterest in previously enjoyed activities
  • Withdrawing from social circles
  • Developing negative sentiments towards your infant
  • Overbearing fatigue
  • Overwhelming feelings of guilt or self-deprecation
  • Experiencing  harmful thoughts towards oneself or the baby*
  • Experiencing hallucinations or irrational thoughts*


*In case these symptoms resonate with your current state, it’s imperative to contact a healthcare professional or dial 911 immediately. Your well-being is paramount.

Types of Postpartum Mental Health Challenges

While anxiety is a universal emotion, its excessive presence, especially during or after pregnancy, can be indicative of a deeper issue. A surprising 10% of women in their prenatal or postpartum phase grapple with pronounced anxiety symptoms, often overshadowing the symptoms of depression.

Postpartum depression (PPD) is a mood disorder that affects women after childbirth. It is characterized by feelings of sadness, anxiety, and exhaustion that can interfere with a mother’s ability to care for herself and her baby.

Onset: Typically arises within the first few weeks after childbirth, but can appear at any point within the first year.
Symptoms: Persistent feelings of sadness, hopelessness, and worthlessness, difficulty bonding with the baby, and overwhelming fatigue.

Potential Causes: A combination of physical changes, hormonal shifts, and emotional adjustments.

Treatment: Therapy, medication, and support groups can help manage symptoms.

Prevalence: Affects approximately 1 in 7 women after childbirth.

PPA (Postpartum Anxiety) is a condition where new mothers experience excessive worry, restlessness, and nervousness after giving birth. Unlike postpartum depression, it focuses more on anxious thoughts and behaviors rather than depressive symptoms.

Onset: Can begin during pregnancy or arise within the first year after childbirth.

Symptoms: Constant worry, racing thoughts, disturbances in sleep and appetite, and physical symptoms like dizziness or hot flashes.

Potential Causes: Hormonal changes, previous anxiety disorders, and the stress of a new baby can contribute.

Treatment: Cognitive-behavioral therapy, medication, and relaxation techniques can be effective.

Prevalence: While exact numbers vary, it’s believed that postpartum anxiety might be even more common than postpartum depression.

Postpartum Obsessive-Compulsive Disorder (OCD) is a condition where new mothers experience unwanted and intrusive thoughts, often centered around the baby, accompanied by compulsive behaviors or mental acts. It’s a specific form of OCD that arises after childbirth.

Onset: Usually appears within weeks after delivery but can develop anytime within the first year postpartum.

Symptoms: Intrusive, often disturbing thoughts about harm coming to the baby, compulsive behaviors like repeatedly checking on the baby, and avoidance of certain situations or triggers.

Possible Causes: Hormonal changes, increased responsibility of caring for a newborn, and previous OCD tendencies can contribute.

Treatment: Cognitive-behavioral therapy, exposure and response prevention, and sometimes medication.

Prevalence: Estimates suggest that around 3-5% of new mothers may experience symptoms of postpartum OCD.

4. Postpartum Psychosis

Postpartum psychosis is a rare and severe mental illness that can occur after childbirth, characterized by a sudden onset of psychotic symptoms. It is a medical emergency and requires immediate attention due to the potential risk to both the mother and the baby.

Onset: Symptoms typically emerge within the first two weeks after delivery.

Symptoms: Hallucinations, delusions, extreme mood swings, confusion, and disorganized behavior.

Possible Causes: While the exact cause is unknown, factors like hormonal changes, sleep deprivation, and a history of bipolar disorder or previous postpartum psychosis can contribute.

Treatment: Hospitalization is sometimes required, along with antipsychotic medications, mood stabilizers, and sometimes electroconvulsive therapy (ECT).

Prevalence: Occurs in approximately 1 to 2 out of every 1,000 deliveries, making it much rarer than other postpartum mood disorders.

Factors Influencing PMADs

Women's Mental Health

Therapy for Postpartum Mental Health doesn’t indicate “failing parenthood”. Instead, it’s important to recognize how common it is and remember that mental health challenges don’t discriminate; they can affect individuals across all demographics. However, certain environmental stressors can make some more susceptible to these mental health challenges:

  • Hormonal shifts during and post-pregnancy
  • Personal or familial history of depression or anxiety
  • Past instances of alcohol or drug misuse
  • Continuous life stressors
  • Complicated pregnancies or post-birth hospitalization of the baby
  • Insufficient social support

Duration & Implications of Unaddressed

The span of postpartum depression can differ among individuals. Some might find relief from therapy for postpartum challenges within weeks, while others might grapple with symptoms for extended periods. But with the right treatment, healing is not only achievable, but probable.

Unaddressed PMADs can ripple through the family. New parents battling these disorders might find bonding with their newborn challenging, potentially affecting the baby’s growth and development. Older siblings might feel neglected, heightening their risk for academic or behavioral issues. Moreover, untreated PMADs can strain familial relationships, amplifying stress.

Prioritize getting therapy for postpartum mental health in New Jersey

Navigating the maze of perinatal mental health becomes smoother with the guidance of a specialized therapist. Engaging in  our online therapy in New Jersey can help individuals:

  • Address depression
  • Combat anxiety
  • Manage anger or irritability
  • Counter paranoia
  • Regulate mood fluctuations
  • Boost Coping Skills
  • Address marital challenges as needed

how online therapy helps new parents reclaim their happiness

While various therapeutic techniques cater to perinatal mental health, Cognitive Behavioral Therapy (CBT) and Interpersonal Psychotherapy stand out for their efficacy. These strategies delve into the unique challenges of new parenthood, rectify counterproductive thought processes, and nurture social connections, facilitating holistic wellbeing.

Cognitive Behavioral Therapy (CBT)

CBT empowers individuals to pinpoint and rectify detrimental thought cycles and behaviors linked to PMADs. By confronting these cognitive distortions and adopting pragmatic coping mechanisms, parents can better handle the stresses of childrearing, reducing anxiety and bolstering mental health. Therapy for postpartum mental health remains evidenced based in practical applications.

Interpersonal Psychotherapy

This type of therapy for postpartum mental health focuses on the enhancement of interpersonal relationships and social support—crucial during the perinatal phase. By addressing communication barriers and role transitions, it fosters healthier connections and robust support networks, promoting emotional resilience.

Tailored Therapy & Assistance

Specialists in PMADs offer specific therapeutic interventions for postpartum mental health needs. Our experienced therapists in New Jersey will factor in past mental health, relationship dynamics, and social support structures. This approach ensures therapy is effective, nurturing, and attuned to the client’s needs.

Let Therapy For Postpartum Mental Health serve you & your family

Professional Help Is Here

If the journey of pregnancy or the initial postpartum year has been emotionally taxing, you’re in the right space. PMADs can manifest in varying intensities, making timely intervention pivotal.


Remember, the insights shared here aren’t a replacement for medical counsel. If you’re concerned about your emotional health, we urge you to consult a healthcare expert.

Embark on your healing journey. Reach out to us today and book an appointment. We’re here, championing your path to recovery and holistic wellbeing.

Battling postpartum depression, anxiety, or any PMADs? You’re not alone. Mind by Design Counseling offers virtual postpartum therapy and in-home services for homebound new parents. If you’re based in Middlesex County or Monmouth County, New Jersey, our professionals can offer in-home sessions, should you prefer.

Schedule a Free Discovery Call Today!

FAQ's about
Therapy for Postpartum Depression & more

Postpartum depression is a severe form of depression occurring after childbirth, characterized by persistent sadness, lack of interest, and other emotional and physical symptoms.

You should feel like you’re making progress. Signs it’s working include:

  • Feeling comfortable talking to your therapist
  • Your therapist respects boundaries
  • You’re moving towards your goals
  • You feel listened to
  • You’re feeling better in day-to-day routine
  • Your self-esteem is getting better

Counseling, especially techniques like CBT and IPT, helps at-risk women cope with emotional challenges, thereby reducing the incidence of PPD.

Women with a history of depression, stressful life events, lack of support, and complications during pregnancy or childbirth are at higher risk.

Yes, PPD may impact the bonding process, but effective counseling can significantly improve this aspect as well as positive personal supports and awareness of your own personal challenges. Mom’s who struggle to bond with their baby aren’t bad mom’s! It’s important to recognize that bonding and love are not the same.

Yes, postpartum depression is a common condition, affecting approximately 1 in 7 women. However, the severity and duration can vary significantly.

Showing up is all that you need to do! But if you really want to get the most out of session, it could help to take some time to think about what you want from therapy. It helps to write down your goals, questions you have or things that you feel are important to share.

If untreated, postpartum depression can last for many months, however many women find that the intensity of postpartum symptoms significantly decreases one they are met with the appropriate supports they need. 

While not all cases can be prevented, counseling and support can significantly reduce the risk and severity of postpartum depression, especially in women identified as at-risk. Knowing ahead of time what challenges may arise allow women and their partners to feel less caught off guard by mental health needs and have a more positive and pro-health response to these needs

It depends on your goals. Expect questions about your thoughts, feelings, relationships, work, school, and health. They’ll ask to understand your therapy goals.

Yes, physical symptoms can include changes in appetite or weight, sleep disturbances, decreased energy, and physical aches or pains not related to child birth.

Family members can offer support by being understanding, helping with childcare and household tasks, encouraging her to seek counseling, and being patient as she goes through her recovery process.