Postpartum Counseling
Postpartum Depression & Anxiety
Evidence-based therapy for the mood and anxiety changes that can show up any time in the first year (and beyond).
Postpartum depression and anxiety are common — up to 1 in 5 birthing parents experience a perinatal mood or anxiety disorder — and they are highly treatable. What they are not is a character flaw, a sign you don't love your baby, or something you should have to white-knuckle through alone.
In sessions, we make space for what you're actually feeling, sort out what's a normal adjustment versus what deserves clinical attention, and build a plan that fits your life — including coordination with your OB, midwife, or psychiatrist when medication is part of the picture.
Signs it may be time to reach out
- Sadness, numbness, or crying that hasn't lifted after the first couple of weeks.
- Anxiety, racing thoughts, or intrusive images that scare you.
- Rage or irritability that feels out of character.
- Trouble sleeping even when the baby sleeps — or wanting to sleep all day.
- Feeling disconnected from your baby, your partner, or yourself.
- Any thoughts of harming yourself or your baby — please reach out today.
Free resources & links
Vetted, no-cost resources you can explore on your own time. Links open in a new tab.
- Postpartum Support International (PSI)Free helpline, provider directory, and support groups for perinatal mental health.
- PSI HelpLine — 1-800-944-4773Call or text for support (text 800-944-4773 in English, 971-203-7773 in Spanish).
- 988 Suicide & Crisis LifelineFree, confidential support 24/7 if you're in crisis or thinking of hurting yourself.
Common questions
- How is postpartum depression different from the baby blues?
- The baby blues usually resolve within about two weeks and involve tearfulness and mood swings tied to hormonal shifts. When symptoms are more intense, longer-lasting, or interfere with daily functioning, we're likely looking at a postpartum mood or anxiety disorder — and support helps.
- Do I have to stop breastfeeding to take medication?
- In most cases, no. Many medications used for postpartum depression and anxiety are considered compatible with breastfeeding. Any medication decision is made with your prescribing provider — I'll help you think it through and coordinate care.
Rather just talk to Alexia?
Send a short note and Alexia will reach out to schedule a free 15-minute consult. Your information stays private.