Postpartum Depression Support
Welcoming a baby can bring joy—but it can also bring exhaustion, overwhelm, and emotions you didn't expect. If you're feeling anxious, down, disconnected, or just not like yourself, you're not alone.
We offer compassionate support for postpartum depression, tailored to your unique experience. Whether you're a first-time mom or adding to your growing family, we're here to help you feel more like you again—one step at a time. Together, we'll help you feel more like you again. Our comprehensive new mom program in Austin addresses postpartum depression alongside anxiety, overwhelm, and identity shifts that many new mothers experience.
§What is Postpartum Depression?
Postpartum depression (PPD) is a serious mood disorder affecting 1 in 7 new mothers in the United States. Unlike the "baby blues" that typically resolve within two weeks, postpartum depression involves persistent symptoms that interfere with daily functioning and your ability to care for yourself and your baby.
→Common Symptoms
Persistent sadness, hopelessness, or feeling empty
Loss of interest in activities you used to enjoy
Difficulty bonding with your baby
Severe mood swings or irritability
Overwhelming fatigue or loss of energy
Changes in appetite (eating much more or much less)
Sleeping too much or inability to sleep (even when baby sleeps)
Intense anxiety, panic attacks, or intrusive thoughts
Difficulty concentrating or making decisions
Feelings of worthlessness, shame, or guilt
In severe cases, thoughts of harming yourself or your baby
→Risk Factors
History of depression or anxiety (before or during pregnancy)
Previous postpartum depression
Stressful life events during pregnancy or postpartum
Lack of social support
Relationship difficulties
Unplanned or unwanted pregnancy
Pregnancy or birth complications
Family history of depression or mental illness
History of trauma or abuse
§PPD vs Baby Blues vs Postpartum Psychosis
→Baby Blues (50-75% of new mothers)
Onset: 2-3 days after birth
Duration: Up to 2 weeks
Symptoms: Mood swings, crying spells, anxiety, irritability, feeling overwhelmed
Treatment: Usually resolves on its own with rest and support
→Postpartum Depression (10-15% of new mothers)
Onset: Within first year (often 1-3 months postpartum)
Duration: Can last months or longer without treatment
Symptoms: All baby blues symptoms PLUS severe interference with daily functioning
Treatment: Therapy, support groups, sometimes medication
→Postpartum Psychosis (0.1-0.2% of new mothers - RARE)
Onset: Usually within first 2 weeks postpartum
Duration: Medical emergency requiring immediate treatment
Symptoms: Hallucinations, delusions, confusion, paranoia, thoughts of harming baby
Treatment: Immediate hospitalization and psychiatric care
When to Seek Help: If symptoms last more than 2 weeks, interfere with caring for your baby or yourself, include thoughts of self-harm, or you're feeling unable to function, contact a mental health professional immediately.
§Treatment Approaches for Postpartum Depression
→Psychotherapy (Talk Therapy)
Our evidence-based therapeutic approaches include:
Cognitive Behavioral Therapy (CBT): Helps identify and change negative thought patterns that contribute to depression. Particularly effective for addressing guilt, shame, and distorted thinking common in PPD.
Interpersonal Therapy (IPT): Focuses on improving relationships and communication with partners, family, and support networks during this major life transition.
Maternal-Focused Therapy: Specialized approach addressing the unique challenges of early motherhood, including identity shifts, bonding concerns, and maternal role adjustment.
Many clients benefit from our structured 8-week postpartum therapy program that provides weekly support through the most challenging postpartum period.
→Support Groups
Connecting with other mothers experiencing postpartum depression can reduce isolation and provide peer validation. Our therapist-led support groups offer:
Shared experiences and mutual support
Practical coping strategies
Community connection
Reduced stigma and shame
→Medication
For moderate to severe PPD, medication may be recommended in addition to therapy. Options include:
SSRIs (Selective Serotonin Reuptake Inhibitors) - safe for breastfeeding mothers
SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)
Brexanolone (Zulresso) - FDA-approved specifically for PPD
We coordinate with your OB/GYN or psychiatrist to ensure safe, effective medication management.
→Lifestyle and Self-Care
While not treatments alone, these support recovery:
Prioritizing sleep when possible (sleep when baby sleeps)
Gentle movement and outdoor time
Nutrition and hydration
Asking for and accepting help
Limiting social media and comparison
Particularly effective for addressing guilt, shame, and distorted thinking common in PPD.
§What to Expect in PPD Therapy
→First Session (Assessment)
Comprehensive symptom evaluation
Risk assessment for you and baby's safety
Discussion of your support system
Medical history and current medications
Development of immediate safety plan if needed
Initial goal-setting
→Ongoing Sessions (Weekly or Bi-weekly)
Processing emotions and experiences
Learning coping strategies for symptoms
Addressing relationship challenges
Developing self-care routines
Monitoring medication effects (if applicable)
Bonding and attachment support
→Treatment Duration
Most mothers see significant improvement within 8-12 weeks of consistent treatment. However, every mother's journey is unique. We'll regularly reassess your progress and adjust the treatment plan as needed.
However, every mother's journey is unique.
§Why Choose Bloom Psychology for PPD Treatment?
→Specialized Expertise
Dr. Jana Rundle is a Perinatal Mental Health Certified (PMH-C) therapist with extensive training in postpartum mood disorders. Unlike general therapists, we understand:
The biological, hormonal, and psychological factors unique to postpartum
The identity shift of becoming a mother
The challenges of infant care while managing depression
Cultural expectations around motherhood and "perfect" parenting
→Flexible Treatment Options
In-Home Sessions: We bring therapy to you, eliminating childcare barriers and transportation challenges during the demanding newborn phase.
Telehealth: Secure video sessions from anywhere in Texas, perfect for mothers who prefer privacy or have mobility limitations.
In-Office Care: Our North Austin office (13706 N Highway 183, Suite 114) offers a peaceful, private setting with nursing/pumping privacy and changing facilities.
→Comprehensive Care Coordination
With your permission, we collaborate with:
Your OB/GYN for medication management
Your pediatrician for infant wellness
Lactation consultants
Doulas and postpartum support specialists
Family therapists if needed
→Austin's Postpartum Mental Health Specialists
Serving North Austin, Round Rock, Cedar Park, Georgetown, Pflugerville, and all of Texas via telehealth.
Your Path to Recovery
Prompt Assessment
Begin with a thorough evaluation to understand your specific symptoms, risk factors, and support needs, with priority scheduling for postpartum concerns.
Multi-Faceted Care
Receive a personalized treatment plan that may include individual therapy, medication coordination, support groups, and family involvement.
Gradual Healing
Experience progressive symptom relief while developing long-term resilience and bonding strategies with your baby.
Key Benefits
Symptom Relief
Reduce depression, anxiety, irritability, and intrusive thoughts with proven therapeutic techniques.
Maternal Identity
Reconcile expectations with reality while developing confidence in your unique mothering style.
Infant Bonding
Strengthen connection with your baby through guided interaction and attachment exercises.
Relationship Support
Navigate changes in partnerships and family dynamics during this vulnerable transition.
Self-Care Integration
Develop realistic, sustainable self-care practices that fit within your new family reality.
Peer Connection
Combat isolation through optional peer support groups with other postpartum women.
Frequently Asked Questions
We're here to answer your questions about this service.
How do I know if I have postpartum depression versus "baby blues"?
Baby blues typically fade within two weeks after birth and don't severely interfere with your ability to function. Postpartum depression involves more persistent and intense symptoms lasting beyond two weeks that make it difficult to care for yourself or your baby. If you're unsure, we offer rapid screening (often same-day) to determine appropriate support.
Can I bring my baby to therapy sessions?
Absolutely. We design our postpartum sessions with the understanding that your baby may be present and may need attention during our time. Our office has changing facilities, feeding privacy, and soothing options. In-home sessions make this even easier.
Do you coordinate with my medical providers?
With your permission, we collaborate closely with your OB/GYN, midwife, pediatrician, or psychiatrist to ensure comprehensive care. This is especially important if medication is part of your treatment plan or if there are concerns about your or baby's wellbeing.
What if I'm having thoughts of harming myself or my baby?
If you're experiencing these thoughts, please call us immediately for an emergency appointment. These symptoms can be successfully treated with prompt intervention. Thoughts of harm are a symptom of severe PPD, not a reflection of your love for your baby or your character as a mother. If you're in immediate crisis outside of business hours, call 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.
How long does PPD treatment take?
Most mothers see significant symptom improvement within 8-12 weeks of consistent treatment combining therapy and (when appropriate) medication. However, full recovery can take several months. The timeline varies based on symptom severity, support systems, and individual factors.
Will I have to take medication?
Not necessarily. Mild to moderate PPD often responds well to therapy alone. Medication is typically recommended for moderate to severe symptoms, especially if therapy alone isn't providing sufficient relief. All medication decisions are made collaboratively between you, your therapist, and your prescribing provider.
Can PPD come back with future pregnancies?
Women who've experienced PPD have a 30-50% risk of recurrence with subsequent pregnancies. However, with early intervention, strong support systems, and sometimes preventive treatment, many mothers have healthier postpartum experiences in later pregnancies. We offer pre-conception counseling for mothers planning future pregnancies after PPD.
Does insurance cover postpartum depression therapy?
Dr. Rundle is considered an out-of-network provider on all insurance panels. We provide detailed Super Bills for you to submit to your insurance for reimbursement if you have out-of-network mental health benefits. Many plans cover a significant portion of therapy costs.
What if my partner thinks I'm "just tired" or "need to try harder"?
Postpartum depression is a medical condition, not a character flaw or a matter of willpower. Educating partners about PPD is often part of treatment. We offer partner sessions to help your support system understand what you're experiencing and how they can best help.
Can I breastfeed if I'm being treated for PPD?
Yes. Many mothers successfully breastfeed while receiving therapy for PPD. If medication is recommended, we work with your prescribing provider to choose medications with well-established safety profiles for breastfeeding mothers. The decision to continue, modify, or stop breastfeeding is always yours.
Ready to Begin Your Journey?
Take the first step toward healing and growth with a free 15-minute consultation. Join our supportive community and access ongoing therapeutic care.