Postpartum Therapy in Chicago

Identity-affirming and neuro-affirming care in an inclusive environment in Logan Square and Avondale

Woman in bed representing postpartum depression

WHAT HAVE WE DONE?!

The postpartum phase can be overwhelming; therapy can help!

Where to begin with the postpartum period? It can be a roller coaster: joy, tears, confusion, testing reflexes when the first blowout occurs. Adjustments abound. Relationships shift. Day becomes night, night becomes… a potentially anxiety-inducing time of feeding, not sleeping, and checking baby’s breathing. After the meal train ends, isolation and sadness can creep in.

Having a nonjudgmental therapy space to discuss all of these adjustments, feelings, and experiences can be incredibly supportive for both birthing and non-birthing partners.

Therapists at Common Thread Counseling Chicago can help differentiate between a typical baby blues experience and a perinatal mood and anxiety disorder, like depression, anxiety, or OCD.

Postpartum conditions that therapy can help with include:

Postpartum Depression vs. Baby Blues

Postpartum depression is a common disorder experienced up to a year after birth, though studies have shown it can surface years after.

You may have postpartum depression if you have:

  • intense feelings of sadness

  • despair

  • difficulty bonding with the baby

  • irritability

  • are withdrawing from friends and family

  • fatigue (beyond normal new parent fatigue)

Postpartum depression differs from baby blues in that it is a mood disorder that can start any time in the perinatal period and can last for months to years if left untreated.

Baby blues are related to the intense drop in hormones after birth, include oscillating mood swings, typically starting 2-3 days after birth, and last around two weeks.

Hand at window representing isolation from postpartum depression
Baby in crib representing a common fear of safety in postpartum anxiety

Postpartum anxiety

Postpartum anxiety can feel like a million tabs open in the brain. It can be difficult to differentiate between typical new parent worries (Did the baby eat enough? Why are his nails so sharp? Why do they keep staring at the ceiling fan?) and postpartum anxiety.

Postpartum anxiety is typically more intense than typical parent worry, has a longer duration, impacts concentration and sleep, and does not go away with reassurance (like after a doctor’s appointment).

Postpartum anxiety often includes:

  • racing heart

  • stomachaches

  • muscle tension

  • constant worry over the baby’s safety

  • ruminating over details

  • trouble concentrating

  • brain fog

  • feeling disconnected

  • irritability

If this sounds like you, Common Thread Counseling can help.

Postpartum OCD

Postpartum OCD is unwanted (intrusive), distressing thoughts about harm coming to the baby.

A majority of birthing people and their partners have intrusive thoughts.

When the thoughts lead to anxiety, avoidance, and distress, they can interfere with daily functioning and wellbeing.

Intrusive thoughts could center around contamination or harming the baby. These thoughts can be incredibly difficult to talk about because of how disturbing the content is and shame it brings up; a perinatal therapist, like at Common Thread Counseling Chicago is able to recognize an intrusive thought and provide education on this experience instead of judgment.

Postpartum OCD is also very different from postpartum psychosis, in which the person could also be experiencing hallucinations, delusions, and confusion. Postpartum psychosis is a medical emergency, and is not treated through talk therapy and medication management alone.

Bathtub representing a common OCD fear new moms experience

Postpartum Post-Traumatic Stress Disorder

Postpartum PTSD shares the same symptoms as PTSD, such as:

  • flashbacks

  • nightmares

  • avoidance

  • mood changes

PPTSD can lead to a parent having difficulty bonding with their baby, isolating from others, and exacerbating symptoms of anxiety and depression.

PPTSD can result from a traumatic labor and delivery, such as unwanted interventions, feeling helpless, perceived fear of death or injury to baby or birthing person, or from a prior trauma being triggered by labor and delivery.

PPTSD can be experienced by both the birthing person and their partner.

Mom holding baby after birth representing potential traumatic labor and delivery

Our Approach to Therapy for Postpartum

Postpartum therapy can help both parents with mood changes, emotional regulation, and major adjustments.

We incorporate:

Cognitive Behavioral Therapy (CBT): to assist you with identifying and replacing negative thought patterns and behaviors

Interpersonal Therapy (IPT): tools to increase healthy communication and support within your relationships.

Acceptance and Commitment Therapy (ACT): increasing psychological flexibility and acceptance of difficult emotions, values clarification and what really matters to you

Postpartum counseling can assist with processing traumatic experiences using narrative therapy and strengths-based techniques.

We can also discuss the experience of matrescence and parenting challenges throughout the lifespan.

 An important part of perinatal therapy can be medication management and being connected with the correct prescriber. If you would like, we can help connect you with a reproductive psychiatrist, who specifically works with people in the perinatal period. 

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