Best Online Counseling for Postpartum Depression

Postpartum Support International is our top choice for online counseling for PPD

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The postnatal period can be incredibly stressful, as birthing parents recover from childbirth while simultaneously caring for a newborn infant. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) indicates that 3% to 6% of people experience postpartum depression following birth; however, an analysis of available research suggests the true prevalence is more than 17%. Postpartum depression can be scary and difficult to talk about, and it is important that people struggling with these symptoms have access to help and support.

Online therapy and other services are a great resource for people with postpartum depression if they are unsure where to start or nervous about disclosing their symptoms for the first time. We reviewed various platforms that offer support for people struggling with postpartum depression and determined which services offered affordable, user-friendly, competent services.

Best Online Counseling for Postpartum Depression of 2022

Best Overall : Postpartum Support International


Postpartum Support International

Postpartum Support International

Why We Chose It

Postpartum Support International (PSI) offers support to individuals and families around the world struggling with postpartum depression. It offers a huge variety of services, including support groups, referrals for therapy services, free informational phone sessions, and a 24/7 helpline. It provides services that tailor to a variety of groups and emphasizes culturally competent care.

Key Specs

  • Cost: Service costs vary; many free options are available
  • Platforms Available: Video support groups, phone support, therapy referrals
  • Insurance Accepted: No

Pros & Cons

Pros
  • Wide variety of services available

  • Free hotline and phone sessions

  • Resources specific to many populations

  • Support available in English and Spanish

  • Peer mentorship and support available

Cons
  • Provider directory does not have therapists available in some rural areas

  • Does not directly provide therapy services

  • Does not provide psychiatric services

Overview

Postpartum Support International offers a variety of resources that are available around the world. It specifically provides support and resources for individuals and families struggling following childbirth.

The organization provides free educational materials as well as events and resources to raise awareness about postpartum depression. It offers a free guidebook for anyone looking to raise awareness and offer support in their local community.

Postpartum Support International has support groups for new parents as well as grief and loss groups for those who need it. It has a free weekly phone session anyone can join to receive support as well as information about services available. Additionally, it has peer support programs so users can receive support from others going through similar experiences. Although it does not directly offer therapy services, it has a directory of providers specifically trained and credentialed in postpartum support services.

Services through Postpartum Support International take into account everyone’s different backgrounds and life experiences. For example, support services are available in both Spanish and English, for families who have undergone the adoption process, and for parents who have been incarcerated. In addition, the website indicates that Postpartum Support International emphasizes culturally competent support and working with LGBTQ+ individuals.

Plans & Prices

Because Postpartum Support International provides a directory to find therapists but does not offer therapy directly, the plans, prices, and insurance acceptance vary by provider. Each profile includes information about the provider’s expertise and training, as well as contact information to learn more about payment plans and methods of payment accepted.

Best Live Chat : 7 Cups


Why We Chose It

7 Cups offers active listening and support to all individuals, both those with diagnosable mental health issues and those who simply need to talk through the life stressors faced by all people. While 7 Cups employs licensed therapists for ongoing support with its subscription service, users can also talk with trained listeners at any time. Live chat with trained listeners is available for free.

Key Specs

  • Cost: $150/month
  • Platforms Available: Chat
  • Insurance Accepted: No

Pros & Cons

Pros
  • Community forum and live chat available

  • Therapy and supportive listening available

  • Connect with a therapist within 24 hours of signing up

  • Unlimited messaging with your therapist

Cons
  • Only chat-based therapy is available

  • Therapists are only available on weekdays

  • Trained listeners are not licensed therapists

Overview

For those who are anxious or uncomfortable about video or phone chats, 7 Cups provides chat-based services. You can share at your own pace and re-read your messages before sending them, and there is no need to schedule sessions. This flexibility is particularly good for new parents who are recovering from birth while caring for a newborn. Users can message their therapist at any time, and therapists respond to messages on weekdays. Users can review chats at any time to re-visit things they have shared as well as the therapist’s response. Therapists on 7 Cups also post blogs about various mental health topics.

7 Cups has trained volunteers who can engage in live chat at any time when they need additional support, as well as a discussion forum for peer support. It is important to note that the online forum is not confidential, as other users will be able to see posts. However, you can post under an anonymous user name. Users can post about any topic and find threads that relate to their experiences.

Plans & Prices

Live chat with trained listeners on 7 Cups is free. Although this is not a substitute for therapy, it can supplement ongoing therapy services or allow people to get support and talk through stressors.

For those who need therapy services, users can match with a licensed mental health professional through the subscription service for $150 per month.

Best Peer-to-Peer Support Groups : Circles


Why We Chose It

Circles offers group therapy services for a variety of presenting concerns, and users are matched to a group that they will meet with on a weekly basis for support. In addition to these scheduled groups, users can chat between sessions as needed. Users also can speak with their facilitators individually in between sessions or before starting the group to ensure they are comfortable.

Key Specs

  • Cost: $79/month
  • Platforms Available: Video groups, phone calls with facilitators
  • Insurance Accepted: No

Pros & Cons

Pros
  • First month is free

  • Groups do not have a set end date

  • Phone calls with facilitators between groups available

  • Users matched to groups that fit their needs and concerns

  • Users meet with the same group each time

  • Users can be anonymous to other group members

Cons
  • Insurance is not accepted

  • Individual therapy is not provided

Overview

Group therapy can help people struggling with their mental health connect with others who have gone through similar experiences while also accessing support and competent services. When struggling with postpartum depression, you might feel alone or like others do not understand what you are going through. A group can make you feel less alone.

Circles connects users to a therapy group that meets their needs. When users sign up, they answer a series of questions about what they are experiencing, and the site offers words of support and recommendations for groups that might be a good fit, usually providing more than one option. If users do not feel the recommended group will meet their needs, they can request another group. Before joining, users can request a free phone consultation with the group facilitator to address any questions or concerns that they have.

Groups are open-ended, so users can continue using the service for as long as they feel they need the support. Circles offers support to users in all 50 states, with groups meeting at a consistent time each week to make scheduling convenient and predictable. According to its website, Circles’ groups use cognitive behavioral therapy techniques.

Although users need to provide their information for safety reasons and billing purposes, they can choose to be anonymous to other group members.

Plans & Prices

Circles users get the first month free so they can try out the service and see if it works for them. After the free trial, users pay $79 per month for weekly groups. Chat between sessions is free, and Circles has a library of free resources users can access at any time.

Best for Psychiatric Care With Prescriptions : Doctor on Demand


Doctor on Demand

Doctor on Demand

Why We Chose It

The decision to use medication to treat a mental health issue can be difficult, especially if a new parent is chestfeeding. Doctor on Demand provides both medication and therapy services, so your treatment team can work together to determine the best way to meet your needs and address any concerns you may have. Doctor on Demand provides flexible scheduling, can send prescriptions to any pharmacy, and offers urgent care services in case you cannot wait for an appointment.

Key Specs

  • Cost: Therapy costs $129-$179; psychiatry costs $299 initially and $129 for follow-ups
  • Platforms Available: Video
  • Insurance Accepted: Yes

Pros & Cons

Pros
  • Therapy, psychiatry, preventive care, and urgent care available

  • Accepts most health insurance

  • You choose your provider

  • Offers ASL interpreters

  • Sessions available seven days a week

Cons
  • No phone sessions available

  • Can be expensive if you are uninsured

Overview

Specialists with Doctor on Demand have an average of 15 years of experience and extensive training in postpartum depression treatment. They can diagnose and treat the symptoms of postpartum depression, addressing the therapeutic and psychiatric needs of each client. 

Doctor on Demand does not offer subscriptions, so you pay only for the services you use. You can decide the frequency and length of your sessions, which are available seven days per week, so you can have appointments at your convenience.

Psychiatrists with Doctor on Demand can prescribe mood stabilizers and antidepressants, but they do not prescribe controlled substances, including stimulants and benzodiazepines. However, antidepressant medication can treat symptoms of postpartum depression and reduce the probability that high-risk individuals will develop symptoms. Since antidepressants typically are safe to take during pregnancy or while chestfeeding, this treatment option is accessible to many parents.

With Doctor on Demand, you choose your provider, so you can review profiles and determine who is the best fit for you. In addition to psychiatry and therapy, it provides urgent care services seven days per week. If you require a non-emergency, urgent session, you can make an appointment through its website.

Plans & Prices

Doctor on Demand works with most employers and most health insurance plans. Its service costs are:

  • $75 for a 15-minute consultation with a physician
  • $299 for an initial 45-minute consultation with a psychiatrist
  • $129 for a 15-minute followup with a psychiatrist
  • $129 for a 25-minute therapy session
  • $179 for a 50-minute therapy session

Best Following Pregnancy Loss : Star Legacy Foundation


Star Legacy Foundation

Star Legacy Foundation

Why We Chose It

Approximately one in four people experience at least one pregnancy loss in their lifetime. This is a common, painful experience that often goes undiscussed, making it difficult to get support. Star Legacy Foundation aims to reduce stigma and allow those going through pregnancy loss to receive support.

Key Specs

  • Cost: Free
  • Platforms Available: Video
  • Insurance Accepted: N/A

Pros & Cons

Pros
  • Groups free to attend

  • Services available in English and Spanish

  • Educational resources available

Cons
  • Because groups are open-ended, participants might change over time

  • Chapters for direct involvement are available in only 15 states

Overview

Star Legacy Foundation offers support groups for parents following miscarriage, stillbirth, or death of a baby. Groups meet via video and are open-ended, so participants can participate for as long as they feel they benefit from the group. Groups are scheduled at consistent times, and participants receive reminders via email. All of Star Legacy Foundation’s groups are facilitated by trained mental health professionals, and groups are available in both English and Spanish.

Groups offered include Bereaved Parents, Pregnancy After Loss, Coping SIDS, Dads Discussion Group, and a group for extended family members. You can register for the group that best fits your experience and needs, or register for a different group as your needs change. Groups are available in all 50 states, with attendees participating via encrypted video. You can participate as much as you feel comfortable sharing.

In addition to support groups, Star Legacy Foundation offers support and education resources for individuals and families who have experienced pregnancy loss. Those who live near an official chapter can participate in educational and supportive events. They also contribute to research initiatives to help prevent future pregnancy loss.

Plans & Prices

Support groups through Star Legacy Foundation are free for all attendees.

Most Affordable Without Insurance : Online-Therapy


Online-Therapy.com Review

Online-Therapy.com

Why We Chose It

Online-Therapy offers three subscription plans, so you can choose one that best fits your financial needs. It does not accept insurance but will provide an itemized list, so users can request reimbursement. In addition to therapy services, Online-Therapy offers various mindfulness, education, and self-guided therapeutic exercises users can complete at their own pace, as well as evidence-based treatment for mood disorders, including postpartum depression.

Key Specs

  • Cost: $50–$110/week
  • Platforms Available: Video, telephone, chat, messaging
  • Insurance Accepted: No

Pros & Cons

Pros
  • 3 subscription plans available

  • 20% off the first month

  • Self-guided resources available

  • Video and phone sessions available

  • Messaging with therapist available

Cons
  • Does not accept insurance

  • Basic plan does not include therapy sessions

  • Sessions on the weekends are not available

Overview

Therapy services can be expensive and unaffordable without insurance. Online-Therapy provides different levels of service with affordable options. In addition to therapy services, the platform includes prompts to improve mindfulness, insight, and coping skills. Users can access various resources to enhance their treatment, and you can change your subscription at any time based on your needs and financial resources.

When you sign up, Online-Therapy assigns you a therapist based on your reported needs, though you can request a male or female therapist based on your comfort and preference. All therapists use cognitive behavioral therapy and an eight-week program to help address anxious and depressive symptoms. This evidence-based and time-limited approach can help alleviate symptoms in an affordable way. However, Online-Therapy also offers users the flexibility to stay in the program for as long as they feel it is beneficial.

Therapists are available Monday through Friday and will answer messages on weekdays. However, resources, worksheets, and self-guided resources are available all the time. You can download and save these resources to your device for use at any time.

Online-Therapy is available in all 50 states and in several countries.

Plans & Prices

Online-Therapy offers three subscription services, ranging from $50 to $110 per week. You get 20% off the first month that you use its services. It provides itemized lists for insurance reimbursement upon request, and you can pay for your subscription using a Health Savings Account. It offers three plans:

  • Basic: The Basic plan is $50 per week and includes worksheets, meditation activities, guided journaling, and unlimited messaging with a therapist.
  • Standard: The Standard plan is $80 per week, including everything in the Basic plan as well as one 45-minute session per week and unlimited messaging with your therapist.
  • Premium: For $110 per week, the Premium plan includes everything in the Standard plan, but with two 45-minute sessions per week as well as “express replies” to messages you send your therapist.

Best for Couples : Couples Therapy Inc.


Couples Therapy Inc. Review

Couples Therapy Inc.

Why We Chose It

Couples Therapy Inc. offers both weekly couples therapy sessions and intensive, therapeutic couples retreats. Clients in many states can seek services to improve their relationship. Both birthing and non-birthing parents can experience postpartum depression. The providers at Couples Therapy Inc. can assess whether the stress and adjustment of the new baby go beyond what is typical, as well as provide ongoing support to get through the difficult time.

Key Specs

  • Cost: Therapist fees vary; weekend intensives cost $3,500 to $6,500
  • Platforms Available: Weekend intensive retreats, online therapy, in-person therapy
  • Insurance Accepted: No

Pros & Cons

Pros
  • Weekend intensives or ongoing therapy available

  • Free self-guided course

  • Online and in-person options available

  • Specialization in many common couple issues

Cons
  • Does not take insurance

  • Not available everywhere

Overview

Postpartum depression can put stress on a relationship. When one parent is experiencing Postpartum depression, the other parent might struggle with how to provide support or how to be there for that parent. In addition, if both parents are struggling following the birth of their child, they might not be able to support each other in addition to working through their own symptoms. Couples therapy can be an important component of treating postpartum depression.

Couples Therapy Inc. has therapists in several states who can offer this support. Depending on your family’s needs, you can attend an intensive weekend retreat to improve your relationship, or you can participate in ongoing, weekly sessions, either in person or online.

In addition to postpartum depression, Couples Therapy Inc. can help couples overcome infidelity, improve their sex life, and make decisions about whether or not to get divorced. Postpartum depression can cause many issues or exacerbate pre-existing tensions in a relationship, so this additional expertise can be important. Plus, Couples Therapy Inc. offers Hopeful Spouse counseling, also known as “couples counseling for one.” Individual members of the couple can meet with a therapist to address what they might be bringing to the relationship.

Couples Therapy Inc. has a self-guided, free course that couples can complete at their own pace. The course can supplement ongoing couples therapy or provide resources and communication skills for their relationship.

Plans & Prices

The website for Couples Therapy Inc. states that ongoing session rates vary based on the therapist. Because couples therapy is typically not covered by health insurance, the company does not bill your insurance company.

The intensive weekend retreats offered by Couples Therapy Inc. cost between $3,500 and $6,500.

Best for User Experience : Amwell


Why We Chose It

Amwell offers specialized support for people experiencing postpartum depression, anxiety, grief, stress, or “baby blues” that do not meet the criteria for postpartum depression. It provides video sessions, with both therapy and psychiatric services available. Its platform is easy to use and intuitive, and its therapy services are discounted for pregnant and postpartum clients.

Key Specs

  • Cost: $79- $279 per session
  • Platforms Available: Video
  • Insurance Accepted: Yes

Pros & Cons

Pros
  • Therapy and medication management available

  • Accepts most insurance plans

  • Expertise in a wide variety of postpartum-related issues

  • Couples therapy offered

  • Sessions available seven days a week

Cons
  • No free trials, consultations, or discounts

  • Expensive if you are uninsured

Overview

Amwell provides online therapy services to all 50 states and offers specialized counseling for those dealing with postpartum issues. In addition to postpartum depression and anxiety, providers treat “baby blues” and less severe postpartum stress. It helps with fertility issues, relationship stress, sleep issues, and bereavement following pregnancy loss. Both individual and couple therapy sessions are available.

In addition to therapy services, Amwell employs prescribers who can help with medication management for postpartum depression. It does not prescribe controlled substances such as stimulants but can prescribe antidepressants and mood stabilizing medications.

Amwell also has providers available for pregnancy and postpartum medical treatment. Sessions are available at any time that fits your schedule. Its platform is user-friendly and easy to use and is adaptable even if you have slow internet or low bandwidth. The website’s frequently asked questions platform includes educational information for a variety of concerns and topics.

Plans & Prices

Most therapy services offered through Amwell are $109 for a session with a masters level clinician and $129 per session with a doctoral-level clinician. However, therapy services for pregnancy and postpartum issues are discounted and cost $79 to $625 per session. Since Amwell accepts health insurance, your cost for care might be lower depending on your coverage, and you might only owe a copay. Contact your insurance provider for information about your coverage.

Best Free Service : The Online PPD Support Group


Tapatalk

Tapatalk

Why We Chose It

Therapy services are not affordable for everyone, and while peer support is not a substitute for traditional therapy, it can be helpful. The Online PPD Support Group is a peer-run space where those struggling with postpartum depression can receive support from others who have gone through similar experiences.

Key Specs

  • Cost: Free
  • Platforms Available: Online forum
  • Insurance Accepted: N/A

Pros & Cons

Pros
  • More than 5,000 members to offer support

  • Community guidelines provide expectations for behavior

  • Wide variety of topics covered

Cons
  • Not a substitute for therapy services

  • The forum is public and can be viewed by anyone

  • Not moderated by licensed professionals

Overview

The Online PPD Support Group has forums for a variety of topics, including military support, obsessive-compulsive symptoms, birth stories, treatment options, and adoption. Administrators provide frequently asked questions and book and video recommendations for education.

Users can log in any time of the day or night to share what they are experiencing, and others can respond with support or advice. Your profile can be anonymous, and you only have to share information that you are comfortable disclosing. However, users should be aware that everything they post is publicly visible. Even people who are not registered users can view posts on the forum. This means your posts and replies are not confidential, and those who might not want to post their own story can learn from things that others have shared.

It is important to remember that peer support through an online forum is not therapy and cannot substitute psychotherapy treatment for postpartum depression. Users can normalize each other’s experiences and provide feedback about what has helped others, and this can help those adjusting to having a new baby or struggling with strong emotions after childbirth. Peer support has benefits but is not the same as receiving counseling from a trained and licensed mental health professional.

Plans & Prices

The Online PPD Support Group is free to use, but users are welcome to make donations if they are able.

Final Verdict

Many options exist for online therapy and support if you are struggling with postpartum depression. Postpartum Support International won Best Overall because of the wide variety of services offered, referrals for individual therapy services, and support for a variety of populations. Support groups, free education, and culturally competent resources are available. Other platforms, including Amwell, offer individual therapy services that specialize in treating postpartum depression. However, the variety of services and reach of Postpartum Support International make it the best resource for those struggling with postpartum depression.

Peer support can be important in recovering from postpartum depression. Circles, the Star Legacy Foundation, and the Online PPD Support Group can provide supportive peer relationships to help with recovery.

Compare the Best Online Counseling for Postpartum Depression

Company Cost  Platforms Available  Insurance Accepted Free Consultation 
Postpartum Support International Best Overall Phone support is free  Video support groups, phone support, therapy referrals Depends on the therapist  N/A 
7 Cups Best Live Chat  $150/month  Chat  No  Free chat with trained listeners 
Circles Best Peer-to-Peer Support Groups  $79/month  Video groups, phone consults with facilitator  No  First month is free; free call with facilitator before first group 
Doctor on Demand Best for Psychiatric  Care with Prescriptions  $129-$179 per therapy session  Video  Yes  No 
Star Legacy Foundation Best Following a Pregnancy Loss  Free  Video groups  N/A  Yes 
Online-Therapy Most Affordable without Insurance  $50-$110 per week  Text, video  Provides itemized receipt for reimbursement  Discounted first month 
Couples Therapy Inc. Best for Couples  Therapy cost varies; intensives are $3,500-$6,500  Online, in person  No  No 
Amwell Best User Experience  $79-$279 per session  Video  Yes  No 
The Online PPD Support Group Best Free Service  Free  Online forum  N/A  Yes 

Guide for Choosing the Best Online Counseling for Postpartum Depression

How Is Postpartum Depression Treated Online?


Postpartum depression is a mood disorder that occurs when depressive symptoms or other mental health issues arise during pregnancy or following childbirth. As with other mood disorders, postpartum depression often can be treated with online therapy sessions.

Online therapy allows clients to be seen from anywhere, including their home, eliminating the need to travel for appointments and creating more flexibility in scheduling. Platforms that offer psychiatric services also can provide prescriptions for medication to treat your symptoms if appropriate.

While online therapy can help those struggling with postpartum depression, you might need in-person appointments if you experience psychotic symptoms or suicidal ideation.

Is Online Counseling for Postpartum Depression Right for You?


If you feel uncomfortable with online counseling, you can ask your therapist for a referral to a provider that you can see in person. You might want to try online sessions to see how you feel, but if this method of treatment delivery does not work for you, it is OK to see someone in person.

If you are experiencing depressed mood, fatigue, feeling like you are not connecting with your baby, or anxiety that you might hurt yourself or your baby, it is important to seek support. Postpartum depression is treatable, and help and support are available.

Comparing Online Counseling for Postpartum Depression


When choosing a provider to treat your Postpartum Depression, you might consider the following factors when you make your decision:


  • Cost: What is affordable for you? See what your insurance will cover and what fits within your budget.
  • Services: Do you want to see a therapist individually, or do you think a support group would better fit your needs? Do you want to pursue medication intervention for your symptoms? Look at what services are offered by various platforms when determining which is right for you.
  • Platforms: You might prefer phone sessions to video sessions, or you might want the option to send your therapist messages in between appointments. Choose a resource that offers the method of service you are comfortable with.
  • Flexibility: Depending on your schedule, you might need sessions offered in the evenings or on weekends. See what scheduling options are available when considering platforms.
  • Therapist Matching: Some programs match you to a therapist based on information that you provide, and others let you choose your own therapist. Matching systems might help narrow down your choice, but some people prefer to choose their own therapist.

Everyone has unique needs when it comes to their treatment. Decide what your priorities are, and choose a platform that fits with your treatment goals, comfort, and preferred method of service.

Frequently Asked Questions

Is Online Counseling for Postpartum Depression Effective?


Research has shown that online therapy, specifically online cognitive behavioral therapy, can offer comparable outcomes to in-person sessions for people coping with various forms of depression, like postpartum depression.

If you are experiencing psychotic symptoms, severe dissociation, or suicidal ideation, online therapy might not be appropriate. Talk to your provider about what services are best for your needs, and let them know if there are any changes to your symptoms.

How Much Does Online Counseling for Postpartum Depression Cost? (With Insurance vs. Without)


The cost of online counseling varies depending on what services you are using. Most subscription services for online counseling do not accept insurance, as health insurance plans typically cover specific services or appointments that you attended. Subscription services can vary from $60–$150 per month. Services for which you pay for each session can cost $100–$200 per session, though your insurance might cover some or all of the cost of sessions.

The cost of online therapy with insurance depends on your policy. You might owe a copay for each appointment, or you might have to pay a deductible out-of-pocket before insurance begins paying for your treatment. Contact your insurance company with questions about what is covered and what the out-of-pocket cost might be.

Can Online Counselors Prescribe Medication for Postpartum Depression?


Counselors and therapists provide therapy services, but they do not prescribe medication. Medication is prescribed by medical doctors, and depending on your medication needs, you might need to meet with a psychiatrist to receive medication for your postpartum depression symptoms. Online counseling platforms with general practitioners or psychiatrists might be able to provide prescription medications to treat postpartum depression.

Methodology

We looked at more than two dozen organizations, agencies, and platforms for this review. We prioritized resources that specialize in postpartum depression treatment or employ providers with this specialization. We also considered factors including price, flexibility of scheduling, variety of services offered, and user experience. Since education and peer support can be important resources for people struggling with postpartum depression, we prioritized organizations that provide this service.

Quality care, competency, and specialized expertise are essential in treating postpartum depression. Vetting resources for this is essential in ensuring that individuals and families get the care and support they need.

Sad Woman With Baby Lying On Bed At Home

Atipati Netiniyom / EyeEm / Getty Images

Article Sources

By Amy Marschall, PsyD
Dr. Amy Marschall is an autistic clinical psychologist with ADHD, working with children and adolescents who also identify with these neurotypes among others. She is certified in TF-CBT and telemental health.

Edited by
Simone Scully
simone-scully-verywell

Simone is the health editorial director for performance marketing at Verywell. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science.

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and
Ray Finch
Ray Finch

Ray is a special projects editor on the performance marketing team.

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