Best Online Therapy for Postpartum Depression

LifeStance is our top choice for online therapy 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.

New parents may have difficulty accessing care due to transportation and childcare issues, financial constraints, or feelings of shame or embarrassment about asking for support. Online therapy offers convenient, confidential help that clients can access from anywhere. We reviewed various platforms and resources that offer support for people with postpartum depression, as well as survey data from 105 users who tried each of these services. Based on that, as well as a good amount of supplemental research, here are our picks for online therapy for postpartum depression.

Best Online Therapy for Postpartum Depression of 2023

Why Trust Us
55
Companies reviewed
5,775
Total users surveyed
350
Data points analyzed
We surveyed 105 users from each online therapy company and asked the companies to complete questionnaires. Then, we tested the services ourselves, conducted comprehensive data collection research, and evaluated our results with the help of three licensed therapists.

Best Overall : LifeStance Health


  • Price: $75 to $300 per session, if paying out of pocket
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Children's Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

LifeStance Health is a newer therapy service that is growing quickly. Its areas of expertise include both perinatal and postpartum depression and related conditions, and it employs both therapists and prescribers. Users may have the option for in-person as well as telehealth sessions, allowing each client to access care tailored to their needs.

Pros & Cons
Pros
  • Accepts most insurance plans

  • In-person sessions as well as telehealth available

  • Psychiatry/medication management offered

  • You choose your therapist

Cons
  • Website does not indicate out-of-pocket rate

  • Not available in some states

Overview

LifeStance offers an extensive array of mental health services, including in-person and telehealth therapy; individual, family, and group services; medication management; and psychological assessments. It was founded with the vision of allowing each client to receive individualized services to meet their needs.

Some of LifeStance’s providers also specialize in postpartum concerns, including depression and anxiety. Its website even has free educational information about postpartum depression symptoms and treatment options.

Its assessment services, in particular, can help clients better understand their diagnosis and how their symptoms present. Each client has a unique experience even if their diagnosis is the same as someone else, so this individualized information can be invaluable in determining the best course of treatment.

Telehealth services can be appropriate to treat a variety of symptoms, but those experiencing active suicidal ideation or psychotic symptoms may require in-person care to ensure safety. Since LifeStance has in-person locations in addition to telehealth, it can offer flexibility to meet a wider variety of symptom presentations for those struggling postpartum.

At this time, LifeStance is available in 32 states and is working towards offering care nationwide. According to its website, LifeStance accepts most insurance plans and will work with your insurance to cover much or all of the cost of your care. However, it does not publish out-of-pocket costs of services for those without insurance.

Some clients have reported difficulty dealing with the billing department or customer service at LifeStance. Since it is a newer company, it may still be ironing out the kinks in this process. Regarding therapy services, 90% of users we surveyed reported that their providers’ qualifications were good to excellent.  Users also noted that LifeStance providers were responsive to their needs and responded quickly to messages and requests. Fifty-one percent said they’d still be seeing their LifeStance therapist six months from now.

Most Affordable Without Insurance : Brightside


  • Price: $95-$349
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Individual Therapy, Medication Management, Psychiatry
Why We Chose It

While Brightside is in-network with many insurance plans, it offers affordable subscription rates for those who do not have insurance too. Rates are affordable compared to the typical out-of-pocket cost of therapy or medication. It also has some discounts available, making it a great option for those who do not have insurance or cannot use insurance for their mental health care.

Pros & Cons
Pros
  • Progress tracker to show changes in symptoms over time

  • Free assessment

  • Medication management available

  • Unlimited asynchronous messaging with your provider

  • Free self-care lessons and self-guided therapeutic resources available

  • Discounts available

Cons
  • No family or couples therapy

  • No group therapy

  • Only treats anxiety and depression

Overview

Brightside Health is a platform that offers both individual therapy and medication management services and specializes in treating anxiety and depression, including postpartum concerns. Users start with a free assessment to determine whether Brightside is a good fit for their mental health needs, and they can sign up for one of three subscription options: medication only, therapy only, or both therapy and medication management.

Brightside’s website has free, self-directed self-care and mental health resources based on the tenets of cognitive behavioral therapy, which anyone can use to support themselves on their mental health journey. In addition, all clients have a symptom tracker that can help them see their progress and allow both the client and providers to quickly adjust treatment to meet unique needs, plus address side effects or symptoms.

All Brightside providers are trained in evidence-based treatment for anxiety and depression. In addition to regularly scheduled appointments, you can send your provider a message at any time to request an appointment, ask a question about your care, or request an adjustment in your treatment.

Of the users we surveyed, 86% reported having a generally positive experience overall with Brightside. Seventy-nine percent felt that most or all of their needs were met in their treatment, and 86% thought the qualifications of Brightside’s therapists were good to excellent. Seventy-four percent indicated that Brightside’s additional resources (such as the self-care courses and the symptom tracker) were good to excellent.

According to its website, Brightside is in-network with many insurance plans, so you may be able to get help covering the cost of your care. If you are uninsured or do not want to use your insurance, Brightside offers three subscription options:

  • Medication management: $95/month
  • Therapy: $299/month
  • Medication + therapy: $349/month

In addition, students can get a discount on their Brightside subscription.

Best Peer Support Groups : Circles


  • Price: $79 per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Peer Support
Why We Chose It

Circles offers group therapy services for a variety of presenting concerns, including postpartum depression, 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.

Pros & Cons
Pros
  • Free first week

  • 24/7 group chat

  • Option to be anonymous to other group members

  • Financial assistance available

  • Matching service to help you find the right group

Cons
  • Must attend all sessions, which can be difficult if your schedule changes

  • Only one plan option

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 help you feel connected to others experiencing similar struggles..

Circles connects users to a therapy group that meets their needs. When you sign up, you answer a series of questions about what you 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 you do not feel the recommended group will meet your needs, you can request another group. Before joining, you can also request a free phone consultation with the group facilitator to address any questions or concerns that you may have. According to its website, Circles’ groups use cognitive behavioral therapy (CBT) techniques, which are often used to treat symptoms of depression. 

While the groups offered change, at the time of writing this article, Circles is offering a group called Postpartum Depression During the Holidays, as well as a group for coping with any depressive disorder. Groups are open-ended, so you can continue using the service for as long as you feel you 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. 

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

Circles users get the first week 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.

Circles received high praise for its therapists, with 86% of the users we surveyed indicating the therapists on the platform are responsive and have good communication, and 81% saying that the variety of providers available is very good or excellent. Eighty-two percent found the platform easy to use, and 80% ranked the platform as very good or excellent overall.

Best User Experience : Online-Therapy.com


  • Price: $200-$440 per month
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy, Individual Therapy
Why We Chose It 

Online-Therapy.com’s providers are trained in implementing cognitive behavioral therapy, an evidence-based approach to mental health treatment. In addition to therapy services, Online-Therapy.com 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.

Pros & Cons 
Pros
  • Four plans available to choose from

  • 20% off your first month

  • Video, voice, or text-based live sessions

  • Unlimited messaging with your therapist

Cons
  • Does not accept insurance

  • No free trial

  • Basic plan does not include sessions

Overview 

Each person seeking therapy for postpartum depression has unique needs and preferences regarding their care. Online-Therapy.com provides different subscription options offering a variety of types of care, which users can choose from to determine their own best fit. Online-Therapy is available in all 50 U.S. states and in several other countries.

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 structure their therapy plan within 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.com 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, and resources, worksheets, and self-guided resources are available any time. You can also download and save these resources to your device for use whenever you like.

The users who completed our survey had a positive impression of this platform. Eighty-five percent indicated that their overall experience with Online-Therapy.com was good to excellent, and 72% were able to get all or most of their needs met. Eighty-three percent were satisfied or very satisfied with the service, and 90% indicated the therapists qualifications were good to excellent. Eighty-two percent said they would recommend Online-Therapy.com to a friend or someone like them.

Online-Therapy.com is a four-tiered therapy subscription service.

  • 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.
  • Couples: This plan is also $110 per week and has the same features as the Standard plan, with service provided to couples.

Best Individual Therapy : Amwell


  • Price: $109 to $279
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
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.

Pros & Cons
Pros
  • Accepts most insurance policies

  • Flexible scheduling, with nights and weekends available

  • Medication management available

  • Medical care available

Cons
  • Video appointments only

  • Waiting room time cuts into therapy sessions

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 the "baby blues" and less severe postpartum stress. Amwell helps with fertility issues, relationship stress, sleep issues, and bereavement following pregnancy loss. Both individual and couples 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 medical providers available for pregnancy and postpartum medical treatment. Sessions are available at any time that fits your schedule. Its platform is user-friendly and is adaptable even if you have slow internet or low bandwidth. The website’s Frequently Asked Questions page includes educational information for a variety of concerns and topics.

Amwell charges $109 per therapy session with a master's-level clinician and $129 per therapy session with a doctoral-level clinician. It accepts most insurance plans and EAPs, which will likely reduce the cost of care significantly for most clients.

Users we surveyed had high praise for Amwell, with 75% indicating that their overall experience with the company is very good or excellent. The therapist qualifications were rated highly 81% of the time, and 80% of users found the variety of services offered to be very good or excellent.

Best With Live Chat : 7 Cups


  • Price: $150 per month
  • Is Insurance Accepted?: No
Why We Chose It

With 24/7 chat availability, 7 Cups is a great option for new parents who might not be able to schedule a specific session time due to childcare needs. People with PPD may struggle with feeling isolated, and being able to immediately reach out is a great resource to help them feel supported and address their mental health needs.

Pros & Cons
Pros
  • 24/7 live chat available

  • Community forum available

  • Unlimited asynchronous messaging with your therapist

Cons
  • “Trained listeners” on the 24/7 chat are not licensed therapists

  • Only chat-based therapy offered

  • Therapy sessions not available on weekends

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. 

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 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 for free. 

You can message your therapist at any time, and therapists will respond to messages on weekdays. You can review chats at any time to re-visit things you have shared as well as the therapist’s response. Therapists on 7 Cups also post blogs about various mental health topics.

7 Cups also has trained volunteers who can engage in live chat at any time you 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 username. Users can post about any topic and find threads that relate to their experiences.

7 Cups’ live chat with trained listeners is free, as is the community forum. Although this option is not a substitute for therapy, it can supplement ongoing therapy services or allow people immediate support to talk through stressors. Therapy services at 7 Cups are $150 per month for unlimited messaging with your therapist.

We surveyed users of 7 Cups in 2021, but not in 2022. However, in 2021, 66% of users indicated that the platform was superior to other services they had used in the past, and 85% would recommend it to a friend. Eight-one percent said they were likely or very likely to still be seeing their 7 Cups therapist in a year.

Best for LGBTQIA+ : Postpartum Support International


  • Price: Free
  • Is Insurance Accepted?: N/A
Why We Chose It

Postpartum Support International (PSI) offers LGBTQIA+ specific resources and 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. 

Pros & Cons
Pros
  • Many different services available

  • Resources offering LGBTQIA+ inclusive language and affirming care

  • Free hotline

  • English and Spanish services available

  • Peer support available

Cons
  • Therapy referrals not available in all areas

  • Directory offers referrals but not direct services

  • No information on psychiatric services

Overview

Many supportive services for postpartum depression use gendered language and rely on cisnormative and heteronormative assumptions about clientele. As such, LGBTQIA+ clients may feel othered or isolated when seeking this type of support. Postpartum Support International offers a variety of postpartum services, including those with an emphasis on inclusive language and medical experiences, to clients 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 also 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; for example, parents who have lost a child. 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 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 informed support and working with LGBTQIA+ individuals.

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 for BIPOC : Inclusive Therapists


  • Price: Individual page: $29 ; Group plan: $119 ( Up to seven individual profiles)
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Couples Therapy, Family Therapy, Group Therapy, Individual Therapy
Why We Chose It

Inclusive therapists is an online therapy directory that connects potential clients to therapists who can meet their needs. Many of its providers specialize in postpartum care. The company’s mission statement also includes a commitment to culturally informed care for all clients, and it platforms therapists from a variety of cultural and ethnic backgrounds.

Pros & Cons
Pros
  • Therapist matching is available

  • Many free resources on the website

  • All providers must have cultural competency training

  • In-person and telehealth options are available

  • Many providers offer sliding scale therapy

  • Company mission emphasizes social justice

Cons
  • Not available in all states

  • Insurance coverage and cost vary by provider

Overview

Racial disparities in access to healthcare and racism perpetuated by White healthcare providers contribute to higher rates of postpartum depression among Black people, Indigenous people, and other people of color. Culturally informed care is always important, and clients who have given birth need competent services that can address the systemic discrimination that puts them at higher risk for needing services.

All providers listed on Inclusive Therapists are required to make a commitment to the company’s mission statement of offering informed and affirming care to individuals of all backgrounds, and the company makes an effort to platform providers from a variety of backgrounds. Users search therapists and reach out directly to a provider who meets their needs.

Although each provider makes individual decisions about insurance credentialing and rates for service, many have sliding fee scales, and users can search for providers who accept their insurance plan. Providers on the platform offer individual, couples, group, or family therapy.

Inclusive Therapists has a blog and posts many free resources about mental health. Visitors can use this information to supplement therapy or to learn more about mental health.

The cost for services will vary depending on the therapist, the nature of their practice, and typical service rates in their geographic area. You can filter search results to only show providers who are in network with your insurance provider.

Clients report positive experiences with Inclusive Therapists, with 97% of those we surveyed indicating that they were able to find a provider who met most or all of their needs. In addition, 89% indicated that the directory is very good or excellent overall.

Best for Psychiatric Care With Prescriptions : Doctor on Demand


  • Price: $129-$179 per session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Individual Therapy, Medication Management, Psychiatry, Teen Counseling
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 collaboratively to determine the best way to meet your needs and address any concerns you may have. 

Pros & Cons
Pros
  • Therapy, psychiatry, urgent care, and preventative care offered

  • In network with most insurance plans

  • Weekend sessions available

  • You choose your provider

Cons
  • No free trial

  • No discount or sliding scale

  • No phone sessions available

  • Expensive if 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 provides flexible scheduling, can send prescriptions to any pharmacy, and offers urgent care services in case you cannot wait for an appointment.

While the company does not offer subscriptions, that means you only pay 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 and cancel anytime without penalty.

Psychiatrists with Doctor on Demand can prescribe mood stabilizers and antidepressants, but not 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.

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

Providers with Doctor on Demand are in-network with most insurance plans, though the company does not offer sliding scale or discounts, so the cost of care can be high for those who do not have insurance. Out-of-pocket rates are:

  • Therapy: $129 per 25-minute session, $179 per 50-minute session
  • Initial psychiatric consultation: $299
  • Follow-up psychiatric visits: $129 each

Doctor on Demand has one of the highest rates of user satisfaction of all the platforms we surveyed, with 94% of users reporting an overall positive experience. Seventy-five percent of users were able to get most or all of their needs met using the platform, and 91% were satisfied with the qualifications of the therapists available. Seventy-nine percent would recommend Doctor on Demand to a friend.

Best Following Pregnancy Loss : Mindful Care

Verywell's Rating
4.2

  • Price: $49 per month for substance abuse; Individual therapy: $50 for 20-minute sessions; $100 for 40-minute sessions; $35 per group session; $75-$175 for psychiatry session
  • Is Insurance Accepted?: Yes
  • Type Of Therapy: Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling
Why We Chose It

Mindful Care offers a variety of mental health services, including a unique offering of a 20-minute urgent therapy session that can be scheduled at the last minute. In addition to its many areas of expertise, its providers specialize in grief and bereavement, allowing them to competently meet the needs of those who have experienced pregnancy loss.

Pros & Cons
Pros
  • In-network with most insurance plans

  • Urgent, short therapy sessions available

  • Medication management offered

  • Group support available

Cons
  • Not available in all states

  • You might not be able to choose your provider

  • Cannot prescribe controlled substances

Overview

Mindful Care offers mental health care services, including individual therapy, group sessions, and medication management services, for individuals in New York, New Jersey, Illinois, Florida, Connecticut, and Michigan, with the goal of expanding its services to all 50 states. It specializes in personalized mental health care to meet each client’s individual needs.

One of Mindful Care’s areas of specialization is treatment for grief and bereavement. Grief following pregnancy loss can feel insurmountable, and the providers at Mindful Care aim to help clients through this time.

Clients of Mindful Care can schedule regular therapy appointments with their provider six days per week. They can enroll in groups, have individual sessions, or use both. If needed, clients can also schedule urgent “MicroTherapy” sessions, which are 20 minutes in length and allow clients to address urgent mental health needs as they arise. (This service is not a replacement for crisis intervention if someone experiences a mental health emergency.)

In addition to individual therapy and support groups, Mindful Care offers coaching and medication support for those recovering from addiction. If a client already in recovery experiences a relapse, or a client develops a substance use disorder following a pregnancy loss, they can receive support for this issue on Mindful Care as well.

Mindful Care receives high user satisfaction in our survey, with 92% of respondents indicating that their overall experience with the platform was positive. Eighty-two percent reported that their provider was able to meet most or all of their needs, and 83% were satisfied with the variety of providers available. Although Mindful Care indicates that you might not be able to choose your provider, 84% of users had a positive experience getting matched to a provider.

Mindful Care is in-network with commercial health care, Medicare, Medicaid, and managed plans. For those paying out of pocket, the price depends on the service.

  • Individual therapy: $150 for the initial evaluation, $100 for a 40-minute follow-up appointment, and $50 for an urgent, 20-minute session
  • Group therapy: $35 per session
  • Medication management: $175 for the initial evaluation and $75 per follow-up appointment
  • Addiction recovery treatment: $49 per month subscription

Best for Couples : Couples Therapy Inc


  • Price: Weekend retreats starting at $3,500; 80-minute sessions at $150-275
  • Is Insurance Accepted?: No
  • Type Of Therapy: Couples Therapy
Why We Chose It 

Both birthing and non-birthing parents can experience postpartum depression. The providers at Couples Therapy Inc. can assess whether the stress and adjustment of having a new baby go beyond what is typical, as well as provide ongoing support to get through the difficult time.

Pros & Cons 
Pros
  • Specializes in common couples' concerns

  • Both online and in-person options are available

  • Free self-guided course

  • Weekend intensives available in addition to ongoing therapy

Cons
  • Insurance not accepted

  • Cost of care is expensive

  • Not available in all states

Overview 

Postpartum depression can put stress on a relationship. When one parent is experiencing postpartum depression, the other might struggle with how to provide support. 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. Couples Therapy Inc. also 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.

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.

Despite the high cost of weekend intensives and being out-of-network for insurance, 75% users of Couples Therapy Inc. indicated that the cost of service was excellent or very good for the value.  Ninety percent  of users rated the services positively overall, and 90% rated the therapist qualifications as good to excellent.

Best Free Service : The Online PPD Support Group


  • Price: Free
Why We Chose It 

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.

Pros & Cons 
Pros
  • Clear rules and guidelines for community behavior

  • Many topics covered

  • Moderators often post educational resources

  • More than 5,000 members and very active discussion

  • Users do not have to share identifying information

Cons
  • Moderators are not licensed professionals

  • Peer support is not therapy

  • Posts are public and could be viewed by anyone

Overview 

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 has free-to-join forums for a variety of topics, including military support, obsessive-compulsive symptoms, birth stories, treatment options, and adoption. Administrators provide answers to 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, but 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 for psychotherapy treatment for postpartum depression. That said, users can normalize each other’s experiences and provide feedback about what has helped, 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.

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

Compare the Best Online Therapy for Postpartum Depression of 2023

Best For
Price
Is Insurance Accepted?
Does it Accept HSA/FSA?
Type Of Therapy
Communication Options
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LifeStance Health Best Overall $75 to $300 per session, if paying out of pocket Yes Yes Children's Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Video Chat Learn More
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Brightside Most Affordable Without Insurance $95-$349 Yes Yes Individual Therapy, Medication Management, Psychiatry Messaging, Video Chat Learn More
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Circles Best Peer Support Groups $79 per month No No Peer Support Messaging, Video Chat Learn More
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Online-Therapy.com Best User Experience $200-$440 per month No Yes Couples Therapy, Individual Therapy Audio, Messaging, Video Chat Learn More
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Amwell Best Individual Therapy $109 to $279 Yes Yes Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Video Chat Learn More
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7 Cups Best With Live Chat $150 per month No No N/A Messaging Learn More
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Postpartum Support International Best for LGBTQIA+ Free N/A No N/A Phone, Video Chat Learn More
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Inclusive Therapists Best for BIPOC Individual page: $29 ; Group plan: $119 ( Up to seven individual profiles) Yes No Couples Therapy, Family Therapy, Group Therapy, Individual Therapy N/A Learn More
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Doctor on Demand Best for Psychiatric Care With Prescriptions $129-$179 per session Yes Yes Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Video Chat Learn More
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Mindful Care Best Following Pregnancy Loss $49 per month for substance abuse; Individual therapy: $50 for 20-minute sessions; $100 for 40-minute sessions; $35 per group session; $75-$175 for psychiatry session Yes No Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling Audio, Video Chat Learn More
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Couples Therapy Inc Best for Couples Weekend retreats starting at $3,500; 80-minute sessions at $150-275 No No Couples Therapy Video Chat Learn More
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The Online PPD Support Group Best Free Service Free N/A No N/A N/A Learn More
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Final Verdict

When it comes to online therapy for postpartum depression, LifeStance won best overall for its commitment to quality, individualized care that includes both therapy and medication options. It employs providers who specialize in both perinatal and postpartum disorders, and it emphasizes mental health care for both birthing and non-birthing parents.

Parents with busy schedules can also use the chat line at 7 Cups to communicate with a provider at their convenience rather than having to find and remember specific appointment times. In addition, peer support can be an important part of recovery from postpartum depression. Circles, the Online PPD Support Group, and Mindful Care offer groups where clients can find support.

Guide to Choosing the Best Online Therapy for Postpartum Depression

How Is Postpartum Depression Treated Online?

Postpartum depression is a mood disorder that occurs when depressive symptoms occur following childbirth. It is sometimes used as an umbrella term to refer to other mental health issues that arise during or after pregnancy. 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 Therapy for Postpartum Depression Right for Me?

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 find that online therapy helps you after trying it out, 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 Therapy for Postpartum Depression

When choosing a provider to treat your dostpartum depression, you might consider the following factors when you make your decision.

  • Cost: Do you need to use your insurance? If so, you will need to find a platform or provider who is in-network. If not, what is affordable to you?
  • 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 the right fit.
  • 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 need.
  • 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

Can Online Postpartum Depression Counseling Help With Co-Parenting?

Being a new parent is stressful and can strain a relationship. If the parents are not in a romantic relationship when the child is born, they are figuring out how to co-parent on top of taking care of a newborn, which is stressful in its own right.

Postpartum depression counseling focuses on treating the mood symptoms and mental health issues that come following birth, whereas co-parenting refers to a specific type of couples work that involves figuring out how to best raise a child when the other parent is not your partner. While postpartum depression counseling might help alleviate mood issues and improve communication and relationships, those seeking to improve their co-parenting will most likely need to find resources specific to co-parenting.

What Is the Difference Between Postpartum Depression and Postpartum Anxiety?

Depression and anxiety have symptoms in common, such as irritability, anger, and sleep disturbance. Research has shown that similar gut bacteria and brain neurotransmitters contribute to both depressive and anxious symptoms.

Postpartum depression is when depressive symptoms (including depressed mood, feelings of hopelessness, low energy, and thoughts of death or suicide) are most prominent. On the other hand, postpartum anxiety is indicated when the anxious symptoms (frequent, intense worry, restlessness, and muscle tension) are stronger.

What Types of Medication Are Usually Prescribed for Postpartum Depression?

If you are experiencing postpartum depression, you may benefit from medication for your symptoms. Talk to your primary care doctor about prescription options or a referral to a specialist if needed. Often, antidepressant medications (such as selective serotonin reuptake inhibitors, or SSRIs) are prescribed for postpartum depression. A physician may also prescribe selective norepinephrine reuptake inhibitors (SNRIs) for postpartum depression.

In 2019, the FDA also approved Zulresso, an IV treatment designed specifically to treat postpartum depression.

Is Online Therapy 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 Therapy for Postpartum Depression Cost?

The cost of online counseling varies depending on what services you are using. Most subscription services for online therapy do not accept insurance, as health insurance plans typically cover specific services or appointments that you attend. Subscription services can vary from $60 to $150 per month. Services for which you pay for each session can cost $100 to $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 conducted a survey of users of 55 online therapy platforms and programs to determine which had the best user satisfaction, user-friendliness, affordability, and accessibility. We additionally considered factors including price, scheduling flexibility, variety of services offered, and specialization in postpartum care.

Quality care, competency, privacy, 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
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  3. O’Hara MW, Engeldinger J. Treatment of postpartum depression: recommendations for the clinician. Clin Obstet Gynecol. 2018;61(3):604-614. doi:10.1097/GRF.0000000000000353

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  6. U.S. Food and Drug Administration. FDA approves first treatment for post-partum depression

  7. Luo C, Sanger N, Singhal N, et al. A comparison of electronically-delivered and face to face cognitive behavioural therapies in depressive disorders: A systematic review and meta-analysis. eClinicalMedicine. 2020;24:100442. doi:10.1016/j.eclinm.2020.100442

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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.

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