Pregnancy, Prenatal, Postpartum Therapists in Mariemont, OH

Photo of Leah Hausman Miller, MA, PCC, Counselor
Leah Hausman Miller
Counselor, MA, PCC
Verified Verified
1 Endorsed
Mariemont, OH 45227
These include death/loss, pregnancy/post-partum, relocation, marriage, divorce or separation, parenting challenges, occupational stressors, empty nest, and other transitions.
I believe in every person's ability to heal, change, and grow. I specialize in anxiety and depression, grief, trauma, relationships, fertility, pregnancy and post-partum issues. I can help you identify your unique strengths and resources to work through these issues. I provide strategies to reduce and manage the emotional effects of these, while supporting you in understanding the core issues and building positive coping skills to move forward. Therapy is a collaborative process and we work together to reach your goals. I use a variety of therapeutic techniques to specialize sessions according to your concerns and your life.
These include death/loss, pregnancy/post-partum, relocation, marriage, divorce or separation, parenting challenges, occupational stressors, empty nest, and other transitions.
I believe in every person's ability to heal, change, and grow. I specialize in anxiety and depression, grief, trauma, relationships, fertility, pregnancy and post-partum issues. I can help you identify your unique strengths and resources to work through these issues. I provide strategies to reduce and manage the emotional effects of these, while supporting you in understanding the core issues and building positive coping skills to move forward. Therapy is a collaborative process and we work together to reach your goals. I use a variety of therapeutic techniques to specialize sessions according to your concerns and your life.
(513) 280-8144 View (513) 280-8144
Photo of India Owen, LSW, MS, CTP
India Owen
LSW, MS, CTP
Verified Verified
2 Endorsed
Mariemont, OH 45227
I have a wide range of experience in mental health concerns including ADHD, mood disorders, perinatal mental illness, depression, and anxiety.
Over the years, my personal and work experience has influenced my passion for helping individuals foster healthy, fulfilling relationships and sex lives. I believe that sexuality is a significant part of a person’s life, and everyone has the right to safe and enjoyable sexual experiences. My work focuses on normalizing conversations around sexual health and wellbeing, repairing the mind-body connection, and healing interpersonal relationships.
I have a wide range of experience in mental health concerns including ADHD, mood disorders, perinatal mental illness, depression, and anxiety.
Over the years, my personal and work experience has influenced my passion for helping individuals foster healthy, fulfilling relationships and sex lives. I believe that sexuality is a significant part of a person’s life, and everyone has the right to safe and enjoyable sexual experiences. My work focuses on normalizing conversations around sexual health and wellbeing, repairing the mind-body connection, and healing interpersonal relationships.
(513) 957-3120 View (513) 957-3120
Photo of Katherine Burchenal - Katie Burchenal Counseling, LPC, Licensed Professional Counselor
Katie Burchenal Counseling
Licensed Professional Counselor, LPC
Verified Verified
Mariemont, OH 45227
I bring a warm, genuine, and innovative approach to therapy. Together, we'll work collaboratively, and I’ll provide you with the support, understanding, and encouragement you need throughout your healing journey. I firmly believe in your ability to create meaningful changes in your life. By fostering creativity, compassion, and enjoyment, I’ll make sure you feel heard, acknowledged, and validated. Together, we’ll navigate the obstacles you’re currently facing, tailoring our collaboration to your unique needs and goals.
I bring a warm, genuine, and innovative approach to therapy. Together, we'll work collaboratively, and I’ll provide you with the support, understanding, and encouragement you need throughout your healing journey. I firmly believe in your ability to create meaningful changes in your life. By fostering creativity, compassion, and enjoyment, I’ll make sure you feel heard, acknowledged, and validated. Together, we’ll navigate the obstacles you’re currently facing, tailoring our collaboration to your unique needs and goals.
(513) 951-8192 View (513) 951-8192
Photo of Maddy Campbell, BA, MA, LPC, Licensed Professional Counselor
Maddy Campbell
Licensed Professional Counselor, BA, MA, LPC
Verified Verified
7 Endorsed
Mariemont, OH 45227
What makes you...you? If you've ever struggled with this question, welcome to Skyway Counseling. Your story is unique and I am grateful you’re choosing to share it with me. I believe that the counseling relationship should be honest, encouraging, nonjudgemental, and collaborative. I know you are capable of navigating these obstacles, whether you’re dealing with depression, anxiety, stress, or trauma. In addition to the previous list, I also specialize working with transracial adult adoptees and marginalized people through trauma and identity work. My goal is to help you build your own skyway to connect all the parts of you together.
What makes you...you? If you've ever struggled with this question, welcome to Skyway Counseling. Your story is unique and I am grateful you’re choosing to share it with me. I believe that the counseling relationship should be honest, encouraging, nonjudgemental, and collaborative. I know you are capable of navigating these obstacles, whether you’re dealing with depression, anxiety, stress, or trauma. In addition to the previous list, I also specialize working with transracial adult adoptees and marginalized people through trauma and identity work. My goal is to help you build your own skyway to connect all the parts of you together.
(513) 654-6986 View (513) 654-6986
Photo of Kelly A Ickes, PsyD , Psychologist
Kelly A Ickes
Psychologist, PsyD
Verified Verified
1 Endorsed
Mariemont, OH 45227
Are you struggling to get where you want to go? Do you need a safe spot to build strategies to manage life adjustments, unhealthy patterns or mental health symptoms? My passion is working as a team with clients, serving as a sounding board, and brainstorming how to best apply and build CBT/DBT based therapy techniques to help define and achieve your vision. I have a strong faith background and will incorporate it for anyone who wants this, but also welcome clients who choose not to use this area of services.
Are you struggling to get where you want to go? Do you need a safe spot to build strategies to manage life adjustments, unhealthy patterns or mental health symptoms? My passion is working as a team with clients, serving as a sounding board, and brainstorming how to best apply and build CBT/DBT based therapy techniques to help define and achieve your vision. I have a strong faith background and will incorporate it for anyone who wants this, but also welcome clients who choose not to use this area of services.
(513) 447-6573 View (513) 447-6573

More Therapists Nearby

Photo of Emily Lyon, LISW-S, PMH-C, Clinical Social Work/Therapist
Emily Lyon
Clinical Social Work/Therapist, LISW-S, PMH-C
Verified Verified
Cincinnati, OH 45227
I have a Perinatal Mental Health Certification from Postpartum Support International to treat Perinatal Mood and Anxiety Disorders.
So often as women, we are too busy fulfilling the many roles we occupy that we put our values, needs, and desires on the backburner. I can help you to get back in touch with your values and what’s important to you. Whether you’re juggling the many facets of motherhood (trying to get pregnant, having a difficult pregnancy, struggling postpartum), going through a difficult life transition, grieving any kind of loss, struggling with depression or anxiety, I’m here to help find a way forward.
I have a Perinatal Mental Health Certification from Postpartum Support International to treat Perinatal Mood and Anxiety Disorders.
So often as women, we are too busy fulfilling the many roles we occupy that we put our values, needs, and desires on the backburner. I can help you to get back in touch with your values and what’s important to you. Whether you’re juggling the many facets of motherhood (trying to get pregnant, having a difficult pregnancy, struggling postpartum), going through a difficult life transition, grieving any kind of loss, struggling with depression or anxiety, I’m here to help find a way forward.
(513) 586-7084 View (513) 586-7084
Photo of Nicole Palun, LPCC-S, Counselor
Nicole Palun
Counselor, LPCC-S
Verified Verified
1 Endorsed
Cincinnati, OH 45209
I enjoy working with a variety of issues including women's health, trauma, life transitions, grief & loss, depression, anxiety, and perinatal mental health.
Sometimes life is complicated and having a safe place to address issues affecting your wellbeing and confidence can really make a difference. Whether you are dealing with long term mental health issues, more recent stress, or changes in life, therapy is a great way to begin taking care of yourself. As we continue to navigate and grow in this world, having the guidance of a trusted professional can really improve how you feel about yourself and your life. I would love to support you in that journey.
I enjoy working with a variety of issues including women's health, trauma, life transitions, grief & loss, depression, anxiety, and perinatal mental health.
Sometimes life is complicated and having a safe place to address issues affecting your wellbeing and confidence can really make a difference. Whether you are dealing with long term mental health issues, more recent stress, or changes in life, therapy is a great way to begin taking care of yourself. As we continue to navigate and grow in this world, having the guidance of a trusted professional can really improve how you feel about yourself and your life. I would love to support you in that journey.
(513) 951-5875 View (513) 951-5875
Photo of Margo Smith-Joseph, LPCC, Counselor
Margo Smith-Joseph
Counselor, LPCC
Verified Verified
Cincinnati, OH 45255
Areas of focus include but are not limited to mood disorders, trauma, anxiety disorders, phases of life transitions, stress management and women's issues including postpartum, infertility, stillbirths and infant deaths.
Margo Smith-Joseph earned her bachelor's degree in psychology from Central Michigan University and master's degree in counseling from Oakland University. She works with adults 18 and older. She is trained in Dialectical Behavioral Therapy (DBT) and Cognitive processing Therapy (CPT). She has over 25 years of experience working in a wide variety of settings. Margo has experience working in Community Mental Health, Court Ordered Treatment, dual diagnosis, addictions, outpatient, inpatient, group and individual therapy.
Areas of focus include but are not limited to mood disorders, trauma, anxiety disorders, phases of life transitions, stress management and women's issues including postpartum, infertility, stillbirths and infant deaths.
Margo Smith-Joseph earned her bachelor's degree in psychology from Central Michigan University and master's degree in counseling from Oakland University. She works with adults 18 and older. She is trained in Dialectical Behavioral Therapy (DBT) and Cognitive processing Therapy (CPT). She has over 25 years of experience working in a wide variety of settings. Margo has experience working in Community Mental Health, Court Ordered Treatment, dual diagnosis, addictions, outpatient, inpatient, group and individual therapy.
(513) 450-3654 View (513) 450-3654
Photo of Aimee Yeager, LPCC, PMH-C
Aimee Yeager
Licensed Professional Clinical Counselor, LPCC, PMH-C
Verified Verified
Cincinnati, OH 45242
Aimee has experience in treating peripartum/ postpartum mood disorders, trauma/PTSD, and mood disorders in adolescents and adults.
Aimee Yeager is a Licensed Professional Clinical Counselor with supervisory designation who has been practicing since 2019. She has a Master of Arts in Clinical Mental Health Counseling from Xavier University. Aimee has held multiple volunteer (2012-2014) and professional roles (since 2014) within community-based programs around Cincinnati. She strives for antiracism and social equity within her practice. Aimee is passionate about helping her clients to connect to their own values, personal strengths, and community/family resources to cope with life’s challenges. Aimee has experience in treating peripartum/ postpartum mood disorders.
Aimee has experience in treating peripartum/ postpartum mood disorders, trauma/PTSD, and mood disorders in adolescents and adults.
Aimee Yeager is a Licensed Professional Clinical Counselor with supervisory designation who has been practicing since 2019. She has a Master of Arts in Clinical Mental Health Counseling from Xavier University. Aimee has held multiple volunteer (2012-2014) and professional roles (since 2014) within community-based programs around Cincinnati. She strives for antiracism and social equity within her practice. Aimee is passionate about helping her clients to connect to their own values, personal strengths, and community/family resources to cope with life’s challenges. Aimee has experience in treating peripartum/ postpartum mood disorders.
(513) 643-8911 View (513) 643-8911
Photo of Faith Payton, LPC, Licensed Professional Counselor
Faith Payton
Licensed Professional Counselor, LPC
Verified Verified
Cincinnati, OH 45208  (Online Only)
Also, navigating the complexities of personality disorders, ADHD, grief, chronic illness, sleep/insomnia issues and the challenges of pregnancy are areas where I offer targeted support and provide a safe space for exploration and understanding.
My professional journey has been shaped by a commitment to providing compassionate support and understanding to individuals on their path to mental well-being. Within the realm of counseling, I specialize in various areas, including Dialectical Behavior Therapy (DBT), LGBTQIA+ affirmative counseling, ADHD, substance abuse, personality disorders, grief, chronic illness, pregnancy, prenatal and postpartum care, sleep/insomnia management, trauma, and PTSD.
Also, navigating the complexities of personality disorders, ADHD, grief, chronic illness, sleep/insomnia issues and the challenges of pregnancy are areas where I offer targeted support and provide a safe space for exploration and understanding.
My professional journey has been shaped by a commitment to providing compassionate support and understanding to individuals on their path to mental well-being. Within the realm of counseling, I specialize in various areas, including Dialectical Behavior Therapy (DBT), LGBTQIA+ affirmative counseling, ADHD, substance abuse, personality disorders, grief, chronic illness, pregnancy, prenatal and postpartum care, sleep/insomnia management, trauma, and PTSD.
(513) 960-3286 View (513) 960-3286
Photo of Barbara J Stephens, MSW, LISW-S, LCSW, Clinical Social Work/Therapist
Barbara J Stephens
Clinical Social Work/Therapist, MSW, LISW-S, LCSW
Verified Verified
1 Endorsed
Cincinnati, OH 45208
Specialized training includes EMDR for trauma, Gottman Counseling for couples, and advanced perinatal mental health by PSI.
Like so many of us, life has had some unexpected twists and turns. Whether you are grieving, sensing a growing distance with your spouse, having trouble taking care of your family, struggling to form meaningful relationships, recovering from a divorce or break up, unsure how to help your adult children, experiencing mood swings, struggling with work or school, relocating, struggling with pregnancy or learning that being a mom or dad is a lot harder than you imagined, I can help you feel less overwhelmed and more fulfilled. My goal is to help you feel better by providing direct, honest, respectful, and supportive feedback.
Specialized training includes EMDR for trauma, Gottman Counseling for couples, and advanced perinatal mental health by PSI.
Like so many of us, life has had some unexpected twists and turns. Whether you are grieving, sensing a growing distance with your spouse, having trouble taking care of your family, struggling to form meaningful relationships, recovering from a divorce or break up, unsure how to help your adult children, experiencing mood swings, struggling with work or school, relocating, struggling with pregnancy or learning that being a mom or dad is a lot harder than you imagined, I can help you feel less overwhelmed and more fulfilled. My goal is to help you feel better by providing direct, honest, respectful, and supportive feedback.
(513) 854-7173 View (513) 854-7173
Photo of Sophia Carey, LPC, Licensed Professional Counselor
Sophia Carey
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Cincinnati, OH 45208
I love working with a wide array of populations- children 5 and older, teenagers, young adults, and Mothers working through trauma-related issues, anxiety, depression, ADHD, low self-esteem/self-worth, grief, relationship issues, perinatal and postpartum depression, gender dysphoria, and general difficult life adjustment issues.
I love working with a wide array of populations- children 5 and older, teenagers, young adults, and Mothers working through trauma-related issues, anxiety, depression, ADHD, low self-esteem/self-worth, grief, relationship issues, perinatal and postpartum depression, gender dysphoria, and general difficult life adjustment issues.
(513) 434-6982 View (513) 434-6982
Photo of Megan Lobsinger, LPCC
Megan Lobsinger
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Cincinnati, OH 45227
Hi. My name is Megan, and I'm the owner and operator of Threaded Wellness. I've been a parent and a perinatal mental health counselor for eleven years, and I'm here to tell you that whatever feelings your parenting journey is bringing up for you, it's okay. You are not alone. Maybe you're feeling scared, or bored, or blessed-and-blissed, or underqualified, or all of this at once. Wherever you're at, the fact that you've landed here means you're trying your best, and You Are Doing A Good Job. My strong belief is that parenting wellness comes not from doing more, but from finding The Good you're already doing.
Hi. My name is Megan, and I'm the owner and operator of Threaded Wellness. I've been a parent and a perinatal mental health counselor for eleven years, and I'm here to tell you that whatever feelings your parenting journey is bringing up for you, it's okay. You are not alone. Maybe you're feeling scared, or bored, or blessed-and-blissed, or underqualified, or all of this at once. Wherever you're at, the fact that you've landed here means you're trying your best, and You Are Doing A Good Job. My strong belief is that parenting wellness comes not from doing more, but from finding The Good you're already doing.
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Photo of Joslyn Reedy-Kay, MSSA, LISW-S, Clinical Social Work/Therapist
Joslyn Reedy-Kay
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
5 Endorsed
Cincinnati, OH 45208
At Reedy-Kay and Associates we are a small but mighty group practice of 6 clinicians who specialize in EMDR therapy for trauma. We also specialize in supporting ALL parents and parents-to-be so that they can be the best version of themselves. We are often unintentionally carrying our unprocessed traumas and behavioral patterns into parenting and relationship dynamics in general! We are here to help you find confidence and healing. We will build on our extensive advanced professional trainings in EMDR, IFS and ACT to help you grow into the person you want to be.
At Reedy-Kay and Associates we are a small but mighty group practice of 6 clinicians who specialize in EMDR therapy for trauma. We also specialize in supporting ALL parents and parents-to-be so that they can be the best version of themselves. We are often unintentionally carrying our unprocessed traumas and behavioral patterns into parenting and relationship dynamics in general! We are here to help you find confidence and healing. We will build on our extensive advanced professional trainings in EMDR, IFS and ACT to help you grow into the person you want to be.
(513) 780-5651 View (513) 780-5651
Photo of Janaye Guess, MSW , LISW, Clinical Social Work/Therapist
Janaye Guess
Clinical Social Work/Therapist, MSW , LISW
Verified Verified
Cincinnati, OH 45208
I enjoy working with people who struggle with depression and/or anxiety. Ideally, their goals would be to improve their overall functioning and quality of life. My ideal client would be able to put in the necessary work to accomplish their goals. My therapy style is authentic, empathetic, and validating. I believe in incorporating various treatment modalities that are based on the individual needs of my clients.
I enjoy working with people who struggle with depression and/or anxiety. Ideally, their goals would be to improve their overall functioning and quality of life. My ideal client would be able to put in the necessary work to accomplish their goals. My therapy style is authentic, empathetic, and validating. I believe in incorporating various treatment modalities that are based on the individual needs of my clients.
(513) 845-3597 View (513) 845-3597
Photo of Laura Obert, PhD, Psychologist
Laura Obert
Psychologist, PhD
Verified Verified
1 Endorsed
Cincinnati, OH 45249
Dr. Laura Obert is a Psychologist in Ohio who has been practicing since 2012. She earned her Ph.D. in Counseling Psychology from Auburn University. Dr. Obert specializes in working with the LGBTQ+ population and their families. As a member of this community who was also trained specifically in working with this community, Dr. Obert believes she has both a personal and professional understanding of the various factors that uniquely affect the LGBTQ+ population.
Dr. Laura Obert is a Psychologist in Ohio who has been practicing since 2012. She earned her Ph.D. in Counseling Psychology from Auburn University. Dr. Obert specializes in working with the LGBTQ+ population and their families. As a member of this community who was also trained specifically in working with this community, Dr. Obert believes she has both a personal and professional understanding of the various factors that uniquely affect the LGBTQ+ population.
(513) 450-3255 View (513) 450-3255
Photo of Brittany Marino, Licensed Professional Counselor
Brittany Marino
Licensed Professional Counselor
Verified Verified
1 Endorsed
Cincinnati, OH 45208  (Online Only)
Hi! My name is Brittany Marino and I am a passionate therapist who wants to help you make tomorrow better and brighter by creating a safe space to make you feel seen, heard and understood. Although I have my masters degree in marriage and family therapy, I have experience working with a variety of individuals who are struggling with many different diagnoses/issues including but not limited to relationship struggles, lack of self, anxiety, depression, intrusive thoughts, trauma and personality disorders. I take the time to get to know you, as a person, because I care and want to see you succeed.
Hi! My name is Brittany Marino and I am a passionate therapist who wants to help you make tomorrow better and brighter by creating a safe space to make you feel seen, heard and understood. Although I have my masters degree in marriage and family therapy, I have experience working with a variety of individuals who are struggling with many different diagnoses/issues including but not limited to relationship struggles, lack of self, anxiety, depression, intrusive thoughts, trauma and personality disorders. I take the time to get to know you, as a person, because I care and want to see you succeed.
(330) 859-4896 View (330) 859-4896
Photo of Macey Hawout, LPC, Licensed Professional Counselor
Macey Hawout
Licensed Professional Counselor, LPC
Verified Verified
Cincinnati, OH 45208
Are you a young adult woman experiencing anxiety, depression, relationship issues, self-esteem issues, and even trauma? Self-discovery and creating/finding identity are goals I work best with. In my most recent job, I have found that domestic violence survivors and women who experience issues specific to being a woman have piqued my interest. As a therapist, the most rewarding thing is to guide women toward embracing themselves for who they are, heal past wounds, and empower them to live fully and authentically. I believe I have been given a purpose in this world to serve others, and that's what I was created to do.
Are you a young adult woman experiencing anxiety, depression, relationship issues, self-esteem issues, and even trauma? Self-discovery and creating/finding identity are goals I work best with. In my most recent job, I have found that domestic violence survivors and women who experience issues specific to being a woman have piqued my interest. As a therapist, the most rewarding thing is to guide women toward embracing themselves for who they are, heal past wounds, and empower them to live fully and authentically. I believe I have been given a purpose in this world to serve others, and that's what I was created to do.
(513) 951-7669 View (513) 951-7669
Photo of Shana Cronican, MA, MSW, LISW-S, Clinical Social Work/Therapist
Shana Cronican
Clinical Social Work/Therapist, MA, MSW, LISW-S
Verified Verified
Cincinnati, OH 45227
Are you struggling with current and/or past issues that are not allowing you to live richly and connect deeply to others? My passion is to provide a space where you can experience hope, empowerment and a heightened sense of well-being through a trauma focused, holistic and client centered lens. My areas of expertise include gender-based violence, addressing and healing from the short-term and long-term effects of trauma, and coping with the stressors of life.
Are you struggling with current and/or past issues that are not allowing you to live richly and connect deeply to others? My passion is to provide a space where you can experience hope, empowerment and a heightened sense of well-being through a trauma focused, holistic and client centered lens. My areas of expertise include gender-based violence, addressing and healing from the short-term and long-term effects of trauma, and coping with the stressors of life.
(513) 822-5294 View (513) 822-5294
Photo of Sarah Kennedy, MA, IMFT-S, LMFT, Marriage & Family Therapist
Sarah Kennedy
Marriage & Family Therapist, MA, IMFT-S, LMFT
Verified Verified
6 Endorsed
Cincinnati, OH 45209  (Online Only)
We all experience challenges, stresses, and obstacles in life that can leave us feeling stuck, confused, or lost. I believe in creating a safe and accepting space for you to openly discuss the challenges that you may be facing, to assist you in gaining a greater sense of self control, authenticity and clarity within your life. You have the capacity to transform your own life, and I am here to help. If you have any questions for me, or would like to schedule your first session, give me a call!
We all experience challenges, stresses, and obstacles in life that can leave us feeling stuck, confused, or lost. I believe in creating a safe and accepting space for you to openly discuss the challenges that you may be facing, to assist you in gaining a greater sense of self control, authenticity and clarity within your life. You have the capacity to transform your own life, and I am here to help. If you have any questions for me, or would like to schedule your first session, give me a call!
(513) 270-2649 View (513) 270-2649

See more therapy options for Mariemont

Pregnancy, Prenatal, Postpartum Therapists

What are the most effective ways to address pregnancy, prenatal, and postpartum concerns?

The most effective way to address pregnancy, prenatal, and postpartum concerns is by finding a therapist who has prior experience helping other patients overcome the challenge being faced. For example, a marriage and family therapist may have experience helping couples adjust to their new relationship dynamic. An anxiety specialist may have experience helping with phobias or illness anxiety related to the child’s health. A depression specialist may have experience treating postpartum depression.

When should I seek treatment for prenatal or postpartum concerns?

Pregnancy and the postpartum period involve intense physical and mental changes; a degree of upset and instability is normal. However, if these changes impair daily functioning, it may be time to seek help. This distinction is pertinent for postpartum depression: A period of teariness, irritability, and distress is difficult but normal in the one to two weeks after childbirth (sometimes called the “baby blues.”) But if feelings of sadness and hopelessness persist beyond that period, the person should seek treatment.

How do I manage worries during pregnancy or the postnatal period?

A therapist can help patients develop the tools they need to manage anxieties during or after pregnancy. Cognitive behavioral therapy can help people identify and reframe harmful patterns of thought, and change their behaviors. Other techniques and skills can allow people to develop acceptance, psychological flexibility, self-compassion, communication skills, and more.

Are there specific medications for postpartum depression?

In 2019, the FDA approved the first medication designed to treat postpartum depression. The medication is called brexanolone and is delivered intravenously by a medical professional over the course of a few days. However, typical antidepressants, which are more accessible, can also treat postpartum depression. The disorder is often best treated through a combination of medication and therapy.