Photo of Sarah England, LCSW, Clinical Social Work/Therapist
Sarah England
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Ashland City, TN 37015  (Online Only)
If you find yourself struggling with a life transition or longing for direction, I am here to support you in your search for the clarity and drive needed to live your life to your fullest potential.
If you find yourself struggling with a life transition or longing for direction, I am here to support you in your search for the clarity and drive needed to live your life to your fullest potential.
(931) 340-7860 View (931) 340-7860
Photo of Laura Meadow, LMFT-S, Marriage & Family Therapist
Laura Meadow
Marriage & Family Therapist, LMFT-S
Verified Verified
5 Endorsed
Pleasant View, TN 37146
Hi My name is Laura Meadow. I am a Licensed Marriage and Family Therapist. I have over 15 years of experience in the field of mental health. I am EMDR trained. I also use a lot of Cognitive Behavioral Therapy techniques. Within the past 10 years my focus has been primarily on working with adult women ages 18 and up.
Hi My name is Laura Meadow. I am a Licensed Marriage and Family Therapist. I have over 15 years of experience in the field of mental health. I am EMDR trained. I also use a lot of Cognitive Behavioral Therapy techniques. Within the past 10 years my focus has been primarily on working with adult women ages 18 and up.
(931) 345-4598 View (931) 345-4598

Online Therapists

Photo of Jamie Kreiter, LCSW, PMH-C, Clinical Social Work/Therapist
Jamie Kreiter
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Brentwood, TN 37027
As a perinatal therapist and women's support specialist, I work with women who are navigating journeys of motherhood. Are you a woman trying to conceive, a pregnant person, or a new mother? While parenthood is supposed to be a happy time in your life, it may not always feel this way. Along with the joy that accompanies pregnancy and the birth of a new baby, there are also stressful experiences that generate anxiety and pervasive feelings of incompetence and loneliness. With expert guidance, empathy, and understanding, I help you to find balance while maintaining your sense of self and identity.
As a perinatal therapist and women's support specialist, I work with women who are navigating journeys of motherhood. Are you a woman trying to conceive, a pregnant person, or a new mother? While parenthood is supposed to be a happy time in your life, it may not always feel this way. Along with the joy that accompanies pregnancy and the birth of a new baby, there are also stressful experiences that generate anxiety and pervasive feelings of incompetence and loneliness. With expert guidance, empathy, and understanding, I help you to find balance while maintaining your sense of self and identity.
(615) 265-1748 View (615) 265-1748
Photo of Jamie Kreiter - Nurture Therapy- Illinois and Tennessee, LCSW, PMH-C, Clinical Social Work/Therapist
Nurture Therapy- Illinois and Tennessee
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Brentwood, TN 37027
Welcome to Nurture Therapy! We are accepting NEW clients. At Nurture Therapy, we specialize in the counseling of women, helping you navigate emotional struggles and life transitions, particularly those related to womanhood, fertility, pregnancy, loss, postpartum mood disorders and the journey of parenthood. While parenthood is often celebrated as a joyous experience, we recognize that it can be overwhelming and challenging. Our dedicated team is here to walk alongside you, offering understanding, guidance, and empathy during times of uncertainty. With our expertise and heartfelt approach, we empower you to grow and heal.
Welcome to Nurture Therapy! We are accepting NEW clients. At Nurture Therapy, we specialize in the counseling of women, helping you navigate emotional struggles and life transitions, particularly those related to womanhood, fertility, pregnancy, loss, postpartum mood disorders and the journey of parenthood. While parenthood is often celebrated as a joyous experience, we recognize that it can be overwhelming and challenging. Our dedicated team is here to walk alongside you, offering understanding, guidance, and empathy during times of uncertainty. With our expertise and heartfelt approach, we empower you to grow and heal.
(615) 703-3973 View (615) 703-3973
Photo of Amy Green - Mamaya Health, LCSW, Clinical Social Work/Therapist
Mamaya Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashville, TN 37217
We create access to life giving Maternal Mental Health services in Tennessee. Needing to use your commercial insurance plan or have UHC Community Plan (TN Medicaid)? Struggling with anxiety or depression during pregnancy or in postpartum? A mother in need of access to maternal mental healthcare counseling?
We create access to life giving Maternal Mental Health services in Tennessee. Needing to use your commercial insurance plan or have UHC Community Plan (TN Medicaid)? Struggling with anxiety or depression during pregnancy or in postpartum? A mother in need of access to maternal mental healthcare counseling?
(615) 307-4803 View (615) 307-4803
Photo of Amy Lynn Green - Nashville Collaborative Counseling Center, LCSW, Clinical Social Work/Therapist
Nashville Collaborative Counseling Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashville, TN 37228
We provide support in the following areas: Pregnancy, Perinatal, and Postpartum.
Nashville Collaborative Counseling Center is a group practice of mental healthcare therapists and helping professionals committed to creating spaces of accessibility, healing, and justice for our clients and the communities in which we serve. We also have a speciality practice within NCCC called Mamaya Health (UHC Community Plan (TN Medicaid) geared towards women who are pregnant and/or postpartum. Our interns within this program have expertise in maternal mental health, as well as focused consultation & supervision to provide you with specialized care at a time when you need it most.
We provide support in the following areas: Pregnancy, Perinatal, and Postpartum.
Nashville Collaborative Counseling Center is a group practice of mental healthcare therapists and helping professionals committed to creating spaces of accessibility, healing, and justice for our clients and the communities in which we serve. We also have a speciality practice within NCCC called Mamaya Health (UHC Community Plan (TN Medicaid) geared towards women who are pregnant and/or postpartum. Our interns within this program have expertise in maternal mental health, as well as focused consultation & supervision to provide you with specialized care at a time when you need it most.
(615) 258-6519 View (615) 258-6519
Photo of Kendall LeBeau, BS, MA, Pre-Licensed Professional
Kendall LeBeau
Pre-Licensed Professional, BS, MA
Verified Verified
White House, TN 37188
If you are struggling with pregnancy loss or the journey through postpartum, I would LOVE to walk with you through that. Do you ever feel like life is hard and the burdens of life get so heavy? My goal as a counselor is to create a safe space for you to feel heard. I desire for everyone who walks in the door to leave feeling encouraged, heard, and confident to move forward. I deeply value providing a safe space for you to come as you are and work through the challenges of life. My desire as a therapist is for you to live the healthiest version of yourself so that you can live out your purpose in this thing called life!
If you are struggling with pregnancy loss or the journey through postpartum, I would LOVE to walk with you through that. Do you ever feel like life is hard and the burdens of life get so heavy? My goal as a counselor is to create a safe space for you to feel heard. I desire for everyone who walks in the door to leave feeling encouraged, heard, and confident to move forward. I deeply value providing a safe space for you to come as you are and work through the challenges of life. My desire as a therapist is for you to live the healthiest version of yourself so that you can live out your purpose in this thing called life!
(629) 299-2383 View (629) 299-2383
Photo of Kimery Cockrell, LCSW, Clinical Social Work/Therapist
Kimery Cockrell
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashville, TN 37211
Thank you for stopping by! As a Licensed Clinical Social Worker specializing in perinatal mental health, I offer compassionate support to individuals navigating the challenges of prenatal and postpartum depression and anxiety. My therapeutic approach is rooted in creating a safe, non-judgmental space where you can explore your feelings and develop effective strategies for managing symptoms. Together, we will work towards restoring balance and fostering resilience as you navigate this transformative period in your life.
Thank you for stopping by! As a Licensed Clinical Social Worker specializing in perinatal mental health, I offer compassionate support to individuals navigating the challenges of prenatal and postpartum depression and anxiety. My therapeutic approach is rooted in creating a safe, non-judgmental space where you can explore your feelings and develop effective strategies for managing symptoms. Together, we will work towards restoring balance and fostering resilience as you navigate this transformative period in your life.
(629) 205-0513 View (629) 205-0513
Photo of Brooke Ann Lamb, LMFT, Marriage & Family Therapist
Brooke Ann Lamb
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Mount Juliet, TN 37122
My experience in trauma healing, couple relational distress, young adult identity formation, and perinatal issues has prepared me to bring clinical excellence and confidence to my therapeutic work.
You’re exhausted from the unending racing thoughts and constantly feeling on-edge due to anxiety and PTSD. The guilt and shame of negative beliefs about yourself from depression feel overwhelming. You can feel peaceful, confident, grounded, and happy again. I can help you get there through my experiential, trauma-focused therapy. My ideal clients are open to deep exploration of their stories, identities, wounds, and desires and are motivated to make real change. I consider it a great privilege to witness the deeply human work of healing of all of my clients.
My experience in trauma healing, couple relational distress, young adult identity formation, and perinatal issues has prepared me to bring clinical excellence and confidence to my therapeutic work.
You’re exhausted from the unending racing thoughts and constantly feeling on-edge due to anxiety and PTSD. The guilt and shame of negative beliefs about yourself from depression feel overwhelming. You can feel peaceful, confident, grounded, and happy again. I can help you get there through my experiential, trauma-focused therapy. My ideal clients are open to deep exploration of their stories, identities, wounds, and desires and are motivated to make real change. I consider it a great privilege to witness the deeply human work of healing of all of my clients.
(615) 237-7150 View (615) 237-7150
Photo of Sadie Miller-Daley, LPCMHSP, NCC, Licensed Professional Counselor
Sadie Miller-Daley
Licensed Professional Counselor, LPCMHSP, NCC
Verified Verified
1 Endorsed
Nashville, TN 37215  (Online Only)
Do you feel like you have tried other methods of healing or therapy to no avail? Are you a young adult, mom, or a woman dealing with trauma, pregnancy, infertility, or difficult life transitions? Do you feel like your past has shaped certain aspects of you that you don’t want to continue to carry forward anymore? I encourage you to reach out, and explore through a free consultation how EMDR, and a holistic approach to healing may help to release you from old patterns no longer serving your mind and body. Taking a more body focused and holistic approach to healing can lead to a more comprehensive and long lasting healing.
Do you feel like you have tried other methods of healing or therapy to no avail? Are you a young adult, mom, or a woman dealing with trauma, pregnancy, infertility, or difficult life transitions? Do you feel like your past has shaped certain aspects of you that you don’t want to continue to carry forward anymore? I encourage you to reach out, and explore through a free consultation how EMDR, and a holistic approach to healing may help to release you from old patterns no longer serving your mind and body. Taking a more body focused and holistic approach to healing can lead to a more comprehensive and long lasting healing.
(615) 285-5223 View (615) 285-5223
Photo of Laura Ayers, LCSW, PMH-C, CCTP, Clinical Social Work/Therapist
Laura Ayers
Clinical Social Work/Therapist, LCSW, PMH-C, CCTP
Verified Verified
Murfreesboro, TN 37129
I hold a Perinatal Mental Health Certification (PMH-C) and am a Certified Clinical Trauma Professional (CCTP).
I am a Licensed Clinical Social Worker in the state of Tennessee and have served in several mental health disciplinaries for 15+ years, including jail systems, inpatient psychiatric hospitalization, and outpatient settings. My therapeutic approach is personalized to the individual and is eclectic in nature. I utilize CBT, Motivational Interviewing and Solutions-focused interventions. My goal is to help individuals come to their own conclusions and create their own paths moving forward in life. Acknowledging the desire to make changes is the first step in becoming a healthier version of yourself and I am here to assist along the way.
I hold a Perinatal Mental Health Certification (PMH-C) and am a Certified Clinical Trauma Professional (CCTP).
I am a Licensed Clinical Social Worker in the state of Tennessee and have served in several mental health disciplinaries for 15+ years, including jail systems, inpatient psychiatric hospitalization, and outpatient settings. My therapeutic approach is personalized to the individual and is eclectic in nature. I utilize CBT, Motivational Interviewing and Solutions-focused interventions. My goal is to help individuals come to their own conclusions and create their own paths moving forward in life. Acknowledging the desire to make changes is the first step in becoming a healthier version of yourself and I am here to assist along the way.
(629) 209-8783 View (629) 209-8783
Photo of Jordan Orlando, LCSW, CCM, Clinical Social Work/Therapist
Jordan Orlando
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
1 Endorsed
Lebanon, TN 37087  (Online Only)
Are you struggling with women's issues related to anxiety, depression, grief, or loss? Do you feel alone or overwhelmed in coping with stressors of every day life? I have an educational, professional and personal background in working with issues that plague many women or new parents. I enjoy working with women experiencing anxiety, issues related to early parenthood, fertility, loss, or postpartum issues. Please call for a FREE 15-minute consult with me to find out more!
Are you struggling with women's issues related to anxiety, depression, grief, or loss? Do you feel alone or overwhelmed in coping with stressors of every day life? I have an educational, professional and personal background in working with issues that plague many women or new parents. I enjoy working with women experiencing anxiety, issues related to early parenthood, fertility, loss, or postpartum issues. Please call for a FREE 15-minute consult with me to find out more!
(615) 821-2240 View (615) 821-2240
Photo of Jana Moon, LPC, MHSP, Licensed Professional Counselor
Jana Moon
Licensed Professional Counselor, LPC, MHSP
Verified Verified
White House, TN 37188  (Online Only)
I have experience in working with pregnancy and postpartum issues.
Undergoing lasting change outside of our comfort zone can be a vulnerable process. I strive to provide a safe place for individuals to come and to be able to embrace healing. It can be an even more difficult process if one is not in a safe environment. Providing this safe, nonjudgmental atmosphere is crucial, in addition to working collaboratively with a supportive therapist. My goal is to help individuals cultivate healthiness in every area of an their lives, physically, emotionally, and mentally.
I have experience in working with pregnancy and postpartum issues.
Undergoing lasting change outside of our comfort zone can be a vulnerable process. I strive to provide a safe place for individuals to come and to be able to embrace healing. It can be an even more difficult process if one is not in a safe environment. Providing this safe, nonjudgmental atmosphere is crucial, in addition to working collaboratively with a supportive therapist. My goal is to help individuals cultivate healthiness in every area of an their lives, physically, emotionally, and mentally.
(615) 326-6303 View (615) 326-6303
Photo of Renee Kochera, LMFT, Marriage & Family Therapist
Renee Kochera
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Nashville, TN 37213  (Online Only)
Additionally, I have a special interest in supporting women through perinatal and parenthood challenges, fostering healing and growth in every session.
Welcome to Looking Glass Therapy! Life often brings unexpected challenges. As a Licensed Marriage & Family Therapist with over 12 years' experience, I'm dedicated to navigating these roads with you. I am a level 2 Gottman trained therapist, which is a well sought after approach for couples therapy. I strive to empower individuals, couples, and families to improve their lives. My approach is empathetic and supportive. Together, we'll establish realistic goals for you journey towards growth and healing.
Additionally, I have a special interest in supporting women through perinatal and parenthood challenges, fostering healing and growth in every session.
Welcome to Looking Glass Therapy! Life often brings unexpected challenges. As a Licensed Marriage & Family Therapist with over 12 years' experience, I'm dedicated to navigating these roads with you. I am a level 2 Gottman trained therapist, which is a well sought after approach for couples therapy. I strive to empower individuals, couples, and families to improve their lives. My approach is empathetic and supportive. Together, we'll establish realistic goals for you journey towards growth and healing.
(475) 222-1689 View (475) 222-1689
Photo of Melesa Love, MSW, LCSW, IMH-E, PMH-C, Clinical Social Work/Therapist
Melesa Love
Clinical Social Work/Therapist, MSW, LCSW, IMH-E, PMH-C
Verified Verified
1 Endorsed
Franklin, TN 37064
I have extensive experience in perinatal mental health and I am a certified PMH-C.
Are you experiencing negative thinking, sadness, anxiety, irrational fears, excessive worry, irritability, relational conflict, mistrust, and insecurity? I recognize that many people get "stuck" and struggle to make the change that they desire. You're not alone in your struggle and there is help available. Allow me to support you and or your loved one, in widening your path to emotional wellness. I have 22 years of clinical experience. I specialize in perinatal mental health, attachment/bonding issues, couples in conflict, and trauma.
I have extensive experience in perinatal mental health and I am a certified PMH-C.
Are you experiencing negative thinking, sadness, anxiety, irrational fears, excessive worry, irritability, relational conflict, mistrust, and insecurity? I recognize that many people get "stuck" and struggle to make the change that they desire. You're not alone in your struggle and there is help available. Allow me to support you and or your loved one, in widening your path to emotional wellness. I have 22 years of clinical experience. I specialize in perinatal mental health, attachment/bonding issues, couples in conflict, and trauma.
(615) 721-2418 View (615) 721-2418
Photo of Hannah Mersereau, LPC, MHSP, Licensed Professional Counselor
Hannah Mersereau
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Clarksville, TN 37043
Waitlist for new clients
Hello and a heartfelt welcome. I’m glad you're here. I aim to provide you with a therapy experience that is approachable, collaborative, and affirming. I enjoy working with individuals and couples to address a variety of concerns including marriage and relationships, parenting, anxiety, depression, trauma, military life, transitions, and general life stressors. In addition, I am passionate about supporting new mothers and have specialized training in perinatal mental health. Whether you are trying to conceive, pregnant, postpartum, or adjusting to parenthood, I am available to help.
Hello and a heartfelt welcome. I’m glad you're here. I aim to provide you with a therapy experience that is approachable, collaborative, and affirming. I enjoy working with individuals and couples to address a variety of concerns including marriage and relationships, parenting, anxiety, depression, trauma, military life, transitions, and general life stressors. In addition, I am passionate about supporting new mothers and have specialized training in perinatal mental health. Whether you are trying to conceive, pregnant, postpartum, or adjusting to parenthood, I am available to help.
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Photo of Alexine Batts, LPCMHSP, NCC, PMH-C, EMDR, Licensed Professional Counselor
Alexine Batts
Licensed Professional Counselor, LPCMHSP, NCC, PMH-C, EMDR
Verified Verified
3 Endorsed
Waitlist for new clients
I chose to seek certification in perinatal mental health to better serve clients seeking care from the family planning stage through the post-partum period, including perinatal mental health concerns.
Life tends to pile on, and sometimes the stress gets to the point where it just feels toxic. We question everything, especially when the hurts from our past feel like they're a heavy shroud over our happiness and what we hope to accomplish. I firmly believe that it doesn't have to be this way; that healing and meeting whatever goals you set for your overall well-being can be possible with the right kind of support. I work from the perspective of 'what has happened to lead to this problem, and how can we work through it together?'
I chose to seek certification in perinatal mental health to better serve clients seeking care from the family planning stage through the post-partum period, including perinatal mental health concerns.
Life tends to pile on, and sometimes the stress gets to the point where it just feels toxic. We question everything, especially when the hurts from our past feel like they're a heavy shroud over our happiness and what we hope to accomplish. I firmly believe that it doesn't have to be this way; that healing and meeting whatever goals you set for your overall well-being can be possible with the right kind of support. I work from the perspective of 'what has happened to lead to this problem, and how can we work through it together?'
(615) 420-7376 View (615) 420-7376
Photo of Kara Guindin, LCSW, PMH-C, Clinical Social Work/Therapist
Kara Guindin
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
2 Endorsed
Nashville, TN 37203
Waitlist for new clients
Hi! I'm Kara with Wise Roots Therapy. I'm a Licensed Clinical Social Worker who specializes in treating perinatal mental health, complex trauma, mood concerns, & attachment wounds. My clients are often adults who have experienced trauma or are navigating concerns related to depression, anxiety, or interpersonal issues. I also recognize there is a special space needed for exploring pregnancy, infertility, loss, postpartum mood changes, and transitions into parenthood. I utilize a combination of approaches to help process painful experiences, explore new coping strategies, and increase resources to help you heal.
Hi! I'm Kara with Wise Roots Therapy. I'm a Licensed Clinical Social Worker who specializes in treating perinatal mental health, complex trauma, mood concerns, & attachment wounds. My clients are often adults who have experienced trauma or are navigating concerns related to depression, anxiety, or interpersonal issues. I also recognize there is a special space needed for exploring pregnancy, infertility, loss, postpartum mood changes, and transitions into parenthood. I utilize a combination of approaches to help process painful experiences, explore new coping strategies, and increase resources to help you heal.
(615) 551-3950 View (615) 551-3950
Photo of LaVonne Johnson, LMFT, Marriage & Family Therapist
LaVonne Johnson
Marriage & Family Therapist, LMFT
Verified Verified
Murfreesboro, TN 37129
My heart reaches out to you as you search to make the best decision for yourself, your spouse, your child and others. Like you, so many face challenges related to marital/family issues, school, depression, anxiety, anger, pregnancy, trauma, self-esteem and other life changing events that come our way. Regardless of where you fall, at the end of the day if it matters to you, it matters (period). There is no reason to feel guilty for wanting to feel stronger and happier with yourself and in your relationships. With 20 years of experience, I hope that this adds comfort and that my office is a safe haven for you to grow and to be heard.
My heart reaches out to you as you search to make the best decision for yourself, your spouse, your child and others. Like you, so many face challenges related to marital/family issues, school, depression, anxiety, anger, pregnancy, trauma, self-esteem and other life changing events that come our way. Regardless of where you fall, at the end of the day if it matters to you, it matters (period). There is no reason to feel guilty for wanting to feel stronger and happier with yourself and in your relationships. With 20 years of experience, I hope that this adds comfort and that my office is a safe haven for you to grow and to be heard.
(615) 461-4660 View (615) 461-4660
Photo of Elizabeth Redwine, LCSW, PMH-C, Clinical Social Work/Therapist
Elizabeth Redwine
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Nashville, TN 37209  (Online Only)
I have unique experience supporting people who are finding it difficult to care for themselves while they take care of others. This includes helping professionals experiencing secondary trauma exposure and burnout, family members caring for those with serious forms of mental or physical illness, and parents managing life changes such as pregnancy, birth and child-rearing, or feeling overwhelmed by day to day life. I am specially certified in Perinatal Mental Health (PMH-C) which includes pregnancy related and postpartum issues, and have experience treating both mood disorder and psychosis in outpatient and inpatient settings.
I have unique experience supporting people who are finding it difficult to care for themselves while they take care of others. This includes helping professionals experiencing secondary trauma exposure and burnout, family members caring for those with serious forms of mental or physical illness, and parents managing life changes such as pregnancy, birth and child-rearing, or feeling overwhelmed by day to day life. I am specially certified in Perinatal Mental Health (PMH-C) which includes pregnancy related and postpartum issues, and have experience treating both mood disorder and psychosis in outpatient and inpatient settings.
(615) 667-8297 View (615) 667-8297

See more therapy options for Cheatham County

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.