Postpartum Depression
Therapy in California

Online Therapy for
Postpartum Depression

This isn’t what you imagined. You prepared for this. You wanted this. But instead of the joy you expected, something feels off in a way that's hard to explain, even to yourself.

Maybe you're crying more than you expected, or you can't cry at all and feel completely numb.

Maybe you feel disconnected from your baby, like you're going through the motions without really feeling it.

Maybe you're exhausted in a way that sleep doesn't fix.

Maybe you feel irritable, hopeless, or like you're failing at something that's supposed to come naturally.

Maybe you've thought "I can't do this", and felt terrified by that thought.

Maybe you're just not yourself, and you're scared you might not come back.

And when people tell you everything is okay (or even when you know it yourself), your body doesn’t believe it.

This is not a character flaw. This is not weakness. This is postpartum depression, and it is one of the most common and treatable conditions new mothers face.

At Palmetto Psychology Clinic, we provide specialized online therapy for postpartum depression across California.

We specialize in helping new moms feel more engaged, present, and like themselves again so that they stop surviving and start truly enjoying this sweet season.

We’ve helped hundreds of California moms with PPD.
If this resonates, you’re not alone, and we can help.

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What Postpartum Depression Actually Looks Like

Postpartum depression doesn't always look like what you've seen in movies. It's not always crying on the floor.

Many women with PPD are still functioning — still caring for their baby, still showing up — but something underneath feels very, very off. You might:

  • Feel a heaviness that doesn't lift, even on good days

  • Go through the motions of caring for your baby without feeling connected to them

  • Feel irritable or rageful — more than sad — and not understand why

  • Lose interest in things you used to love

  • Feel like you're watching your life from behind glass

  • Have trouble sleeping even when your baby sleeps

  • Feel hopeless about things getting better

  • Withdraw from your partner, friends, or family

  • Feel like your baby deserves a better mother

  • Wonder if you'll ever feel like yourself again

Many new moms who struggle with postpartum depression tell us: “I didn’t think it was postpartum depression because I wasn’t sad all the time. I was just numb, empty, not me.”

Postpartum depression can look different in every woman , and it can start anytime in the first year, not just right after birth. If something feels off, that's enough reason to reach out.

Why Postpartum Anxiety Feels So Intense

Becoming a parent comes with an enormous shift in responsibility, identity, hormones, sleep, and routine. Your brain is suddenly wired to protect something you love deeply, and for many women, that protective instinct gets stuck in overdrive.

Postpartum anxiety can show up as:

  • Constant worry and racing thoughts

  • Always staying alert and preparing for potential problems

  • Scary intrusive thoughts

  • Difficulty tolerating the unpredictability and lack of routine that can come with postpartum

  • Physical anxiety symptoms like racing heart, chest tightness, nausea, or difficulty sleeping

And often, it doesn’t look the way people expect anxiety to look. Many women don’t realize they’re experiencing postpartum anxiety because they assume:

  • “I’m just a cautious mom.”

  • “This is normal new mom stress.”

  • “I should be able to handle this.”

  • “A good mom should be worrying a lot".”

But living in a constant state of fear, tension, or mental spiraling isn’t something you have to keep pushing through.

Reach out

What Therapy for Postpartum Depression Looks Like

Therapy for postpartum depression is not about pushing you to think positive or snap out of it.

At Palmetto, we help you understand what's happening in your mind and body, and give you real, evidence-based tools to start feeling like yourself again.

In therapy, we may work on:

  • Understanding what postpartum depression is and why it's happening to you

  • Identifying and shifting the thought patterns that keep you stuck in the dark

  • Rebuilding emotional connection: with your baby, your partner, and yourself

  • Addressing the shame and self-blame that often come alongside PPD

  • Getting needs met: sleep, support, rest (without the guilt)

  • Processing the gap between the experience you expected and the one you're having

  • Rebuilding a sense of hope and meaning in this season of life

  • Creating more space for warmth, presence, and connection with your baby

Our approach is compassionate, collaborative, and tailored to your experience. We know how hard it is to ask for help when you feel like you should be able to handle this — and we also know how treatable postpartum depression is with the right support.

At the end of therapy, our clients often tell us the heaviness has lifted. That they feel present again, with their baby, their partner, and themselves. That they finally feel like they came back.

Book a free consultation

FAQs about Postpartum Anxiety

  • Some level of worry is normal after having a baby. It’s a big transition, and everything is brand new - of course it feels like a lot!

    But when the anxiety feels constant, overwhelming, difficult to control, or starts interfering with sleep, decision-making, relationships, or your ability to be present, postpartum anxiety may be part of what’s going on.

  • The postpartum brain is wired to protect your baby, so your mind naturally spends a lot of time thinking about their safety and well-being.

    Postpartum anxiety often pulls people one step further into cycles of “what if” thinking that temporarily feel protective, but actually keep anxiety going.

    Therapy can help you understand these patterns and learn how to step out of them.

  • Many women with postpartum anxiety feel physically exhausted but mentally unable to shut off. Your nervous system may still feel “on alert,” making it difficult to fully relax or fall asleep. Or maybe your mind is racing with worries and questions, and you end up Googling for answers instead of resting.

    In therapy, we can help you learn new strategies to unwind and cope more effectively with your busy mind so you can get the rest you need.

  • Intrusive thoughts are extremely common in postpartum anxiety and postpartum OCD. These thoughts are unwanted, distressing, and often directly conflict with your values, which is why they feel so upsetting.

    Having intrusive thoughts does not mean you want something bad to happen, and we can help you learn how to cope with them so they stop interfering with your enjoyment of this phase.

  • Checking behaviors (like nonstop monitor watching, tracking baby wearable data, or tiptoeing over to make sure the baby is still breathing) are often an attempt to reduce anxiety or create certainty - something we understandably crave in this unpredictable season!

    While they may bring temporary relief, they usually keep the anxiety cycle going over time. We’ll help you explore how this shows up for you and learn tools to break the loop.

  • Postpartum anxiety doesn’t always look like panic or crying. For many moms, anxiety can show up as irritability, rage, feeling overstimulated, or snapping more easily than usual, especially when you’re mentally overloaded and constantly on edge.

    Postpartum rage and irritability are often signals that something deeper needs support, like unmet needs, anxiety, or burnout.

    We can help you get to the root so it stops interfering with your decisions and relationships.

  • When anxiety is high, your brain can start convincing you that you’re the only person who can prevent something bad from happening (or the only one who will do things “right.”)

    This can make it incredibly hard to delegate, rest, or feel comfortable away from your baby.

    We’ll help you take baby steps so that you can reclaim some of your freedom and rebuild some capacity.

  • No! Many postpartum moms cope with anxiety by trying to control routines, schedules, tracking, or caregiving details. Usually, this comes from fear rather than being “too controlling.”

    That said, control efforts can start to interfere with life over time, and we specialize in helping moms let go of the need for control so that they can rebuild some flexibility and freedom.

  • So many capable, loving mothers have this thought, especially in moments of overwhelm. It’s often a reflection of how hard this transition is, not a reflection of your ability (or desire) to be a good parent.

  • Motherhood often comes with intense internal pressure to “do everything right.” That can lead to constant second-guessing and guilt, even when you’re doing more than enough. Learning how to relate differently to that guilt is a big part of the work we do in therapy.

  • It’s completely normal to feel excited and worried, especially about how having another baby will impact your relationship with your older children.

    Therapy can help you process those fears, set realistic expectations, and feel more emotionally prepared for the transition.

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FAQs about Therapy at Palmetto

  • Therapy at Palmetto is a collaborative, supportive process.

    Whether you’re seeking help for postpartum anxiety, depression, or challenges in motherhood, we’ll start by getting to know you — your story, your goals, and what feels most important to you right now — to create a therapy plan tailored to your specific circumstances.

    Over time, therapy will help you feel calmer, more grounded, and more connected to yourself and those around you.

    For more about our approach, visit our services page.

  • Finding the right therapist is key to feeling supported and understood. That’s why we start with a free consultation to learn more about what you’re looking for and match you with a clinician who specializes in your specific concerns.

    If it’s not the perfect fit, we’ll help connect you with someone who is.

  • Yes! We exclusively offer telehealth sessions for clients throughout California.

    Many clients, especially new and expecting moms, appreciate the flexibility of virtual sessions. Telehealth allows you to access care from the comfort of your home (and with your baby in your arms!) at a time that works for your ever-changing schedule.

  • Yes! We love seeing your little ones and you are welcome to cuddle, nurse, or contact nap with them during your sessions.

    To maintain your privacy and to ensure you get the most out of therapy, verbal toddlers and older children should not be in the room with you during therapy.

  • Our session fees vary depending on the clinician, type, and length of service.

    Fees reflect the expertise of our highly specialized doctoral-level psychologists. Rates fall within the typical range for private practice therapy in the Bay Area.

    We also offer lower-fee services with our highly trained student therapists.

    We’re happy to discuss your needs and share more about costs during your free consultation.

  • We are an out-of-network therapy practice, which means we do not bill insurance directly.

    Many of our clients receive partial reimbursement from their insurance company for therapy sessions. We provide monthly superbills to make the process simple.

    We recommend checking with your insurance provider about your out-of-network mental health benefits.

    Standard Notice: “Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act

    You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
    For more information visit CMS.gov.

  • It’s a little different from client to client depending on needs, scheduling, and budget. We generally recommend that all clients start with us on a weekly basis.

    After making some initial progress, some clients will move to a biweekly cadence. As you approach graduation from therapy, you and your provider may elect to space sessions out to meet monthly or on an as-needed basis.

    You and your provider will work together to create a custom treatment plan tailored to your goals and needs.

  • It depends on your goals. Some clients come for short-term therapy to manage postpartum adjustment or anxiety, while others continue longer-term to work through patterns that have built up over time and to cope with the ever-changing challenges of motherhood.

    You and your therapist will collaborate to find a pace and approach that feels right for you and regularly check in about your progress.

  • That’s completely normal. Many clients start therapy uncertain about what they need — they just know something isn’t working.

    You don’t need to have the perfect words or plan to begin. Our therapists are here to meet you where you are and help you find clarity, confidence, and relief.

    If you’re unsure, book a free consultation so we can make recommendations and help you decide whether therapy is the right fit — no strings attached.

  • We offer a free consultation to help you explore whether therapy at Palmetto Psychology Clinic feels like the right fit.

    You can schedule directly through our website, email us at hello@palmettopsychology.com, call us, or send us a text at (628) 285-1745 — we’ll take care of the rest.

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Our Team

You Don’t Have to Keep Living in Survival Mode

If your mind constantly feels “on,” if you’re exhausted from overthinking everything, or if anxiety is stealing your ability to enjoy this season of life, you are not alone.

We offer online postpartum anxiety therapy across California, including San Francisco, the Bay Area, Los Angeles, Orange County, and San Diego.

You don’t have to wait until things feel “bad enough” to get support.

Start with a free consultation to find the right therapist for you

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