What to expect from therapy for perinatal mental health
Types of therapy, what sessions look like, and how to find a perinatal specialist.
Therapy for PMADs is highly effective — multiple meta-analyses show response rates of 70–80% for CBT and IPT (Interpersonal Therapy). Yet many mothers wait months before seeking help, often because they don't know what to expect.
The main evidence-based therapies
- CBT (Cognitive Behavioural Therapy): Focuses on the relationship between thoughts, feelings, and behaviours. Usually 8–16 sessions. Gold standard for anxiety and depression.
- IPT (Interpersonal Therapy): Focuses on relationships, role transitions (becoming a mother), and grief. Particularly well-suited to the perinatal period.
- EMDR: For mothers with birth trauma or prior trauma history.
What happens in the first session
The therapist will ask about your history, current symptoms, and goals. You won't be expected to solve anything in session one. It's mostly assessment and building rapport. It's normal for it to feel awkward.
Finding a perinatal specialist
Postpartum Support International (postpartum.net) maintains a directory of perinatal mental health specialists. Your OB or midwife may also have referral relationships.
Maternally is a support and screening tool, not a substitute for professional medical advice, diagnosis, or treatment.