Perinatal Therapy in Denver
Comprehensive Support During Pregnancy and Beyond
Pregnancy and the transition to motherhood can bring unexpected emotional challenges that extend far beyond the postpartum period. At Melissa Preston Therapy, I provide specialized perinatal therapy for women experiencing peripartum depression, prenatal anxiety, and other perinatal mental health concerns throughout pregnancy, birth, and early motherhood.
Understanding Perinatal Mental Health
Perinatal mental health encompasses emotional wellbeing during pregnancy (prenatal period) and the first year after birth (postpartum period). Many people think mental health challenges only occur after birth, but prenatal depression symptoms and other perinatal mental health conditions are incredibly common and equally deserving of treatment.
Common perinatal mental health conditions:
Prenatal depression and anxiety during pregnancy
Peripartum depression that begins during pregnancy or postpartum
Postpartum depression, anxiety, and mood disorders
Birth trauma and perinatal PTSD
Pregnancy loss grief and infertility trauma
Recognizing Prenatal Depression Symptoms
Prenatal depression affects 10-20% of pregnant women, but it often goes undiagnosed because symptoms are attributed to "normal" pregnancy changes.
Common prenatal depression symptoms include:
Persistent sadness, emptiness, or feeling overwhelmed during pregnancy
Loss of interest in activities you previously enjoyed
Excessive worry about your baby's health or your ability to be a good mother
Difficulty sleeping beyond typical pregnancy discomfort
Feeling guilty, worthless, or like a burden to others
Difficulty concentrating or making decisions about pregnancy and birth
Thoughts of harming yourself or not wanting to be pregnant
Feeling disconnected from your pregnancy or baby
Prenatal anxiety symptoms may include:
Constant worry about miscarriage, birth defects, or pregnancy complications
Racing thoughts about all the things that could go wrong
Physical symptoms like rapid heartbeat, sweating, or shortness of breath
Obsessive research about pregnancy risks and symptoms
Understanding Peripartum Depression
Peripartum depression is the clinical term for depression that occurs during pregnancy or within the first year after birth. This broader definition recognizes that perinatal mental health issues don't start and stop with delivery - they can begin during pregnancy and continue postpartum, or develop at any point during this vulnerable period.
Key features of peripartum depression:
Can begin during pregnancy, immediately after birth, or months postpartum
Often involves specific concerns about being a good mother or bonding with the baby
May be accompanied by anxiety, obsessive thoughts, or trauma symptoms
Requires specialized treatment that considers pregnancy and breastfeeding safety
My Specialized Approach to Perinatal Mental Health
Perinatal Mental Health Expertise: I understand the unique challenges of emotional wellbeing during pregnancy and early motherhood, providing informed care throughout your entire perinatal journey.
Pregnancy-Safe Treatment: All therapeutic approaches are carefully considered for safety during pregnancy and breastfeeding, with collaboration with your healthcare providers when needed.
Trauma-Informed Care: Birth trauma, medical procedures, pregnancy loss, and other traumatic experiences require specialized attention using approaches like EMDR therapy.
Holistic Support: Addressing not just symptoms but your relationships, identity, body changes, and life circumstances during this major transition.
Therapeutic Approaches I Use
Interpersonal Therapy (IPT): Proven effective for perinatal depression, focusing on relationship changes and role transitions during pregnancy and early parenthood.
Cognitive Behavioral Therapy (CBT): Addressing anxious thoughts about pregnancy, birth, and parenting while developing practical coping strategies.
EMDR for Perinatal Trauma: Processing birth trauma, pregnancy loss, infertility trauma, or other traumatic experiences. Learn more about EMDR therapy.
Attachment and Bonding Support: Helping develop secure attachment with your baby, especially if bonding feels difficult.
Mindfulness-Based Interventions: Developing present-moment awareness and reducing anxiety about pregnancy outcomes and parenting challenges.
Specialized Services
Pregnancy Loss Support: Compassionate care for miscarriage, stillbirth, or infant loss, including complicated grief and trying to conceive again.
Infertility Mental Health: Support for the emotional challenges of fertility treatments and pregnancy after infertility.
High-Risk Pregnancy Support: Mental health care for women with pregnancy complications or medical conditions affecting pregnancy.
Birth Trauma Processing: Support for difficult labor, delivery, or NICU experiences that create lasting emotional impact.
When to Seek Perinatal Mental Health Support
During Pregnancy:
Persistent sadness or anxiety that interferes with daily functioning
Difficulty enjoying your pregnancy or feeling connected to your baby
Excessive worry about pregnancy complications or birth outcomes
Thoughts of harming yourself or not wanting to be pregnant
After Birth:
Symptoms of postpartum depression or anxiety
Difficulty bonding with your baby
Birth trauma symptoms or PTSD reactions
Intrusive thoughts about harming yourself or your baby
Crisis Resources: If you're having thoughts of harming yourself or your baby, please call 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room immediately.
Recovery and Healing
Healing from perinatal mental health challenges is absolutely possible with appropriate support. Recovery often includes:
Emotional regulation skills for managing mood swings and anxiety
Improved relationships and communication with your partner
Processing trauma from difficult pregnancy or birth experiences
Developing secure bonding with your baby at your own pace
Self-compassion during this challenging and transformative time
Ready to Get the Support You Deserve?
Perinatal mental health challenges are real, common, and treatable. Whether you're currently pregnant, planning a pregnancy, or in your first year postpartum, specialized support can make a tremendous difference.
You deserve to feel emotionally healthy and supported throughout your entire perinatal journey.
Schedule a consultation to discuss how perinatal therapy can support your mental health during pregnancy and beyond.
Related services: Depression Therapy | Anxiety Therapy | Trauma Therapy | Body Image Therapy | EMDR Therapy | Relationship Therapy | Postpartum Therapy | Nutrition Therapy
More about my approach: My therapeutic philosophy
