
Mila Arsenijevic
MSW RSW · Founder, 18 years, including 10 at Mount Sinai
Postpartum mood, high-functioning anxiety, identity change.
Openings this week
Postpartum depression, anxiety, intrusive thoughts, rage and perinatal OCD. Treated by therapists who work with this every day, virtually anywhere in Ontario, usually within a week.
Postpartum therapy treats the mood and anxiety conditions that can show up after birth: postpartum depression, postpartum anxiety, perinatal OCD and intrusive thoughts, postpartum rage, and birth trauma. In Ontario, it’s provided by Registered Social Workers (RSW) and Registered Psychotherapists (RP). Both are regulated professions with public registers you can search by name.
Around one in five people experience a postpartum mood or anxiety disorder, which makes it the most common complication of childbirth. It’s treatable. At Toronto Therapy Practice, all of our therapists work in postpartum. Sessions are available virtually across Ontario, with in-person sessions in Toronto with select therapists. Fees are $175 to $200 for 50 minutes depending on the therapist, with a free 15 minute consultation first.
You might recognize this
"I love the baby. I don't recognize myself."
"I have thoughts about something happening to her and I can't stop them."
"I'm angry all the time and I don't know who I'm angry at."
"I check on him constantly and I still can't relax."
"Everyone keeps telling me to enjoy it."
"I don't feel the thing I'm supposed to feel."
"I can't sleep even when the baby sleeps."
"I'm eight months in. Isn't it too late to be struggling?"
Intrusive thoughts about harm coming to your baby are one of the most common experiences after birth, and one of the least talked about. They’re a symptom of anxiety, not a sign of danger, and they respond well to treatment. Saying them out loud to someone who understands them is often the moment they start to lose their grip.
It’s also not too late. People come to us at three weeks and at three years. Postpartum struggles don’t have an expiry date, and neither does support.
What the work looks like
Who works with this

MSW RSW · Founder, 18 years, including 10 at Mount Sinai
Postpartum mood, high-functioning anxiety, identity change.
Openings this week

MSW RSW · 20 years, including Mount Sinai
Postpartum anxiety, depression and role transition.
Waitlist, about 3 weeks

MSW RSW · 30 years
Postpartum depression and anxiety, couples and family.
Openings this week

MSW RSW · 11 years, hospital practice
Postpartum mood, emotional regulation and support for partners.
Openings this week

MSW RSW · EMDR and trauma
Birth trauma, and the body after a hard birth.
Openings this week

MSW RSW, MBA · 10 years
Skills-focused. Going back to work, blended families.
Openings this week

RP · Fertility, loss and surrogacy
Postpartum after infertility, loss or donor conception.
Openings this week
Nothing has gone wrong with you. This is treatable.
Before you book
Having intrusive thoughts is not, on its own, a reason for a report. These thoughts are unwanted, distressing and common after birth. They're a recognized symptom of anxiety, and they're treatable. Therapists who specialize in this know the difference between an intrusive thought and a real risk, which is exactly why it matters who you tell.
Exhaustion and postpartum mood disorders overlap so much that people often talk themselves out of getting help for a long time. The useful questions are usually whether it lifts when you sleep, and whether it's spread into how you see yourself and your relationships. That's something we can talk through on a free 15 minute call.
For focused postpartum anxiety or intrusive thoughts, many people notice a change within six to twelve sessions. If there's birth trauma or older history underneath, it usually takes longer. Your therapist will give you an honest estimate early on, rather than leaving it open-ended.
The postpartum period is often defined as up to a year after birth, and some definitions extend it to two. But we don't turn people away at a birthday. If it started then and hasn't resolved, it's the same work.
Yes, either to your sessions or on their own. Partners carry their own version of this period that almost nobody asks about, and several of our therapists work with them directly. There's more on our partner support page.
Reading on this
Postpartum
The Invisible Wall: When Postpartum Anxiety Prevents Shared Parenting
Postpartum anxiety (PPA) is a challenging and often invisible condition that affects many new mothers. The overwhelming feeling of hypervigilance can make it difficult…
2 May 2025
Postpartum
A Postpartum Mental Health Guide for Partners: How to Really Help
Having a baby can be both exciting and overwhelming, but the important thing to note is that your postpartum period isn’t only about your physical recovery but mental recovery as…
7 Mar 2025
Postpartum
How Postpartum Sleep Deprivation Impacts Your Mental Health and Ways to Cope
One of the hardest changes of new parenthood is sleep. Night feedings, crying babies, and adjusting to a new routine, can all lead to chronic disruptions in your sleep. Postpartum…
26 Feb 2025
Postpartum
How to Balance Work and Motherhood: A Working Mom’s Guide to Postpartum Depression
Being a mother is both transformational and rewarding; however, becoming a new mom can also have unexpected challenges. One of those challenges is postpartum depression. Almost…
11 Feb 2025
Postpartum
“I feel like a bad mom”, Breaking Down the Postpartum Intrusive Thoughts
Between 70 and 100 percent of new mothers report unwanted intrusive thoughts about infant harm. What they are, why they happen, and when to seek help.
24 Jan 2025
Almost everyone says that on the first call. There's no threshold you need to reach before this counts. Fifteen minutes, free, and no pressure to book anything after.