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Toronto Therapy Practice Perinatal & reproductive
What we help with  /  Postpartum

Postpartum therapy, including the parts you haven't said out loud.

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.

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What postpartum therapy treats, and who provides it in Ontario

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

Things we often hear in a first session

"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

Focused and specific.

What we do

  • Name what’s actually happening, using clear clinical language, so it stops feeling like a vague sense of failure
  • Treat intrusive thoughts and postpartum OCD with approaches designed specifically for them
  • Work on sleep, rage and the nervous system as physical problems, not character flaws
  • Look at the relationship strain underneath, and bring your partner in if that would help
  • Talk honestly about medication where it's relevant, and coordinate with your doctor or midwife

What we don't do

  • Ask you to be grateful, or remind you how long you waited for this
  • Treat your thoughts as a risk when they’re a symptom to be treated
  • Make you explain what a let-down reflex is, or what week 6 felt like
  • Require you to arrange childcare. Feed, rock or pace during the session if that's what today looks like

Who works with this

All seven of our therapists work in postpartum. Pick whoever you'd rather talk to.

Mila Arsenijevic

Mila Arsenijevic

MSW RSW · Founder, 18 years, including 10 at Mount Sinai

Postpartum mood, high-functioning anxiety, identity change.

Openings this week

Alana Jackson

Alana Jackson

MSW RSW · 20 years, including Mount Sinai

Postpartum anxiety, depression and role transition.

Waitlist, about 3 weeks

Ruth Diemer

Ruth Diemer

MSW RSW · 30 years

Postpartum depression and anxiety, couples and family.

Openings this week

Caroline Nikiel

Caroline Nikiel

MSW RSW · 11 years, hospital practice

Postpartum mood, emotional regulation and support for partners.

Openings this week

Kate Bailey

Kate Bailey

MSW RSW · EMDR and trauma

Birth trauma, and the body after a hard birth.

Openings this week

Emilie Ballarino

Emilie Ballarino

MSW RSW, MBA · 10 years

Skills-focused. Going back to work, blended families.

Openings this week

Annie Peralty

Annie Peralty

RP · Fertility, loss and surrogacy

Postpartum after infertility, loss or donor conception.

Openings this week

A newborn held by a parent while an older sibling leans in to kiss the baby’s hand

Nothing has gone wrong with you. This is treatable.

Before you book

Questions we get about this one in particular.

Will telling you about my intrusive thoughts get my baby taken away?

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.

Is this postpartum depression, or am I just tired?

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.

How long does this take?

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.

My baby is two. Am I still postpartum?

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.

Can my partner come?

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.

All questions people ask us

Reading on this

Articles on PPD, PPA, intrusive thoughts and the first two years.

Postpartum Postpartum Intrusive thoughts after birth are not warnings Unwanted thoughts about harm coming to your baby are common, treatable, and not a sign of danger. What they are, why they happen, and when to get help. 6 Oct 2026 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
All 18 articles on this
Two people holding each other

You don't have to be sure it's bad enough.

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.

See all 18 articles on postpartum mental health

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