Postpartum Depression Treatment

Wellness Hills provides postpartum depression treatment in New Jersey with intensive outpatient (IOP), and partial hospitalization (PHP) based on symptom severity.

Postpartum Care at Wellness Hills

Postpartum Depression​ Treatment in New Jersey

Becoming a parent is one of the most significant transitions a person can experience, but for many, it is overshadowed by overwhelming sadness, anxiety, or a sense of disconnection. If you are struggling, please know that what you are feeling is a treatable medical condition, not a reflection of your ability to parent or your love for your child.

Wellness Hills Mental Health provides postpartum depression treatments for parents who need more than just traditional weekly therapy. Whether you require a Partial Hospitalization Program (PHP), an Intensive Outpatient Program (IOP), or standard outpatient postpartum depression treatment in NJ, our Chester-based team is here to help.

Schedule a confidential assessment to find the right level of support for you and your family.

Case management office at Wellness Hills.
Primary Therapist office at Wellness Hills Mental Health.

Jump To Section

Postpartum Depression Basics

Postpartum Depression in New Jersey: What it is and When it Can Start

Postpartum depression isn’t just feeling sad; it’s a treatable clinical condition that can disrupt sleep, bonding, concentration, and daily functioning.

At Wellness Hills, we evaluate symptom timing, severity, and safety risk, then match you to the right level of care (OP, IOP, or PHP) and track progress using validated tools like the EPDS (Edinburgh Postnatal Depression Scale).

Baby Blues vs Postpartum Depression: What Changes After 2 Weeks

The main difference between PPD and baby blues is how long the feelings last and how much they affect your life. Baby blues are very common, affecting about 8 out of 10 new parents. These feelings usually go away on their own within two weeks as your body settles.

However, if you still feel very sad, anxious, or have trouble bonding with your baby after about 14 days, it might be PPD. While the two-week mark is a helpful guide, it isn’t a final answer; only a trained mental health worker can tell for sure. If your feelings make it hard to get through the day, contact Wellness Hills for help and guidance.

Perinatal Depression vs. Postpartum Depression (Why the Terms Overlap)

Postpartum depression describes depressive symptoms after birth, but many clinicians also use the term perinatal depression to include depression that begins during pregnancy or within the first year postpartum.

In New Jersey Department of Health materials, postpartum depression is part of broader perinatal mood disorders, which can include depression, anxiety, OCD patterns, PTSD symptoms, panic, and, more rarely, postpartum psychosis.

At Wellness Hills, we assess timing, symptom pattern, and safety risk so treatment matches what’s actually happening, not just the label.

When Postpartum Depression Can Begin: During Pregnancy Through the First Year

Symptoms consistent with postpartum depression can emerge during pregnancy or anytime in the first 12 months after delivery. Hormonal, physical, and psychosocial factors contribute, and onset varies widely.

Why This is Treatable and Not a Personal Failure

Postpartum depression isn’t your fault, and it isn’t because you are a bad parent or weak. It happens because of a perfect storm in your body and life:

  • Your hormones shift very quickly after birth, which affects your brain.
  • Extreme tiredness makes it much harder for your brain to handle stress.
  • Becoming a parent (or adding a new baby) is a huge change that completely flips your world upside down.

Signs and Symptoms That Impact Daily Functioning

These symptoms often affect mood, thoughts, sleep, and daily functioning, and they can be a sign that it’s time to get evaluated.

Emotional Symptoms: Numbness, Hopelessness, Irritability, Guilt

How it feels:

  • A Heavy Cloud: You feel sad almost all the time, and it doesn’t just go away with a good sleep or a distraction.
  • Feeling Nothing: Things that used to make you smile don’t spark any joy anymore.
  • The Guilt Trap: You constantly tell yourself you aren’t doing enough for your baby or that you’re failing, even when you are doing your best.
  • Hopelessness
  • Irritability: Small things that wouldn’t normally bother you now make you feel very frustrated or angry.
  • Even simple things (like getting dressed, washing dishes, or playing with the baby) feel impossible.

Cognitive Symptoms: Racing Thoughts, Brain Fog, Fear of Not Doing it Right

It is common to feel like your brain is:

  • Foggy
  • Trouble focusing
  • Constantly worry that you aren’t doing a good job as a new mother
  • Racing thoughts
  • Keep imagining the worst things happening to your baby by mistake.

These scary thoughts can make you feel very overwhelmed and unsure of yourself. If you are struggling with these feelings, remember that there is help available to help you feel like yourself again.

Sleep and Appetite Disruption Beyond Newborn Schedules

It is normal to be tired with a new baby, but these are signs you might need extra support:

  • Trouble sleeping
  • Sleeping too much
  • Eating changes (unusual loss or increase in appetite).

Intrusive Thoughts and When They Signal Postpartum OCD Patterns

Some mothers have unwanted and upsetting thoughts, like fears of accidentally harming their baby. If these thoughts come with:

  • Repeating actions over and over
  • Avoiding certain situations to stop the thoughts

They may be part of postpartum OCD. Postpartum OCD is treatable. Early help can bring relief and allow you to feel safer and more in control.

How Symptoms Change the Treatment Plan

Symptoms help determine how much structure you need. When intrusive thoughts, severe sleep disruption, panic, or functioning decline are escalating, treatment may need to be more intensive (IOP or PHP). When symptoms are present but daily functioning remains stable, outpatient therapy may be enough to build steady recovery.

Mother sitting beside a crib in a nursery showing signs of postpartum depression
New mother holding her baby and showing signs of postpartum anxiety and depression
Mother holding her baby near a window

Same-Day vs Emergency Care

When to Seek Help Now: Safety and Postpartum Psychosis

When symptoms escalate quickly, it helps to know what can be addressed with a same-day assessment, and what requires emergency help.

Same-Day Concerns vs Emergency Symptoms

You should seek help the same day in scenarios like:

  • Rapidly increasing sadness, hopelessness, or irritability that makes daily functioning (like caring for yourself or the baby) feel impossible.
  • Severe sleep problems
  • Extreme fatigue, or feeling completely overwhelmed.
  • Growing anxiety, panic, or intrusive thoughts.
  • Thoughts of self-harm (even if not acting on them)
  • Feeling unsafe around the baby
  • Sudden big changes in mood, energy, or behavior

Get professional help. In many places, you can request an urgent same-day assessment. Early help prevents things from getting worse.

Warning Signs of Postpartum Psychosis and Urgent Next Steps

PPP can start suddenly, usually days or weeks after delivery. It may involve a rapid onset of symptoms like:

  • Hallucinations
  • Delusions
  • Severe mood swings (manic or depressive).
  • Confusion
  • Paranoia
  • Insomnia (typically within days to weeks of delivery).

PPP is a medical emergency and needs immediate treatment. People who have had bipolar disorder in the past have a higher risk of developing postpartum psychosis.

If You Feel Unsafe: What To Do Immediately

  • If you are in immediate danger, call 911.
  • If you are in a mental health crisis (or thinking about suicide or self-harm), call or text 988.
  • If you think you may have postpartum psychosis, go to the emergency room right away.

Wellness Hills provides several structured treatment programs. To find the appropriate level of care for your needs, you can schedule a private assessment with a professional by calling 973-532-5139.

Week-by-Week Treatment Plan

What Treatment Looks Like at Wellness Hills: How We Stabilize and Rebuild Week by Week

Below is a clear, week-by-week overview of what treatment can look like, from intake and safety planning to skills-based therapy, step-down care, and long-term relapse prevention.

First 72 Hours: Scheduling, Intake, and a Clear Care Plan

The first days are mainly about getting you the right help quickly:

  • The First Call: A staff member will ask what you’re going through to ensure you’re scheduled for an appointment.
  • The Intake Meeting: You will meet with a licensed professional for a full check-in. They will:
    • Talk with you to understand your history and current needs.
    • Make sure you are safe right now.
    • Help you decide which program level is best for you (see below).
  • Quick Help: If you are struggling with things like not being able to sleep or feeling completely overwhelmed, the team will give you immediate stabilization strategies while they finish your long-term plan.

The clinical team will recommend one of these three options based on the treatment intensity you need:

  • PHP for postpartum depression
  • IOP for postpartum depression
  • OP for postpartum depression treatment

For a full breakdown of what each level includes, see Choosing the Right Level of Care (OP vs IOP vs PHP) below.

Week 1: Clinical Assessment, Symptom Baseline, and Safety Planning

We begin with a full check-in to understand how you are feeling. We use simple questionnaires called:

  • PHQ-9 to check for depression
  • GAD-7 to check for anxiety
  • EPDS to check for postpartum mental health

We then look for the main issues, such as:

  • Feeling very sad or shut down
  • Feeling very anxious or overwhelmed
  • Having unwanted or scary thoughts
  • Effects from past trauma

Together, we set 2–3 realistic goals, like:

  • Taking basic care of yourself
  • Having small, positive moments with your baby

If there are safety concerns, we make a plan to help keep you safe.

Weeks 2–4: Skills-Based Therapy, Mood Stabilization, and Functioning Goals

During weeks 2 to 4, therapy focuses on helping your mood feel steadier and helping you function better day to day. We may introduce psychotherapies like:

  • CBT for postpartum depression can help you:
    • Reduce guilt
    • Stop worst-case thinking
    • Feel less stuck or avoidant
  • Interpersonal Therapy for postpartum depression can help you:
    • Adjust to your new role as a parent
    • Handle stress in relationships
    • Set healthy boundaries and reduce isolation

You will have weekly check-ins to see how you are doing. Your care plan can change based on what helps you most. Both group sessions and individual sessions help you practice skills, improve your mood, and feel more stable.

What Progress Usually Looks Like (Realistic, Not Perfect)

  • Intrusive thoughts feel less sticky and easier to dismiss
  • Bonding returns in short moments first, then expands
  • Sleep improves in fragments before it improves fully
  • Functioning improves before the mood fully lifts
  • Setbacks happen; one hard day doesn’t erase progress

Weeks 4–8: Relapse Prevention, Relationship Skill-Building, and Confidence Rebuilding

During weeks 4 to 8, the focus is on helping you stay well and feel more confident.

  • We help you notice what might trigger a bad day.
  • We create a simple coping plan, so you know what to do when things feel hard.
  • Therapy focuses on small successes to build confidence.

We work on daily functioning, like:

  • Taking care of yourself
  • Spending positive time with your baby

When helpful, partners or family members may be included to strengthen the connection, improve communication, and reduce isolation.

Transition Planning: Stepping Down To the Right Level of Care

As symptoms stabilize and daily functioning improves, we use a step-down model, so care stays consistent while intensity decreases:

  • PHP: Highest structure when symptoms are severe, or functioning is significantly impaired.
  • IOP: Continued momentum when symptoms are improving, but still disruptive.
  • Outpatient (OP): Longer-term maintenance, relapse prevention, and skill reinforcement.

Aftercare planning may include:

  • Relapse-prevention strategies and early warning signs to watch for
  • Coordination with your OB-GYN and primary care provider when appropriate
  • Referrals for ongoing therapy, medication follow-up, and community resources

Next step: You can schedule a private assessment to develop a care plan that aligns with what you’re experiencing right now.

Young mother showing signs of postpartum depression while receiving emotional support

Get Up to 100% Covered with Insurance

We Work With Most Major Insurance Companies

Find out your personal coverage & options for treatment with a free verification of benefits from our admissions team. Whether you come to our programs or not we will ensure that you receive personalized recommendations for treatment based on your needs.

First Name:(Required)
Last Name:(Required)
Pregnant woman standing indoors representing prenatal mental health
Pregnant woman and her partner standing together representing prenatal mental health and pregnancy support

Therapy & Medication Options

Evidence-Based Postpartum Depression Treatment Options

These treatment options can work best when they’re matched to symptom severity and paired with consistent monitoring over time.

Therapy That Works: CBT and Interpersonal Therapy for Postpartum Depression

CBT therapy can help you notice negative thoughts (like guilt or self-blame) and replace them with more helpful ones. Interpersonal Therapy can help you adjust to life changes and improve communication with people around you.

Medication When Appropriate: Coordination and Monitoring

If your symptoms feel more serious, our mental health team can evaluate if medication management may be appropriate. This team includes Paula Weisman, PMHNP-BC, a practitioner who provides psychiatric care for anxiety, depression, and other mood disorders.

Before you start any medicine, we will make sure it is safe for you, especially if you are:

  • Pregnant
  • Breastfeeding
  • Someone who has had bad reactions to medicine before.

We will also coordinate with your other doctors to ensure everyone is working together to keep you healthy.

Coordinated Care: Aligning Therapy and Postpartum Medical Care

We communicate with your postpartum medical providers when appropriate to ensure mental health care and physical recovery are aligned.

Sleep and Nervous System Stabilization: Building a Realistic Routine

We focus on practical ways to improve rest with a newborn, including short rest periods, gentle routines, and calming strategies to reduce stress on the nervous system.

Partner and Family Involvement: Reducing Overwhelm and Isolation

When partners are included in therapy, they are not just watching from the sidelines. Partner sessions focus on psychoeducation, recognizing symptom escalation, reducing conflict during high-stress moments, and improving communication when sleep disruption and anxiety are intensifying symptoms. The goal is to reduce isolation and improve stability at home while clinical treatment addresses mood, functioning, and safety.

  • Sharing daily responsibilities, like chores and baby care
  • Improving communication so everyone understands each other better
  • Offering emotional grounding and reassurance
  • Helping you feel validated and heard
  • Helping partners understand PPD better

Client Testimonials

What Our Clients Say About Wellness Hills

Woman wearing a whit sun hat.
Male wearing headphones
Smiling woman on beach

Average 5.0 Rating

“Wellness Hills Truly Changed My Life. From the Moment I Walked in.”

"I felt supported, understood, and never judged. The therapists here actually listen, and the groups helped me build confidence and skills I didn’t even know I needed. I’m healthier, calmer, and finally hopeful about my future. I’m so grateful for the care I received.”

0 %

Client Satisfaction

Level of Care Matching

Choosing the Right Level of Care in New Jersey: OP vs IOP vs PHP

The right program level depends on symptom severity, safety needs, and how much postpartum depression is affecting daily functioning.

Outpatient Therapy for Mild to Moderate Symptoms

Weekly individual sessions suit stable routines with persistent but manageable symptoms. Progress builds steadily while maintaining home responsibilities.

Intensive Outpatient Program for Structured Care While Staying Home

IOP is a structured, higher-level mental health treatment option. It gives you more support than regular weekly therapy but lets you stay at home with your baby and handle daily life (like caring for your child, light household tasks, or family responsibilities). You don’t live at a facility overnight; it’s intensive because of the frequency and amount of care, but still flexible for new parents.

Partial Hospitalization Program for Higher Severity or Rapid Stabilization

In PHP, you attend treatment most days of the week. You get a lot of structure and clinical monitoring.

This level of care can help when:

  • Symptoms are severe
  • Symptoms change quickly
  • You need extra support to feel stable

PHP is often used as a short-term step before moving to Intensive Outpatient or regular outpatient therapy.

How We Determine Your Level of Care at Intake

We look at factors such as how severe your symptoms are, how well you can manage daily life, your safety, the stability of your home environment, how quickly symptoms are changing, and any other issues you may have. This helps us choose the most suitable level of care from the start.

If you’re not sure what you need, an assessment can help guide you. Schedule an assessment today to get clear answers.

Related Postpartum Conditions We Screen For During Treatment

Postpartum depression often overlaps with anxiety, intrusive thoughts, trauma symptoms, or mood instability, so we screen for related conditions that may change the treatment plan.

Postpartum Anxiety and Panic

You may feel very worried, restless, or on edge. You might have sudden panic feelings. These often happen along with postpartum depression. We check for this and use the right tools to help.

Postpartum OCD Patterns and Intrusive Thoughts

Sometimes, new parents get unwanted, upsetting thoughts in their heads about their baby’s safety. Common examples include: Fears about dropping the baby, bad thoughts about hurting the baby on purpose (like stabbing or drowning), or worrying about germs.

According to current psychiatry reports, many new parents, including mothers, fathers, and partners (about 2% to 24% of them), experience these thoughts.

Trauma History, Birth Trauma, and PTSD Symptoms

Past trauma or a difficult birth can affect how you feel now. We use trauma-focused therapy at a steady pace, and you stay in control of the process.

Bipolar Spectrum Screening and Why it Matters Before Medication

Bipolar disorder involves both highs and lows. It is easily mistaken for regular depression  (especially if a clinician only sees the low phase). Screening for the full bipolar spectrum, including Bipolar I, Bipolar II, and cyclothymia, can help ensure you get the right diagnosis. It ensures that your medication and therapy plan are designed to stabilize your mood rather than accidentally pushing it too high.

If you’re not sure what you’re experiencing, you can also browse all mental health conditions we treat to find the right starting point for treatment.

Insurance, Cost, and How to Start Treatment Quickly in New Jersey

If you’re ready to get started, we can schedule an assessment, verify insurance benefits, and recommend the appropriate level of care.

What a Confidential Assessment Includes and What Happens Next

  1. First Call: We start with a short phone call to learn a little bit about you.
  2. Meeting with a Specialist: You will then have a longer meeting where we talk about how you are feeling, your past health, and how you are managing daily life.
  3. The Plan: After we talk, we will tell you which type of program or care is the best fit for your needs.
  4. Insurance: We can also check your insurance to see what they will pay for before you start.

Everything you share with us is private and confidential. We follow HIPAA rules to protect your information.

Insurance Verification and Common Coverage Questions

Most major health insurers, like Aetna, UnitedHealthcare, Cigna, and Horizon BlueCross, cover mental health care, including treatment for postpartum depression in New Jersey. Your plan will likely pay for:

  • Talk therapy and counseling
  • Psychiatric care
  • Intensive programs

How we help you:

  • Our team will call your insurance company on your behalf.

Before you start, we will tell you exactly what you need to pay, including:

  • Deductibles
  • Copays
  • Approvals (any special permission your insurance needs before they pay for your care).

How Fast You Can Begin and What To Do While You Wait

Many people can start treatment within a few days of reaching out.

What to do while you wait:

  • Stay Safe: If you feel very bad or unsafe, talk to someone you trust or call a suicide and crisis hotline. Do not try to handle everything alone.
  • Get Ready: Write down how you have been feeling and any questions you want to ask us.

Call 973-532-5139 or submit our online form. Wellness Hills Mental Health is licensed by the New Jersey Department of Health (License No. 70290104).

Wellness Hills mental health group therapy room with arranged chairs and comfortable seating.

Common Questions

Frequently Asked Questions About Postpartum Depression Treatment

These FAQs answer the most common questions we hear from new parents in New Jersey about postpartum depression treatment, timelines, and choosing the right level of care.

How quickly can treatment start helping?

While everyone is different, many parents feel a sense of relief just by having a plan in place during the first week. Most see significant shifts in their mood and ability to function within the first 2–4 weeks of a structured program like our IOP or PHP.

It depends on your functional impairment. If you can still manage your house and baby but feel miserable, outpatient may work. If you feel like you are failing every day and can’t see a way out, our PHP for postpartum depression offers the intensive support needed for rapid stabilization.

With proper postpartum depression therapy, that connection can and does return as the depression lifts.

It depends on your functional impairment. If you can still manage your house and baby but feel miserable, outpatient may work. If you feel like you are failing every day and can’t see a way out, our PHP for postpartum depression offers the intensive support needed for rapid stabilization.

Yes. In fact, most people with postpartum depression also experience high levels of postpartum anxiety.

Sleep deprivation causes irritability and tiredness, but it usually improves when you finally get a few hours of rest. If you are exhausted but cannot sleep when given the chance, or if you feel a deep sense of hopelessness and fog that doesn’t lift with rest, it is likely postpartum depression.

Screening for Perinatal Depression: Barriers, Guidelines, and Measurement Scales (Journal of Clinical Medicine, 2024) | NCBI/PMC – Review of perinatal depression screening barriers and best-practice guidelines.

About Perinatal Mood Disorders | New Jersey Department of Health – NJ-specific public health resource outlining perinatal mood disorder types (depression, anxiety, postpartum OCD, panic, PTSD, psychosis), risk factors, and prevalence ranges.

Perinatal Obsessive–Compulsive Disorder: Epidemiology, Phenomenology, Etiology, and Treatment (Current Psychiatry Reports, 2022) | NCBI/PMC – Clinical review explaining common perinatal OCD patterns, including intrusive harm-related thoughts, and evidence-backed treatment considerations (CBT with ERP, SSRI risk and benefit framing).

Summary of the HIPAA Privacy Rule (OCR Privacy Brief) | U.S. Department of Health & Human ServicesFederal overview of HIPAA Privacy Rule protections and patient privacy rights.

We're Here When You Need It Most

Start Your Path To Wellness Today