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Postpartum depression causes a persistent low mood after giving birth. This differs from the “baby blues” that many new parents experience. Online postpartum therapy can improve treatment access and may be effective for this condition.

Postpartum depression is a serious mental health condition that can affect every aspect of a person’s life, including their physical and mental health and their baby’s health. It typically develops more slowly, lasts longer, and is more severe than the “baby blues.”

A person with postpartum depression may benefit from seeking treatment from a medical professional.

Find out more about postpartum depression here.

Typical postpartum therapy includes a combination of talk therapy and prescription antidepressant medication. This treatment often occurs face-to-face, but with the development of telehealth options and the onset of the COVID-19 pandemic, people have become more interested in online treatment delivery options.

Medical News Today chooses online therapy using the following criteria:

  • Type of therapy: services that offer talk therapy, psychiatry, and counseling
  • Prescriptions: services that offer medication where necessary
  • Availability: services that offer access to therapists in a timely manner
  • Insurance coverage: services that accept a range of insurance providers
  • Cost: services that fit a range of budgets
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Please note that the writer of this article has not tried these services. All information presented is purely research-based and correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best for confidentiality: Betterhelp

  • Price: $60–90/week
  • Special features: allows a user to create a “nickname” to protect anonymity

Betterhelp states that its practitioners are licensed, trained, experienced, and accredited psychologists, clinical social workers, therapists, and counselors.

People can communicate with their therapists through video conferencing, telephone, live chat, and text messages.

Based on online surveys, the company selects a therapist for the individual. However, if the therapist is not a good fit, a person can change therapists fairly easily. This service is reportedly available in both the United States and the United Kingdom.


  • safeguards confidentiality
  • offers four ways of communicating with therapists
  • provides unlimited texting with therapists
  • expands access to postpartum therapy with a simple site and lower costs


  • does not prescribe medication
  • does not provide a diagnosis
  • hard to know specific charges up front
  • insurance may not cover costs
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Best option for choosing a therapist: Talkspace

  • Price: starting at $69/week for text messaging therapy; starting at $99/week for video + messaging therapy; starting at $109/week for video + messaging + access to weekly workshops; option to purchase additional live sessions for $65 each
  • Special features: allows a user to choose their therapist from among three options

Talkspace offers users access to a variety of therapeutic services, all delivered through a private, secure online network.

After completing an online questionnaire, a person can choose from three potential therapists. The company states that this process can take about 48 hours. People can switch therapists if they choose.

A user and their therapist have a private chat room, where the person can review saved messages from their therapist. Although Talkspace does not accept Medicare or Medicaid, it partners with many health insurance providers. If a user has applicable coverage, their insurance will pay for their therapy and medications.


  • option to select a therapist from three candidates
  • can connect users with psychiatrists who can prescribe medication
  • reportedly reasonably easy to reach therapists


  • costs not clear until a person signs up
  • can get expensive
  • reports of potential company analysis of archived conversations using artificial intelligence
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Best for skill building: Brightside

  • Price: $299/month for 4 sessions + unlimited messaging; $59 for each additional session; $95/month for medication; $349/month for therapy and medication packages
  • Special features: allows users to complete self-paced exercises to help them cope with depression

After a person completes an online assessment, this service pairs them with an online therapist for video counseling sessions.

A person can opt for a therapy package, a medication-only package, or a package that combines therapy and medication. Users also receive personalized audio lessons to learn healthy skills and habits.

Brightside bases its treatment on cognitive behavioral therapy (CBT). It is available in all 50 states. Audio lessons can show users how they are making progress.


  • offers three treatment packages to choose from, including medication
  • focuses on depression and anxiety
  • provides self-care lessons to reinforce progress
  • accepts insurance


  • no same-day access to treatment
  • sometimes-slow responses from customer service
  • lack of access to therapist bios
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Best for volunteer listeners: 7Cups

  • Price: free for volunteer virtual chat services; $150/month for messaging with a therapist
  • Special features: option to connect with a listener right away

This online therapy option provides 24/7 access to trained volunteer listeners who can offer research-backed, evidence-based emotional support.

A person can either browse the company’s listener community to look for someone who is a good match or opt for the first available listener. The company states that its technology is anonymous and secure.

A person can also opt for online therapy. The company will match a person with a licensed therapist. The person receives access to unlimited messaging for $150 per month.


  • has a free option
  • allows users to select a specific listener or topic
  • has a paid option that allows users to connect with a trained therapist
  • offers texting with a therapist to accommodate complex schedules


  • unclear backgrounds and credentials of listeners
  • no access to medication
  • potentially slow response time for texts
  • age minimum of 18 years for paid therapy
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Best for 24-hour access: Amwell

  • Price: $109–129 for online therapy; $279 for first online psychiatry appointment; $109 for each 15-minute follow-up
  • Special features: can connect users to professionals 24 hours per day

The Amwell approach is based on a telehealth model. The company states that the service can connect a person to board certified practitioners 24/7. Amwell contracts with psychologists and counselors for online therapy.

Online psychiatry is also an option, which means a person can receive a prescription for antidepressants if they need them.


  • available 24/7
  • partners with many insurance companies
  • easy to access online or by phone
  • available in all 50 states


  • 15-minute limit for follow-up psychiatric visits
  • not suitable for people with serious or life threatening conditions
  • does not allow users to select their therapists
  • involves an examination, which could be cursory, before prescribing treatment
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Best for subscription service: Hers

  • Price: $25 for the first month; $45/month or $85/month for a 3-month subscription
  • Special features: options for subscription or payment by appointment

Hers is a subscription service that offers telemental healthcare. The emphasis is on psychiatric treatment.

To sign up for Hers, a person completes an online assessment and shares information on their medical history and symptoms. A licensed practitioner determines appropriate treatment, such as medication or counseling.

Hers states that it typically takes 24–48 hours to arrange an online evaluation. The company also offers online mental health counseling for $99 per visit, with no subscription required. If a person receives a prescription for medication, the service ships it to their home at no additional charge.


  • options for both subscription and payment by appointment
  • seemingly straightforward pricing
  • affordably priced


  • does not work with insurance companies
  • potentially limited therapist availability, depending on location
  • does not allow people to select or review therapists
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Best for quick access to care: Doctor on Demand

  • Price: $129 for a 25-minute session or $179 for a 50-minute session with a psychologist; $299 for an initial 45-minute session with a psychiatrist; $129 for each 15-minute follow-up
  • Special features: adapts the urgent care model for online mental health care

Doctor on Demand adapts the urgent care model for online use. The company website offers easy access to online counseling, and its therapists can provide care for all behavioral health needs, including therapy, psychiatry, and specialty care.

A person can see a psychiatrist for access to prescription medications, a therapist for counseling, or both. Sessions can be 25 or 50 minutes long.


  • reportedly provides quick access to care
  • accepts insurance
  • offers longer sessions than many other online providers
  • can prescribe medications


  • can get expensive without insurance
  • limited therapist availability
  • difficult to reach therapists between sessions
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Best for flexible service: Thriveworks

  • Price: varies depending on insurance, payment method, location, and options
  • Special features: options for in-person, telephone, and video counseling

This service offers users the choice between in-person and online counseling. Online services include telephone and video counseling, and a person can telephone for an appointment. In-person counseling is available at the company’s 380 locations.

Counseling options include medication management, couples counseling, and child therapy. At 50–60 minutes long, sessions are longer than those of many other online therapy services.

Thriveworks works with many insurance companies, even including Medicaid at a few sites.


  • offers 50- to 60-minute sessions
  • accepts many forms of insurance
  • offers sessions within 3–5 days of scheduling


  • difficult to know the exact costs up front
  • has in-person sites mainly in large cities
  • offers psychiatry and medication management at only some sites
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Best for support groups: Postpartum Support International (PSI)

  • Price: toll-free hotline and free online support groups
  • Special features: offers more than 30 specialty support groups 5 days per week

This organization’s mission is to promote awareness, prevention, and treatment of mental health issues due to childbearing.

PSI is not, strictly speaking, a therapy service. However, in pursuit of its broader mission, it does offer an online resource portal, a toll-free helpline, and online support groups led by trained facilitators.


  • toll-free helpline available in English and Spanish
  • online support groups with trained facilitators
  • offers services to people of all genders


  • does not offer ongoing counseling services
  • cannot prescribe medication
  • group facilitators and phone answerers may not be licensed professionals
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Best for membership-based services: TherapyTribe

  • Price: free to users; therapists pay $29.95/month for professional listing
  • Special features: national listing of mental health care professionals based on location and specialty

TherapyTribe promotes access to mental health resources organized into “tribes” focused on concerns such as depression and anxiety.

In addition to informational resources, support, and encouragement, the site includes a national directory of mental health care professionals. Many of these professionals offer online counseling in states where they are licensed.

Therapists pay a fee to become members of TherapyTribe, which gives them access to the company’s listing service. Additionally, each therapist receives a turn-key website based on their directory listing.


  • offers free access to mental health resources
  • allows people to search for therapists based on their location and specialization
  • reportedly easy to use for both therapists and people seeking care


  • does not provide direct access to mental health treatment or clinicians
  • no vetting of therapists before they become members of TherapyTribe
  • targets therapists more so than people seeking care
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Best for cost-effective support: Sesh

  • Price: $30/session or $60/month for unlimited sessions
  • Special features: support groups led by licensed therapists

Sesh offers users access to a wide range of support groups facilitated by thoroughly vetted licensed therapists.

A person signs up by downloading the app and filling out a questionnaire. They can then review the different group therapy session topics and times and select sessions that work for them.

Sessions are 30–60 minutes long. The first session is free when a person signs up. Sessions have 2–10 attendees.


  • costs less than one-on-one therapy
  • wide variety of topics available
  • support group sessions with licensed therapists


  • offers only supports groups, which are not the same thing as therapy
  • age minimum of 18 years to use this service
  • no access to prescription medications
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Below we compare the best options for online postpartum therapy

Price FormatInsurance accepted?Therapist choice
Betterhelp$60–90/week• video conferencing
• telephone
• live chat
• text messages
the company does not submit claims — an individual must submit them if their policy covers the servicethe company selects the therapist.
Talkspace• starting at $69/week for text messaging therapy
• starting at $99/week for video + messaging therapy
• starting at $109/week for video + messaging + access to weekly workshops
• optional additional live sessions $65 each
• phone
• video message
• chat
partners with many employers, U.S. health plans, employee assistance programs, and educational organizationsa user can choose from three options.
Brightside$299/month for 4 sessions and unlimited messaging
• additional sessions $59 each
$95/month for medication
$349/month for therapy & medication packages
• video sessions
• unlimited messaging
• audio lessons
• partners with several insurance companies
• HSA/FSA eligible
the company selects the therapist.
7Cups• free for virtual chat with volunteer listeners
$150/month for therapist
• virtual chat for free
• unlimited messaging
no mention of insurance on the website• users can select a volunteer listener.
• the company matches users with paid therapists.
Amwell$109–129 for online therapy
$279 for the first online psychiatry appointment
$109 for each 15-minute follow-up
• video
• phone
• chat
partners with many insurance companies • users can select online therapists.
• the company may assign psychiatry appointments.
Hers$25 for the first month
$45/month or $85/month for a 3-month subscription
online appointmentsdoes not work with insurance companiesthe company selects the therapist.
Doctor on Demand$129 for a 25-minute session or $179 for a 50-minute session with a psychologist
$299 for an initial 45-minute session with a psychiatrist
$129 for each 15-minute follow-up
video conferencingworks with many insurance companiesusers can select.
Thriveworksvaries depending on insurance, payment method, location, and options• in-person
• telephone
• video counseling
works with many insurance companies, even Medicaid at some sitesusers can select.
Postpartum Support Internationalfree• toll-free hotline
• online support groups
this service does not work with therapists.
TherapyTribefree• online informational resources
• directory
$60/month for unlimited sessions
online group therapyno

Research has shown that online postpartum therapy can help strengthen a person’s ability to:

  • self-regulate their emotions
  • maintain psychological flexibility
  • practice self-compassion

Early studies show that online postpartum therapy options that use principles of CBT may be helpful in reducing symptoms of postpartum depression.

Look for postpartum therapy options that include follow-up to help maintain benefits.

Postpartum depression is more than the “baby blues.” It is a form of depression that research suggests affects 6.5–20% of women who have given birth. Postpartum depression can develop during pregnancy or within 4 weeks of delivery.

Symptoms of postpartum depression

Symptoms of postpartum depression include:

  • difficulty sleeping
  • changes in mood
  • lack of energy
  • frequent bouts of tears and sadness
  • loss of appetite
  • lack of interest in daily activities
  • fears for one’s baby
  • fear of injury
  • feelings of guilt or worthlessness
  • thoughts of harming one’s baby
  • thoughts of suicide

Find out more about postpartum depression.

Researchers estimate that only 22% of people with postpartum depression receive treatment. Online postpartum therapy may help more people access the treatment they need.

Additionally, studies have shown that online postpartum therapy can help reduce symptoms of depression.

Postpartum depression is a serious condition, and a person who has this condition should seek treatment from a qualified professional. However, in addition to treatment, a person may want to adopt self-care practices such as:

  • making sure to get enough rest
  • sharing feelings and thoughts with family, friends, and loved ones
  • joining a support group for people with similar concerns
  • avoiding making major life changes
  • getting help with caring for their baby and other activities of daily life

Is online postpartum therapy covered by insurance?

It depends on the provider. Some online postpartum therapy services do not accept insurance at all. Others have partnership arrangements with several insurance companies.

Does postpartum depression have a treatment?

Different postpartum therapy options exist. The standard recommendation for people with moderate to severe postpartum depression is a combination of therapy and antidepressant medications. In extreme cases, a healthcare professional may recommend electroconvulsive therapy.

Online postpartum therapy is an additional option. Some online therapy services offer access to prescription antidepressants.

How does postpartum therapy help?

Postpartum therapy can help by relieving the symptoms of postpartum depression and teaching a person strategies for changing patterns of thoughts, behavior, and feelings.

How long does postpartum depression last?

Postpartum depression is different for every person. Some people who have experienced this condition say they still feel symptoms 3 years later.

Postpartum depression is a mental health condition that occurs after giving birth. It involves a persistent low mood, among other symptoms, and is different from the more common “baby blues” that many parents experience.

A person who believes they may have postpartum depression may benefit from consulting a healthcare professional. Online postpartum therapy can be a convenient way to access treatment, and there are many options available.