Postpartum Therapy in Texas | Online & In-Person Support

If you are like most women, you may have idealized the thought of your motherhood journey. Although you knew it would be both beautiful and hard, you may not have expected the experience of how disorienting, heavy, and lonely motherhood can truly be.

If you’re feeling anxious, numb, overwhelmed, irritable, teary, disconnected, or like you’re barely holding it together, you’re not alone. You’re adjusting to a massive life transition that deserves real support.

When I started as a Maternal Mental Health Therapist, the National Data shared that 1 in 10 women experienced Postpartum Depression, whereas now the data is 1 in 8 women experience a diagnosis. As the increase of life stressors, heavy news cycles, and the never-ending cycle of am I good enough thoughts ruminate in our minds, it's no wonder we see a higher rate of postpartum depression in our new mamas.

At The Couch Therapy, we offer postpartum therapy in Texas for new parents who are navigating postpartum depression, postpartum anxiety, postpartum OCD, birth trauma, infertility history, loss history, and the emotional whiplash of becoming “someone’s everything.”

We provide postpartum therapy in Colleyville, Allen, and online throughout Texas.

Get Started with Postpartum Therapy

What Postpartum Therapy Helps With

Postpartum can look like many things. Therapy can support you if you’re experiencing:

• Postpartum anxiety (racing thoughts, constant worry, panic, dread)

• Postpartum depression (numbness, hopelessness, crying, disconnection)

• Postpartum OCD (intrusive thoughts, mental loops, checking behaviors)

• Birth trauma or a difficult pregnancy/birth experience

• Sleep deprivation, burnout and emotional shutdown

• Feeling overstimulated, touched out, or resentful

• Relationship stress after baby (disconnection, conflict, loss of intimacy)

• Trouble bonding with baby or feeling like you’re “doing it wrong.”

• Grief around the loss of your old identity or independence

• A history of infertility, pregnancy loss, or complicated family building

• Pressure to be grateful while feeling like you’re drowning

If you’ve been thinking, “Why is this so much harder for me than everyone else?” You’re not alone, therapy helps you make sense of what you’re carrying and how to move through it with support. We've lived it and at The Couch Therapy, we want you to know that your therapist is not only highly trained in supporting new parents she cares deeply about doing it.

Postpartum Depression, Anxiety, and OCD — What It Can Actually Feel Like

Many people assume postpartum mental health struggles look obvious. But for many high-functioning moms, parents, and professionals, it looks like getting everything done… while internally unraveling which can make you feel invisable. These are common signs that you may be needing support for your adjustment to motherhood, but aren't comprehensively diagnostic.

Postpartum depression may feel like:

• Numbness, sadness, heaviness, or emotional flatness

• Crying easily or feeling disconnected from joy

• Guilt, shame, or “I’m not a good mom” thoughts

• Withdrawing from others even when you need help

Postpartum anxiety may feel like:

• Constant fear that something bad will happen

• Racing thoughts you can’t turn off

• Trouble sleeping even when the baby sleeps

• Feeling on edge, tense, irritable, or panicky

Postpartum OCD may feel like:

• Intrusive thoughts that are disturbing or scary

• Mental images you don’t want

• Compulsions like checking, reassurance-seeking, or avoiding

• A fear that having the thought means you’re a bad parent

Intrusive thoughts do not mean you want to harm your baby. They are often a symptom of anxiety/OCD—and they’re treatable.

You Don’t Have to “Just Push Through”

So many parents come into postpartum therapy saying:

• “I thought I would feel happier.”

• “I love my baby, but I don’t feel like myself.”

• “I’m functioning, but I’m not okay.”

• “I can’t explain it… I just feel lost.”

• “I don’t want to burden anyone.”

Postpartum therapy is a place where you don’t have to perform and you can be honest about your experience with someone who gets it. Being seen in your motherhood is a way to nurture yourself - which matters too!

Our Approach to Postpartum Therapy in Texas

At The Couch Therapy, we support postpartum clients with a trauma-informed, relationship-centered approach. That means we don’t just focus on symptom reduction—we also support:

• identity shifts and grief

• nervous system overwhelm and burnout

• perfectionism and pressure

• attachment and bonding concerns

• relationship stress and communication

• healing your sense of safety in your body again

Therapy can include:

• Tools to calm anxiety and panic spirals

• Support working through intrusive thoughts (without shame)

• Processing birth experiences and trauma responses

• Rebuilding confidence and self-trust

• Practical coping plans for exhaustion + overstimulation

• Relationship support (communication, resentment, intimacy, teamwork)

This is therapy that understands postpartum from the inside out.

Postpartum Therapy for High-Functioning Women (and Partners)

Many of our postpartum clients are the ones who look “fine” on the outside.

You’re responsible. Capable. The one people lean on. And postpartum is the first time you can’t will power your way through (annoying, we agree)...

Therapy becomes the place where you don’t have to be the strong one. You can be real, messy, exhausted, uncertain—and still deeply worthy of care.

We also support:

• Dads and partners adjusting to parenthood

• Couples navigating the postpartum shift together

• Parent's looking to get support in parenting methodology and practice

• Parents who are hoping to get their groove back in the bedroom

• Parents carrying fertility trauma into parenting

• People who feel “behind” emotionally because their journey took so much to get here

In-Person Postpartum Therapy in Colleyville & Allen + Online in Texas

We offer:

• Postpartum therapy in Colleyville, TX

• Postpartum therapy in Allen, TX

• Online postpartum therapy across Texas

If leaving the house feels impossible right now, online therapy can be a lifeline.

You can show up tired. With the baby. With a chaotic schedule. We’ll meet you exactly where you are.

What to Expect in Your First Postpartum Therapy Session

Your first session is about feeling safe and understood—quickly.

We’ll talk about:

• what postpartum has been like for you (the real version)

• symptoms you’re noticing (anxiety, mood, intrusive thoughts, etc.)

• your support system, sleep, stress, relationship dynamics

• what you want to feel different

• a plan that actually fits your life right now

• A screener that is emperically validated that will provide a baseline of how to create a plan for overall healing

You’ll leave with:

Relief that you’re not alone

A clearer understanding of what’s happening

Practical next steps that feel doable

When to Reach Out (Even If You’re Not “Sure It’s Bad Enough”)

If you’re wondering whether you should start postpartum therapy, here’s your answer:

Yes- you deserve and are worthy of nurture.

Therapy is for:

• feeling “not like yourself”

• losing joy or feeling disconnected

• constant worry and fear

• intrusive thoughts

• feeling like you can’t cope

• resentment, irritability, or emotional shutdown

• relationship strain after baby

Support is not a sign you’re doing poorly.It’s a sign you’re not abandoning yourself.

Skip to the good part & check out our FAQs

Do you offer online postpartum therapy in Texas?

Yes. We provide online postpartum therapy across Texas, as well as in-person sessions in Colleyville and Allen.

Can postpartum therapy help with intrusive thoughts?

Absolutely. Intrusive thoughts are common in postpartum anxiety and postpartum OCD. Therapy can help you name it and tame it (a favorite therapy phrase) by recognizing and then reducing distress, stopping the fear loop, and feeling safe in your mind again.

How do I know if I have postpartum depression or postpartum anxiety?

If you’re experiencing persistent sadness, numbness, guilt, panic, dread, racing thoughts, sleep disruption, or feeling overwhelmed most days, postpartum therapy can help you understand what’s happening and support your healing.

Can my partner and I do postpartum couples therapy?

Yes. Postpartum often impacts communication, conflict, and intimacy. Couples therapy can help you rebuild connection, teamwork, and support.

Do you support clients with infertility or pregnancy loss history?

Yes. We specialize in reproductive mental health. Many parents carry fertility trauma, loss, or complicated family building experiences into postpartum—and you deserve care that understands that layer.

Author's note: This blog is not a substitute for medical advice or clinical diagnosis, but it is an informational resource to help new parents explore how to learn more about mental health

Additional resources on depression: https://www.cdc.gov/ reproductivehealth/depression/resources.htm