Postpartum mood guide

Online support for postpartum mood changes

For adults in the first 12 months after childbirth who have low mood, anxiety, or trouble bonding with the baby.

Start online

Start a $59 online review for Postpartum mood support.

You answer symptom questions adapted from the Edinburgh Postnatal Depression Scale plus a safety screen, and a physician reads them. Depending on your answers you may get self-care guidance, a portal message with next steps or a question, or a same-day in-person or emergency referral. At the physician's discretion, an antidepressant chosen with breastfeeding in mind may be prescribed individually once your answers show no psychosis, bipolar history, or thoughts of harm.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Feeling sad, anxious, or overwhelmed since giving birth
Trouble sleeping even when the baby sleeps
Feeling disconnected from the baby
Crying spells lasting more than 2 weeks

May fit online care

Adults 18 and older
Your baby was born within the last 12 months
You have no thought of harming yourself or your baby
You are not already taking an antidepressant (if you are, please contact the clinician who prescribes it)

Look for another care setting

Any thought of harming yourself or your baby (call or text 988, or call 911).
Hearing voices, seeing things that are not there, or believing things that are not true; confusion, or barely sleeping for several days (possible postpartum psychosis, an emergency).
Chest pain, trouble breathing, a severe headache or vision changes, heavy bleeding, fever of 100.4 F or higher, one-sided leg pain or swelling, a seizure, or severe belly pain (urgent postpartum warning signs).
A past period of mania or hypomania.
An active problem with alcohol or drugs.
An MAOI, linezolid, methylene blue, pimozide, another serotonin-raising medicine, or a QT-lengthening medicine or condition.
A baby born more than 12 months ago.

What to have ready

How many weeks or months after delivery you are, and how long these feelings have lasted
Whether you are breastfeeding or providing pumped milk
Every medicine, vitamin, and supplement you take, with the dose and how often
Whether you have a support person who can help with the baby right now

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Is this the Edinburgh Postnatal Depression Scale?

The questions are adapted from the Edinburgh Postnatal Depression Scale but are not the validated scale itself. A physician reads your answers; no score is calculated automatically.

Can I get a medicine if I am breastfeeding?

At the physician's discretion, an antidepressant chosen with breastfeeding in mind may be prescribed individually once your answers show no psychosis, bipolar history, or thoughts of harm. No prescription is issued automatically, and no benzodiazepine, sleep medicine, or stimulant is offered.

What if I need help right now?

Any thought of harming yourself or your baby, or any sign of postpartum psychosis, is an emergency and is never handled online. Call or text 988, or call 911.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Adult ADHD (non-stimulant)Anxiety & depression Grief and adjustment support Insomnia (trouble sleeping)Panic attacks Performance anxiety