Perinatal mental health · Telehealth across Washington
Postpartum depression and anxiety treatment in Washington
Medically reviewed by Dr. Iman Yunis, DNP, PMHNP-BC · Last reviewed October 26, 2026
Support for mood and anxiety during pregnancy and after birth, by video from home, with a doctorate-trained, board-certified psychiatric nurse practitioner.
New patients typically seen within 2–3 days
- ✓ Video visits from home
- ✓ Pregnancy and postpartum
- ✓ Most major insurance
The short answer
Peak Psychiatry and Wellness treats depression and anxiety during pregnancy and after birth for patients anywhere in Washington, by secure video, in coordination with your OB or midwife. Postpartum depression is common and treatable, and options include therapy and medication, many of which can be used while breastfeeding. If you have thoughts of harming yourself or your baby, call 911, or call or text 988.
Signs and symptoms
More than the baby blues
Many new parents feel tearful or overwhelmed in the first couple of weeks. When those feelings are intense or last longer, it may be postpartum depression or anxiety, which are common and treatable.
- Persistent low moodSadness, emptiness, or hopelessness lasting more than two weeks.
- Anxiety and worryRacing thoughts, constant worry about the baby, or panic.
- Intrusive thoughtsUnwanted, frightening thoughts that feel out of character.
- Trouble bonding or copingFeeling disconnected, overwhelmed, or unable to enjoy things.
Download our free printable postpartum mood guide to share with your partner or family.
How it works
Getting started is simple
- 01Share your detailsComplete our short online form and upload your insurance card.
- 0260-minute evaluationA thorough video visit covering your history, symptoms, and goals.
- 03Your treatment planA clear plan, explained in plain language, that you help shape.
- 04Ongoing follow-upRegular video visits to adjust treatment and track progress.
Treatment
Care that fits life with a new baby
Video visits mean no childcare or travel needed. We take pregnancy and breastfeeding into account when discussing treatment options.
- Medication managementOptions discussed with pregnancy and breastfeeding in mind, with risks and benefits explained clearly.
- Coordinated careWe can work with your OB, midwife, or primary care provider.
- Therapy referralsRecommendations for therapists experienced with perinatal mental health.
- Flexible video visitsAttend from home, baby on your lap if needed.
Insurance and cost
Covered by most major Washington plans
We are in network with these plans and verify your benefits before your first visit:
Self-pay: $300 initial evaluation · $150 follow-ups
See all insurance plans we accept.
FAQ
Postpartum questions, answered
Can I take medication while breastfeeding?
Some medications are considered compatible with breastfeeding. We review the options, risks, and benefits with you so you can make an informed decision.
How long after birth can postpartum depression start?
It often starts within weeks of birth but can begin any time in the first year, and symptoms can also start during pregnancy.
Is it normal to have scary intrusive thoughts?
Unwanted intrusive thoughts are common with postpartum anxiety and OCD and do not mean you want to act on them. Please tell a provider about them so you can get support.
Is treatment covered by insurance?
In most cases, yes. We accept Premera, Regence, Aetna, Cigna, UnitedHealthcare/Optum, Medicare, Molina, First Choice Health, TriWest, Kaiser Permanente, and Washington Apple Health, and we verify your benefits before your first visit. Self-pay is $300 for the initial evaluation and $150 for follow-ups.
How soon can I be seen?
New patients are typically seen within 2–3 days, and we confirm your appointment within 1 business day.
Related care
Other ways we help
Depression and anxiety treatment →Take the depression test →Medication management →
Sources
References
Written and medically reviewed by Dr. Iman Yunis, DNP, PMHNP-BC, using the national guidelines and research below. For education only; not a substitute for personal medical advice.
- National Institute of Mental Health. Perinatal Depression. www.nimh.nih.gov/sites/default/files/documents/health/publications/perinatal-depression/perinatal-depression.pdf
- American College of Obstetricians and Gynecologists. Clinical Practice Guideline No. 4: Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum. Obstet Gynecol. 2023;141(6):1232-1261. doi.org/10.1097/AOG.0000000000005200
- American College of Obstetricians and Gynecologists. Clinical Practice Guideline No. 5: Treatment and Management of Mental Health Conditions During Pregnancy and Postpartum. Obstet Gynecol. 2023;141(6):1262-1288. doi.org/10.1097/AOG.0000000000005202
- U.S. Food and Drug Administration. FDA Approves First Oral Treatment for Postpartum Depression. August 4, 2023. www.fda.gov/news-events/press-announcements/fda-approves-first-oral-treatment-postpartum-depression
- Bauman BL, et al. Vital Signs: Postpartum Depressive Symptoms and Provider Discussions About Perinatal Depression, United States, 2018. MMWR. 2020;69(19):575-581. www.cdc.gov/mmwr/volumes/69/wr/mm6919a2.htm
You do not have to feel this way
New patients typically seen within 2–3 days. Book online or call (425) 477-9272.
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