June Gloom? Let’s talk about postpartum depression: A Q&A With Thrive’s Director of Perinatal Psychiatry

Thrive • June 1, 2021

Thrive understands that the plight of new parents isn’t all roses, rainbows, and sunshine — even during the summer months. Alternatively, new parents may experience dark moods and deep pain that may symptoms of be postpartum depression. Learn more about postpartum depression from the Q&A below, featuring Thrive Reno’s Director of Perinatal Psychiatry, Andrea Thompsom, APRN, FNP-C, PMHNP-BC.

What can new parents expect in regards to their mental health after having a baby?

Everyone’s journey is different, and the expectations we have surrounding parenthood and particularly in the postpartum period are often what can affect our mental health in the biggest way. When we have ‘failed expectations,’ we often feel a sense of loss and grief, and this is ultimately how our mental health can be affected. The best expectation we can likely have is to be open-minded, learn as we go, and get the best support that we can from our family, peers, and professionals in order to feel confident in our own unique journey in parenthood. 

What are some causes of postpartum depression?

There are many risk factors for postpartum depression. This is a very nuanced mental illness, meaning, there is typically not one ’cause.’ That being said, risk factors can include a history of depression, a lack of social support, stress (such as marital stress or financial stress), certain medical conditions (such as thyroid imbalance), or even major life events (such as the loss of a family member, a move, or the loss of a job). Other risk factors can include mothers of multiples, birthing people who have suffered from infertility, parents of NICU babies, or those who experience birth trauma or complications. 

Are there any concerns that are prevalent during the summer months specifically that can contribute to postpartum depression?

Typically, the summer months can be a time when sunshine and summer fun can help to alleviate some depressive symptoms. That being said, there may also be activities that could contribute to worsening symptoms. As we venture outside, there may be increased anxiety surrounding going places with your children, feeling overwhelmed by the number of activities, or even the lack of structure that the school year can provide. A lack of social support can also contribute to postpartum depression, so if a parent is struggling to connect with other parents, feeling left out of activities, or does not live close to friends or family, this may be a tough time for parents. 

How can a new parent know if they are struggling with postpartum depression?

It can be tough to recognize when you may be suffering from postpartum depression or any mental health concern, which is why it is so important for your support system to also be able to recognize signs or symptoms of concern. These may include crying or sadness that lasts longer than about one week following delivery (also known as the baby blues), increased irritability, loss of interest or joy in activities you used to enjoy, change in sleep or eating habits, feelings of guilt or shame, or even thoughts of harming yourself or your baby. 

When should new parents seek mental health support for postpartum depression?

This can be tricky, as many parents may be unsure if they are ‘sick enough’ to seek care for their mental health, and there is a lot of a stigma surrounding this topic which prevents parents from reaching out. That being said, I recommend being as proactive as possible and first speaking with your OB-GYN or midwife about a postpartum plan that includes your mental health. It is never too early to seek treatment, and in fact, it is best to have a team in place (therapist, psychiatric provider, etc.) prior to your postpartum period that can help you with your mental health if the need arises. 

Why is postpartum depression stigmatized? Why do you think some new parents are hesitant to seek mental health support?

This is a complex question as each of us has our own perceptions and preconceived notions surrounding mental health and treatment. We often have expectations surrounding birth and parenthood; that it is sunshine and rainbows and always enjoyable. If you have ever been a parent, you now know this is not the case! And so when things don’t go as planned, we often feel guilt. There is also unfortunately a lot of comparisons in parenthood to one another which often only serve to belittle ourselves; this heavily contributes to mental health stigma because we sometimes believe that if we suffer from mental health, we may not be good parents. This cannot be farther from the truth. What this means is we are humans and if we get the support we need, we can really teach our children valuable life lessons. 

How can mental health treatment help new parents? What can a new parent expect while receiving mental health treatment?

Mental health treatment can and does save lives; it sounds extreme, but this is true. If you do seek treatment for your mental health with Thrive Wellness of Reno, you can expect to be treated with dignity, kindness and compassion with the goal to treat the whole person and family unit. Our hope is to meet you where you are, guide you through the most evidence-based treatments (which may include therapy, medication management, etc.), and help you on your journey to wellness, so you can better enjoy parenthood. 

What are some simple day-to-day practices that new parents can use to boost their mood postpartum (especially this summer)?

It may seem daunting to ‘boost your mood’ if you are suffering from depression, however, there are some simple things you can do to work towards a more positive mental outlook. Parents can try to go outside for some fresh air and sunshine! While you are on your walk, take a few moments to use your five senses! Look around you, hear the birds, feel the leaves, smell the crisp air, and maybe even taste a sweet piece of candy! These small tasks can help to ground you and alleviate anxiety. Another important tip is to stay hydrated! Our bodies and minds need water. You may also consider taking a few moments each day to meditate. This does not have to be formal. Just take a few moments each day to take some deep breaths and show yourself gratitude. 

To learn more about Thrive Reno’s perinatal mental health programs and services, reach out to us at (775) 525-8103.

About the Author

ANDREA THOMPSON, APRN, FNP-C, PMHNP-BC — Director of Perinatal Psychiatry

Andrea Thompson, APRN, FNP-C, PMHNP-BC is a Nurse Practitioner whose background has stemmed in primary care, primarily working with under-served and under-insured populations. After several years in family practice, she completed a Post Master’s certification as a Psychiatric Mental Health Nurse Practitioner. In early 2019, she started a program the first of its kind in Northern Nevada to integrate mental health services into a women’s health/OBGYN practice where she had a focus on perinatal mood and anxiety disorder diagnosis and treatment which solidified her passion for Perinatal/Reproductive Psychiatry.  She has also completed certificate training with Postpartum Support International.  As a postpartum depression survivor herself, she has a passion for helping other women throughout their journey to mental wellness. She and her husband moved to the Reno area several years ago from Seattle, WA to settle into a place to raise their family; they have three young boys. Aside from spending time with her family outdoors, Andrea is also active in the efforts to improve the sexual health education offered to the youth in our community as well as advocating at the state level to support Nurse Practitioner autonomy and Maternal Mental Health.

Download our free wellness guide.

Discover the power of small, sustainable changes with "How to Thrive: 10 Simple Habits for Healthy Living." This guide offers practical, easy-to-follow habits that promote physical, mental, and emotional well-being.

By Erin McGinty Fort, MS, MHA, CPC, LPC-S, CEDS-C December 18, 2025
Sometimes, people need more support, structure, and monitoring than the typical outpatient setting can provide. When this happens, the treatment team will usually recommend that someone be "stepped up" to a different level of care, or program, that can better meet their needs. I like to think of it as being similar to medication dosages; people need different strengths of medications, or dosages, to get better when they're sick. Stepping someone up to a higher level of care is like increasing the dosage of a medication to match the severity of their symptoms. How Are Higher Levels of Care Different from Standard Outpatient Care? At the core of differentiating higher levels of care from standard outpatient care is the intensity and structure of the treatment. Higher level of care programs tend to offer more days of treatment each week and more hours of treatment per day than in the outpatient setting. Those in higher level of care programs may also meet with their treatment team members more frequently each week. There are more staff present to support someone at or after meals and snacks, or to help those who are having urges to engage in compulsions or other harmful behaviors. Clients in our HLOC programs get access to an assortment of treatment modalities tailored to their individual needs, including personalized therapy sessions, group support, medication management, medical nutrition therapy with a dietitian, and check-ins with our primary care providers. We support clients with personalized treatment plans and regular assessments to monitor and tweak interventions as needed. Higher levels of care also offer increased peer interaction and support. Intensive programs incorporate additional group therapy sessions, which can help those in treatment feel less alone as well as create a greater sense of community. For some people, it can be difficult to devote the time and energy needed to recover while also balancing other responsibilities like school or work. Stepping up to more intensive levels of care allows people to fully dedicate themselves to recovery. As they get better and make progress, a person may be stepped back down to a less intensive level of care to start practicing their recovery in their usual home, school, or work settings while also receiving professional support from their treatment team. What Levels of Care are Available? At Thrive Wellness, we offer four different levels of care to help clients step up (or down) in their treatment when needed: -  Outpatient Treatment - weekly, bi-weekly, or monthly meetings with a therapist, psychiatrist, primary care provider, and/or dietitian. - Intensive Outpatient Program (IOP) - A minimum of three hours per day, three days per week. - Partial Hospitalization Program (PHP) - A minimum of six hours per day, five days per week. - Residential Treatment - Coming soon in 2026, The Greenhouse at Thrive will offer residential treatment for eating disorders, anxiety disorders, and obsessive-compulsive disorder. This level of care offers 24-hour support for those aged 12-24 living in our residential treatment center. How To Decide Which Level of Care is Right for You If you're unsure which option is right for you or your loved one, we offer a free assessment that can be completed with our admissions team. In this initial assessment, we'll gather information from you about what you're struggling with, speak with our team of providers, and then make a recommendation for what level of care we feel is the best fit for you and your needs. If you’re experiencing symptoms of an eating disorder, anxiety disorder, or other behavioral or mental health challenges, don’t hesitate to reach out. To get started with our intake process, give us a call at 775-525-8103 or fill out this form . We can’t wait to help you Thrive.
December 2, 2025
Like the fir tree, a symbol of endurance rooted in hope, our Family Inclusive Recovery (FIR) approach reflects the strength that grows when families face challenges together. At our new residential center “The Greenhouse”, FIR is more than a treatment model, it’s a philosophy of healing that places families at the heart of recovery for adolescents and young adults navigating eating disorders, anxiety disorders, and obsessive-compulsive disorder (OCD). We believe lasting healing doesn’t happen in isolation; it’s built with the support of families through perseverance, hope, and compassionate care. What Is Family Inclusive Recovery (FIR)? Family Intensive Recovery (FIR) is a specialized and immersive approach that actively engages caregivers as central agents in their child’s healing process. Rather than seeing families as contributors to a problem, we view them as essential partners in recovery. Drawing from two evidence-based frameworks, Supportive Parenting for Anxious Childhood Emotions (SPACE) and Family-Based Treatment (FBT), FIR helps families cultivate resilience, confidence, and connection throughout the journey to recovery. Grounded in SPACE and FBT Through the SPACE model, parents learn how to recognize and reduce well-intentioned but unhelpful behaviors known as accommodations that can reinforce anxiety and OCD symptoms. By shifting from rescuing to supporting and challenging, parents develop the confidence to guide their child through discomfort, helping them build distress tolerance and self-trust. Simultaneously, Family-Based Treatment (FBT) empowers families to take an active, compassionate role in their child’s nutritional and emotional recovery. Parents learn how to support weight and nutritional restoration, disrupt the eating disorder’s patterns, and reestablish boundaries that promote health and growing autonomy. Together, these approaches strengthen both the individual and family system, allowing recovery to take root within an environment of empathy and optimism. From Blame to Collaboration A cornerstone of the FIR model is removing blame. At Thrive, parents are not viewed as the cause of their child’s struggles, but rather as key partners in recovery. Treatment focuses on joining forces to create a safe, supportive environment where: Families learn to sit with their child's discomfort alongside them without rushing to fix or control it. Parents practice compassionate firmness, setting boundaries grounded in care and safety. Teens and caregivers rebuild trust through open, honest communication. This collaborative framework helps families reestablish a sense of connection and confidence, fostering long-term resilience and open communication that extends beyond the treatment setting. Why Family Matters in Recovery Recovery from eating disorders, OCD, or anxiety isn’t a one-person job, it requires integrated care including the family. When families learn to navigate challenges together, they can model emotional regulation, reinforce healthy boundaries, and create conditions for sustained recovery. Through FIR, we aim to strengthen attachment bonds, reshape family interactions, and empower every member of the family to grow. The result is not only symptom reduction but also a deeper sense of unity, hope, and shared endurance, just like the steadfast fir tree that stands resilient through every season. Moving Toward Hope Family Inclusive Recovery invites caregivers and loved ones to become active participants in change. It’s a journey of learning, letting go, and leaning into love and acceptance. Together, families and clinicians can cultivate the courage in clients to face uncertainty, and in doing so, help them discover that recovery is not just possible, but enduring. If you’d like to learn more about Family Intensive Recovery at The Greenhouse or how we support families in eating disorder and OCD treatment, reach out to our team today.
November 14, 2025
The Greenhouse at Thrive Wellness A New Chapter of Hope and Healing in Nevada On Friday, November 14 , we gathered with our partners at Molina Healthcare to share an important moment for our community. Together, we celebrated Molina’s generous $50,000 grant , an investment that is helping bring The Greenhouse to life. Their support is not only a financial contribution—it’s a statement of belief in the young people and families of Nevada who deserve access to compassionate, evidence-based mental healthcare close to home. This gathering marked the beginning of something we’ve dreamed about for years: a place designed specifically for adolescents and emerging adults to receive the care, connection, and support they need during some of the most vulnerable moments of their lives. Something New Is Growing In early 2026 , Thrive Wellness will open The Greenhouse , Nevada’s first residential treatment center devoted to adolescents and emerging adults navigating eating disorders, anxiety, and OCD . For too long, families have faced a heartbreaking dilemma—send their child far from home for treatment or go without the specialized care they need. The Greenhouse is our answer to that gap. It will be a place where young people can settle into an environment built for healing, where they are understood, supported, and surrounded by a team that believes in their capacity to recover. The Greenhouse represents a natural extension of our mission. It’s a living expression of our belief that recovery is possible—and that with the right support, families can find their footing again. 
More Posts

Start your healing journey today

NEXT STEPS

Are you ready to find hope? We can't wait to connect you with the care you need. To get started with us, please reach out using the link below.   

Obsessive Compulsive Disorder

Learn more →

Perinatal

Mental Health

Learn more →

Obsessive Compulsive Disorder

Learn more →

Perinatal

Mental Health

Learn more →