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Postpartum Problem-Focused Psychodynamic Psychotherapy
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23 October 2026
The postpartum period is a high-risk time for new mothers potentially developing anxiety and depression, as well as a variety of behavioral and interpersonal difficulties involving their babies, partners, and family. Although a range of treatments are available, including psychotherapies, psychosocial interventions, and medications, each has limitations in addressing the complex challenges posed by postpartum difficulties. Many women also face significant barriers to accessing quality mental health care during this crucial period.
Recognizing the need for further development and research on psychodynamic approaches to postpartum anxiety, depression, and other mental health difficulties, the authors of this volume introduce postpartum problem-focused psychodynamic psychotherapy (PPFPP). PPFPP specifically targets the symptoms and other difficulties faced by postpartum women, including behavioral and interpersonal issues. This treatment is an adaptation of problem-focused psychodynamic psychotherapy specifically to the postpartum time period.
Drawing on compelling clinical vignettes—some enhanced by video illustrations—the authors of Postpartum Problem-Focused Psychodynamic Psychotherapy describe a series of interventions, including
•
Developing a unique problem list for each patient that encompasses common
postpartum challenges such as depression, anxiety, behavioral problems, and
relationship issues
• Adapting psychodynamic techniques, including
improving self-observational skills, using clarification and confrontation,
and using transference and countertransference to focus on specific problems
in the postpartum context
• Employing initial interventions that help
patients identify and address stressors, feelings, and fantasies that
trigger their difficulties
• Identifying and addressing self and other
representations and intrapsychic conflicts that contribute to
problems.
• Assessing improvement in therapy and determining when it is
appropriate to conclude treatment
• Considering cultural factors related
to patients' identity in treatment
Designed to be both user-friendly and practical, this manual equips mental health practitioners in all clinical settings with an accessible, easy-to-learn framework for managing postpartum problems. Whether seeking a time-limited intervention or a longer-term psychotherapeutic approach for more severe or persistent challenges, practitioners will find valuable guidance within its pages.
MEDICAL / Psychiatry / General, MEDICAL / Psychiatry / General
Fredric N. Busch, M.D., is Clinical Professor of Psychiatry at Weill Cornell Medicine and Lecturer in Psychiatry at Columbia University Center for Psychoanalytic Training and Research in New York, New York.
Alyson Gorun, M.D., is an Assistant Professor of Clinical Psychiatry and Aaron Stern, MD, PhD Research Fellow in Psychodynamic Psychiatry at Weill Cornell Medicine and Co-chair, Admissions Committee, Columbia University Center for Psychoanalytic Training and Research, in New York, New York.
Chapter 1. An Overview of Postpartum Mental Health Issues:
Rationale for a Postpartum Problem Focused Psychodynamic
Psychotherapy
Chapter 2. Developing a Problem List
Chapter 3.
Psychodynamic Techniques to Address Postpartum Disorders
Chapter 4.
Overview of Core Psychodynamic Factors in Postpartum Problems
Chapter 5.
Initial Interventions
Chapter 6. The Psychodynamic
Formulation
Chapter 7. Addressing Psychodynamic Factors Contributing to
Problems
Chapter 8. Working Through, Transference and
Countertransference
Chapter 9. Ending Therapy
Chapter 10. Cultural
Considerations