Nobody warned you that stopping breastfeeding could send your mood off a cliff.
Therapists in Missoula, Montana
"Nobody told me that stopping breastfeeding could send me into the worst depression of my life."
Prolactin and oxytocin drop sharply when breastfeeding ends — for many people, that hormonal shift triggers a significant mood crash.
+9 moreNo commitment. We'll confirm your coverage before your first session.
Virtual therapy for Missoula families
We provide virtual therapy to families across Missoula. Because sessions are fully online, you can meet your therapist from home. No commute, no childcare scramble.
You might benefit from therapy if…
- ✓Your mood dropped significantly around the time you stopped or reduced breastfeeding
- ✓You're experiencing depression or anxiety that feels different from anything before — and it arrived after months of doing okay
- ✓You feel guilty about stopping breastfeeding, or guilty about continuing it, or guilty about the emotions either direction is bringing up
- ✓You're dreading stopping and can't figure out if it's about the baby or about your own mood
- ✓You've been breastfeeding for the mental health benefit and you're scared of what will happen when you stop
- ✓Your OB or pediatrician told you weaning was straightforward and didn't prepare you for this
Dr. Emily Guarnotta
Psychologist & Founder
From our founder
Weaning depression catches people off guard because it comes after months of managing. You've made it through the acute postpartum window. You think you're okay. Then you stop nursing and the floor drops. I see people who spent weeks convinced something catastrophic was happening to them before they made the connection to weaning. When we name it, the shame lifts a little. Then we treat it.
What therapy looks like
Your therapist
Most Phoenix Health therapists hold PMH-C certification — the gold standard in perinatal mental health.
Real clients. Real relief.
What our clients say about their experience.
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“My emergency C-section left me with nightmares and panic attacks. I couldn't talk about the birth without shaking. Therapy helped me process the trauma and reclaim my story. I'm pregnant again now, and I actually feel ready.”
— expecting mom of 1
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“I had intrusive thoughts that terrified me. I was too ashamed to tell anyone, even my partner. My therapist explained postpartum OCD and helped me understand I wasn't dangerous. The intrusive thoughts are 90% gone now. I wish I'd reached out sooner.”
— mom of 2
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“After three failed IVF rounds, I was told to just stay positive. My therapist was the first person who acknowledged the grief, the anger, and the exhaustion, and helped me process what I had been through. I finally felt seen.”
— hopeful mom
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“I had a healthy pregnancy and I managed postpartum okay. Then I weaned at nine months and crashed harder than I ever had in my life. I didn't connect it to the weaning for weeks. My therapist connected the dots in the first session. Being understood was the first step.”
— Katie, weaning at 9 months
Expert care.
Covered in Montana.
- ✓Aetna (incl. CVS Health, First Health, & Meritain)
- ✓Cigna / Evernorth
Most clients pay less than $20 per session.
Accepted Insurance Networks
Ready to start Weaning & Breastfeeding Depression therapy? Here’s how it works.
The whole process takes about 5 minutes. We handle insurance — you just show up.
- 1
Book your free call
A quick 15-minute chat to hear what you're going through, answer your questions, and make sure we're a great fit for your needs. No cost, no commitment.
- 2
Get matched
We'll pair you with the right specialist for your specific situation. We'll also check your insurance, so you know your exact cost per session before moving forward.
- 3
Start your first session
Meet your therapist from the comfort of home. No commute, no waiting rooms, no judgment. Most clients notice a real difference within just 2 to 3 sessions.
No commitment · Most insurance accepted · Available this week
Common questions
- They share some symptoms, but the cause is different. Postpartum depression is typically driven by the dramatic hormone drop immediately after birth. Weaning depression is driven by a later hormonal shift when prolactin and oxytocin drop as breastfeeding ends. They can look similar on the surface, but the timeline and treatment approach differ enough that it's worth naming the difference.
- Possibly, especially if the depression started around the time you weaned. Some people experience a slow-building crash rather than an immediate one. If you were managing well before weaning and the shift began around that time, weaning is worth considering as a driver even if it's been several months.
- Gradual weaning — over weeks or months rather than days — is often recommended by lactation consultants and clinicians as a way to allow your hormones to adjust more slowly. There's no guarantee it will prevent a mood crash, but it's generally considered gentler on the body. That said, gradual weaning isn't always possible, and if you're already in a depression, the priority is treatment.
- Yes, and it's very common. The end of the breastfeeding relationship is a real transition — for the connection it provided, for the hormonal state it sustained, and for the identity it gave you. You can want to stop and still grieve it. Those two things aren't in conflict.
- You're not imagining it. Weaning depression is documented in the literature and well-understood by perinatal specialists, though it's not universally known to generalists. If your provider dismissed the connection, that's a gap in their perinatal training, not evidence that what you're experiencing isn't real.
- Yes. Phoenix Health provides telehealth therapy to residents of Montana. Sessions are conducted via secure video from your home, office, or anywhere private — no commute required. All Phoenix Health therapists are licensed and authorized to practice in Montana.
- PMH-C (Perinatal Mental Health Certification) is awarded by Postpartum Support International (PSI) to clinicians who have completed advanced training in perinatal mental health — covering postpartum depression, anxiety, OCD, birth trauma, and related conditions. It represents the gold standard of specialization in this field.
From the Phoenix Health resource center
Articles and guides about weaning & breastfeeding depression
Trusted by leading voices in parenting and mental health
OBs, doulas, and pediatricians refer their patients to us because we specialize in maternal mental health.
The crash after weaning
is real.
And it's treatable.
Weaning depression is driven by a hormonal shift, not a personal failure. With the right support, most people recover.
No commitment · Covered by insurance · Available this week
Learning resources
🤱Read our Weaning & Breastfeeding Depression guides →Often goes alongside