This randomized controlled trial compares a novel psychotherapy, Engage \& Connect, with a Symptom Review and Psychoeducation intervention, tailored to reduce postpartum depression. The study includes 9-weeks interventions, delivered remotely. It will examine changes in social isolation, processing of social rewards and depression severity over 9 weeks of treatment.
Up to 1 year post-delivery
Edinburgh Postnatal Depression Scale (EPDS) score ≥ 10.
Off antidepressants or on a stable dose of an antidepressant for 8 weeks and do not intend to change the dose in the next 10 weeks.
Capacity to provide consent for research assessment and treatment.
Intent or plan to attempt suicide in the near future
Ongoing psychotherapy (no more than once every 8 weeks or during the duration of the intervention)
Active substance abuse or dependence
Severe fetal anomalies, stillbirth or infant death at time of enrollment for index pregnancy