Mother kissing daughters hand

Center for Perinatal Bonding and Support

958.3 miles away
206-320-7288
Fax: 206-215-2139
Mon - Thurs: 9:30 a.m. - 3 p.m.

Center for Perinatal Bonding and Support

Mon - Thurs: 9:30 a.m. - 3 p.m.

If you’re feeling isolated or not like yourself after having a baby, you’re not alone – help and support are available. 1 in 5 people experience a perinatal mood and anxiety disorder, such as postpartum depression, anxiety or OCD, during pregnancy or their first year postpartum.

The Center for Perinatal Bonding and Support at Swedish First Hill treats perinatal mood and anxiety disorders (PMADs) while supporting attachment with your baby. We offer compassionate, nonjudgmental care.

Day Program is a short-term group therapy program that empowers attendees with education, coping tools and support with attachment. We encourage you to bring your non-mobile baby to group with you. The group provides community and support, and the program provides structure and routine; this model helps people feel better faster.

Reproductive Psychiatry sees patients as part of enrollment within the Day Program. If you’re not interested in the Day Program but would like to meet with a psychiatrist to discuss medication management, please contact Reproductive Psychiatry.

Adjusting to parenthood is hard and doesn’t always go as expected. Help is available.

Day Program is a mental health program that primarily serves birthing parents up to one year postpartum. The program was developed to address mental health conditions that are impacting your daily life and/or connection to your baby.

We treat postpartum depression, anxiety, OCD and postpartum psychosis, once active psychosis is resolved; we also support people with postpartum worsening of existing diagnoses such as major depressive disorder, generalized anxiety disorder, PTSD, bipolar disorders and others.

What to expect
  • Activities such as baby massage, yoga, walks with your baby and art therapy
  • Connection with others going through similar experiences
  • Discharge planning with partners or others in your support network
  • Discussions of pregnancy, birth experiences and changes to relationships and identity
  • Group therapy informed by cognitive behavioral therapy, dialectical behavioral therapy, interpersonal therapy and more
  • Medication evaluation and management, if needed
  • Practice structuring your day and balancing your needs with the baby’s needs
  • Referral to long-term therapy, if needed, or collaboration with your existing therapist, with your permission
  • Support with baby bonding

You’re encouraged to bring your non-mobile baby. We have cribs, changing tables, bouncy chairs and a lactation room for private pumping or feeding, if needed.

Insurance typically covers this program. Following an intake with one of our psychiatrists, we review your insurance benefits with you. Call to schedule an appointment to see if the program is a good fit for you.

Schedule and duration

Our Day Program runs from 9:30 a.m. – 3 p.m., Monday – Thursday. Most people attend Day Program for 12-16 days, about 3-4 weeks. The program is voluntary and you will work with the program team to determine how long you’ll attend.

The goal of this intensive schedule is to help you feel better more quickly than you might if you attended therapy once or twice a week.

Frequently Asked Questions

Our Day Program primarily serves birthing parents in their first year postpartum. We complete assessments for program fit with pregnant parents in their third trimester and non-birthing parents, as we recognize that PMADs impact parents regardless of birthing status.

The program is in network with most major insurance plans, including Washington Medicaid Apple Health plans. Prior to the program starting, we check your insurance benefits and find out what out-of-pocket expenses you might be responsible for. If you’re concerned about your out-of-pocket expenses, we’re happy to discuss available financial assistance options.

Some insurance companies require prior authorization which we’ll obtain for you. Once we’ve discussed this information with you and have your agreement, we schedule the first day for you to start the Day Program.

We are located in the 1101 Madison Tower at 1101 Madison Suite 500, Seattle, WA 98104. There is paid parking available in the Marion & Minor Parking Garage, located beneath the building with entrances on both Marion Street and Minor Avenue. To pay for parking, please connect your license plate & payment through https://app.metropolis.io/sign-in. There is a QR code for you to scan when you arrive to register your car and card.

Parking validation is provided to patients with Medicaid insurance plans to reduce barriers to attending Day Program. If you do not have Medicaid but feel the cost of parking would be a barrier for you to attend, please let staff know on your first day.

Bus routes that stop at, or near, 1101 Madison Tower:

  • 2
  • 10
  • 11
  • 12
  • 60

You can use the King County Metro Trip Planner to find the best route.

Many parents worry about caring for their baby in a new space. We’ve found that babies tend to do well in our Day Program environment. Our expert team is comfortable with all the ways babies communicate and are available to support as needed.

Babies are welcome to nap in arms, carrier, bouncy seat or in a crib. In terms of feeding, we offer a non-judgmental space where participants are welcome to feed their baby formula, breast milk, baby food or a combination.

Chest and bottle feeding are both welcome; some participants opt to wear a cover while nursing, while others don’t. Some participants pump in the room or choose to pump/feed in another space. We have a hospital-grade Medela Symphony pump available for use.

We’re happy to help you with any concerns about feeding your baby.

While we sometimes make changes, this is a typical day's schedule:

  • 9:30 a.m. – 10 a.m.: Check-In group
  • 10:15 a.m. – 11 a.m.: Attachment group
  • 11:15 a.m. – 12 p.m.: Coping skills group
  • 12 p.m. – 1 p.m.: Lunch 1 p.m. – 1:45 p.m.: Neighborhood walk or yoga
  • 1:45 p.m. – 2:30 p.m.: Psychotherapy group
  • 2:30 p.m. – 3 p.m.: Wrap-up group

The Day Program is centered on relational health with an emphasis on discussing attachment and social emotional needs of young children.

The program curriculum integrates modalities and frameworks such as:

  • Circle of Security, an abbreviated version
  • Cognitive behavioral therapy (CBT)
  • Dialectical behavioral therapy (DBT)
  • Interpersonal therapy
  • Other trauma-informed somatic-based techniques

While everyone has their own treatment goals, they often find connections to and similarities with others in the group.

If the way you have been feeling since having a baby is causing you distress and you are open to receiving care in this format, we believe Day Program would benefit you and we encourage you to schedule an intake to discuss further.

We believe many new parents could benefit from the skills, structure and community that Day Program offers. Many people who wait to come to Day Program when they feel worse share that they wish they came sooner.

Day Program can be a useful addition to individual outpatient therapy, which is often hard to access more than 1-2 times a week for an hour at a time. If you’re engaged in individual therapy but still feeling quite distressed, Day Program might be beneficial for you.

Day Program frontloads a lot of therapy in a relatively short period of time, with the additional benefit of being with others who are in the same stage of life. This often helps people feel better sooner than they would with individual therapy alone, and that progress can then be continued in individual therapy after completing Day Program.

Some participants pause their individual therapy while in Day Program, and in this case, our staff supports them in transitioning back to their therapist at the time of discharge. Other participants choose to continue seeing their individual therapist outside of Day Program days/hours.

Call us at the phone number at the top of this page if you have questions about whether we might be a good fit for your client.

A referral is not required to schedule a Day Program intake, so you can share our contact information with your client or call with them to schedule.

We encourage Day Program participants to sign a release of information if they’re already established with a therapist, and at minimum, we try to give a warm handoff to the individual therapist as participants approach graduation from our program. Our ability to provide individual therapy following Day Program is limited, so we direct participants to resume treatment with their established therapist at discharge.

The Day Program is a voluntary program, meaning your loved one needs to be interested and willing to participate.

If you’d like to support them in contacting us, please give us a call together. We do need to hear directly from the prospective participant that they’re interested in scheduling an intake; you cannot schedule an intake on their behalf.