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Anastasia Kozlov

Kaiser PPD diagnosis for EDD maternity leave extension - anyone navigate this successfully?

I'm 9 weeks postpartum and struggling BAD with PPD/anxiety. My regular 6-week maternity disability is ending soon, but I'm honestly not ready to go back to work in this state. My OB suggested I might qualify for an extension through EDD due to PPD, and referred me to Kaiser mental health. Had my first appointment yesterday and it was... weird? The therapist kept steering the conversation toward childhood trauma and my relationship with my mom instead of focusing on my current postpartum issues. I kept trying to redirect, explaining I can't sleep, have intrusive thoughts about the baby, zero energy, and am not coping well. I finally had to bluntly say I think I need medication. She seemed surprised and said she'd need to refer me to psychiatry for that. I'm confused about how this process works with Kaiser. Has anyone successfully extended their pregnancy disability leave for PPD/anxiety through Kaiser? Do I need to be super direct with the psychiatrist about needing documentation for EDD? Does Kaiser provide the paperwork or does my OB? I'm worried about navigating this process while barely functioning.

I went through this exact process in November! So Kaiser's mental health dept can be frustrating to navigate but here's what worked for me: 1) Yes, be VERY direct with the psychiatrist. Tell them specifically you need documentation for EDD disability extension due to PPD. Some providers don't realize this is even an option unless you spell it out. 2) Your OB won't handle the extension paperwork for mental health - the psychiatrist needs to complete it. Kaiser has special forms they use for disability extensions. 3) Make sure they understand how your symptoms are preventing you from working. Be specific about how it impacts your functioning. I got my maternity disability extended by 6 weeks for PPD and it made a HUGE difference in my recovery. The psychiatrist can also help with medication if needed - I started on a low dose of Zoloft which helped tremendously.

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Thank you!!!! This is exactly what I needed to know. Did Kaiser charge you extra for the disability paperwork? And did you have to follow up with them about submitting it to EDD or did they handle that part?

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omg that therapist sounds useless!!! why do they always wanna talk about ur mom lol. i had ppd bad with my 2nd baby and kaiser was NOT helpful until i literally broke down crying in my obs office. suddenly everyone took it seriously. thats stupid but thats how it goes sometimes

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Same experience! They didn't take my PPD seriously until I had a full breakdown at my 8-week checkup. Then suddenly everyone was like "oh this is serious" 🙄

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I'm a therapist (not with Kaiser) who has helped many clients through this process. Here's what you need to know about extending SDI for postpartum depression/anxiety: 1. In California, Pregnancy Disability Leave (PDL) can be extended beyond the standard recovery period when postpartum mental health conditions prevent you from performing your regular work duties. 2. You need a treating physician to certify your condition - with Kaiser, this will typically be a psychiatrist, not a therapist. Therapists can provide supporting documentation but usually can't certify disability. 3. The disability extension paperwork (DE2501) must specifically document how your symptoms prevent you from working. Vague statements about "feeling sad" won't qualify - the documentation needs to address functional impairment. 4. Kaiser's process typically requires: - Psychiatric evaluation - Documentation of symptoms and treatment plan - Completion of EDD disability forms - Regular follow-up appointments to continue certification 5. Be prepared to advocate strongly for yourself. Mental health disabilities can be harder to document than physical ones. The extension can provide critical recovery time. Untreated PPD/PPA can become more severe, so getting proper treatment AND time to heal is important.

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This is incredibly helpful, thank you! When you say "functional impairment" - what kinds of specific examples should I mention to the psychiatrist? I'm struggling with concentration, making decisions, and constant anxiety about the baby's safety... are those the kinds of things that qualify?

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To answer your follow-up question - yes, those are exactly the types of functional impairments that qualify for disability extension. Be specific about: - Concentration difficulties that would impact job performance - Decision-making challenges that would affect work responsibilities - Anxiety that prevents you from focusing on tasks - Sleep disruption beyond normal newborn care that impacts daytime functioning - Safety concerns (for yourself or baby) that indicate clinical anxiety - Any thoughts of harm (even if you'd never act on them) These concrete examples help providers document how your condition prevents working, which is what EDD needs to see.

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Kaiser's mental health dept is the WORST!! I had to fight for 3 weeks to get my PPD paperwork processed. They kept "losing" my forms and transferring me between departments. My advice: 1) Get names of everyone you talk to 2) Follow up CONSTANTLY 3) If possible, get your forms in person and ask them to scan them while you wait. I ended up having to restart the whole process twice because of their incompetence. Also, make sure to specifically ask for the EDD extension forms - some providers don't know which ones to use.

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Ugh, that sounds awful! Thanks for the heads up. I'll definitely be more pushy about making sure they process everything correctly. Did you ever get the extension approved in the end?

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Yeah I finally got approved for an 8-week extension but it took FOREVER. My claim was stuck in "pending" for weeks. I finally got through to someone at EDD who told me Kaiser hadn't submitted all the required documentation even though they told me they had!

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I'm dealing with this exact situation right now with Kaiser! If you're having trouble reaching an actual human at EDD to check your claim status, try using Claimyr (claimyr.com). My sister recommended it after I spent DAYS trying to get through to EDD about my PPD extension. It basically calls EDD for you and connects you once they answer. Saved me from the endless hold cycle! Here's a video showing how it works: https://youtu.be/DOLxZQb92wM?si=6N1iCQ3a8Cdb2Ay5 I was finally able to speak with someone who confirmed they were waiting on additional documentation from Kaiser. I immediately called Kaiser and got them to send it that day. My extension was approved 3 days later!

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Thank you for this! I've been trying to reach EDD all week with no luck. I'll definitely check it out if I need to follow up on my claim.

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Kaiser's approach to mental health is ABYSMAL. They're currently under state investigation for inadequate mental health services. Their whole model is to minimize care and make it hard to get treatment. I've been through this twice with PPD (2022 and 2025) and both times had to fight the system. My first psychiatrist tried to claim that PPD "wasn't severe enough" for disability extension which is ABSOLUTELY FALSE. I had to request a different doctor. Document EVERYTHING. Record dates, names, symptoms. Be prepared to advocate hard for yourself. The system is designed to wear you down when you're already at your most vulnerable. It's disgusting.

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THIS!!!! i had to switch psychs 2x before i got one who would actually help with my paperwork! the first one told me to "just power through" my ppd which is literally dangerous advice???

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I work in HR and help employees with leave paperwork. One tip - make sure the provider completes Section B of the DE2501 form completely, especially the part about when you can return to work. We see so many claims delayed because providers leave that part blank or are too vague. The form should clearly state your diagnosis (usually F53.0 for PPD) and estimated recovery time.

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Also! Make sure to ask your psychiatrist about the possible interaction between any PPD medications and breastfeeding if that's something you're doing. Most are safe but they should discuss this with you. My psychiatrist was great about finding an option that worked with breastfeeding while treating my symptoms effectively.

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That's a great point - I am breastfeeding and worried about medication affecting my milk. Did you notice any impact?

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I was on Zoloft and continued breastfeeding with no issues. My baby's pediatrician said it was one of the safest options. Very minimal amounts pass through breast milk. My psychiatrist started me on a very low dose and we gradually increased it. Honestly, being treated for PPD made me a BETTER mother, even with the medication. Being untreated was far more detrimental to my breastfeeding relationship because I was so anxious and depleted.

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just wanna say ur doing the right thing getting help!! ppd is no joke and its not ur fault. make sure to tell ur partner exactly what u need right now too. mine didnt understand how bad i was struggling until i made him come to a therapy appt with me. hang in there mama youll get through this!!

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I'm so sorry you're going through this - PPD is absolutely brutal and you're being so strong by advocating for yourself and your baby. I went through something similar with Kaiser last year and wanted to share a few things that helped me: When you meet with the psychiatrist, come prepared with a written list of your symptoms and how they're affecting your daily functioning. I wrote down things like "can't concentrate long enough to read emails," "making simple decisions takes hours," "constant worry about baby's safety prevents me from sleeping even when baby is sleeping." Having it written down helped when my brain felt foggy during the appointment. Also, Kaiser's psychiatry department has different locations and some are definitely better than others. If you feel like your first psychiatrist isn't taking you seriously, don't hesitate to request a different one. I had to do this and the second doctor was night and day better - she immediately understood what I needed and got my paperwork submitted quickly. One more thing - while you're waiting for the extension to process, consider asking your OB if they can provide a short-term extension (even just a week or two) to bridge the gap. Some will do this to prevent any lapse in coverage. You're going to get through this. Taking care of your mental health IS taking care of your baby. ❤️

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SC JY

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Does anyone know how the extension works if you’ve exhausted your FMLA?

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