Inclusion Criteria:  Age ≥18  Currently pregnant or mother* of a live infant 0-12 months of age and living at the same residence  *Through natural birth, adoption, surrogacy, including cis women, non-binary and transgender people in all their diversity  Major depressive disorder or generalized anxiety disorder confirmed by RLS psychiatrist EPDS >12 at enrollment Recommended antidepressant medication for major depressive disorder or generalized anxiety disorder by the treating RLS psychiatrist Are expected to be under the care of a RLS psychiatrist and have 3+ RLS psychiatric visits in the upcoming 12 weeks  Exclusion Criteria:  Active suicidal ideation, substance abuse or dependence Current or past mania or psychosis or current major depressive episode with psychosis  4. Incapable of consenting to participation 5. Unable to read or unable to speak English