Mood and anxiety disorders that manifest during pregnancy or within the first year after delivery are referred to as perinatal mood and anxiety disorders. These conditions are prevalent and can significantly impact the well-being of both the mother and the newborn. Various factors may contribute to an increased likelihood of developing depression and anxiety during or after pregnancy, including a history of mood disorders, anxiety, or substance abuse, as well as inadequate social support, concerns about the fetus, and various life stressors.
Recognizing that the overall mental health of an expectant mother profoundly influences the health of the developing fetus and newborn is crucial. The primary objective of treatment is to maintain the mother’s psychiatric stability while minimizing potential risks to the growing fetus.
During pregnancy, symptoms such as changes in sleep patterns, appetite, and energy levels may be mistaken for typical physical discomforts associated with gestation. Nonetheless, women with prior histories of mental health conditions face a significant risk of relapse and recurrence, particularly if they have discontinued their psychiatric medications upon becoming pregnant.
Addressing the challenges posed by symptomatic relapses during pregnancy necessitates meticulous evaluation and care. A tailored treatment program is formulated after a thorough assessment of the risks and benefits associated with various treatment options, including psychotherapy, medications, and other interventions. The patient and her other healthcare providers carefully review the treatment plan outlined in the comprehensive consultation.
Postpartum psychiatric conditions, such as postpartum blues, depression, bipolar disorder, psychosis, and anxiety, have lasting implications for both the mother and the infant. Individuals at risk for postpartum psychiatric disorders or those exhibiting active symptoms are subject to comprehensive evaluations that account for both physical and psychiatric factors.
A well-considered treatment strategy is established based on evidence-based medical practices, taking into account the risks and benefits for both the mother and the infant. For breastfeeding mothers, medication choices are made carefully, prioritizing the safety of the breastfed baby.
At WCWCW in Bethesda, Maryland, our specialists provide compassionate care to help individuals navigate the challenges posed by perinatal mood and anxiety disorders. We extend the same high-quality services through telehealth for patients in Maryland, DC, Virginia, Michigan, and Florida. For more information or to schedule an appointment, please contact our office or request an appointment online today.
Child & Adolescent Psychiatry and Psychotherapy
Women’s & Reproductive Psychiatry and Psychotherapy
Sexual Health
In-Person care in Bethesda, MD
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