For Medical Professionals
Pediatricians, OB/GYN doctors, and Primary Care Physicians, as well as other healthcare providers, are a major point of contact for women suffering from Perinatal Mental Health Disorders (PMHDs). However, mental health is not the primary focus of your practice, and it can be difficult to identify mothers who are suffering from a PMHD. Many new parents show no clear signs of a mental health condition. Common indicators of PMHDs are sadness, anxiety, irritability and insomnia, but new parents may hide signs of distress or their appearance may not differ significantly from other sleep-deprived, stressed new parents.
The Risks of Untreated PMHDs
The risks of untreated PMHDs are significant for both parents and their children. Suicide is currently the leading cause of death to mothers in the first year after childbirth, and there are significant developmental impacts on children of untreated parental depression.
Screening for PMHDs
The most reliable brief screening tools for PMHDs are the Edinburgh Postnatal Depression Screening Scale (EPDS) and the Patient Health Questionnaire (PHQ-9). It is our recommendation that every birthing person be screened at 36 weeks gestation, at the two week and six week postpartum office visits, and at three month and six month pediatrician well-baby visits, or at other times when there is a suspicion of a PMHD. Parents who say they are doing “fine” will generally answer truthfully if given one of these screening tools.
Treatment Options
If a significant probability of a PMHD is indicated or if a new parent screens positive, a referral to a mental health caregiver is warranted. Treatment with medication may be appropriate as well. Many psychotropic medications are safe for pregnant and breastfeeding parents to use.
Where to Refer
Postpartum Support International (PSI) is a good resource to give to mothers who are suffering from a PMHD or who are at risk of developing one. PSI provides a helpline to provide support, information and referrals to mothers, as well as their families and caregivers. New parents can visit the PSI Website or call or text the PSI helpline at 1.800.944.4PPD.
Mt. Diablo Perinatal Psychotherapy Associates therapists work with mothers and their families to diagnose and treat parents with PMHDs. You can reach one of our therapists at 925-298-2070 or contact us. You can download our reprintable, trifold PMHD Brochure to provide information to your patients about these disorders and how to get help.
Visit this link for more detail on Screening and Treatment Options for Postpartum Depression.
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