Getting Familiar With Perinatal Mood and Anxiety Disorders

The perinatal period refers to the time span from trying to conceive, pregnancy, and up to one year after birth. For many, this could encompass a number of years of their life. Perinatal Mood and Anxiety Disorder (PMAD) is the broad term used to recognize all of the mood disorders that may occur throughout the perinatal period. Some of the more commonly known Perinatal Mood and Anxiety Disorders include Postpartum Depression and Postpartum Anxiety; however, there are many other mood disorders such as Birth-Related Post-Traumatic Stress Disorder, Postpartum Obsessive Compulsive Disorder, Postpartum Bi-Polar Relapse, and Postpartum Psychosis. 

It is important to acknowledge that PMADs are treatable with the right support, this may include psychotherapy, medication, or a combination of both. A personalized treatment plan based on your individual needs is important during such a vulnerable time. 

Here are some common PMAD indicators that would suggest you may benefit from professional support: 

- Not feeling like yourself 

- Feeling like something is wrong or being in a constant state of worry

- Feeling disconnected 

- Not wanting to be around or left alone with baby 

- Constantly checking on baby or things around the house 

- Avoiding tasks you normally would be able to do 

- Not being able to sleep 

- Not having energy to do regular care tasks (ie. shower) 

The number one indicator that you may be experiencing a PMAD, is if you are wondering if you need to reach out for support. It doesn’t matter where you are on your journey in parenthood, there is help available. It can be hard to know where to begin, but most Perinatal Therapists have a free 15 minute phone consultation, which is an accessible starting point. Taking time to save the contact information for a Perinatal Therapist during your pregnancy, can be helpful to eliminate the added challenge of seeking out appropriate support if you find yourself in crisis postpartum. 

Parenthood is a transformational experience, and it is not surprising that it is filled with both highs and lows. Having enough support, whether it be from your partner, extended family, friends, postpartum doula, or therapist, and being able to have open and honest communication about how you are truly feeling is the starting point of building resiliency in the perinatal period.

1 in 5 birthing persons will experience a Perinatal Mood and Anxiety Disorder (PMAD) (Postpartum Support International). You are not alone in your experience, and I am here for you. 

The WOMB Guelph is here to help you navigate the perinatal period. Here are some services offered that you may find supportive if you are struggling with your mental and emotional wellbeing: Counseling and Psychotherapy, Postpartum Doulas, Naturopathic Medicine, Fitness, Pilates & Yoga, Reiki, Massage Therapy, Yoga Therapy, Osteopathy & Manual Therapy, and Lactation Support

- Kerri Mooney (she/her) MSW, RSW

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Postpartum Hormones: Navigating the 4th trimester with body awareness