Perinatal Mood & Anxiety Disorders

Overview

PMADs are common (~15–20% of birthing parents) and highly treatable. Screen with EPDS at multiple time points. Untreated perinatal depression has measurable effects on infant attachment and development — treat actively.

First-line treatments

• CBT — Cognitive Behavioral Therapy

  Adapted CBT for the perinatal context — strong evidence.

• IPT — Interpersonal Psychotherapy

  WHO-endorsed for perinatal depression; role transition is a natural fit.

Also consider

• MBCT

  MBCT-PD for relapse prevention.

• CFT

  Targets shame about 'not feeling what I should feel' as a new parent.

• EFT

  When the couple relationship is destabilized.

Cautions

• Always screen for intrusive thoughts of harm — distinguish ego-dystonic OCD (very common, low risk) from postpartum psychosis (rare, emergency).
• Sleep deprivation amplifies everything — practical sleep planning is part of treatment.

Related tools

• Assessments

Related worksheets

• Weekly Mood & Energy Tracker
• Sleep Hygiene Checklist
• Self-Compassion Break
• Behavioral Activation Planner