Perinatal mental health worksheets

Perinatal worksheets that hold pregnancy, postpartum, and loss.

Ten worksheets across the perinatal spectrum — PMADs screening, birth trauma, matrescence, infertility, pregnancy loss, feeding, sleep, partner support, NICU, and postpartum intrusive thoughts. Free, printable, clinician-designed.

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Assessment
1p · PDF

Perinatal Mood Screen (EPDS-informed)

Screening template for pregnancy & postpartum

Structured EPDS-informed screening template with space for clinician follow-up on any high item.

OB/pediatrics/therapy screening; postpartum check-ins; pregnancy through 12 months.
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Trauma
2p · PDF

Birth Trauma Processing Worksheet

The birth story, told at your pace

Structured first pass at the birth story: what happened, what returns, what was missing, what's needed next.

Traumatic birth; postpartum PTSD symptoms; preparing for a subsequent birth.
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Identity
1p · PDF

Matrescence Identity Worksheet

The identity restructuring of becoming a parent

Name what's grieved from before-parent life and what's emerging — matrescence as development, not pathology.

First-time parents; identity disorientation postpartum; matrescence-aware perinatal work.
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Infertility
1p · PDF

Infertility Monthly Processing Sheet

Structure for a chronic grief

Monthly template: what was tried, what was lost, what partners need from each other, what to protect.

TTC / IVF cycles; secondary infertility; couples navigating unequal grief.
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Loss
1p · PDF

Pregnancy Loss Worksheet

Miscarriage, stillbirth, TFMR, ectopic — all real

Hold what was lost, what to remember, what people said that hurt, and a ritual that would honor the loss.

Any pregnancy loss; recurrent loss; anniversary of loss.
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Postpartum
1p · PDF

Feeding Choice Grief Worksheet

Separate the reality from the shame

Name the hoped-for feeding plan, the actual one, the grief, and one sentence for opinionated bystanders.

Feeding difficulties; breastfeeding loss; NICU / medical feeding routes; combo feeders.
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Postpartum
1p · PDF

Sleep Deprivation Survival Plan

One protected 4-hour block

Weekly sleep audit and a specific plan for one protected 4-hour stretch — the difference between coping and crisis.

Newborn / infant stage; PPD/PPA with sleep as a driver; couples negotiating night duty.
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Couples
1p · PDF

Partner Perinatal Support Worksheet

Postpartum is a family event

Inventory each partner's load, install a protected weekly practice each, and check on the non-birthing partner.

Couples in the first year postpartum; partner PPD screening; unequal-load conflicts.
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NICU
1p · PDF

NICU Family Coping Worksheet

Marathon, not sprint

Daily structure inside a NICU stay: one question, one bonding act, one act of body care, one boundary with visitors.

Any NICU stay; long-term hospitalization of an infant; post-NICU transition home.
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OCD
1p · PDF

Perinatal Intrusive Thoughts Worksheet

Ego-dystonic thoughts — common, treatable

Distinguish postpartum OCD (safe to disclose) from postpartum psychosis (emergency); ERP-informed response.

Postpartum intrusive thoughts of infant harm; perinatal OCD screening.
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Screening
1p · PDF

Postpartum Mood Check-In

A private starting point, not a diagnosis

A nine-item check-in on sadness, anxiety, sleep, disconnection, and intrusive thoughts, with clear escalation guidance.

Postpartum weeks 2–52; midwife/OB visits; pediatric well-child visits.
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Narrative
2p · PDF

Birth Story Processing Worksheet

The short version and the true version

Space to tell the medical facts and your experience — moments of safety, moments of override, and what to keep.

Postpartum weeks 2–24; traumatic birth follow-up; subsequent pregnancy prep.
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Identity
1p · PDF

Matrescence Map

A developmental transition, not a bounce back

Name who you were, what's newly loud, what you're afraid you've lost, and small ways to stay in contact with yourself.

First-time parents; second-baby identity shifts; matrescence groups.
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Couples
1p · PDF

Perinatal Partner Load Share

Ownership, not help-more

Convert 'help more' into concrete owned tasks, hand-offs, and a weekly 15-minute check-in.

Postpartum resentment; second-baby overwhelm; couples therapy postpartum.
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Sleep
1p · PDF

Realistic Perinatal Sleep Plan

Protect the biggest possible block

Baseline, protected block, coverage plan, and what to stop doing during it — no gaslighting.

First 12 postpartum months; twin/multiples households; solo-parent postpartum.
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Frequently asked questions

Are these appropriate for postpartum psychosis?+

No — postpartum psychosis is an emergency requiring immediate psychiatric care. The intrusive thoughts worksheet explicitly distinguishes postpartum OCD (safe to disclose) from postpartum psychosis (call emergency services).

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