What Are PMADS?

PMADS are known as perinatal mood and anxiety disorders. Perinatal mental health refers to the emotional and psychological well-being of individuals during pregnancy and in the first year after giving birth. This period, known as the perinatal period, is crucial because it’s a time of significant physical, emotional, and hormonal changes. Mental health conditions during this time can affect both the individual and the baby, and early identification and intervention are vital.

Common perinatal mental health conditions include depression, anxiety, PTSD, and obsessive-compulsive disorder (OCD). These conditions can develop both during and after pregnancy (postpartum period).

DUO Mental Health is a safe and nonjudgemental space to begin taking those initial steps to identifying your individualized perinatal mental health needs. No matter where you are in your mental health journey!

Key Aspects of Perinatal Mental Health Care

  • Early routine screening for perinatal mental health issues is essential. Common conditions include depression, anxiety, PTSD, and obsessive-compulsive disorder (OCD).

    We assess for risk factors, such as a history of mental health conditions, previous traumatic births, or a lack of social support.

  • Psychoeducation provided to the expectant parents/caregivers about the potential mental health challenges during and after pregnancy helps in reducing stigma and encourages individuals to seek support early on.

    Helping families understand the emotional changes that may occur can normalize the experience, reducing anxiety and distress.

  • Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) are common therapeutic options for treating perinatal depression and anxiety.

    Group therapy or support groups, especially for new mothers, can provide a sense of community and validation.

  • Medication may be prescribed for more severe mental health conditions, such as major depression or anxiety disorders.

    We educate our clients on the importance of discussing the risks and benefits of medications during pregnancy and breastfeeding.


  • The first year after childbirth, especially the first few months, is critical for emotional and psychological well-being. Monitoring for conditions like postpartum depression (PPD), postpartum psychosis, and anxiety disorders should continue beyond birth.

    Peer support, community groups, or professional follow-ups can provide ongoing support.

  • Perinatal mental health often requires the involvement of a multidisciplinary team, including obstetricians, midwives, mental health professionals (psychologists, psychiatrists), social workers, and pediatricians. This collaboration ensures comprehensive care.


  • Perinatal mental health does not only affect the birthing person but can also impact the non-birthing partner. Support should be extended to partners, as they may experience stress, anxiety, or depression during this time.

  • Promoting self-care strategies for individuals during the perinatal period is essential. This includes proper rest, nutrition, physical activity, and seeking emotional support.

    Encouraging partners or family members to share in caregiving can alleviate stress.