At Mind Body Health, we treat reproductive mood disorders. This includes depression and anxiety during pregnancy, pregnancy loss, infertility, postpartum depression and anxiety. We also treat mood disorders related to one’s menstrual cycle, often diagnosed as premenstrual dysphoric disorder (PMDD).
Perinatal & Postpartum Anxiety and Depression
Both anxiety and depression are common during the perinatal period, with 50-85% of women experiencing postpartum “baby blues” for one to three weeks after delivery. Symptoms of baby blues include mood instability, depressed mood, weepiness, sadness, irritability, anxiety, lack of concentration and feelings of dependency. Ten percent (10%) of women experience postpartum depression (PPD), in which these symptoms are longer-lasting and more severe. PPD typically occurs 2-3 months after childbirth, but may occur at any point after delivery. Symptoms of PPD last for more than 2 weeks.
Perinatal anxiety is also common during this period, and often co-occurs with postpartum depression. Common anxiety symptoms women experience during this time are panic attacks, difficulty sleeping, excessive worry, and intrusive thoughts and/or images of frightening things happening to the baby. Although common, if these symptoms begin to impact daily functioning or quality of life, women should seek help.
Premenstrual Dysphoric Disorder
Most women experience mood symptoms before the onset of their menstrual cycle (premenstrual syndrome or PMS); however, 5-10% of women experience significant depression and/or anxiety that begins one to two weeks before the onset of menses and completely resolves at the start of the menstrual cycle. Symptoms of PMDD include irritability, depressed mood, anxiety, or mood swings and can cause conflict in relationships and significant impairment.
To manage mood and anxiety symptoms around PMDD, and perinatal and postpartum depression and anxiety, we use aspects of Acceptance & Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavioral Therapy. We help clients manage their thoughts, feelings, and emotions in ways that help them better align with their values. With postpartum concerns around grief, loss, and role transitions, we often use interpersonal psychotherapy.