Women’s Mental Health
Reproductive and Perinatal Psychiatry
The unique hormonal and physical changes that occur during an individual’s reproductive years can have a dramatic impact on their mental, emotional, and reproductive health. The psychiatrists at Regeneration Psychiatry have extensive experience supporting women’s health during the reproductive cycle. They offer compassionate care whether you’re worried about taking psychiatric medications during pregnancy or struggling with depression or anxiety related to your periods, pregnancy, or menopause.
Reproductive and Perinatal Psychiatry Q&A
What types of issues are treated?
Menstruation
Premenstrual dysphoric disorder (PMDD) causes depression, anxiety, irritability, anger, and mood swings in the week or two before your menstrual period starts. These symptoms can be severe. You may develop PMDD due to your brain’s sensitivity to the hormone changes related to your period. Hormonal treatments, psychiatric medications, or various supplements and lifestyle changes might be recommended for your symptoms, depending on
Fertility treatments and surrogacy
Many women experience anxiety or depression in the context of struggling with fertility. Undergoing fertility treatments such as IVF can be difficult for a woman’s body and require taking hormones which can cause mood fluctuations and psychiatric symptoms in certain women. For patients who choose surrogacy, there are complex feelings associated with the process. Your psychiatrist will address these symptoms and support you through this process.
Preconception and pregnancy
Our psychiatrists frequently consult with prospective parents who take psychiatric medications and who plan to conceive or are already pregnant. Your psychiatrist will evaluate your psychiatric medications, talk with you about their safety during pregnancy, and help you decide whether to stay on your meds or make changes.
During pregnancy, you go through hormonal changes that can cause a mental health disorder or make the symptoms of an existing condition worse. Your psychiatrist will monitor you during pregnancy and make adjustments to your treatment plan as needed.
Postpartum period
Your body and brain go through dramatic changes after delivering a baby. Additionally, most parents deal with lack of sleep and stress when caring for a new baby. In context of these stressors, you may develop and need treatment for postpartum mental illness.
Postpartum depression affects approximately 20% of women in the postpartum and is characterized by moderate to severe symptoms of depression and anxiety that impair ability to function on a day-to-day basis. Women might experience difficulty caring for themselves or their babies, and experience significant mood swings and insomnia. Your psychiatrist at Regeneration Psychiatry will be able to evaluate you and recommend a treatment plan that fits your needs as a new parent.
Breastfeeding
Breastfeeding can present a host of challenges for new moms. Some women will experience sleep deprivation, anxiety, or guilt related to breastfeeding which can contribute to depression or anxiety. Additionally the safety of psychiatric medications are a concern for parents who are breastfeeding. Your psychiatrist will be able to counsel you on how to balance your goals for breastfeeding with your mental health needs. They will also explain the potential risks of medications that can pass to your infant during breastfeeding and make recommendations based on your unique values and goals.
Pregnancy loss and grief
When pregnancy loss happens, it is common to feel guilt, shame, social isolation, anger, and self-blame. Women often feel alone during this time. Sometimes these symptoms are so severe it is difficult to function. This can lead to prolonged or complicated grief and sometimes anxiety or depressive disorders. Your psychiatrist can evaluate you for these conditions and offer treatment if needed.
Menopause
Hormonal fluctuations begin in the years before menopause and can extend to years after menopause. These changes in reproductive hormones can cause perimenopausal depression and anxiety in addition to physical symptoms of menopause. Some women also experience anger, irritability, sleep issues, or brain fog. Many women are diagnosed with mental health disorders for the first time in their life and those who have a history of mental health disorders may find that their symptoms relapse or get worse at menopause.
What services are offered?
Preconception counseling
Discussion of risks and benefits of psychiatric medications during pregnancy
Recommendations for medication adjustment prior to pregnancy
Management of medications during pregnancy and postpartum
Regular monitoring of mental health issues during pregnancy and in the first 6 months postpartum
Adjustment of medications as necessary
Consultation on mental health problems associated with menstruation and menopause
Diagnosis and treatment of PMDD and perimenopausal mental illness
Evaluation of how hormonal changes and other medical problems affect mental health
Collaboration with other medical providers
What treatments might I need?
Lifestyle change
Integrative/complementary treatments
Psychotherapy
Psychiatric medication
Interventional treatment modalities
Intensive treatment programs
The reproductive psychiatrists at Regeneration Psychiatry will carefully evaluate your symptoms and make an individualized holistic treatment plan tailored to your mental health needs and stage of life. Some mental health conditions need medications to maintain the chemical balance in your brain and keep your symptoms in remission. Regeneration psychiatrists are skilled and experienced in choosing the right medication for you and discussing their potential benefits and risks with you so you can make an informed choice about your case. They can also advise you about other treatment options including psychotherapy, complementary therapies, and other treatments.