Support through conception, pregnancy, postpartum, and beyond
Understanding Perinatal Mental Health
Perinatal mood and anxiety disorders (PMADs) are among the most common complications of pregnancy and the postpartum period, affecting approximately 1 in 5 women and 1 in 10 men. According to the American College of Obstetricians and Gynecologists (ACOG), these conditions often remain underdiagnosed and undertreated despite their significant effects on maternal, infant, partner, and family outcomes.
PMADs extend well beyond the commonly known "baby blues," which affect up to 80% of new mothers and typically resolve within two weeks. When symptoms persist, intensify, or emerge at any point during pregnancy or within the first year postpartum, a clinical mood or anxiety disorder may be present. Research from the Policy Center for Maternal Mental Health indicates that the majority of cases begin before or during pregnancy rather than solely after delivery, making screening throughout the perinatal period essential.
Conditions I Address
Perinatal Depression — persistent sadness, difficulty concentrating, loss of interest in pregnancy. Sadness, difficulty concentrating, irritability, and challenges bonding with the baby in the postpartum period
Perinatal Anxiety — excessive worry, racing thoughts, difficulty sleeping, and physical tension
Perinatal OCD — intrusive, unwanted thoughts (often involving harm to the baby) accompanied by compulsive behaviors
Birth Trauma & Perinatal PTSD — distress related to a traumatic birth experience, including flashbacks, avoidance, and hypervigilance
Adjustment to Parenthood — identity shifts, relationship strain, and difficulty navigating the transition to new or expanded family roles
Treatment for perinatal mood and anxiety disorders is effective, and early intervention leads to better outcomes for both parent and child. At Clark Psychology PLLC, we provide evidence-based therapy informed by the approaches recommended by organizations such as Postpartum Support International (PSI) and ACOG.
Cognitive behavioral therapy (CBT) and interpersonal therapy (IPT) are well-supported therapeutic approaches during the perinatal period. When OCD symptoms are present, exposure and response prevention (ERP) is integrated into the treatment plan. We work collaboratively with clients and, when appropriate, coordinate with obstetric and psychiatric providers to ensure comprehensive care.
My Treatment Approach
You are not alone.
PMADs are the most common complication of childbirth. With the right support, these conditions are highly treatable.