The perinatal period—pregnancy through the first year after birth—is often described as a time of joy, connection, and love. And it can be. But it can also be a time of enormous emotional, physical, and psychological change. Your body is doing something remarkable and your identity is shifting. With all of these changes, many women find themselves feeling more anxious, low, or simply unlike themselves. You might notice your mind getting stuck in worry—about the baby, your body, or whether you’re doing things “right.” At times, you may feel on edge or overwhelmed; at others, more flat, disconnected, or not quite able to access the joy you expected.
And then, often, comes the quiet question:
“Is this normal?”
The answer is: many of these experiences are common—but that doesn’t mean you have to go through them alone.
The perinatal period is delicate because it asks so much of you, often all at once. It’s a time when support matters deeply. Not just practical support, but emotional support too. This is where therapy can help. Therapy offers a space that is just for you. A space where you can be fully honest—without fear of judgment, pressure, or needing to “have it all together.” A space where you can talk openly about the parts of this experience that feel confusing, heavy, or even scary.
How common are perinatal mood and anxiety disorders (PMADs)?
About 1 in 5 women will experience a perinatal mood or anxiety disorder (PMAD). This can include depression, anxiety, OCD, panic disorder, PTSD, bipolar disorder, and, more rarely, postpartum psychosis.
What are the most common symptoms?
Insomnia, significant changes to appetite, scary and/or obsessive thoughts, weepiness, feelings of inadequacy, irritability or anger, hopelessness, suicidal thoughts, difficulty functioning, loss of pleasure.
Who needs support?
Mothers, of course—but it’s important to recognize that fathers can experience PMADs as well. And support isn’t just for parents; anyone in a new parent’s circle—grandparents, siblings, friends, and loved ones—may find it helpful to have a space to learn, ask questions, and feel more confident in how they show up and support.
Whether you are thinking about pregnancy, you just found out you are expecting, or you are currently in your postpartum era - you’re welcome to reach out. You don’t have to wait until things feel overwhelming to have a space like this. Support can begin exactly where you are.