This text provides background on the history of perinatal psychiatry, and discusses future directions in the field. It clearly defines perinatal mood and anxiety disorders (PMADs), which are the most common complication of pregnancy. When left untreated, PMADs are morbid and devastating for both the patient and their entire family. It reviews gold standard recommendations for the treatment of PMADs, including evidence-based psychotherapies, as well as risk-benefit analysis of psychotropic medication use in pregnancy and lactation. Additionally, common presentations of depression, anxiety, and trauma in pregnancy and postpartum women, as well as mania, psychosis, suicidal and homicidal thoughts are reviewed. 

Women's Mood Disorders: A Clinician's Guide to Perinatal Psychiatry highlights special considerations in pregnancy, including teenage pregnancies, hyperemesis gravidum, eating disorders, substance abuse disorders, as well as infertility, miscarriageand loss. The text concludes with outlining the importance of collaborative care in providing gold standard treatment of perinatal women and review documentation and legal considerations. This handbook will help educate and train future psychiatrists and OBGYNs in feeling confident and comfortable assessing and treating pregnant women who suffer from PMADs.

Background of History of Perinatal Psychiatry

Perinatal Mood and Anxiety Disorders (PMADs): Overview & Etiology
The Perinatal Psychiatric Interview
Approach to Perinatal Psychiatry: General Strategies. Risk of Untreated Symptoms of PMADs in Pregnancy
Risk of Untreated Symptoms of PMADs in Breastfeeding Women
Risk of Medication exposures in Pregnancy and lactation
Special Considerations: Teenage Pregnancies, Hyperemesis Gravidum, IVF, Miscarriages and Loss
Anxious Patients
Depressed Patients
Manic Patients
Psychotic Patients
Substance Use Disorders in Pregnancy and Lactation
Eating Disorders in Pregnancy and Lactation
Trauma Disorders in Pregnancy and Lactation
Psychotherapy Treatment Options for PMADs
Care of the Suicidal Patient: Pregnancy and Postpartum
Care of the Homicidal Patient: Pregnancy and Postpartum
Importance of Collaborative Care with OBGYN and Pediatrics
Documentation Considerations.