Frequently Asked Questions

What does "perinatal" mean?

Perinatal means the period “all around” birth. It is most often used to refer to the period of time during pregnancy as well as postpartum, during the baby's first year.

Someone mentioned the term "baby blues" to me.  Is that the same as postpartum depression?

Most new mothers – experts estimate about 80% — experience mood swings and weepiness during the first 2-3 weeks after giving birth. Sometimes called “the baby blues”, this is a normal adjustment period and resolves without any medical assistance. This is NOT the same as postpartum depression. PPD lasts much longer and is more severe. If you are still feeling "down" after 3 weeks, speak with your doctor, OB, or midwife.

I don't feel depressed but rather angry and irritable.  Could this still be a PMAD?

The short answer is, yes. Anger and irritability can be related to Postpartum Depression or Postpartum Anxiety. There are also other disorders related to the postpartum period which include symptoms such as anxiety, rage, irritability, insomnia, feelings of being overwhelmed, lack of appetite, etc.

I think I need help.  How do I start?

If you are reading this, you have already started the process and you are an amazing mom, friend, spouse, dad, etc. You know that something is off either with yourself or someone you care about. The best thing you can do is educate yourself on what is happening. Please look at the resources on this website and then make an appointment to speak with me if you are so inclined.

How long will I be in therapy?

The goal of therapy is to get out of therapy! Every perinatal mood disorder, no matter how strong the symptoms are, is temporary and treatable. The main focus is to learn problem-solving skills and coping strategies to help you navigate this new stage of life. The time frame for this varies from person to person and we will go over this during our first few sessions together.

I've heard counseling can be expensive. How can I afford it? Do you take insurance?

It is my opinion that finances should not be a barrier to receiving the help and support you need. For this reason, I have joined the Open Path Collective, a non-profit that offers affodable counseling services. You can find out more at their website: In addition, I also work with the following insurance companies: Blue Cross Blue Shield, Blue Cross Complete, Cigna, Medicaid, Priority Health, United Health Care. If none of these options work for you, please contact me directly and we can discuss other alternatives.

How common are PMADs?

PMADs are the #1 complication of pregnancy. Approximately 15-20% of all pregnant and postpartum women may experience some form of PMAD...and we believe this number is actually substancially higher as there are many more cases that are undiagnosed and undocumented.

I am 8 months postpartum.  Can this still be considered a postpartum issue?

Absolutely. Symptoms can be experienced at any time during the first year postpartum and, if left untreated, can continue well past that.

What's the story with medication (while pregnant, while breastfeeding, postpartum, etc)?

Medications do exist that are shown to have minimal risk during pregnancy and/or through lactation. Depending on the client's wants, together we explore if medication is the right option. The most important factor is being educated about your decision, and working with a prescribing provider who is knowledgeable in perinatal mental health.