Supporting You Before and During Pregnancy

Planning for a pregnancy is an extraordinary experience for every woman, but it can also be accompanied by a range of emotions, including excitement, anxiety, and uncertainty. At Brookside Psychiatric Specialists, we understand that prioritizing your mental health before and during pregnancy is essential for both you and your baby. Our dedicated team of mental health providers in Virginia offers specialized support for individuals planning to conceive or those already on their journey to parenthood.

Brookside Psychiatric is a woman-owned practice, fully staffed by women dedicated to providing specialized care in reproductive psychiatry and perinatal mental health. Our providers have the education and training to understand the unique mental health needs of women, especially during vulnerable times like pregnancy and the postpartum period, where hormonal changes can significantly impact mental health.

A woman and her perinatal mental health provider at Brookside Psychiatric Specialists discuss her pregnancy.

Why Prioritize Mental Health Before Pregnancy?

Before you embark on the journey of parenthood, taking the time to address any mental health concerns can set a positive foundation for your pregnancy. Many individuals may have experienced depression, anxiety, or other mental health issues in the past, and addressing these before conception can help prevent their recurrence during or after pregnancy.

If you are experiencing emotional difficulties or have a history of mental health issues, seeking help from a reproductive psychiatry specialist is essential as early as possible. Many general providers may not be fully informed about the best treatment options for women, which can lead to ineffective care. At Brookside, you will receive expert support that addresses your unique needs more fully. Your mental health matters, and we’re here to help you manage it.

A young woman with long dark hair leans on a wooden railing, gazing into the distance with a thoughtful expression.

Key Services We Offer:

At our practice, medication management is our central treatment service. We integrate medication with psychotherapy to provide you with comprehensive, high-quality care.

Preconception Counseling

Advice about your mental health medications is crucial for anyone planning to conceive. We provide personalized assessments and recommendations. Some clients who see us for these preconception consultations choose to stay with us for ongoing care while others take our expert recommendations back to their existing psychiatric provider or OB/GYN. 

Mental Healthcare During Fertility Treatments

If you are undergoing fertility treatments, your mental health can be affected not only by the stress of these treatments but also by their hormonal impact. Our team can help you manage any mental health concerns you experience throughout the process. We regularly help patients undergoing fertility treatments to manage psychiatric medications and work on coping mechanisms to manage stress.

Planning for Past Mental Health Issues

If you have previously experienced mental health conditions, such as postpartum depression or anxiety, we can work with you to create a comprehensive plan that addresses these risks and fosters emotional well-being during future pregnancies.

Understanding the Emotional Landscape of Pregnancy

Pregnancy brings about significant physical and emotional changes. Alongside common physical symptoms such as morning sickness and fatigue, many expectant parents also experience intense emotions related to the upcoming life changes.

Common Concerns

  • Fear of Change: The prospect of becoming a parent can feel overwhelming. Concerns about your ability to cope, fears about labor and delivery, and worries about your relationship dynamics are all common and valid.
  • Emotional Roller Coaster: Some fluctuations in mood are normal. Many experience anxiety about parenting, bonding with the baby, and how life will change post-baby. However, it’s important to understand that intense mental or emotional changes may be a sign of a more serious problem that would benefit from care.
  • Worries About Pre-Existing Conditions: If you have a history of mental health issues, you may be concerned about their recurrence during pregnancy. It’s important to address these worries proactively with your healthcare providers.
  • Risk of Mental Health Issues: Research indicates that up to 1 in 5 women experience mental health issues before and during pregnancy, including anxiety and depression. However, when women have a history of mental health concerns, they are at a far higher risk of relapse or worsened symptoms than the 20% risk that exists more generally. For example, someone with bipolar disorder has about a 70-80% chance of illness during pregnancy when it goes untreated.

Concerns About Mental Health Medications

When trying to conceive or during pregnancy, many individuals may have concerns about the safety of continuing mental health medications. It’s essential to have open discussions with your healthcare providers about these worries. Here are some key points to consider:

  • Safety of Medications: Some mental health medications may have implications for pregnancy, but many psychiatric medications are safe and compatible with pregnancy. Our psychiatric nurse practitioners will help you evaluate the risks and benefits of continuing or adjusting your treatment plan.
  • Impact on Fertility: Certain medications can affect fertility. If you’re trying to conceive, discussing your current medications and any potential alternatives with your provider is important.
  • Managing Symptoms: Stopping medication abruptly can lead to the return of symptoms such as anxiety or depression, which can also impact your pregnancy. It’s vital to find a balance that prioritizes your mental health while considering the well-being of your baby.
  • Personalized Treatment Plans: Every individual’s situation is unique. Collaborating with your mental healthcare team to develop a tailored approach can help you navigate your mental health needs safely during this crucial time.

The Importance of Communication

Open communication with both your mental health provider and your obstetrician is crucial. By informing both parties about your mental health history, you can collaboratively develop a strategy for managing your mental health before and during pregnancy.

A woman considering her pregnancy options after meeting with Brookside Psychiatric Specialists in Virginia.

Signs to Watch For:

  • Persistent feelings of sadness or anxiety
  • Changes in appetite or sleep patterns
  • Excessive worry about your baby’s well-being or your fertility journey
  • Withdrawal from activities you once enjoyed

 

Strategies for a Healthier Pregnancy

If you have a pre-existing mental health condition or if you are experiencing new challenges during pregnancy, several strategies can help:

Therapeutic Interventions

  • Medication Management: Tailored medication options can be provided to address specific mental health needs and give you the best foundation for a healthy pregnancy and postpartum.
  • Cognitive Behavioral Therapy (CBT): A proven approach for managing anxiety and depression, CBT can help you reframe negative thoughts and develop healthier coping mechanisms.
  • Mindfulness Practices: Engaging in mindfulness can reduce stress and improve emotional resilience, helping you navigate the ups and downs of pregnancy.

Self-Care Techniques

  • Sleep Hygiene: Quality sleep during pregnancy is vital for both mother and baby, as lack of sleep can lead to fatigue and daytime drowsiness, negatively impacting memory, mood, and decision-making. Prioritizing good sleep habits is vital for mental health. We can provide tips to help improve your sleep quality during pregnancy and postpartum.
  • Support Networks: Don’t underestimate the value of social support. Engaging with friends, family, or support groups can provide a crucial outlet for sharing experiences and feelings. Research has shown that building social networks to help postpartum in practical ways is essential. At Brookside, we show our patients how to identify and utilize their current networks more effectively and teach the interpersonal skills that foster this important social support. The earlier this process is started, the more helpful it is.

Emotional Well-Being For You and Your Child

At Brookside Psychiatric Specialists, we are committed to helping you manage the complexities of prenatal mental health comfortably and safely. Whether you are trying to conceive, are currently pregnant, or have recently given birth, our compassionate team is here to support you every step of the way.

Addressing mental health proactively can help you have an easier, healthier pregnancy experience. Together, we can ensure that you feel supported and equipped to embrace the joys and challenges of parenthood. Brookside Psychiatric Specialists is a dedicated mental health practice that provides support for individuals of all genders facing mental health challenges related to pregnancy, postpartum issues, menopause, and menstruation.