Medication Management & Mental Health Care During Pregnancy

Pregnancy is often depicted as a joyous time, but it can also bring a whirlwind of hormonal, physical, and emotional changes that may lead to mental health challenges. It’s important to recognize that these changes can affect your mental well-being, and seeking support is a crucial step toward feeling like yourself again.

At Brookside Psychiatric Specialists, medication management is central to our approach. We integrate medication management with psychotherapy to provide comprehensive, high-quality care.

If you’re facing emotional challenges or have a history of mental health issues, it’s important to consult a reproductive psychiatry specialist as early as possible. Many general providers may not fully understand the best treatment options for women, which can lead to inadequate care. At Brookside, you will receive expert support that addresses your unique needs more fully because your mental health is important, and we’re here to support you.

An image of a pregnant woman's stomach. Brookside Psychiatric Specialists, a Virginia clinic devoted to mental health care for women dealing with issues arising from pregnancy, is here to help.
A couple dressed in white holds a 3D ultrasound image of their unborn baby, symbolizing anticipation and excitement for parenthood.

The Connection Between Pregnancy and Mental Health

Approximately 1 in 5 women will experience significant changes in mood or anxiety during pregnancy or postpartum that may require professional treatment; however, those with preexisting mental health issues are at much greater risk. These mental health issues can arise from a variety of factors, including:

  • Hormonal Changes: The surge of hormones during pregnancy can impact your mood and emotional state.
  • Life Changes: The transition to parenthood often brings big changes that cause stress and worries about relationships, parenting abilities, and the future.
  • Physical Discomfort: Common physical symptoms like extreme morning sickness, fatigue, and aches can contribute to feelings of unease and irritability.

It’s entirely normal to have mixed emotions during pregnancy. While some individuals may embrace this change with enthusiasm, others may feel overwhelmed, anxious, and depressed. Treating these symptoms before they escalate is best.

Common Mental Health Conditions During Pregnancy

At Brookside Psychiatric Specialists, we commonly care for individuals experiencing various mental health conditions related to pregnancy, including but not limited to:

Depression

Pregnancy-related depression can manifest as persistent sadness, feeling numb, dull or lacking joy, fatigue, and a loss of interest in activities you once enjoyed. It’s important to address these feelings early, as untreated depression can affect both your well-being and your baby’s health.

Bipolar Disorder

Bipolar disorder, previously known as manic-depressive illness, is a mental health condition characterized by significant fluctuations in mood, energy, activity levels, and focus. These mood changes can pose challenges for individuals in managing their daily responsibilities. For individuals with bipolar disorder, pregnancy can complicate mood stability. Hormonal shifts can trigger episodes, making it crucial to collaborate with a reproductive psychiatry specialist for effective management.

Anxiety Disorders

Anxiety is prevalent among expectant parents, often presenting as generalized worry about the health of the baby, childbirth, or the transition to parenthood. However, even normal worries become more extreme during pregnancy and postpartum, signaling a need for treatment. Anxiety can also show up in new ways that may feel scary or unusual. Our team offers medication and therapeutic approaches to help manage anxiety and build coping strategies.

Obsessive-Compulsive Disorder (OCD)

Pregnancy can bring on or exacerbate OCD symptoms, which may include intrusive thoughts or compulsive behaviors. We provide medication and targeted support to help you manage these challenges.

Post-Traumatic Stress Disorder (PTSD)

Pregnancy and prenatal care can evoke memories of past trauma. It’s essential to address PTSD symptoms to ensure you feel safe and supported throughout your pregnancy journey.

Attention Deficit Hyperactivity Disorder (ADHD/ADD)

Managing ADHD and ADHD medication during pregnancy requires careful planning. Our practitioners can help you create a treatment strategy that balances your mental health needs with your pregnancy.

Panic Disorders

Panic attacks can be especially distressing during pregnancy. If you experience unexpected episodes of panic, we are here to offer support, medication, and effective coping strategies.

Recognizing Symptoms of Perinatal Depression and Anxiety

It’s crucial to be aware of the signs of perinatal depression and anxiety. Here are some symptoms to look out for:

  • Panic Attacks: Racing heart, shortness of breath, and feelings of detachment.
  • Persistent Worry: Generalized anxiety, often focused on the health and well-being of your baby, your loved ones, or yourself.
  • Mood Swings: Abrupt changes in emotional state.
  • Loss of Interest: Reduced enjoyment in activities or social interactions.
  • Fatigue and Sleep Issues: Constant tiredness and/or trouble sleeping.
  • Intrusive Thoughts: Anxious or distressing thoughts or images that “pop” into your head.

If these symptoms seem severe enough that you are concerned, or if they persist for more than two weeks, it’s time to seek help. Early intervention can lead to more effective treatment and better outcomes.

Treatment Options for Mental Health Issues During Pregnancy

At Brookside Psychiatric Specialists, we prioritize both your mental and physical health during pregnancy. Treatment options include:

Medication Management

For some individuals, medication is necessary to manage mental health symptoms. Our psychiatric nurse practitioner will work with you to evaluate your medication options, considering both efficacy and safety for you and your baby.

Individual Therapy

Therapy provides a safe space to discuss feelings, fears, and experiences. We utilize evidence-based therapeutic approaches tailored to your needs, like cognitive behavioral therapy (CBT), helping you develop coping strategies and improve your emotional well-being.

An image of a woman dealing with mental illness associated with pregnancy. Call the Brookside Psychiatric Specialists in Virginia if you need help.

Maintaining Mental Well-Being During Pregnancy

In addition to seeking professional support, there are several strategies you can adopt to help maintain your mental well-being during pregnancy:

  • Get Enough Sleep: Prioritize rest to help manage stress and fatigue.
  • Practice Self-Care: Find time each week to engage in activities that bring you joy and relaxation.
  • Build a Support System: Lean on family and friends for practical and emotional support, and don’t hesitate to discuss your feelings with healthcare professionals.
  • Eat a Healthy Diet: A balanced diet can impact mood and energy levels.
  • Stay Active: Engage in regular physical activity, as it can boost your mood and overall health. Consult with your healthcare provider about safe exercise during pregnancy.

 

You Are Not Alone

Pregnancy is a profound life transition, and it’s normal to experience a range of emotions. However, the hormonal, physical, and life changes that come with pregnancy can all lead to new or worsened mental health problems. If these feelings feel overwhelming, it’s important to consult a reproductive psychiatry specialist earlier rather than later. Brookside Psychiatric Specialists is committed to providing the support you need during this critical time. If you are struggling with mental health challenges during your pregnancy, please reach out to us. Together, we can develop a personalized plan to help you navigate this journey and feel like yourself again.

Mental Health Care For Women By Women

Brookside Psychiatric is a woman-owned practice, entirely staffed by women committed to offering specialized care in reproductive psychology and perinatal mental health. Our providers are trained to address the unique mental health needs of women, particularly during sensitive times like pregnancy and postpartum, when hormonal changes can greatly affect well-being.

If you have any questions or concerns about your medication or mental health during pregnancy or postpartum, please reach out to us!