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EO: 221 Perinatal Mental Health Disorders: An Overview Birdie Gunyon Meyer
Substance Use Disorder, Opioid Exposed Newborns & Mental Health in Pregnancy Episode 2218th May 2026 • Healthy Mom Healthy Baby Tennessee • Tennessee Initiative for Perinatal Quality Care
00:00:00 00:34:49

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Key Takeaways

Perinatal mood and anxiety disorders extend far beyond depression and can manifest as anxiety, panic, OCD, PTSD, bipolar disorder, and psychosis—each requiring different recognition and treatment approaches.

Baby blues are normal, hormone-driven, and resolve within two weeks; symptoms persisting beyond two weeks indicate a clinical PMAD requiring professional evaluation and support.

Individuals with PMADs are not to blame—these conditions result from identifiable, evidence-based risk factors (hormonal, psychological, social, and circumstantial) over which they have no control.

Intrusive thoughts in perinatal OCD are not desires or intentions but unwanted, distressing "what if" scenarios that are highly treatable with proper therapy and support.

Screening for risk factors during pregnancy and postpartum is essential, as is ensuring individuals with bipolar disorder or psychosis history receive psychiatric care throughout pregnancy and the first year postpartum to prevent relapse.

Provider awareness and education about the full spectrum of PMADs—not just depression—enables earlier identification and appropriate referral, reducing maternal and paternal morbidity.

Quotable Moments

"You are not alone. This affects one in five to seven women, one in 10 men."

"You're not to blame. You didn't cause this. This is caused from risk factors."

"With the proper treatment, you will be well. That is giving hope because see, when they feel that bad, they think, now this is who I am. I'm going to be like this forever."

"Baby blues only last two weeks. Baby blues are caused from the hormone changes at the moment of delivery."

"It is debilitating. It gets in the way of your day. You really have to clean, clean, clean."

"What if my baby stops breathing? What if someone breaks in my house and steals my baby? What if I drop my baby? What if, what if, what if?"

"One in two women are now saying that something traumatic happened at their birth."

"Nobody has a clean history, but some people are much more affected."

Show Notes by Barevalue

No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

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