Perinatal and Postpartum Psychiatry
Pregnancy and the transition into parenthood can bring excitement, anticipation, uncertainty, and significant emotional change. Alongside moments of joy, many women experience anxiety, self-doubt, intrusive thoughts, overwhelm, mood changes, or emotions that don’t always match what you expected this season of life to look like.
At Sunstone Psychiatry for Women, we provide specialized perinatal and postpartum psychiatry before, during, and after pregnancy.
Whether you’re experiencing anxiety during pregnancy, postpartum depression, intrusive thoughts, overwhelming worry, or emotional changes that leave you feeling unlike yourself, our goal is to help you feel more balanced and more confident throughout your parenthood journey.
Understanding Perinatal & Postpartum Psychiatric Care
Perinatal and postpartum psychiatry focuses on mental health during pregnancy and throughout the first year after childbirth. Because treatment decisions must account for hormonal changes, reproductive health considerations, and major life adjustments, care during this stage may require a more specialized approach.
At Sunstone Psychiatry for Women, our focus is not just on treating symptoms. We work to understand the full picture of what you’re navigating so we can create a treatment plan that aligns with your mental health, your goals, and the life you’re building. Whether you’re pregnant, adjusting to postpartum recovery, breastfeeding, or planning for future pregnancies, our care is tailored to meet you where you are.
Why Pregnancy & Postpartum Changes Impact Mental Health
For many women, pregnancy and the postpartum period bring physical, emotional, and lifestyle changes that can influence mental health in meaningful ways. While these changes are often temporary, they can sometimes contribute to symptoms that begin to interfere with daily life, relationships, or overall functioning.
Hormonal Changes
Sleep Disruption
Interrupted sleep and physical recovery can make it more difficult to manage stress and emotional challenges.
Life & Identity Changes
Becoming a parent often brings changes in relationships, routines, responsibilities, and one’s sense of self.
Mental Health History
Previous experiences with anxiety, depression, trauma, or mood disorders can increase vulnerability during this stage of life.
Seeking care is not a sign of failure or weakness. It is an opportunity to better understand what you're experiencing and explore options for feeling more like yourself again.
Maternal Mental Health by the Numbers
Approximately 16% of mothers in Philadelphia report postpartum depressive symptoms.
Mental health conditions and substance use disorders are the leading causes of pregnancy-associated deaths in Pennsylvania.
Fewer than 20% of women are screened for maternal mental health disorders.
Signs It May Be Time to Seek Support
If any of these feel familiar, you are not alone. A psychiatric evaluation can help you better understand what you’re experiencing and explore treatment options that fit your needs. You may benefit from a psychiatric evaluation if you are experiencing:
- Ongoing sadness, hopelessness, or emotional numbness
- Excessive worry or anxiety that feels difficult to control
- Intrusive or distressing thoughts
- Panic attacks or intense fear
- Difficulty bonding with your baby
- Significant mood changes during pregnancy or the postpartum period
- Sleep disruption that worsens emotional symptoms
- Uncertainty about medication during pregnancy or breastfeeding
Conditions We Treat
Mental health concerns during pregnancy and the postpartum period can show up differently for every woman. Our team provides psychiatric evaluation and medication management for a range of perinatal and postpartum conditions.
Perinatal Mood & Anxiety Disorders (PMADs)
A group of maternal mental health conditions that can occur during pregnancy and throughout the postpartum period.
Perinatal & Postpartum depression
Persistent sadness, hopelessness, emotional numbness, guilt, or loss of interest that extends beyond the typical “baby blues.”
Perinatal & Postpartum Anxiety
Excessive worry, racing thoughts, panic symptoms, and constant fear related to pregnancy, childbirth, or your baby’s well-being.
Perinatal & Postpartum OCD
Distressing, unwanted thoughts that may feel frightening or difficult to control, often accompanied by compulsive behaviors or reassurance-seeking.
Medication Management During Pregnancy & the Postpartum Period
Deciding whether medication is right for you during pregnancy or the postpartum period can be a difficult decision to make. At Sunstone, we help women navigate these decisions with clarity, education, and support.
01
Personalized Recommendations
Treatment plans tailored to your symptoms, medical history, and stage of pregnancy or postpartum recovery.
02
Risk & Benefit Discussions
Clear conversations about medication options, safety considerations, and what to expect during treatment.
03
Ongoing Monitoring
Regular follow-ups and adjustments to ensure your care remains effective throughout pregnancy, the postpartum period, or breastfeeding.
When medication is appropriate, recommendations are made thoughtfully and collaboratively, with careful consideration of your symptoms, treatment goals, stage of pregnancy or postpartum recovery.
Why Choose Sunstone
Women-Centered Care
Our care is designed around the many factors that can influence women’s mental health, from hormonal changes and reproductive health to relationships, responsibilities, and major life transitions. We take the time to understand your unique circumstances so treatment reflects the full context of your life.
Convenient Telehealth
We recognize how full and demanding life can be, especially during pregnancy and the postpartum period. That’s why our telehealth appointments make it possible for you to receive specialized psychiatric care from the familiarity and privacy of your home.
Specialized Perinatal Expertise
Perinatal mental health is one of our core areas of focus. We provide psychiatric care informed by the emotional, hormonal, and life-stage factors that can influence mental health during pregnancy and the postpartum being.
Collaborative Treatment
We believe patients feel their best when they feel heard. Our approach is collaborative and personalized, taking into account your symptoms, goals, overall well-being, and comfort level.
Our Clinical Collaboration with The Postpartum Stress Center
Sunstone Psychiatry for Women is proud to collaborate with The Postpartum Stress Center, a nationally recognized psychotherapy practice founded by Karen Kleiman, MSW, LCSW, and specializing in perinatal mental health. Together, our practices support coordinated psychiatric and psychotherapeutic care when appropriate and with each patient’s consent.
The Postpartum Stress Center, LLC, founded in 1988 by Karen Kleiman, is a pioneering psychotherapy practice specializing in perinatal mental health and has been serving women and families for more than three decades. Its mission extends through the Karen Kleiman Training Center, which offers professional education and advanced clinical training for maternal mental health providers. The Center provides individual and couples therapy, support groups, and expert care for pregnancy and postpartum mood and anxiety disorders, serving as a trusted resource for individuals and families seeking specialized support. Beyond perinatal care, it also offers a full range of psychotherapy services for individuals, couples, and families across the lifespan.
Start Your Perinatal Mental Health Journey Today
Let’s get you started. We’re here to help.
Whether you’re navigating anxiety, hormonal shifts, or the challenges of the peripartum and perimenopausal years — or simply feeling overwhelmed — Sunstone Psychiatry for Women is here for you.
Now open and welcoming new patients!
have questions before submitting an inquiry form?
If you’re unsure whether our practice may be a good fit, we’re happy to answer questions before you complete an inquiry form.
Sources
- Maternal Mental Health Leadership Alliance (MMHLA). Maternal Mental Health Fact Sheet. https://policycentermmh.org/maternal-mental-health-fact-sheet/
- University of Pennsylvania Leonard Davis Institute of Health Economics. Maternal deaths surge after birth, with mental health a key factor. https://ldi.upenn.edu/our-work/research-updates/maternal-deaths-surge-after-birth-with-mental-health-a-key-factor/
- City of Philadelphia Department of Public Health. Community Health Assessment Report (CHART). https://www.phila.gov/media/20220930121445/CHARTv7e2.pdf
- National Center for Biotechnology Information (NCBI / PMC). Perinatal Mental Health Research Overview. https://pmc.ncbi.nlm.nih.gov/articles/PMC9681705/