Congratulations – you’re pregnant! Perhaps you’ve spent years seeking fertility treatment, are pregnant after a loss or relied on a gamete donor or gestational carrier, or maybe conceiving without intervention was simple for you. You’ve scheduled your OB or midwife appointment and are diligently taking your prenatal vitamins. But are you taking care of your emotional health?

“But I don’t feel depressed.” I hear this time and time again from pregnant and postpartum women who call my clinical practice. These women are plagued by anxiety, racing thoughts, restlessness, sleep difficulties, compulsive behaviors, and other troubling symptoms, and yet they do not reach out for help. Why?