Perinatal Mental Health

Giving birth to a baby is giving birth to a new identity. It’s one of the most significant physical and psychological periods of adjustment a woman can experience. New moms deserve as much attention as new babies.

In addition to the expected adjustment to pregnancy and postpartum, perinatal mental health concerns can arise during pregnancy or after birth. They can include feelings of heightened and persistent anxiety, sadness, irritability, or overwhelm, as well as changes in sleep, appetite, or ability to enjoy daily life.

  • Matrescence

    Matrescence is the transformative process of becoming a mother—a physical, emotional, social, and identity shift that can be as profound as adolescence. During this time, you may experience changes in your relationships, priorities, self-image, and sense of stability, sometimes alongside intense joy, grief, or uncertainty. Therapy can provide a supportive space to process these changes, build coping skills, and strengthen your confidence and sense of self as you adjusts to your new role.

  • Anxiety

    Perinatal anxiety is heightened worry, tension, or fear that occurs during pregnancy or in the first year postpartum, often focused on your baby’s health, safety, or your ability to cope. It can show up as racing thoughts, constant “what if” scenarios, a need to be in control, restlessness, irritability, or physical symptoms like a racing heart and trouble sleeping. Therapy can help by offering tools to regulate your body’s stress response, manage anxious thoughts, and build a sense of calm and confidence so you can feel more grounded and present.

  • Trauma

    Perinatal trauma refers to the psychological and emotional distress that can occur during pregnancy, childbirth, or the postpartum period, often in response to events perceived as threatening, overwhelming, or violating. It can stem from experiences such as a pregnancy loss, difficult labor, emergency or unexpected medical interventions, or feeling unsupported or unsafe during care. This trauma can have lasting effects on your mental, emotional, and physical well-being, as well as on bonding with your baby.

    Symptoms of trauma may include flashbacks, nightmares, anxiety, depression, avoidance of reminders of the experience, and believing that you are not enough, to blame, or incapable. Therapy can help you process and cope with your experience, and lead to a brighter, more rewarding postpartum experience.

    EMDR can help you process your traumatic experience(s) and feel more relieved.

Perinatal Mental Health Resources

  • Postpartum Support International (PSI) 
    📞 1-800-944-4773 | Text: 800-944-4773 (English) | 971-203-7773 (Español) 
    Support coordinators, online support groups, loss and grief resources 

  • National Maternal Mental Health Hotline

    📞 Text: 1-833-TLC-MAMA | 24/7 free and confidential support during the perinatal period; English and Spanish with option for interpreter services

  • Petaluma Mothers Club

    Social club offering support, education, family activities, and community for parents of children age five and younger.