![](https://www.freeindeedtherapy.com/wp-content/uploads/2025/02/AdobeStock_490460124-scaled.jpeg)
Fertility/Post-partum
Perinatal Mood and Anxiety Disorders (PMADs)
PMAD refers to a variety of mental health conditions that can emerge during and after pregnancy. These conditions affect about 1 in 7 pregnant women across all demographics — regardless of their medical history, including whether they’ve been pregnant previously. Without the right treatment, PMAD conditions can significantly impact your ability to care for yourself and your child. These conditions can:
- Range from mild to severe anxiety or depression
- Start with distressing feelings or thoughts and significant mood swings
- Include changes in mood, anxiety and in some cases obsessive-compulsive disorders
(https://www.harvardpilgrim.com)
Post-partum Depression (PPD)
Postpartum depression (PPD) is a type of depression that can occur after giving birth, affecting the emotional and mental well-being of new parents, most commonly mothers. It’s more intense than the “new baby blues” that many women experience shortly after childbirth, and it can last for several weeks or even months if left untreated.
Symptoms of PPD can include:
- Persistent sadness or hopelessness
- Severe mood swings
- Difficulty bonding with the baby
- Overwhelming fatigue or lack of energy
- Feelings of worthlessness or guilt
- Changes in appetite or sleep patterns
- Trouble concentrating
- Thoughts of harming oneself or the baby
Fertility Issues
Approximately 10% of women aged 15–44 in the United States have difficulty conceiving or staying pregnant. Fertility struggles can be emotionally and physically challenging for many people, and the journey to starting a family is not always straightforward. Whether it’s dealing with medical conditions, undergoing fertility treatments, or facing emotional stress, it can be a lot to navigate. Some people feel isolated and lack the support they need from family and friends.
![](https://www.freeindeedtherapy.com/wp-content/uploads/2024/12/AdobeStock_393971212-1024x681.jpeg)
Why seek counseling for fertility issues, PMAD or PPD?
- Validation and emotional support
- Effective coping strategies
- Prevention of worsening symptoms
- Addressing underlying issues
- Breaking the stigma
- Preventing long-term health impacts
![](https://www.freeindeedtherapy.com/wp-content/uploads/2025/02/AdobeStock_480118580-edit-1-scaled-e1738885238421.jpg)