Perinatal Mood and Anxiety Disorders incorporate pregnancy or postpartum mood changes that can include Anxiety, Depression, Obsessive Compulsive Disorder, PTSD, Bipolar Disorder and Psychosis. Symptoms can include constant worry or racing thoughts, crying and sadness, disturbances to sleep and appetite, thoughts of harming yourself or baby, feelings of irritability, anger, rage, lack of interest in the baby or older children, loss of interest in things that previously brought you joy, feelings of excessive guilt or shame as well as physical symptoms such as dizziness, nausea or hot flashes. Some women might experience these symptoms in pregnancy while others only experience them in the postpartum period. PMAD's can look very different for every woman and with each pregnancy. Sometimes these symptoms can feel terrifying and bring on feelings of shame or guilt because this is not what we anticipated to experience on this parenting journey. These symptoms may also be the result of a pregnancy loss or release or an infant loss. You are not alone. Many women and parents experience these symptoms and you do not have to suffer through it. As a Perinatal Mental Health Certified Professional, I can help support you with empathy and compassion through this difficult time and help provide skills to learn to manage what can feel like overwhelming symptoms.