Women's mental health
- Postpartum Depression and Perinatal Mood Disorders
Postpartum depression is a depressive episode beginning in pregnancy or within a year of birth, affecting about one in eight mothers. It is treated with psychotherapy, antidepressants compatible with breastfeeding such as sertraline, and, for moderate to severe cases, zuranolone, the first oral medication FDA-approved specifically for postpartum depression. Most mothers improve within weeks of starting treatment. - Premenstrual Dysphoric Disorder
Premenstrual dysphoric disorder is severe mood, irritability and anxiety symptoms in the week or two before menstruation that resolve after bleeding begins, affecting 3 to 8 percent of menstruating women. It is diagnosed by tracking symptoms across two cycles and treated with SSRIs taken continuously or only in the luteal phase, hormonal contraception containing drospirenone, and cognitive behavioral therapy. - Perimenopause and Menopause Mood Changes
Perimenopause raises the risk of depression and anxiety two to four fold, driven by fluctuating estrogen's effect on serotonin and sleep. Treatment combines an SSRI or SNRI, which also reduces hot flashes, with cognitive behavioral therapy and sleep repair, and coordination with your OB/GYN about hormone therapy where appropriate. Most women see substantial improvement within six to eight weeks.
You do not have to figure it out alone.
Tell us how to reach you and our scheduling team will help you explore appointment options. Most new patients are seen within one to two weeks, in person or by video. Medicare and most plans accepted; self-pay new-patient visits are $185.