Risk Factors

If you recognize any of the following symptoms, you are at higher risk for developing perinatal adjustment problems.

  • Previous experience with postpartum depression
  • Depression or anxiety during pregnancy.
  • Personal or family history of depression/anxiety
  • Abrupt weaning.
  • Social isolation or poor support
  • History of premenstrual syndrome. (PMS)
  • Mood changes while taking birth control pill or fertility medication
  • Thyroid dysfunction
  • History of infertility
  • History of fetal loss

Michelle Lacy, MA, LPC, PMH-C

Michelle Lacy


3303 S. Lindsay Rd. Bldg. 4 Ste. 108

Gilbert AZ 85297

Located at Lindsay and Pecos

Why Didn't Someone Warn Me?Dealing with perinatal adjustment.


What it is...

  •  Women's emotional changes during pregnancy

  •  Usually during the first year after the baby is born

  •  Symptoms can very from mild to severe.

What mothers think and feel...

  •  "I feel like running away."

  •  "I'm a rotten mother."

  •  "I feel like I'm going crazy."

  •  "I think of hurting myself or the baby."

Perinatal Adjustment Symptoms Are Treatable


  • You are not alone!

  • You are not to blame!

  • ​You will be well!

Signs and Symptoms

Perinatal means symptoms can occur in pregnancy and any time is the first year postpartum. 

Baby Blues
  • Mild depression, anxiety, crying lasting up to two weeks.

Postpartum Depression

  • Sad mood, irritability, hopelessness.  Symptoms are more severe and longer lasting than Baby Blues.

Postpartum Panic Disorder

  • Excessive worry and fears

  • Anxiety, panic attacks

​Postpartum OCD

  • Repetitive, disturbing thoughts

  • Compulsive behaviors to reduce the thoughts

  • Horror about having those thoughts

​Postpartum Post-traumatic Stress Disorder

  • Recurring nightmares, excessive anxiety, reliving of past traumatic events

Postpartum Psychosis

  • Delusions and hallucinations that require immediate medical attention