CONSULT REQUEST GUIDELINES                                                                         Print

Women's Perinatal Mood/Anxiety Disorders Team & Parent Infant Program
(Major Depression, Generalized Anxiety, OCD, PTSD, Psychosis, Bipolar)

Suggested Pre-Referral Evaluation and Management Guidelines

Patients who are pregnant or postpartum and their primary diagnosis is substance abuse should be referred to Psychiatry Addiction Treatment Services where services are available to pregnant women.

The Perinatal Mood Disorders team is a multidisciplinary, specialty team within Ambulatory Psychiatry providing clinical services for women with mood and related disorders around the time of childbearing. We provide consultation and/or continuing care for pregnant or postpartum women presenting with depression, debilitating anxiety or emotional distress. We support initiation of SSRI trials, when indicated, within primary care, but do not require this and are happy to evaluate and initiate appropriate treatment ourselves. Refer:
  1. In pregnancy: Patients who failed SSRIs due to non-response after 4-6 weeks or due to adverse reaction; lack of diagnostic clarity; complicating medical co-morbidity; presence of bipolar spectrum disorder; history of perinatal psychotic depression; interest in psychotherapy as alternative (or addition) to medications; risk for self harm.
  2. In postpartum: Patient with symptoms of psychosis, bipolar spectrum disorder, severe anxiety, or risk of self-harm or of harm to or neglect of the infant.
  3. Preconception planning: We provide counseling for women with mental illness (on or off medications) contemplating pregnancy.
  4. Risk for mother/infant relationship disturbance: Patients with difficulty bonding with their child, whether triggered by infant immaturity, feeding difficulties, medical issues (e.g., gastric reflux or colic), mother's mental illness, psychosocial stress, or current or past trauma.
Suggested Additional Test/Management Prior to Specialty Visit

ACOG Guideline - Use of Psychiatric Medications During Pregnancy and Lactation

Click here for a standard screening questionnaire, Edinburgh Postnatal Depression Scale, to assess perinatal depression

Click here for Depression screeners in various languages
Patient Education/Information (includes preps)
Appointment Timeframe

Routine: 1-2 weeks.
Call Intake line at 734-764-0231 and ask for the Perinatal Team.
Evaluations occur on Monday afternoons. Patients should plan on 2 to 3 hours for a complete evaluation. Postpartum patients are asked to bring their baby to the evaluation visits.

We have some capacity to address urgent care needs, with evaluations within 1-3 days. If you have such a patient who you think needs to be seen urgently, or for whom you have questions about the most appropriate disposition, please contact us at this UM pager 30220 or call 763-4904 during business hours.

Emergent care needs (same day evaluation) must be addressed through Psychiatric Emergency Services 734-936-5900.

How to Get Results to Consultant UMHS Patients: Make sure all needed information is posted or scanned in to MiChart

External Patients: Fax referral request form and supporting patient records. Fax: 734-763-5580

Records should be mailed or faxed well in advance of scheduled consultations. If time frame is too short, patients can hand carry outside records.
Clinic Contact Information UMHS patients:
1. Complete electronic referral in MiChart.
2. Direct the patient to call Psychiatry Intake & Call Center at 734-764-0231 or 1-800-525-5188 to make an appointment.
Clinic Location Sites Depression Center / Ambulatory Psychiatry at the Rachel Upjohn Building
East Medical Campus
4250 Plymouth Road, Ann Arbor, MI 48109
UM Consulting Physician Sheila Marie Marcus, M.D.
Maria Muzik, M.D.
Revised on: 08/01/2013



Appointments & Consultations



If you have any questions about this web site, please contact us