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.

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.

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

• UM Perinatal Clinic & Parent-Infant Program
• Information page MGH Center for Women's Mental Health
• Information page Hospital for Sick Children
• Center for the Childbearing Year, Ann Arbor
• The Postpartum Depression Support Group of the Greater Ann Arbor Area
• Guide to Postpartum Depression Resources in Southeastern Michigan
• Information page Zero to Three- National Advocacy Center for Infants and young Children

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.