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The term perinatal includes the time period before birth and about a year after birth. This covers both prenatal and postpartum depression. The National Institute of Mental Health defines it as “Mothers with perinatal depression experience feelings of extreme sadness, anxiety, and fatigue that may make it difficult for them to carry out daily tasks, including caring for themselves or others”.

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Some symptoms of perinatal depression are as follows-
- Fatigue
- Loss of motivation
- Feelings of hopelessness
- Consistent feelings of sadness or emptiness
- Problems connecting with the new baby
- Physical pain like headaches or digestive issues
- Feelings or doubts about their capability to take care of their new baby
- Finally in severe cases thoughts of suicide or death

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For those in crisis, our healthcare system can be difficult to navigate. Many women with perinatal mood and anxiety disorders find it difficult to find and access appropriate resources. This very helpful list from Wendy Davis, PhD, Executive Director of Postpartum Support International , describes what the various emergency services can provide.
Emergency Resources
988 is the Suicide and Crisis Lifeline. If an individual is in an immediate crisis, e.g., in imminent danger of harm to self, others, or has overdosed, they should call 911. If they have an immediate mental health crisis, they should contact 988, the Suicide and Crisis Lifeline . The Lifeline provides 24/7, free and confidential support for people in distress and can provide information on prevention and crisis resources.

For non-crisis specialized perinatal mental health support and resources. The National Maternal Mental Health Hotline 1-833-TLC-MAMA (1-833-852-6262):National Maternal Mental Health Hotline is available 24/7, in English and Spanish, and 60 other languages by request, staffed by professional counselors, and refers to specialist perinatal mental health providers. It is not a "crisis line" for individuals in imminent danger of harm to self or others. The Maternal Mental Health Hotline Counselors can transfer callers to 988 Suicide and Crisis Lifeline, as well as to the National Domestic Violence Hotline and the Disaster Distress Hotline, when needed.

The Postpartum Support International Helpline 800-944-4773 is a warmline that connects callers with support volunteers and PSI resources, including support groups. Those seeking help can leave a message by voice or text in English or Spanish and the Helpline responds within a few hours, during business hours. The PSI website, www.postpartum.net , provides information and resources, including lists of mental health providers and connections to online support groups.
Other resources can be found on our RESOURCES page.

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Emergency Resources for Individuals with Perinatal Mental Health Issues

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For those in crisis, our healthcare system can be difficult to navigate. Many women with perinatal mood and anxiety disorders find it difficult to find and access appropriate resources. This very helpful list from Wendy Davis, PhD, Executive Director of Postpartum Support International, describes what the various emergency

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Our groups are conducted using a peer-to-peer support model and are not intended for those experiencing a mental health crisis. Please reach out to the National Suicide Prevention Lifeline 988 if you are in need of crisis support.

What to expect:

Our groups are 90 minutes (1.5 hours) in length. The first ~30 minutes is providing information, education, and establishing group guidelines. The next ~60 minutes is "talk time," in which group members share and talk with each other. Group members must be present for the group guidelines before joining in the discussion or "talk time."

What's Next

Review details about our 20+ different support groups on the page below. Or click the button to go directly to the registration page.

Registration Information Below

PSI Support Groups are now hosted on ShareWell. Support Groups are split between different "wells", and the links to each Well are listed below.
The wells are listed below. Click one of the following links to go directly to Sharewell. Each group is described in more detail below, including registration links. Perinatal Mental Health Support Loss and Grief Support Post-Abortion and Termination for Medical Reasons Support
When signing up for groups and making an account:

Skip the unlimited offer on the payment page (all of our groups are free!)

Access PSI support groups in each dedicated community

Reach out to groups@postpartum.net if you have any questions

In this new platform, we will no longer have a waitlist function. **We will allow up to 16 group members to enter the group, so please arrive on time to get a spot. Once we reach 16 members OR we have started talk time, the group space will be closed.**

Please watch this video from our program manager, Megan Roberts, if you would like more details.

You can find ShareWell's FAQs here as well.

Available Support Groups

Click here to go to this well on Sharewell
**When registering for Sharewell for the first time skip the unlimited offer on the payment page (all of our groups are free!)**

4th Wednesdays at 7:30PM (EST)/4:30PM (PST)
Led by trained peer facilitators, this group is for any Black, Indigenous, Person of Color (BIPOC) who has experienced trauma (mental and/or physical) during childbirth. Did you feel unsupported during childbirth? Did you feel unheard or felt a loss of control? Have you been grieving your birth experience? You deserve support. Birth trauma is based on your perception of the experience, and no formal diagnosis is needed to join this group. Some common symptoms, but not all, that can occur after birth trauma are upsetting memories, avoiding talking about the event, and having negative thoughts/feelings about the event. BIPOC birthers can also experience trauma related to racism, discrimination, oppression, and specific cultural views and beliefs. This group is a place to discuss these experiences with other BIPOC birthers and facilitators. You can be at any point post-delivery, from 1-week to many years. This group is specifically focused on birth trauma and connecting with others, so you can know that you are not alone, and you are not to blame. While your story has so much value, in this space we will not explore birth story details as they could be triggering to others. We encourage you to reach out to a licensed healthcare provider to process your birth story. In this group, we will discuss the effects of trauma, our emotions, and coping skills.

This group is not for:

partners or non-birthing parents

those who experienced a pregnancy or infant loss (please join one of our loss groups for support)

Register Here
**When registering for Sharewell for the first time skip the unlimited offer on the payment page (all of our groups are free!)**

2nd and 4th Thursdays at 3PM (EST)/12PM (PST), 1st & 3rd Thursday @ 7:30PM EST
This group is for anyone who is pregnant or postpartum (up to two years) and identifies as Latina, Latinx, or Latino. There is no definition or level of being "enough Latinx." All are welcome who have a familial connection to Latinx culture. Our online groups are here to help you connect with other parents, talk about your experience, and learn about helpful tools and resources. Whether you are going through stress, adjustment to parenting, baby blues, or pregnancy or postpartum depression/anxiety, our groups are here for you. This group is in English, so group members will benefit most if they can understand and speak some English (perfection is not required!). We do have Spanish-speaking groups as well, which can be found here.
Register Here
**When registering for Sharewell for the first time skip the unlimited offer on the payment page (all of our groups are free!)**

Every Monday, time varies
We invite those who are no longer in active psychosis and in recovery to join for support, so that you can experience connection and support from other Pregnancy and Postpartum Psychosis (PPP) Survivors. This group is intended for those who are in recovery (no longer experiencing psychosis). Because PPP occurs less often than other perinatal mood disorders, survivors can go their whole lives without meeting another PPP survivor. In response, PSI has created an online peer-to-peer support group for PPP survivors. Like so many mental health emergencies, symptoms and individuals vary greatly, but PPP is generally marked by a loss of touch with reality. This can include symptoms such as mania, hallucinations, paranoia, and/or delusions. If you are looking for more information on PPP, please visit this webpage. Whether your PPP experience was relatively recent or years ago, you are welcome to attend our free, online peer-to-peer support group. Our online groups are here to help you connect with other parents, talk about your experience, and learn about helpful tools and resources. If you are still experiencing psychosis or a mental health emergency, we encourage you to reach out to 988.
Register Here
**When registering for Sharewell for the first time skip the unlimited offer on the payment page (all of our groups are free!)**

Every 1st and 3rd Tuesday at 6:30 PM ET/ 3:30 PM PT
Every 2nd and 4th Wednesday 2 PM ET/ 11 AM PT Register Here
Mental health challenges during pregnancy are difficult and often unexpected. We are often told that pregnancy should be one of the happiest times of our life; however, pregnancy can be very challenging. In this group, we often discuss the physical challenges of pregnancy, unwanted or unplanned pregnancies, anxiety about childbirth or postpartum, and complicated emotions around pregnancy. Our online group helps you connect with others, talk about your experience, and learn about helpful tools and resources. This group is for pregnant people only.

**When registering for Sharewell for the first time skip the unlimited offer on the payment page (all of our groups are free!)**

Click here to go to this well on Sharewell

**When registering for Sharewell for the first time skip the unlimited offer on the payment page (all of our groups are free!)**

Click here to go to this well on Sharewell

**When registering for Sharewell for the first time skip the unlimited offer on the payment page (all of our groups are free!)**

1st and 3rd Sundays at 3PM (EST)

In partnership with Exhale, PSI offers this support group for people who have had abortions (please see our other group for those who experienced termination for medical reasons). With trained peer facilitators, this group is a space for people to receive non-judgmental, post-abortion emotional support. This group is pro-voice, meaning this is a confidential space for speaking openly about abortion experiences, free from shame and stigma, outside the political and religious debate. Feelings of happiness, sadness, empowerment, anxiety, grief, relief, and guilt are all common after an abortion. PSI would like to provide the opportunity to talk about all of these emotions and experiences in a safe and confidential environment. You are not alone.

PSI post-abortion support groups are now hosted on ShareWell as a way to provide a seamless and secure support experience and additional resources. To access these support groups:

Register Here

Skip the unlimited offer on the payment page (all of our groups are free!)

Access all PSI post-abortion support groups in our dedicated community

Reach out to groups@postpartum.net if you have any questions

En Español

(Not currently using the Sharewell platform. Registration links listed below)

Grupo de apoyo para el posparto
Facilitadores: Maria Jose Garcia y Miriam Marques
Nos reunimos cada primer y tercer martes del mes
Hora del Este de los Estados Unidos (NY) 8:30 pm (compare en internet su horario con la hora de NYC para poder asistir a las reuniones) Conversor horario aquí

Nuestros grupos de apoyo en internet están aquí para ayudarle a conectar con otros padres y familias, compartir sus experiencias, y aprender herramientas y recursos útiles de cuidado personal y emocional. Ya sea que estén pasando por estrés, adaptándose a la crianza de sus hijos, o estén sintiendo depresión y/o ansiedad durante el posparto, nuestros grupos están aquí para ayudarles. Los grupos son dirigidos por expertos en salud mental perinatal y cuentan con la experiencia necesaria para entender las dificultades emocionales de nuevos padres.

Los invitamos a unirse a la reunión por Zoom. Después de la inscripción, recibirá un correo electrónico de confirmación con información para unirse a la reunión.La observación del grupo no estará permitida para ninguna persona externa a él.Muchas gracias por su cooperación y comprensión.
Regístrese aquí
English translation:
Facilitators: Maria Jose Garcia and Miriam Marques
We meet every first and third Tuesday of the month

8:30 pm Eastern Time (NY) (compare your time online with NYC time to attend meetings) Time converter here

Our online groups are here to help you connect with other parents, talk about your experience, and learn about helpful tools and resources. Whether you are going through stress, adjustment to parenting, Baby Blues, or postpartum depression/anxiety, our groups are here for you. This group is specifically for postpartum mothers. We do not allow group observation by students or professionals. Thank you for your cooperation and understanding.
Register Here

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PSI Online Support Meetings | Postpartum Support International (PSI)

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Join a weekly online meeting from your smartphone or computer. Share your story and connect with others.

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In this article they talk about heterogeneity which can mean multiple root causes with no one single cause. This connects with their one of the main ideas which is “It also aims to synthesize evidence on their risk factors, prognosis with different treatment approaches, and association with maternal and child outcomes” (Waqas et al. 2023). The article is focusing on creating a synthesis of information about perinatal depression.

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This helpful resource cover topics and gives information on prenatal, perinatal, and postpartum depression along with other mental illnesses that women may experience during the time they are pregnant and after they give birth. They also provide information on breast feeding when taking psychiatric drugs and fertility when dealing with mental health. They also provide educational programs which include no cost programs, on demand programs, as well as online course programs.

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The main objective of this article is “There is a critical need to better understand psychological treatments from a culturally sensitive lens. Using a process-oriented model, we examined treatment satisfaction among perinatal patients who received behavioral activation (BA) within a large psychotherapy trial for perinatal depression and anxiety, and explored how to optimize culturally sensitive delivery through a multistake holder perspective” (Singla 2022).

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When looking for parental information I found a PSI online support group along with other resources for women dealing with perinatal depression. The purpose of this resource is to give parents a place to gain education and talk about what is bothering them.

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About. MGH Center for Women’s Mental Health. (2022, August 23). https://womensmentalhealth.org/about/

Psi Helpline (English &amp; spanish). Postpartum Support International (PSI). (2023, July 5). https://www.postpartum.net/get-help/psi-helpline/

Singla, D. R., Hossain, S., Andrejek, N., Cohen, M. J., Dennis, C.-L., Kim, J., La Porte, L., Meltzer-Brody, S. E., Puerto Nino, A., Ravitz, P., Schoueri-Mychasiw, N., Silver, R., Vigod, S. N., Zibaman, M., & Schiller, C. E. (2022). Culturally sensitive psychotherapy for perinatal women: A mixed methods study. Journal of Consulting and Clinical Psychology, 90(10), 770–786. https://doi.org/10.1037/ccp0000754

U.S. Department of Health and Human Services. (n.d.). Perinatal depression. National Institute of Mental Health. https://www.nimh.nih.gov/health/publications/perinatal-depression#:~:text=Perinatal%20depression%20is%20depression%20that,Perinatal%20depression%20can%20be%20treated.

Waqas, A., Nadeem, M., & Rahman, A. (2023). Exploring Heterogeneity in perinatal depression: a comprehensive review. BMC Psychiatry, 23(1), 643. https://doi.org/10.1186/s12888-023-05121-z