top of page
Pre-Pregnancy Psychiatry logo. Focus on mental health for individuals preparing for pregnancy.

Thinking about becoming pregnant is deeply personal and emotional. You might feel hopeful, uncertain, or overwhelmed. Whether you're actively planning to conceive, thinking about the future, or weighing whether parenthood is right for you, you deserve care that centers your mind as much as your body.​​

Family Planning
“Everyone talks about folic acid and fertility, but no one talks about therapy or trauma.”
“I’m on psych meds and don’t know if it’s safe to stay on them.”
“I’m afraid pregnancy will make my anxiety worse—but I really want to be a parent.”
“What if I’m not mentally strong enough to be a mom?”

Let’s talk about mental health and pregnancy planning.

Family planning isn’t just about ovulation, labs, and supplements — it’s also about preparing your emotional landscape. Whether or not you’ve been diagnosed with a mental health condition, this can be a time of uncertainty, hope, pressure, or reflection.​

Now is the time to check in with yourself — your values, your support system, and how you want to feel as you step into this next chapter.

​Up to 50% of reproductive age individuals

have a psychiatric diagnosis

Pregnancy planning provides an ideal window to optimize medication safety, reduce relapse risk, and strengthen emotional resilience.
Some medications can be continued safely during pregnancy, and others may be adjusted ahead of time — we're here to walk with you through those choices.

Balancing Hope & Honesty

You don’t have to be “perfect” to be ready. It’s okay to feel both excited and scared. Hope and honesty can coexist. You might be looking forward to parenthood while also grieving a past loss, processing uncertainty, or navigating doubts. That doesn’t make your hope any less valid — it makes it real.. There’s room in this process for joy, ambivalence, healing, and everything in between...

Woman Floating in Pool

Permission to Pause and Reflect

There’s no one timeline or "right way" to prepare for pregnancy. We offer space to reflect, ask questions, and explore what feels right for you—at your own pace.

Reading a Digital Book

Planning with a Mental Health History

If you live with depression, anxiety, bipolar disorder, OCD, PTSD, or another condition, preparing for pregnancy is not only possible—it’s an opportunity to build a stronger, more supported foundation for the journey ahead.

Trusting Yourself 

You may be gathering expert opinions, reading every article, and asking trusted people for advice— but in the end, your instincts still matter most. We help you tune into your own voice, so you can move forward with confidence and self-trust.

Woman with Horse

Informed, Supported Choices

Whether you decide to try, wait, or choose another path, we’re here to support your autonomy. What matters most is that you feel heard, cared for, and empowered in your decision.

Couple Showing Affection

We offer care grounded in science, compassion, and your values — supporting you in defining stability, exploring options, and planning for pregnancy with confidence.

 

Wherever you are on the path, we’re here to help you feel emotionally prepared and informed to align with what’s right for you - so you can move forward with greater self-trust and less self-doubt.

Let's connect

OBGYN Psychiatry. Reproductive and perinatal mental health for women

Contact

206-207-7547

206-339-1448 fax

If you are experiencing a psychiatric or mental health emergency, please call 911 or go to your nearest emergency room. 

OBGYN Psychiatry does not provide crisis services or 24/7 on-call coverage.

This policy ensures that you receive immediate and appropriate care in urgent situations.
Postpartum Support International logo – mental health resources for parents

​Offers guidance and hope to individuals and families affected by maternal mental health conditions.

 

Call 800-944-4773

Text 503-894-9453

Free support groups.

postpartum.net

National Maternal Mental Health Hotline logo – HRSA support line for maternal mental health

Confidential support

Resources

Interventions

Available 24/7

Call or text

833-TLC-MAMA

833-852-6262

https://mchb.hrsa.gov/programs-impact/national-maternal-mental-health-hotline

​​Talk to Someone You Trust

If you or someone you know is experiencing postpartum depression or another maternal mental health condition, remember that you are not alone.

 

Support is available, and recovery is possible. Reach out to a trusted friend, partner, family member, or healthcare provider for help.

24/7
Crisis Support

If you are facing an emergency, please visit your nearest emergency room or call for immediate assistance.

 

Suicide & Crisis Lifeline

Dial 988 for free and confidential support.

 

Crisis Text Line

Text HOME to 741741 for immediate support from a trained counselor, available anytime.

National Suicide Prevention Lifeline

Call 1-800-273-8255 or visit suicidepreventionlifeline.org

Please use these resources for help before we connect:

bottom of page