Care & support · Understand your options

Your mental health during pregnancy

You do not have to feel a particular way about pregnancy. Whether you want everyday support, help with a new concern or a plan around an existing condition, you can ask for care that considers you and your circumstances.

Your wellbeing belongs in your pregnancy care.
01 / Get a clearer picture

Pregnancy is a context for care, not a disorder.

You may experience many feelings during pregnancy, or feel differently from what people expect. Wanting support does not mean that you have a mental health condition or that you are failing as a parent.

New difficulties can arise, and existing mental health needs may also deserve attention. A maternity professional or clinician can help you discuss changes and the kind of support you want.

Based on NHS · NHS

Your wellbeing belongs in your pregnancy care.
A visual explanation

Your care can hold more than one need.

  • A first conversation

    Your midwife, clinician or existing team

  • Care options

    Assessment and adapted treatment when needed

  • Practical support

    Help with daily life and appointments

  • Connected follow-up

    A plan for pregnancy and after birth

Support routes to discuss, not stages of pregnancy or a test of parenting. Local eligibility and preferences shape the plan. Source: NHS
A closer look

Start with the question that matters to you.

You might be planning pregnancy with an existing condition, noticing new anxiety or wondering how care will continue after birth. These are different starting points. This page helps you find the relevant conversation without assuming that every pregnancy experience is the same.

You can ask about mental health alongside physical care. You do not need to wait until a problem feels severe, and this hub does not funnel every concern into a depression assessment. Your current treatment, previous experiences and practical needs can all be part of planning.

  • Planning or existing care

    How can my current team and pregnancy care work together?

  • A new difficulty

    Who can help me understand a change in how I feel?

  • After birth or a change in circumstances

    What follow-up and support are available now?

Different starting points can overlap; they are routes to care questions, not diagnoses.

Based on NHS · NHS

Your care can adapt to your circumstances, with room for questions and support you choose.
A closer look

An existing condition deserves a forward plan.

If you have an existing mental health condition, ask your maternity and mental health teams how care can connect during pregnancy and after birth. Discuss treatment, follow-up, early changes to watch for and who to contact. Planning should be individual; pregnancy alone does not justify stopping treatment.

Based on NHS · NIMH · NIH

02 / Make sense of what has changed

You can raise a concern in ordinary words.

These are conversation areas. You do not need to match every example or complete a screen before mentioning one.

How you feel

Persistent sadness, anxiety or distress that is troubling you.

Your everyday life

Changes making daily tasks, sleep or relationships harder.

Existing care

Worries about an existing condition, previous pregnancy experience or treatment.

Support you want

Wanting practical support, someone to talk to or a clearer care plan.

Based on NHS · NHS · NIMH · NIH

In everyday life

A previous condition remains relevant even when you feel well.

Tell your maternity and mental-health professionals about relevant diagnoses, previous care and medicines. They can discuss what needs reviewing and whether specialist support is appropriate. Feeling settled is a useful time to ask about continuity, rather than proof that a care plan is unnecessary.

If you notice new difficulties, describe them without trying to decide which condition they belong to first. Low mood, anxiety, sleep changes or intrusive thoughts can need a fuller conversation. A topic page cannot establish their cause in your circumstances.

Based on NHS · NHS

03 / Put your experience into context

Choose a professional you feel able to approach.

You can speak with your midwife, primary-care clinician or existing mental health team. Explain the concern and ask what support is available. In England, a GP, midwife or health visitor can help you access perinatal services when needed; routes differ elsewhere.

A questionnaire such as EPDS may support assessment in a reviewed care setting. It cannot describe every aspect of pregnancy, establish every diagnosis or decide what kind of parent you are. Ask how information is recorded and what follow-up involves.

Based on NHS · NIMH · NIH · Royal College of Psychiatrists

Your experience, in three prompts
  1. 1
    Your concern

    What would you like help with now?

  2. 2
    Your current care

    What conditions, medicines or previous experiences matter?

  3. 3
    Your preferences

    Who do you want involved and what support would fit?

Make a few notes
Room for your questions

A conversation can follow the change in your circumstances.

In a fictional example, Drew already sees a mental-health professional and wants to know how care will continue during pregnancy. Drew asks the current team and maternity clinician who will coordinate reviews, which treatment questions need specialist advice and how to get help between appointments.

Not every step happens in a fixed order. A loss, difficult pregnancy experience or change in family circumstances may change what support is needed. You can tell a professional which topics you want to discuss now and which need a separate conversation.

Fictional examples to explain an experience. They are not a checklist or a diagnosis.

  1. Explain your starting point

    “This is my current care and the question I have.”

  2. Agree the relevant people

    “Who should be involved, and how will they communicate?”

  3. Clarify the next contact

    “What happens next, and who can I ask if circumstances change?”

An optional conversation structure, not a pregnancy timetable or required pathway.

Based on NHS · NHS

04 / Explore your support options

Care can be adapted around pregnancy and your needs.

Explore the options and ask what fits your circumstances and needs.

Based on NHS · NHS · NIMH · NIH

Care around your mental health

Talking treatments, medicines or a combination can be considered for relevant conditions. Discuss benefits and risks with a clinician, including the effects of leaving a condition untreated. Tell them about pregnancy or pregnancy plans before making medicine decisions.

Practical and chosen support

Practical support can include help with appointments, daily tasks and rest, as well as chosen emotional or peer support. You can decide whom you want involved. Availability and eligibility depend on your local services and individual needs.

Understand your options

Ask for a treatment discussion that considers your whole situation.

If you take prescribed medicines and find out you are pregnant, tell your doctor or specialist promptly. Do not stop treatment before speaking with them. A website cannot balance the individual effects of illness, treatment and your health circumstances.

You can ask about benefits, possible harms, alternatives and follow-up in language you understand. Talking therapies may also be discussed. If services are changing, ask how prescriptions, appointments and important information will continue across that transition.

Current treatment

What needs reviewing, and which professional will advise me?

Shared decisions

Can you explain the options and uncertainties for my circumstances?

Continuity

How will the plan and next appointment be communicated?

Based on NHS · NHS

Make room for what helps

You can ask for care that fits your experience.

A chosen supporter can help you prepare a question, attend an appointment or manage an agreed practical task. You can also ask to speak privately to a healthcare professional. Support should make room for your preferences rather than assuming a partner, family structure or feeding choice.

If your pregnancy experience involves loss, uncertainty or a difficult birth, say what kind of conversation feels relevant. You can seek mental-health support without fitting a story of happy preparation. Severe or sudden changes after birth need the urgent assessment described on the perinatal-depression page.

Based on NHS · NHS · National Institute of Mental Health

05 / Choose your next step

Find support. Prepare your next step.

Explore a tool, prepare a conversation or find someone to talk to. Choose what feels useful to you.

Questionnaires you might hear about

You can go directly to support. EPDS is one questionnaire you may hear about in perinatal care; it is not a test of parenting, and a score is not needed before you can ask for help.

EPDS

A depressive-symptom screen used in perinatal care.

Edinburgh Postnatal Depression Scale

A ten-item measure with population- and language-specific evidence. Despite its name, antenatal use has been studied, but the exact intended context still needs review.

What it can and cannot tell you

Digital reproduction permission, exact form and local clinical follow-up remain unresolved here. It does not assess parenting ability, identify every perinatal condition or diagnose postpartum psychosis.

Read the perinatal screening research

Based on Levis and colleagues · BMJ · Royal College of Psychiatrists

No perinatal questionnaire is administered by Selfmora. Support and an individual care conversation are available without deciding a diagnosis first.

Something you can use today

Practical guideYour words

Prepare for a conversation

A few prompts to help you explain what you have noticed and what you would like help with.

  • A simple notes builder
  • Copy your notes to keep
  • No account needed

You decide how much to write and share.

Find your words
Support directorySomeone beside you

Find your next kind of support

Explore where to begin with everyday support, professional help or an urgent conversation.

  • Ways to ask for help
  • Country-specific crisis contacts
  • Support at your own pace

If you need urgent help, go straight to support.

Find support
You can start right here

Your first sentence does not need to be perfect.

You could say what has changed or ask for a planned review of existing care. Mention previous mental health treatment and current medicines. You do not need a polished explanation, and you can ask for information in a format or language that works for you.

Based on NHS · NHS

“I would like to talk about my mental health during pregnancy and the support or care plan that would fit my circumstances.”
Make it sound like you
Things you may be wondering

Your questions, with room for nuance.

You can read just the answer you need.

Should I mention an existing condition if I currently feel well?

Yes. Sharing relevant history and current treatment allows your professionals to discuss continuity and appropriate support during and after pregnancy.

Based on NHS

Should I stop my medication when I find out I am pregnant?

Do not stop prescribed medicine before speaking with your doctor or specialist. Tell them promptly so you can discuss the appropriate plan for your circumstances.

Based on NHS

Is support only for depression?

No. Pregnancy-related mental-health care can address a range of conditions and concerns. Explain what is happening and ask which professional or service is appropriate.

Based on NHS · NHS

Are the service routes on the NHS source available everywhere?

No. The NHS information describes services in England. Ask your local healthcare professional about the routes, eligibility and follow-up available where you live.

Based on NHS

Where this information comes from.

Use this hub to learn and prepare questions. It does not diagnose you or recommend a personal treatment plan. By Selfmora editorial; sources checked . Updated .

Additional explanations and examples: sources consulted . Examples illustrate ideas; they do not assess your personal health. Your questions

Our editorial approach