Do You Need a Referral for Perinatal Mental Health Support?

Perinatal mental health support covers pregnancy and the period after birth. It can involve assessment, talking therapy, practical support, medication review, or specialist psychiatric care. A referral from a primary doctor, midwife, obstetrician, or mental health professional may help describe your symptoms and care needs. Some services allow you to contact them directly, so asking the service about its intake process is worthwhile.

Tell a trusted healthcare professional what you have noticed, including persistent sadness, fear, irritability, frightening thoughts, inability to sleep even when the baby sleeps, or difficulty bonding. Ask whether a referral is needed and how quickly you can be assessed. If speaking feels difficult, write down the changes and take a support person to the appointment. Support can be useful during pregnancy as well as after delivery.

Explore [Perinatal Mental Health Support](/treatments/medical-gynaecology/perinatal-mental-health-support/) for more information.

Get immediate help if you may harm yourself or someone else, feel unable to stay safe, hear or see things others do not, feel extremely confused, or have rapidly changing and frightening thoughts. Contact local emergency services or go to the nearest emergency department, and ask someone trusted to stay with you. You do not need to wait for a referral when safety is at risk.

Ask which service fits your symptoms, how soon an assessment can happen, and whether treatment options are compatible with pregnancy or breastfeeding. Ask who to contact outside appointments, what warning signs require urgent help, and how a partner or family member can support the plan.