About Mental Health, Substance Abuse and Pregnancy


Dr Spiel consulting with masked patient

Pre-existing mental health conditions such as anxiety, depression, substance abuse or eating disorders may pose unique challenges during pregnancy. Our multidisciplinary team of maternal-fetal medicine specialists, psychiatrists, nurses and social workers help optimize patients' wellness during pregnancy and beyond.

Whenever possible, we encourage patients to begin planning with your medical team before conception to optimize your health and prepare to manage pregnancy changes safely. Ideally, medication adjustments are started before or early in the pregnancy.

Pre-existing mental health conditions may include:

Our Specialty Care Team

All of our Maternal-Fetal Medicine specialists are experts in taking care of patients with complicated medical conditions before and during pregnancy. Together with our multidisciplinary clinic partners, we can help coordinate care with your primary obstetrician to provide the highest level of care for you and your baby.

Mental Health and Substance Use Leads