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Webinar

S26-208 Understanding Perinatal Mood and Anxiety Disorders


Total Credits: 3 Category I CEs

Categories:
200 Adults, Couples & Families |  700 Professional Growth & Development |  DC Public Health Priorities |  New
Instructor:
Rebecca Canzonieri, LCSW-C, LICSW, PMH-C
Course Levels:
Intermediate
Duration:
3 Hours 15 Minutes
Target Audience:
Social Workers, LCPCs, and Psychologists

Dates


Description

This course provides a comprehensive introduction to perinatal mood and anxiety disorders (PMADs), including depression, anxiety, and other mental health conditions experienced during pregnancy and the postpartum period. Participants will gain an understanding of the various types of PMADs, their risk factors, signs and symptoms, and effective screening tools. Emphasis will be placed on the importance of early identification, appropriate referrals, and culturally sensitive care to improve maternal mental health outcomes. The course will also explore evidence-based treatment options, including psychotherapy, pharmacology, and support systems for both the parent and their family.  

 

This workshop is in accordance and in compliance with the NASW standards with a focus on the principles of service, dignity and worth of the person, importance of human relationships, and competence; and the standard of responsibilities to clients, practice setting, as professionals, to the social work profession, and to the broader society. 

This workshop is in compliance with the Maryland Board of Social Work Examiners’ COMAR 10.42.03.06.A(5) and with the District of Columbia Board of Social Work 17-70-7008.4.    

District of Columbia: This workshop meets the continuing education requirement for DC Public Health Priorities in the following topic: 1. Sexual and Reproductive Health 

Instructor

Rebecca Canzonieri, LCSW-C, LICSW, PMH-C Related Seminars and Products


Rebecca Canzonieri, LCSW-C, LICSW, PMH-C, is a clinical social worker with nearly a decade of experience specializing in women’s mental health and perinatal mood and anxiety disorders (PMADs). Drawing from both specialized training and personal experience, she brings deep expertise and passion to supporting individuals navigating these often-overlooked challenges.  

Rebecca currently maintains a private practice dedicated to perinatal mental health. Her previous clinical experience includes providing emergency psychiatric services in an emergency department, supporting stabilization on an inpatient psychiatric unit, and delivering outpatient care through a hospital setting. In these roles, she provided individual therapy, facilitated intensive outpatient program groups, offered employee assistance program services, and collaborated with medical practices.  

Licensed in Maryland, Virginia, and DC, Rebecca is dedicated to educating clinicians on the unique nature of perinatal mental health while advocating for greater awareness and systemic change to better serve this population.  


Agenda & Learning Objectives

AGENDA:

12:50 – 1:00 pm Log on  

1:00 pm – 2:30 pm  

Part 1: Understanding PMADs  

  • Welcome, Introductions & Icebreaker 

  • What Are PMADs? Definitions and Diagnoses 

  • Baby Blues vs. PMADs: Understanding the Difference 

  • Breakout Group 

Part 2: Prevalence & Disparities 

  • PMAD Statistics: Women, Men, and Partners 

  • Racial and Cultural Disparities in Diagnosis and Access 

  • Exploring Systemic and Cultural Barriers 

2:30 pm – 2:45 pm Break 

2:45 pm – 4:15 pm  

Part 3: Risk Factors, Screening & Cultural Considerations  

  • Common Risk Factors: Biological, Psychosocial, Cultural 

  • Screening Tools: EPDS, PHQ-9, GAD-7, MDQ 

  • Interpreting Results and Next Steps 

  • Strategies for Culturally Responsive Communication and Engagement 

  • Breakout Clinical Scenario: Cultural Lens 

Part 4: Treatment, Referral & Conclusion  

  • Evidence-Based Therapies: CBT, IPT, Peer Support 

  • Pharmacological Treatment: SSRIs and Perinatal Safety 

  • Identifying and Responding to Postpartum Psychosis 

  • Referral Pathways & Community Resources (e.g., PSI, warm lines, local services) 

  • Final Quiz, Reflections, and Evaluation 

4:15 pm Adjournment 

 

LEARNING OBJECTIVES:

Upon the completion of this workshop, participants will be able to:

  • Identify and understand the key risk factors, signs, and symptoms of PMADs to improve early detection and intervention.  

  • Evaluate evidence-based treatment options for PMADs, including psychotherapy, medication, and support networks, and understand how to apply these treatments in clinical practice.  

  • Develop cultural competency in providing care for individuals experiencing PMADs, focusing on addressing stigma; understanding diverse experiences; and offering inclusive, sensitive support. 

Bibliography & References

BIBLIOGRAPHY & REFERENCES

Abramowitz, J. S., Schwartz, S. A., & Moore, K. M. (2003). Obsessive-compulsive symptoms in pregnancy and the puerperium: A review of the literature. Journal of Anxiety Disorders, 17(4), 461–478. 

Academy of Breastfeeding Medicine. (2018). Clinical protocol #18: Use of antidepressants in breastfeeding mothers. 

Alhusen, J. L., et al. (2016). Racial discrimination and adverse birth outcomes: An integrative review. Journal of Midwifery & Women’s Health, 61(6), 707–720. https://doi.org/10.1111/jmwh.12405 

Alvarez, K., et al. (2016). Screening for perinatal depression among Black women: A systematic review. Journal of Midwifery & Women’s Health, 61(6), 706–719. https://doi.org/10.1111/jmwh.12405 

American College of Obstetricians and Gynecologists. (2008). ACOG Practice Bulletin No. 92: Use of psychiatric medications during pregnancy and lactation. Obstetrics & Gynecology, 111(4), 1001–1020. https://doi.org/10.1097/AOG.0b013e31817460a5 

American College of Obstetricians and Gynecologists. (2018). Screening for perinatal depression (Committee Opinion No. 757). https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/11/screening-for-perinatal-depression 

American College of Obstetricians and Gynecologists. (2018). Screening for perinatal depression (Committee Opinion No. 757). https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/11/screening-for-perinatal-depression 

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). 

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Beck, C. T. (2004). Post-traumatic stress disorder due to childbirth: The aftermath. Nursing Research, 53(4), 216–224. 

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Brockington, I. (2004). Postpartum psychiatric disorders. The Lancet, 363(9405), 303–310. 

Brouwers, E. P. M., et al. (2001). Validation of the Edinburgh Postnatal Depression Scale in a population-based sample of postpartum women in the Netherlands. Psychological Medicine, 31(6), 1063–1069. https://doi.org/10.1017/S0033291701004222 

Brunton, P. J., & Russell, J. A. (2008). The expectant brain: Adapting for motherhood. Nature Reviews Neuroscience, 9(1), 11–25. https://doi.org/10.1038/nrn2280 

Byrd, K., & Clayton, L. A. (2001). An American health dilemma: A medical history of African Americans and the problem of race. Routledge. 

California Pregnancy-Associated Mortality Review (CA-PAMR): https://www.cdph.ca.gov/Programs/CFH/DMCAH/Pages/Maternal-Mortality.aspx 

Cameron, E. E., Sedov, I. D., & Tomfohr-Madsen, L. M. (2016). Prevalence of paternal depression in pregnancy and the postpartum: An updated meta-analysis. Journal of Affective Disorders, 206, 189–203. https://doi.org/10.1016/j.jad.2016.07.044 

Centers for Disease Control and Prevention. (2020). Postpartum depression data. https://www.cdc.gov/reproductivehealth/features/maternal-depression/index.html 

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Chaudron, L. H., et al. (2010). Racial and ethnic disparities in the identification of perinatal depression. Depression and Anxiety, 27(6), 528–536. https://doi.org/10.1002/da.20691 

Chiu, M. Y. L., & Chui, H. W. (2002). Using the Edinburgh Postnatal Depression Scale to screen for postnatal depression: Chinese version validation and cultural considerations. International Journal of Nursing Studies, 39(5), 543–548. https://doi.org/10.1016/S0020-7489(01)00067-4 

Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786.https://doi.org/10.1192/bjp.150.6.782 

Cuijpers, P., et al. (2008). Psychological treatment of postpartum depression: A meta-analysis. Journal of Clinical Psychology, 64(1), 103–118. 

Cuijpers, P., et al. (2008). Psychological treatment of postpartum depression: A meta-analysis. Journal of Clinical Psychology, 64(1), 103–118. 

Dennis, C. L., et al. (2017). Psychosocial and psychological interventions for treating postpartum depression. Cochrane Database of Systematic Reviews, (6). https://doi.org/10.1002/14651858.CD007471.pub3 

Duarte-Guterman, P., Leuner, B., & Galea, L. A. M. (2019). The maternal brain: Region-specific plasticity and hormonal modulation of parent–offspring interactions. Frontiers in Neuroendocrinology, 52, 1–19. https://doi.org/10.1016/j.yfrne.2018.06.002 

Edge, D., & Rogers, A. (2005). Race, ethnicity and women’s mental health: Critical issues and future directions. International Review of Psychiatry, 17(5), 435–441. https://doi.org/10.1080/09540260500277987 

Fairbrother, N., & Abramowitz, J. S. (2007). New parenthood as a risk factor for the development of obsessional problems. Behavior Research and Therapy, 45(9), 2155–2163. 

Fairbrother, N., & Abramowitz, J. S. (2007). New parenthood as a risk factor for the development of obsessional problems. Behavior Research and Therapy, 45(9), 2155–2163. 

Fairbrother, N., Janssen, P., Antony, M. M., Tucker, E., & Young, A. H. (2016). Perinatal anxiety disorder prevalence and incidence. Journal of Affective Disorders, 200, 148–155. https://doi.org/10.1016/j.jad.2015.12.082 

Falah-Hassani, K., et al. (2017). Prevalence and risk factors for antenatal depression among women in low- and middle-income countries: A systematic review. Psychological Medicine, 47(5), 784–813. https://doi.org/10.1017/S0033291716001137 

Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior and Development, 33(1), 1–6. https://doi.org/10.1016/j.infbeh.2009.10.005 

Flynn, H. A., et al. (2017). Cultural considerations in perinatal mental health care. Best Practice & Research Clinical Obstetrics & Gynaecology, 43, 10–22. https://doi.org/10.1016/j.bpobgyn.2017.02.006 

Furuta, M., et al. (2017). Safety of psychotropic drugs in pregnancy and lactation: A systematic review. Journal of Affective Disorders, 224, 329–337. https://doi.org/10.1016/j.jad.2017.07.044 

Garfield, C. F., & Isacco, A. (2012). Urban fathers' mental health and well-being: The role of relationships and work. Family Relations, 61(4), 610–624. https://doi.org/10.1111/j.1741-3729.2012.00722.x 

Gavin, N. I., et al. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics & Gynecology, 106(5), 1071–1083. 

Gentile, S. (2017). Untreated depression during pregnancy: Short- and long-term effects in offspring. A systematic review. Neuroscience, 342, 154–166. https://doi.org/10.1016/j.neuroscience.2016.11.029 

Gibson, J., McKenzie-McHarg, K., Shakespeare, J., Price, J., & Gray, R. (2009). A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatrica Scandinavica, 119(5), 350–364. https://doi.org/10.1111/j.1600-0447.2009.01363.x 

Grote, N. K., Swartz, H. A., Geibel, S. L., Zuckoff, A., Houck, P. R., & Frank, E. (2009). A randomized controlled trial of culturally relevant, brief interpersonal psychotherapy for perinatal depression. Psychiatric Services, 60(3), 313–321. 

Hoekzema, E., et al. (2016). Pregnancy leads to long-lasting changes in human brain structure. Nature Neuroscience, 20(2), 287–296. https://doi.org/10.1038/nn.4458 

Howard, L. M., et al. (2014). Non-psychotic mental disorders in the perinatal period. The Lancet, 384(9956), 1775–1788. https://doi.org/10.1016/S0140-6736(14)61276-9 

International OCD Foundation. (n.d.). Perinatal OCD factsheet. 

International OCD Foundation. (n.d.). Perinatal OCD factsheet. https://iocdf.org/perinatal 

Kim, P. (2016). Human maternal brain plasticity: Adaptation to parenting. New Directions for Child and Adolescent Development, 153, 47–58. https://doi.org/10.1002/cad.20170 

Kim, P., et al. (2016). Human paternal brain plasticity: Adaptation to parenting. Frontiers in Psychology, 7, 544. https://doi.org/10.3389/fpsyg.2016.00544 

Lindahl, V., Pearson, J. L., & Colpe, L. (2005). Prevalence of suicidality during pregnancy and the postpartum. Archives of Women’s Mental Health, 8(2), 77–87. https://doi.org/10.1007/s00737-005-0080-1 

Luders, E., Kurth, F., Gingnell, M., Engman, J., Yong, E. L., Poromaa, I. S., & Gaser, C. (2020). Potential brain morphometric changes in the postpartum period: A longitudinal study. Neuroscience Letters, 728, 134980. https://doi.org/10.1016/j.neulet.2020.134980 

Maternal Mental Health Leadership Alliance. (2022). Maternal suicide is the leading cause of death for new moms. https://www.mmhla.org/ 

Matthey, S. (2008). Using the Edinburgh Postnatal Depression Scale to screen for anxiety disorders. Depression and Anxiety, 25(11), 926–931. https://doi.org/10.1002/da.20303 

Matthey, S., Henshaw, C., Elliott, S., & Barnett, B. (2006). Variability in use of cut-off scores and formats on the Edinburgh Postnatal Depression Scale—implications for clinical and research practice. Archives of Women’s Mental Health, 9(6), 309–315. https://doi.org/10.1007/s00737-006-0152-x 

McEwen, B. S., & Milner, T. A. (2017). Understanding the broad influence of sex hormones and sex differences in the brain. Journal of Neuroscience Research, 95(1–2), 24–39. https://doi.org/10.1002/jnr.23857 

Miller, L. J. (2017). Psychotropic medications during pregnancy and lactation. Psychiatric Clinics of North America, 40(3), 495–511. https://doi.org/10.1016/j.psc.2017.05.006 

Misri, S., & Kendrick, K. (2008). Perinatal anxiety disorders: A review of the literature. The Canadian Journal of Psychiatry, 53(4), 258–266. https://doi.org/10.1177/070674370805300406 

Moore, D., George, T. P., Goodwin, C., Russell, L. T., & Magriples, U. (2020). Mental health disparities among Black women in the perinatal period: A scoping review. Social Work in Public Health, 35(5), 367–381. https://doi.org/10.1080/19371918.2020.1768747 

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Netsi, E., Pearson, R. M., Murray, L., Cooper, P., Craske, M. G., & Stein, A. (2018). Association of persistent and severe postpartum depression with child outcomes. JAMA Psychiatry, 75(3), 247–253. https://doi.org/10.1001/jamapsychiatry.2017.4363 

O’Hara, M. W., Stuart, S., Gorman, L. L., & Wenzel, A. (2000). Efficacy of interpersonal psychotherapy for postpartum depression. Archives of General Psychiatry, 57(11), 1039–1045. 

O'Hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression—a meta-analysis. International Review of Psychiatry, 8(1), 37–54. https://doi.org/10.3109/09540269609037816 

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Course Completion & CE Information

Category I Maryland BSWE Requirement

The Office of Continuing Professional Education at the University of Maryland School of Social Work is authorized by the Board of Social Work Examiners in Maryland to sponsor social work continuing education programs. This workshop qualifies for 3 Category I Continuing Education Units. The Office of Continuing Professional Education is also authorized by the Maryland Board of Psychologists and the Maryland Board of Professional Counselors to sponsor Category A continuing professional education. 

 

ASWB Information 

University of Maryland School of Social Work Office of Continuing Professional Education, #1611, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 2/11/2024-2/11/2027.  

To receive ACE credit, full attendance is required; no partial credits will be given for partial attendance. 

 

Certificate Access

To access the evaluation and certificate, click on the orange certificate button in your CPE account. Once you complete the evaluation, access to the certificate will be available.  

Live Interactive Webinars (Cat I) and Live Webinars (Cat II) - Allow up to 30 minutes post-training for attendance to be verified, then you will be able to access the evaluation and certificate. 

In Person Trainings - Please allow five (5) business days post-training for attendance to be verified, then you will be able to access the evaluation and certificate. 

 

Please refer to the tab "Live Interactive Webinar Policies & FAQs" for UMSSW Office of CPE policies regarding all live interactive webinar related matters. Contact our office at cpe@ssw.umaryland.edu for more information.  

Evaluation

Participants will have access to the evaluation after attendance has been verified. Evaluations will be available for one (1) week after the workshop has ended.  

After one (1) week, participants will no longer have access to the evaluation and will have to contact CPE about reactivation.

Target Audience

Social Workers, LCPCs, and Psychologists

We welcome anyone interested in the topic!

 

Live Interactive Webinar Platforms

LIVE INTERACTIVE WEBINAR PLATFORMS

The Office of Continuing Professional Education hosts Live Interactive Webinars through Zoom. This platform offers a high quality and user-friendly webinar platform for our registrants.

System Requirements:

  • Operating Systems: Windows XP or higher; MacOS 9 or higher; Android 4.0 or higher.
  • Internet Browser: Google Chrome; Firefox 10.0 or higher.

Our system is not compatible with the Safari web browser.

  • Broadband Internet Connection: Cable, High-speed DSL and any other medium that is internet accessible.

**Please have your device charging at all times to ensure that your device does not lose power during the webinar.

Course Interaction Requirements:

To participate in Live Interactive Webinars, you MUST have a device that allows you to view the presentation on screen and hear the instructor at all times. We do not allow participants to call-in from their phones or mobile devices and solely listen to the presentation. Participation in Live Interactive Webinars is mandatory.

Our webinar policies can be found on our website by clicking here.

Webinar Policies & FAQs

Click The Link to View The Webinar Policies & FAQs

https://umbsswcpe.ce21.com/Page/live-interactive-webinar-procedures-policies-4129

 

 

Code of Conduct

The Office of Continuing Professional Education at the University of Maryland School of Social Work adheres to the NASW Code of Ethics. This policy is to ensure that the training environment for social work professionals remains respectful, productive, and conducive to learning. Disruptive behavior that interferes with the learning process, disrupts the training experience for others, or undermines the integrity of the program will not be tolerated.

 

Expectations for Participant Engagement:

In alignment with the NASW Code of Ethics and the University of Maryland Baltimore Code of Conduct, participants are expected to demonstrate professionalism, which includes respecting confidentiality, maintaining a collaborative and respectful tone, and contributing positively to the group dynamic. Disclosures made during the training (e.g., case studies or personal reflections) must be handled with care and in accordance with ethical and legal guidelines.

All participants in the training program are expected to:

  • Engage actively in the learning process and show respect for the opinions and contributions of others.
  • Demonstrate professionalism in both attitude and behavior, maintaining respect for instructors, peers, and the training environment.
  • Maintain open communication by expressing concerns or disagreements constructively and respectfully.
  • Follow the guidelines and expectations provided by instructors and facilitators.
  • Support a collaborative learning environment where all participants feel valued and safe to contribute.

 

Instructors and CPE staff reserve the right to dismiss participants who do not adhere to ethical/professional principles and standards. If removed, CEs will be adjusted to reflect the time attended, unless otherwise specified. 

ADA Accommodations

To request ADA accommodations:

Please email our office at least four (4) weeks before the workshop. Late requests may not be accommodated.

Our email address is cpe@ssw.umaryland.edu.  

Late Fees and Refunds

The base price is $70, which includes CE credit.  

Late Fee: On 04/30/26, a non-refundable late fee of $20 is added to the base price. Late fees cannot be refunded or applied to account credit.  

Cancellations: **ALL cancellations will be subjected to a $35.00 administration fee.**  To be eligible for a refund or CPE account credit, cancellations must be made at least 24 hours before the workshop. 

For more information, please read the general policies on our website.