Perinatal Psychiatry

Specialist Mental Health Care for Women in Pregnancy & Postpartum

RANZCP perinatal psychiatry support across pre-conception, pregnancy, and the first year after birth, delivered via secure telehealth across Australia by Dr Joanna Blades.

Telehealth Australia-Wide
Pregnancy & Postpartum
Medicare Rebates Available
Perinatal mental health care via telehealth
About Lionheart's Perinatal Psychiatry Service

Perinatal psychiatry is a clinical subspecialty for women in pregnancy and the first postpartum year. The demands of this stage, the physiological changes of pregnancy and breastfeeding, and the implications for medication choice all mean general adult psychiatry guidance does not always apply directly.

Lionheart provides specialist perinatal psychiatric assessment and ongoing care via telehealth. Our perinatal lead is Dr Joanna Blades, who works with women from pre-conception through to the end of the first postpartum year, with a warm, collaborative, evidence-based approach.

For an in-depth overview of the conditions we treat in this period — antenatal and postnatal depression, perinatal anxiety and OCD, birth-related PTSD — see our Perinatal Mental Health condition page.

Common Reasons Women Book Perinatal Psychiatry

Some of what we hear in first appointments

Persistent low mood after birth

Sadness, tearfulness, or exhaustion that has lasted more than 2 weeks and is not improving with rest.

Anxiety in pregnancy or postpartum

Excessive worry about the baby, intrusive thoughts about safety, or panic symptoms that interfere with daily functioning.

Intrusive thoughts about the baby

Distressing, often horrifying thoughts of accidental harm. These are a recognised feature of perinatal anxiety and OCD — not predictive of action, and highly treatable.

Difficulty bonding with baby

Feeling emotionally disconnected, going through the motions of caregiving, or struggling to feel the connection you expected. Worth assessing rather than enduring.

Birth-related trauma

Intrusive memories of a difficult birth, avoidance of medical settings, or hypervigilance about future pregnancies.

Pre-conception planning with prior mental illness

Reviewing medication, optimising mental health before conception, and planning postpartum support all improve outcomes for women with a history of depression, anxiety, bipolar, or psychotic illness.

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It's difficult knowing where to start

Our free screening tools can help with that first step.

ADHD · Autism · Anxiety · Depression · PTSD

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Meet Our Perinatal Lead

Dr Joanna Blades is our Child, Adolescent, and Perinatal Psychiatrist

Dr. Joanna Blades, Perinatal and Child & Adolescent Psychiatrist at Lionheart Clinic
Dr. Mimi Xu, Child & Adolescent Psychiatrist at Lionheart Clinic

How to Get Started

Simple steps to access specialist care

1

Free Screening

2

Get a Referral

3

Book Online

4

Assessment

Start Free Screening

Frequently Asked Questions

About Lionheart's perinatal psychiatry service

Dr Joanna Blades is our perinatal lead. She is a Child, Adolescent, and Perinatal Psychiatrist with experience supporting women across pre-conception, pregnancy, and the first postpartum year. Her approach is warm, collaborative, and shaped by the realities of pregnancy, breastfeeding, and early parenthood.

Request a Mental Health Treatment Plan referral from your GP, midwife, or obstetrician, then book through our patient dashboard. We typically have appointments available within 5 to 6 weeks. Urgent cases are triaged for earlier review where possible.

A GP, midwife, or obstetrician referral is recommended so that you can claim Medicare rebates with a Mental Health Treatment Plan. We accept referrals from any of these clinicians and provide a comprehensive report back to your treating team within 5 business days of the appointment.

Yes. We see women across the entire perinatal period, including pre-conception planning for women with a history of mental illness, antenatal assessment and treatment, and postnatal care through the first year after birth. Earlier engagement generally leads to better outcomes.

Yes, and it is one of the most common reasons women seek a perinatal psychiatry appointment. Several SSRIs and other psychiatric medications have well-established safety data in pregnancy and breastfeeding. We weigh the genuine risks of untreated illness against the well-characterised risks of specific medications, and you make an informed choice.

For healthcare professionals

Lionheart provides perinatal psychiatric care in collaboration with the patient's treating team.

GP referral information

Telehealth during pregnancy and postpartum

Lionheart provides perinatal psychiatric care by secure video consultation across Australia. You can attend from home without travelling to an appointment.

Perinatal assessment fees

The perinatal initial assessment fee is $850 AUD.

See our fees page for current fees and payment information.

Looking for more information about perinatal mental health?

Our condition page covers the full clinical picture: antenatal and postnatal depression, perinatal anxiety and OCD, birth-related PTSD, and postpartum psychosis.

Read About Perinatal Mental Health

Ready to get started?

To book an appointment, ask your GP for a referral to Lionheart Clinic. Referrals are valid for 12 months and Medicare rebates apply. We also accept private bookings and NDIS participants.

Paediatric mental health - parent and child wellness support

Important: We Are NOT an Acute Crisis Service

Lionheart Clinic provides non-acute psychiatric assessment and ongoing care. If you, your child, or a young person you care for are experiencing any of the following, please seek immediate help:

•Active suicidal thoughts or self-harm behaviours
•Acute psychosis (hallucinations, delusions, severely disorganised thinking)
•Severe eating disorders requiring medical stabilisation
•Substance intoxication or withdrawal requiring medical management
•Acute mania or severe mood instability posing safety risks
•Any situation where immediate safety is a concern

Need immediate help?

Emergency Services: 000
Lifeline Australia: 13 11 14
Kids Helpline: 1800 55 1800
Beyond Blue: 1300 22 4636