The Women’s Program in the Department of Psychiatry

"The burden of mental disorders, such as depression and anxiety, fall disproportionately on women of childbearing and childrearing age." -Psychiatric Clinics of North America, 2003.

The Women’s Program in the Department of Psychiatry at Columbia University was created to address the particular mental health needs of women across the reproductive life cycle. The program offers state-of-the-art consultation and treatment conducted by psychiatrists with particular expertise in women’s mental health. Our program includes internationally renowned faculty in the field of reproductive psychiatry.

The mission of the Women's Program

Mood disorders are twice as prevalent in women compared with men, particularly during the childbearing years. Unfortunately, women are less likely to report and seek help for these problems than they are for general medical problems, though they may be just as disabled by them. Both stigma and lack of knowledge regarding mental health problems are barriers to receiving care.

Furthermore, studies have shown that untreated maternal depression has adverse effects not only for women, but for their children and their families as well.

Postpartum depression is the #1 complication of childbirth and may cause impaired bonding between mother and infant. It affects between 15 - 20% of women.

Depression during pregnancy can cause premature delivery and low birth weight. It occurs in more than 1 in 10 pregnant women.

About 3 - 8% of women have premenstrual mood symptoms that may interfere with work, home and social relationships.

Mood symptoms are frequently exacerbated in perimenopause and menopause.

Treatment

Our program offers treatment for:

Lifecycle changes, such as:
premenstrual mood symptoms (PMDD); and
menopause and perimenopause;
Childbirth and the postpartum period, including:

Postpartum depression;
Depression and anxiety during pregnancy: medication consultation;
Depression and lactation;
Mother infant attachment disorders;
Infertility; and
Pregnancy loss;

Eating disorders; and
Trauma.

Treatments offered include:

Comprehensive evaluation;
Medication consultation for the pregnant and breastfeeding mother;
Consultations and second opinions with other health care professionals;
Crisis intervention;
Psychotherapy;
Crisis intervention;
Structured intensive treatment;
Support groups;
Access to state-of-the-art research trials for new treatments; and
Family education and support.

Staff

Margaret Spinelli, MD Director
Mary Sciutto, MD Administrative Director

Elizabeth Fitelson, MD
Eileen Kavanagh, MD, MPA

Consultants:

Linda Mullen, MD, Liaison Psychiatrist to the Department of OB/GYN
Jennifer Downey, MD
Sylvia Fogel, MD
Jean Endicott, PhD
Blair Simpson, MD
Evelyn Attia, MD

Links

National Alliance on Mental Illness
National Institute of Mental Health
Postpartum Support International
Postpartum Resource Center of New York
Motherisk
National Women’s Health Information Center
Postpartum Depression Foundation
Medical Education Postpartum Depression from NIH

Research Page:

To find out about our NIMH-funded study, “Treating Pregnancy and Depression with Interpersonal Psychotherapy,” please call the Maternal Mental Health Program at 212-543-5519.

Contact:

To schedule an appointment, make a referral or for further information, please call us Monday - Friday, 9 AM to 5 PM, at 212-305-6001.

Location

NewYork-Presbyterian Hospital/
Columbia University Medical Center
Neurological Institute
Psychiatry Specialty Clinics
710 West 168th Street, 12th Floor
New York, NY 10032






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@2005 Columbia University Department of Psychiatry
180 Ft. Washington Avenue, New York, NY 10032