Perinatal Mental Health coordinates care from preconception through pregnancy and the first postpartum year, holding two lives—parent and infant—with one plan. In perinatal Mental health conference Begin with universal, repeated screening for depression, anxiety, bipolar spectrum, OCD/intrusive thoughts, trauma, sleep disruption, and substance use at OB, midwifery, pediatrics, and primary care visits. Map social supports, housing, food security, safety, and work/leave realities; sleep is the hinge of wellness, so anchor dark hours, share night care with partners/kin, and normalize planned naps. Treatment is stepped and collaborative: first-line psychotherapies (IPT, CBT, ERP for taboo thoughts, trauma-informed care) delivered in short, frequent sessions; medications chosen for the best reproductive and lactation profiles with slow, transparent adjustments and shared decisions; and concrete help with benefits, transport, childcare, and lactation. For bipolar spectrum, avoid antidepressant monotherapy; stabilize with mood-safe options and protect sleep ferociously. Build postpartum psychosis pathways that are rapid, dignified, and least restrictive, preserving bonding and milk supply whenever possible and using mother–baby units or coordinated alternatives where available. SUD care is non-punitive: MOUD, AUD meds when indicated, safer-use education, naloxone, and pediatric coordination; legal and child-welfare interfaces should support families, not fracture them. Equity is the difference between advice and help: interpreters, low-literacy materials, home/tele visits, and evening/weekend clinics turn intention into access for shift workers and rural families. Measure what matters: maternal function, sleep continuity, mood stability, safety, feeding/bonding, and infant growth/appointments. Publish outcomes and iterate quarterly so programs learn visibly. The aim is not perfection; it is a safer, steadier season where families find their rhythm and confidence.